ATTACHMENT E - REPORTING TOOL - NX EQ PHYSIOLOGIC MOTILITY ANALYZERS.xlsx

This is a quarterly reporting template for tracking sales of NX EQ Physiologic Motility Analyzers (EndoFLIP devices) distributed to Veterans Affairs Medical Centers across the United States. The template is designed for contractors to report their quarterly sales volumes by line item and facility, organized by VA's 23 Veterans Integrated Service Networks (VISNs) and their associated medical centers. The spreadsheet includes columns for contractor information, contract number, CLIN number, item description, unit price inclusive of Service Level Agreement (SLA) fees, and quantity sold across 22 line items representing different EndoFLIP system configurations and accessories. The reporting structure maps each line item to specific VA facilities nationwide, from VA New England Healthcare System facilities in the Northeast through VA Midwest Health Care Network and Sierra Pacific Network facilities in the West.

The template captures comprehensive quarterly sales data including total quarterly quantities sold per item, total quantity sold across all items, total quarterly sales revenue by item (quantity multiplied by price), aggregate quarterly sales inclusive of SLA fees, anticipated SLA amounts, and total sales without SLA adjustments. Contractors must complete this template each reporting quarter for fiscal year 2027, with all fields initialized at zero for blank submissions. The reporting requirement emphasizes tracking sales distribution across the entire VA medical center network to monitor EndoFLIP device deployment and utilization across the department's healthcare system. This template is part of Solicitation 36C10X26R0054 for the procurement and delivery of Medtronic EndoFLIP 300 systems to VA facilities nationwide.