ORACLE HEALTH GOVERNMENT SERVICES, INC.

THE PURPOSE OF THIS MODIFICATION IS TO INCORPORATE PERFORMANCE WORK STATEMENT REVISION 2.0, DE-SCOPING AND ADDING NEW WITHIN SCOPE TASKS BY REALIGNING FUNDING.

RELOCATION/MOVING SERVICES OF ORACLE HEALTH FORWARD DEPLOYED SOLUTION SETS (FDSS)

THE PURPOSE OF THIS MODIFICATION IS TO INCORPORATE PERFORMANCE WORK STATEMENT REVISION 2.0, DE-SCOPING AND ADDING NEW WITHIN SCOPE TASKS BY REALIGNING FUNDING.

FORMALLY RECOGNIZE THE CONTRACTORS CORPORATE NAME CHANGE FROM CERNER GOVERNMENT SERVICES INC. TO ORACLE HEALTH GOVERNMENT SERVICES, INC. IAW FAR SUBPART 42.12.

NEW INTERFACE SYSTEMS AND INTERFACE SYSTEM ENHANCEMENTS FOR THE OHIO AND INDIANA MARKET VA MEDICAL CENTERS

FORMALLY RECOGNIZE THE CONTRACTORS CORPORATE NAME CHANGE FROM CERNER GOVERNMENT SERVICES INC. TO ORACLE HEALTH GOVERNMENT SERVICES, INC. IAW FAR SUBPART 42.12.

EXERCISE OPTIONAL TASK 9 (SUSTAINMENT SUPPORT) AND NET NEW INTERFACES FOR ALASKA & CLEVELAND DEPLOYMENT

EXERCISE OPTION PERIOD 1, 12-MONTH POP 9/30/25 THRU 9/29/26

THIS PURPOSE OF THIS MODIFICATION P00006 IS TO EXERCISE OPTION PERIOD 2 AND INCORPORATE PERFORMANCE WORK STATEMENT REVISION VERSION 5.0.

EXERCISE OPTION PERIOD TWO (12-MONTH FDSS EXTENSION, 8/11/2025 - 8/10/2026)

ADD AND EXERCISE 12-MONTH EXTENSION FOR SUSTAINMENT (OPTION PERIOD 7) 7/1/25 - 6/30/26

THE PURPOSE OF THIS MODIFICATION IS TO PARTIALLY EXERCISE OPTIONAL TASK 1 AND 9.

EXERCISE OPTION PERIOD 3 (POP EXTENDED TO 5/16/2026) AND FOUR OPTIONAL TASKS

HEALTHEINTENT REA FOR 6/1/23 - 5/16/2025

EXERCISE OPTION PERIOD FOUR WHICH EXTEND POP TO 5/16/2026.

OPTION PERIOD 15 - MAY 17, 2025 THRU MAY 16, 2026

HEATHEINTENT REA FOR 6/1/23 THROUGH 5/16/2025

EXERCISE OPTION PERIOD 9 (9-MONTH POP)

FORMALLY RECOGNIZE THE CONTRACTORS CORPORATE NAME CHANGE FROM CERNER GOVERNMENT SERVICES INC. TO ORACLE HEALTH GOVERNMENT SERVICES, INC. IAW FAR SUBPART 42.12.

EXERCISE OPTIONAL TASKS WHICH PROVIDE A 4 WEEK EXTENSION

FORMALLY RECOGNIZE THE CONTRACTORS CORPORATE NAME CHANGE FROM CERNER GOVERNMENT SERVICES INC. TO ORACLE HEALTH GOVERNMENT SERVICES, INC. IAW FAR SUBPART 42.12.

DEOBLIGATE REMAINING FUNDS FOR CLOSEOUT

THIS PURPOSE OF THIS MODIFICATION P00006 IS TO EXERCISE OPTION PERIOD 2 AND INCORPORATE PERFORMANCE WORK STATEMENT REVISION VERSION 5.0.

ADD/EXERCISE OPTION PERIOD 8 (3-MONTH POP)

DEOBLIGATION OF CONTRACT DUE TO ULTIMATE COMPLETION DATE AND CONTRACT COMPLETION.

THIS PURPOSE OF THIS MODIFICATION P00006 IS TO EXERCISE OPTION PERIOD 2 AND INCORPORATE PERFORMANCE WORK STATEMENT REVISION VERSION 5.0.

EXERCISE OPTIONAL TASKS 1 AND 2

ADD AND EXERCISE OPTIONAL TASK 15.15.1 (ZEBRA MOBILE DEVICE SUSTAINMENT) AND OPTIONAL TASK 23.2 (ADDITIONAL PREMIER PASSES)

FORMALLY RECOGNIZE THE CONTRACTORS CORPORATE NAME CHANGE FROM CERNER GOVERNMENT SERVICES INC. TO ORACLE HEALTH GOVERNMENT SERVICES, INC. IAW FAR SUBPART 42.12.

LABORATORY SYSTEM REENGINEERING PROJECT (LSRP) REMOTE HOSTING, MAINTENANCE, AND SUSTAINMENT - EXERCISE OPTION PERIOD 2

THE PURPOSE OF THIS MODIFICATION IS TO PARTIALLY EXERCISE OPTIONAL TASK 1 AND 9.

OPTIMIZATION OF THE EHRM SYSTEM

IDENTITY AND ACCESS MANAGEMENT (IAM) SUPPORT AND ENHANCEMENT

EXERCISE OPTIONAL TASKS

NO COST EXTENSION

NO COST EXTENSION AND EXERCISE OPTIONAL TASK

PROVIDE A 45-DAY EXTENSION FOR THE ENTERPRISE APPOINTMENT SERVICES AND FOR AN ADDITIONAL 45-DAY EXTENSION FOR PATIENT CHECK-IN (PCI) SUPPORT FOR A TOTAL AMOUNT OF $155,207.65 AS DETAILED IN PWS SECTIONS 5.9.3 AND 5.11.2.

EXERCISE OPTION PERIOD 14

THIS PURPOSE OF THIS MODIFICATION P00007 IS TO EXERCISE OPTIONAL TASK 7 AND ADD A WITHIN SCOPE INCREASE OF THE LEVEL OF EFFORT TO INCLUDE ALL 6 LIVE SITES.

NO COST EXTENSION AND EXERCISE OPTIONAL TASK

THE PURPOSE OF THIS MODIFICATION IS TO EXERCISE OPTIONAL TASK 3.5 3.7 3.9 AND 4.

EHRM FORWARD DEPLOYED SOLUTION SET - ADMIN MOD

THE PURPOSE OF THIS MODIFICATION IS TO INCORPORATE REVISED PERFORMANCE WORK STATEMENT 2.0 DE-SCOPING THE LEVEL OF EFFORT (LOE) AND PARTIALLY DE-OBLIGATING OBLIGATED FUNDING AS AN EFFECT OF THE DECREASED LOE.

SUPPLEMENTAL AGREEMENT TO REQUEST FOR AN EQUITABLE ADJUSTMENT.

THE PURPOSE OF THIS MODIFICATION IS TO EXERCISE OPTION PERIOD 3 (OP3), OP3 OPTIONAL TASK 1 (OT1) AND ADD WORK TO OP3 OT1.

THE PURPOSE OF THIS MODIFICATION IS TO PARTIALLY EXERCISE OPTIONAL TASK 1 AND 9.

PROFESSIONAL SUPPORT SERVICES FOR THE HIV OUTPATIENT STUDY (HOPS)

NO COST WITHIN SCOPE MOD

NO COST EXTENSION AND EXERCISE OPTIONAL TASK

THE PURPOSE OF THIS MODIFICATION IS TO INCORPORATE PERFORMANCE WORK STATEMENT REVISION 2.0, DE-SCOPING TASKS AND DE-OBLIGATING EXCESS FUNDING.