Attachment B Reporting Template.xlsx

XLSX spreadsheet 40 KB Posted

Attached to
STC TEMPORARY DOCTORS
Solicitation number
5400029712
Issued by
South Carolina

About this file

This is a Reporting Template attachment for a state or local staffing contract, designed to track vendor invoicing and employee position costs across multiple healthcare and support service classifications. The template establishes a standardized format for vendors to report billing information, including vendor name, contract number, bill-to entity details, customer purchase order information, invoice dates and numbers, and individual employee positions filled. The template accommodates numerous position categories ranging from nursing roles (Nursing Assistant I through Nurse Administrator/Manager III) to clinical support positions (Physical Therapists, Pharmacists, Physician's Assistants, Epidemiologists) to laboratory and research roles (Microbiologists, Chemists, Laboratory Technologists) to counseling and direct support professional positions. Each line item in the reporting structure tracks sub-total costs, mark-up percentages, fee calculations, and total pricing for services rendered.

The reporting template includes fields for administrative fees and draft reporting entries to accommodate preliminary billing submissions and adjustments prior to final invoicing. All monetary fields are formatted as currency with two decimal places, enabling precise tracking of compensation across the extensive position list. The template structure indicates a master vendor agreement serving multiple entities or departments that may bill against the contract through different customer purchase orders, suggesting a cooperative purchasing arrangement or statewide staffing services contract where various state subdivisions and political entities can access vendor services through a single contract vehicle with standardized reporting and billing procedures.

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Other files

File Type Posted
Amendment #1 5400029712.docx DOCX document
5400029712 Solicitation.docx DOCX document
Attachment C Federal Clauses.docx DOCX document
Attachment A Point of Contact.docx DOCX document

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Text version

Reporting Template

Vendor NameVendor Contract NumberBill to EntityEntity TypeCustomer PO NumberPO DateInvoice DateInvoice NumberIndividual EmployeePositionsSub TotalMark-Up % FeeTotal PriceAdmin Fee
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Postions List

Nursing Assistant I
Nursing Assistant II
Licensed Practical Nurse
Licensed Practical Nurse II
Registered Nurse I
Registered Nurse II
Nurse Practitioner I
Nurse Practitioner II
Nurse Administrator /Manager I
Nurse Administrator /Manager II
Nurse Administrator / Manager III
Physical Therapist Assistant
Occupational Therapy Assistant
Occupational Therapist
Physical Therapist I
Physical Therapist II
Pharmacist I
Pharmacist II
Physician's Assistant
Epindemiologist I
Epindemiologist II
Epidemiologist III
Activity Therapist I
Activity Therapist II
Activity Therapist III
Activity Therapy Director
Speech and Hearing Assistant
Speech and Hearing Therapist I
Speech and Hearing Therapist II
Respiratory Therapist I
Radiology Tech
CT Technologist
Phlebotomist
Emergency Medical Technician
Respiratory Therapist II
Radiation Therapy Technologist I
Radiation Therapy Technologist II
Health Educator I
Health Educator II
Health Educator III
Medical Assistant
Medical Assistant Technician I
Medical Assistant Technician II
Technical Medical Associate I
Technical Medical Associate II
Technical Medical Associate III
Hair Care Specialist
Recreation Specialist II
Recreation Specialist III
Direct Support Professional I
Direct Support Professional II
Direct Support Professional III
Direct Support Manager
Microbiologist I
Microbiologist II
Microbiologist III
Chemist I
Chemist II
Chemist III
Laboratory Aide
Laboratory Assistant
Laboratory Specialist I
Laboratory Specialist II
Laboratory Technologist I
Laboratory Technologist II
Laboratory Technologist III
Laboratory Technologist IV
Research Specialist I
Research Specialist II
Research Specialist III
Counselor Assistant
Counselor I
Counselor II

Key

State
Policical Subdivisions

File details come from the government source that posted it. Updated .