Attachment D Reporting Template.xlsx

This is a reporting template for the South Carolina Temporary Medical Services contract opportunity (GovTribe ID: 5400026592), designed for temporary medical vendors to submit invoicing and service delivery documentation to the state. The template captures essential contract administration information including vendor name, contract number, billing entity details, customer purchase orders, invoice data, and individual employee positions filled under the contract. The position list encompasses a comprehensive range of medical and healthcare personnel across multiple classification levels, including nursing staff (from certified nursing assistants through nursing directors), therapy professionals (physical therapists, occupational therapists, speech-language pathologists), healthcare administrators, laboratory and research specialists, pharmacy personnel, physicians assistants, dental professionals, and support staff. The template is structured to track Sub Total amounts, Mark-Up percentages, Fee calculations, and Total Price with Admin Fees for each billing cycle.

The reporting template indicates this is a statewide contract vehicle for South Carolina state and local agencies to procure temporary medical staffing services on an as-needed basis. The template's comprehensive position classifications suggest this contract is designed to support various state entities and healthcare facilities with flexible, temporary staffing solutions across clinical, administrative, and support functions. All financial fields in the template appear blank, indicating this is a blank form intended for vendors to populate with actual billing data during contract performance. The structure allows for tracking of multiple invoices and positions simultaneously, facilitating transparent reporting of services rendered and associated costs to state billing entities.