doc 349-cshm updated schedules a thru h

7/31/2019 Doc 349-CSHM Updated Schedules A Thru H

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John C. Tishler, BPR No. 13441Katie G. Stenberg, BPR No. 22301Robert P. Sweeter, BPR No. 28859WALLER LANSDEN DORTCH & DAVIS, LLP511 Union Street, Suite 2700

Nashville, TN 37219Telephone: (615) 244-6380Facsimile: (615) 244-6804Email: [email protected]

[email protected]@wallerlaw.com

Attorneys for the Debtors and Debtors in Possession

IN THE UNITED STATES BANKRUPTCY COURTFOR THE MIDDLE DISTRICT OF TENNESSEE

NASHVILLE DIVISION

------------------------------------------------------------------------IN RE: )

) Chapter 11CHURCH STREET HEALTH MANAGEMENT, LLC )

Debtor )------------------------------------------------------------------------

The following items have been amended in the above named bankruptcy proceeding

(check all applicable boxes).

Summary of Schedules

Schedule A - Real Property

Schedule B - Personal Property

Schedule D - Creditors Holding Secured ClaimsSchedule E - Creditors Holding Unsecured Priority Claims

Schedule F - Creditors Holding Unsecured Claims

Schedule G - Executory Contracts and Unexpired Leases

Schedule H Co-Debtors

Global Notes (Section 1.j - Excluded Assets and Liabilities)

) Case No. 12-01573 (KML))

Jointly Administered

Case 3:12-bk-01573 Doc 349 Filed 05/10/12 Entered 05/10/12 23:35:47 Desc MainDocument Page 1 of 148


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Declaration Concerning Debtors Schedules

Statement of Financial Affairs and/or Declaration

Declaration of Debtor

I declare, under penalty of perjury, that the information set forth in the amendment(s)

/s/ Rodney CawoodRodney CawoodExecutive Vice President and Chief Financial Officer

attached hereto are true and correct to the best of my information and belief.

DATED this 10 th day of May, 2012.



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IN THE UNITED STATES BANKRUPTCY COURTFOR THE MIDDLE DISTRICT OF TENNESSEE

NASHVILLE DIVISION------------------------------------------------------------------------IN RE: )

) Chapter 11CHURCH STREET HEALTH MANAGEMENT, LLC, )et al. 1 ) Case No. 12-01573

)Debtors ) Jointly Administered

------------------------------------------------------------------------

GLOBAL NOTES AND STATEMENT OFLIMITATIONS, METHODOLOGY, AND DISCLAIMER

REGARDING THE DEBTORS' SCHEDULES OF ASSETSAND LIABILITIES AND STATEMENTS OF FINANCIAL AFFAIRS

Church Street Health Management LLC and its subsidiaries, as debtors and debtors inpossession (collectively, the " Debtors "), have filed their respective Schedules of Assets andLiabilities (the " Schedules ") and Statements of Financial Affairs (the " SOFAs ", and collectivelywith the " Schedules ," the " Schedules and Statements ") in the United States Bankruptcy Courtfor the Middle District of Tennessee (the " Bankruptcy Court "). The Debtors, with the assistanceof their advisors, prepared the Schedules and Statements in accordance with section 521 of title11 of the United States Code (the " Bankruptcy Code ") and Rule 1007 of the Federal Rules of Bankruptcy Procedure (the " Bankruptcy Rules ").

Rodney Cawood, the Chief Financial Officer of the Debtors, has signed the Schedulesand Statements. In reviewing and signing the Schedules and Statements, Mr. Cawood hasnecessarily relied upon the efforts, statements, and representations of various personnel of theDebtors. Mr. Cawood has not (and could not have) personally verified the accuracy of each suchstatement and representation, including statements and representations concerning amounts owedto creditors.

These Global Notes and Statement of Limitations, Methodology, and DisclaimerRegarding the Schedules and Statements (the " Global Notes ") pertain to, are incorporated byreference in, and comprise an integral part of all of the Schedules and Statements. The GlobalNotes should be referred to and reviewed in connection with any review of the Schedules and

1 The Debtors (with the last four digits of each Debtors federal tax identification number and chapter 11 casenumber), are: Church Street Health Management, LLC (2335; Case No. 12-01573), Small Smiles HoldingCompany, LLC (4993; Case No. 12-01574), FORBA NY, LLC (8013; Case No. 12-01575), FORBA Services,Inc. (6506; Case No. 12-01577), EEHC, Inc. (4973; Case No. 12-01576).



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Statements. 2 In the event that the Schedules and Statements differ from any of the foregoingGlobal Notes, the Global Notes shall control.

The Schedules and Statements do not purport to represent financial statements preparedin accordance with Generally Accepted Accounting Principles in the United States (" GAAP "),

nor are they intended to be fully reconciled to the Debtors financial statements. The Schedulesand Statements contain unaudited information that is subject to further review and potentialadjustment. In preparing the Schedules and Statements, the Debtors relied on financial dataderived from their books and records that was available at the time of such preparation. TheDebtors have made reasonable and good faith efforts to ensure the accuracy and completeness of such financial information, but further research or discovery may identify subsequentinformation that may necessitate material amendments to the Schedules and Statements. As aresult, the Debtors are unable to warrant or represent that the Schedules and Statements arewithout inadvertent errors, omissions, or inaccuracies and may be amended in the future.

Nothing contained in the Schedules and Statements shall constitute a waiver of any of theDebtors' rights or an admission with respect to their chapter 11 cases, including, withoutlimitation, any issues involving substantive consolidation, equitable subordination, offsets ordefenses, and/or causes of action arising under the provisions of chapter 5 of the BankruptcyCode and any other relevant applicable laws to recover assets or avoid transfers.

1. Summary of Significant Reporting Policies . The following is a summary of significant reporting policies:

a) Allocation of Liabilities. The Debtors allocated liabilities between the prepetitionand postpetition periods based on research conducted in connection with thepreparation of the Schedules and Statements. As additional information becomesavailable and further research is conducted, the allocation of liabilities betweenthe prepetition and postpetition periods may change. The Debtors reserve allrights to modify, amend, and supplement the Schedules and Statements as isnecessary and appropriate.

b) Amendments and Supplements. While the Debtors made reasonable and goodfaith efforts to file complete and accurate Schedules and Statements, inadvertenterrors or omissions may exist. The Debtors reserve all rights to amend orsupplement the Schedules and Statements as is necessary and appropriate.

c) Bankruptcy Court Orders. Pursuant to various orders entered or to be entered bythe Bankruptcy Court (collectively, the " Pre-petition Payment Orders "), the

2 These Global Notes are in addition to the specific notes contained in each Debtor's Schedules andStatements. The fact that the Debtors have prepared a "Specific Note" with respect only to specificSchedules and Statements should not be interpreted as a decision by the Debtors to exclude theapplicability of such Specific Note to any of the Debtors' remaining Schedules and Statements, asappropriate.



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Debtors were or will be authorized to pay certain outstanding pre-petition claims,including, without limitation, certain claims of employees for wages, salaries andbenefits and certain tax claims. As a result, and as detailed herein, the Debtorshave not listed these claims in the Schedules. To the extent such claims are listedon the Schedules and Statements, inadvertently or otherwise, the Debtors do not

waive any right to amend the Schedules and Statements and/or subsequentlyobject to such claims on any basis, including that such claims have already beensatisfied through payments with respect to the Pre-petition Payment Orders.

d) Claims Description. Any failure to designate a claim on a given Debtor'sSchedules and Statements as "disputed," "contingent," or "unliquidated" does notconstitute an admission by the Debtor that such amount is not "disputed,""contingent," or "unliquidated." The Debtors reserve all rights to dispute anyclaim, whether reflected on their respective Schedules and Statements or assertedpursuant to a filed proof of claim, on any grounds, including, without limitation,amount, liability or classification, or to otherwise subsequently designate suchclaims as "disputed," "contingent," or "unliquidated."

e) Classifications. Listing a claim or contract (i) on Schedule D as "secured," (ii) onSchedule F as "unsecured," or (iii) on Schedule G as "executory" or "unexpired,"does not constitute an admission by the Debtors of the legal rights of the claimant,or a waiver of the Debtors' right to recharacterize or reclassify such claim orcontract.

f) Causes of Action. Despite reasonable and good faith efforts, the Debtors may nothave identified and/or set forth all of their causes of action (filed or potential)against third parties as assets in their Schedules and Statements. The Debtorsreserve all rights with respect to any causes of action and nothing in the GlobalNotes or the Schedules and Statements shall be deemed a waiver of any suchcauses of action. Similarly, in instances where the Debtors are defendants inpending causes of action, nothing in the Global Notes or the Schedules andStatements shall be deemed as an admission or determination with respect to, or awaiver of any defense or objection to, such causes of action, and all of theDebtors defenses, objection and other rights with respect to such causes of actionare hereby preserved.

g) Confidential, Private, and Commercially Sensitive Information. In certaininstances, the Debtors may have intentionally altered, revised, redacted orconsolidated certain information in the Schedules and Statements due to the

nature of an agreement between a Debtor and a third party, concerns about theconfidential or commercially sensitive nature of certain information or concernsfor the privacy of an individual. In addition, in certain instances, the sensitivity of such information may require its omission from the Schedules and Statements. Tothe extent possible, the alterations, redactions, consolidations and omissions havebeen limited to the extent determined by the Debtors to be necessary orappropriate to protect the Debtors or third parties while also providing interestedparties with sufficient information in response to the Schedules and Statements.



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The Debtors have not included addresses of current and former employees ordirectors in the Schedules and Statements.

h) Entity Classification Issues. The Debtors have endeavored in good faith toidentify the assets owned by each Debtor and the liabilities owed by each Debtor.While the Schedules reflect the results of this effort, several factors may impactthe ability of the Debtors precisely to assign assets and liabilities to particularDebtor entities, including but not limited to (i) certain assets may be primarilyused by a Debtor other than the entity which holds title to such assets according tothe Debtors books and records; ( ii) certain liabilities may have been nominallyincurred by one Debtor, yet such liabilities may have actually been incurred by, orthe invoices related to such liabilities may have been issued to or in the name of,another Debtor; and (iii) certain creditors of the Debtors may have treated one ormore of the Debtors as a consolidated entity rather than as differentiated entities.

i) Estimates and Assumptions. In preparing the Schedules and Statements, theDebtors were required to make certain estimates and assumptions that affect thereported amounts of assets and liabilities, the disclosure and potential values of contingent assets and liabilities on the date the Schedules and Statements werefiled and the reported amounts of revenues and expenses during the reportingperiod. Actual results could differ from those estimates, perhaps materially.

j) Excluded Assets and Liabilities. The Debtors have excluded certain categories of assets and liabilities from the Schedules and Statements such as accrued liabilitiesincluding, without limitation, tax accruals and accrued accounts payable. Otherimmaterial assets and liabilities may also have been excluded. Finally, certaindeferred charges, accounts, or reserves recorded for GAAP reporting purposesonly are no t included in the Debtors Schedules.

k) Executory Contracts and Unexpired Leases. The Debtors have not necessarily setforth executory contracts and unexpired leases as assets in the Schedules andStatements, even though these contracts may have some value to the Debtors'estates. The Debtors' executory contracts and unexpired leases have been set forthin Schedule G. The Debtors rejection of executory contracts and unexpired leaseswill result in the assertion of rejection damages claims; however, the Schedulesand Statements do not reflect any rejection damages claims. The Debtors reservethe right to make any arguments and objections with respect to the assertion of any such claims.

l) Insiders. For purposes of the Schedules and Statements, the Debtors define"insiders" pursuant to section 101(31) of the Bankruptcy Code as: (i) directors;(ii) officers; (iii) persons in control of the Debtors; (iv) relatives of directors,officers, or persons in control of the Debtors; and (v) affiliates.

Persons listed as "insiders" have been included for informational purposes only.The Debtors do not take any position with respect to: (i) such person's influenceover the control of the Debtors; (ii) the management responsibilities or functions



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of such individual; (iii) the decision-making or corporate authority of suchindividual; or (iv) whether such individual could successfully argue that he or sheis not an "insider" under applicable law, including, without limitation, the federalsecurities laws, or with respect to any theories of liability, or for any otherpurpose. The listing of a party as an insider is not intended to be nor should it be

construed as a legal characterization of such party as an insider, nor should it beconstrued as an admission that such party is an insider, all such rights, claims anddefenses are expressly reserved.

m) Intercompany Claims. Receivables and payables among the Debtors in these cases(each an " Intercompany Receivable " or " Intercompany Payable " and,collectively, the " Intercompany Claims ") are reported on Schedule B(16) orSchedule F as a receivable or payable due to or from the applicable Debtor to orfrom the other Debtors. Where no balance is listed, the Debtors do not believe,based on information currently available, that the applicable Debtor has anyIntercompany Receivables or Intercompany Payables.

n) Litigation. The Debtors have listed on Schedule F all known claimants related toany pending or threatened litigation action as contingent, unliquidated anddisputed with unknown amounts. Although claim amounts were not estimated,allowed claims, if any, for these claimants may be substantial. For confidentialityreasons and in compliance with the HIPAA requirements, the Debtors have notincluded the names and other personal information of the litigants.

o) Net Book Value. In certain instances, market valuations are neither maintainedby, nor readily available to, the Debtors. In other instances, market valuations areavailable but they are out-of-date. It would be prohibitively expensive, undulyburdensome and an inefficient use of estate assets for the Debtors to obtaincurrent market valuations of all of their assets. Accordingly, unless otherwiseindicated, the Debtors' Schedules and Statements reflect the Debtors assets at netbook values. Market values of these assets may vary, at some times materially,from the net book value of such assets. As applicable, assets that have been fullydepreciated or were expensed for accounting purposes have no net book value.

p) Petition Date. Financial information for Church Street Health Management LLCis, unless otherwise noted herein or in the Schedules and Statements, provided asof February 20, 2012. Financial information for all remaining Debtors is as of February 21, 2012.

q) Recharacterization. Notwithstanding that the Debtors have made reasonableefforts to correctly characterize, classify, categorize, or designate certain claims,assets, executory contracts, unexpired leases, and other items reported in theSchedules and Statements, the Debtors nonetheless may have improperlycharacterized, classified, categorized, or designated certain items. Thus, theDebtors reserve all rights to recharacterize, reclassify, recategorize, or redesignateitems reported in the Schedules and Statements at a later time as is necessary andappropriate as additional information becomes available.



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r) Third-Party Property. In the ordinary course of their business, the Debtors leaseequipment from certain third-party lessors for use in the daily operation of theirbusiness and otherwise use and hold property owned by third-parties pursuant tocontracts and leases with such parties. Such leases or contracts are set forth inSchedule G. The property subject to any such leases or contracts is not reflected

in either Schedule A or Schedule B as either owned property or assets of theDebtors. Neither is the property subject to any such leases or contracts reflected inthe Debtors SOFAs as property or assets of third -parties within the control of theDebtors. Nothing contained in the Schedules and Statements is or shall beconstrued as an admission or determination as to the legal status of any lease(including, but not limited to, whether any lease is a true lease or a financingarrangement) or contract (including, but not limited to, whether the contract is, infact, an executory contract), and the Debtors reserve all rights with respect to anysuch issues.

s) Totals. All totals that are included in the Schedules and Statements representtotals of all known amounts included in the Debtors' books and records as of thePetition Date. To the extent there are unknown or undetermined amounts, theactual total may be different than the listed total.

t) Undetermined Amounts . The description of an amount as unknown, TBD, or undetermined is not intended to reflect upon the materiality of such amount.

2. Specific Schedules and Statements Disclosures

a) Schedule B(23) Other general intangible assets. Certain contracts that haverecognized book values under GAAP but which are not readily convertible to cashare not reflected on Schedule B(23). These contracts are included in Schedule G.

b) Schedule D - Creditors Holding Secured Claims. Except as otherwise agreedpursuant to a stipulation and agreed order or general order entered by theBankruptcy Court that is or becomes final, the Debtors and/or their estates reservethe right to dispute or challenge the validity, perfection or immunity fromavoidance of any lien purported to be granted or perfected in any specific asset toa creditor listed on Schedule D of any Debtor. Moreover, although the Debtorsmay have scheduled claims of various creditors as secured claims forinformational purposes, no current valuation of the Debtors assets in which suchcreditors may have a lien has been undertaken.

The Debtors reserve all rights to dispute or challenge the secured nature of anysuch creditors claim or the characterization of the structure of any suchtransaction or any document or instrument (including, without limitation, anyintercompany agreement ) related to such creditors claim. In certain instances, aDebtor may be a co-obligor or guarantor with respect to scheduled claims of otherDebtors, and no claim set forth on Schedule D of any Debtor is intended toacknowledge claims of creditors that are otherwise satisfied or discharged byother entities. The descriptions in Schedule D are intended only to be a summary.



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Reference to the applicable loan agreements and related documents and adetermination of the creditors compliance with applicable l aw is necessary for acomplete description of the collateral and the nature, extent and priority of anyliens. Nothing in the Global Notes or the Schedules and Statements shall bedeemed a modification or interpretation of the terms of such agreements or related

documents.The claims listed on Schedule D arose or were incurred on various dates and adetermination of each date upon which each claim arose or was incurred would beunduly burdensome and cost prohibitive. Accordingly, not all such dates areincluded for each claim. All claims listed on Schedule D, however, appear tohave arisen or to have been incurred prior to the Petition Date.

Real property lessors, utility companies, and other parties that may hold securitydeposits have not been listed on Schedule D. The Debtors have not included onSchedule D parties that may believe their claims are secured through setoff rights,deposit posted by, or on behalf of, the Debtors, or inchoate statutory liens rights.

c) Schedule E - Creditors Holding Unsecured Priority Claims. Pursuant to an orderentered by the Bankruptcy Court on February 22, 2012, the Debtors have theauthority to pay certain prepetition obligations, including employee wages andother employee benefits in the ordinary course of business (the " Employee Wage

and Benefit Order "). As a result of the Employee Wage and Benefit Order, theDebtors believe that any employee claims for prepetition amounts related toongoing payroll, benefits, and expense reimbursements whether allowable as apriority or nonpriority claim, have been or will be satisfied, and such satisfiedamounts are listed on Schedule E as Contingent .

Pursuant to a separate order entered by the Bankruptcy Court on March 13, 2012,the Debtors have the authority to pay certain prepetition taxes (the " Tax Order ").Pursuant to the Tax Order, the Debtors believe that any claims on account of suchtaxes have been or will be satisfied, and such satisfied amounts are listed onSchedule E as Contingent .

Out of abundance of caution and in an effort to provide notice to holders of potential priority tax claims, the Debtors have listed holders of potential prioritytax claims on Schedule E except to the extent such claims have been or will besatisfied pursuant to the Tax Order. The list ing of a taxing authority on a DebtorsSchedule E is not an acknowledgement that such taxing authority holds a valid

claim against a particular Debtor or that a particular tax claim is entitled topriority under 11 U.S.C. 507(a)(8) or otherwise. The Debtors reserve the rightto take the position that any claim listed on Schedule E is a secured claim, anunsecured or a subordinated claim.

Further, certain potential or actual priority claims may be subject to audit and theDebtors are otherwise unable to determine with certainty the amount of many, if not all, of these claims. Therefore, the Debtors have listed all such claims as



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unknown in amount, pending final resolution of ongoing audits or otheroutstanding issues.

d) Schedule F - Creditors Holding Unsecured Claims. Schedule F containsinformation regarding threatened or pending litigation or administrative action

involving the Debtors. The amounts of these potential claims are listed asunknown and marked as contingent, unliquidated, and disputed i n theSchedules. The Debtors expressly incorporate by reference into Schedule F all

parties to pending and potential litigation, if any, listed in each Debtors SOFA4(a) as contingent, unliquidated, and disputed claims, to the extent not alreadylisted on Schedule F.

Schedule F also reflects prepetition amounts owed to counterparties to executorycontracts and unexpired leases. Such prepetition amounts, however, may be paidin connection with the assumption or assumption and assignment of an executorycontract or unexpired lease. Schedule F does not include additional rejectiondamages claims, if any, of the counterparties to executory contracts and unexpiredleases that may be rejected after the Petition Date. Nothing in the Global Notes orthe Schedules and Statements shall be deemed a modification or interpretation of the terms of any agreement entered into by and between the Debtors and theircreditors.

The claims of creditors for, among other things, merchandise, goods, services, ortaxes are listed on the Debtors' books and records and may not reflect credits orallowances due from such creditor. The Debtors reserve all of their rightsrespecting such credits and allowances. In addition, the amounts of claims listedon Schedule F may be exclusive of contingent and unliquidated amounts.

Schedule F does not include certain deferred charges, deferred liabilities, accrualsor general reserves. Such amounts are, however, reflected on the Debtors booksand records as required in accordance with GAAP. Such accruals are generalestimates of liabilities and do not represent specific claims as of the Petition Date.

e) Schedule G - Executory contracts and unexpired leases. Although reasonableefforts have been made to ensure the accuracy of Schedule G regarding executorycontracts and unexpired leases, the Debtors review is ongoing and inadvertenterrors, omissions, or over-inclusion may have occurred.

Any and all of the Debtors rights, claims, and causes of action with respect to thecontracts, agreements, and leases listed on Schedule G are hereby reserved andpreserved, and, as such, the Debtors hereby reserve all of their rights to disputethe validity, status, or enforceability of any contracts, agreements, or leases setforth on Schedule G and to amend or supplement such Schedule as necessary.

The placing of a contract or lease onto Schedule G shall not be deemed anadmission that such contract is an executory contract or unexpired lease, or that it



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is necessarily a binding, valid and enforceable contract. The Debtors herebyexpressly reserve the right to assert that any claim listed on Schedule G does notconstitute an executory contract within the meaning of section 365 of theBankruptcy Code.

Omission of a contract, agreement or lease from Schedule G does not constitutean admission that such omitted contract, agreement or lease is not an executorycontract or unexpired lease. The Debtors rights under the Bankruptcy Code withrespect to any such omitted contracts, agreements and leases are not impaired bytheir omission. Schedule G may be amended at any time to add any omittedcontract, agreement or lease.

The Debtors may have entered into various other types of agreements in theordinary course of their business, such as indemnity agreements, supplementalagreements, amendments/letter agreements, and confidentiality agreements. Suchdocuments may not be set forth in Schedule G. Moreover, the contracts,

agreements, and leases listed on Schedule G may have expired or may have beenmodified, amended, or supplemented from time to time by various amendments,restatements, waivers, estoppels certificates, letters, or other documents,instruments, and agreements that may not be listed on Schedule G. Portions of some contracts and leases that are listed on Schedule G may have been fullyperformed, while other portions of the same contracts and leases may remainexecutory or unexpired.

Certain of the contracts, agreements, and leases listed on Schedule G may containrenewal options, guarantees of payments, options to purchase, rights of firstrefusal, rights to lease additional space and other miscellaneous rights. Suchrights, powers, duties and obligations may not be set forth on Schedule G.

Certain of the agreements listed on Schedule G may be in the nature of conditional sales agreements or secured financings. The presence of theseagreements or any other agreements on Schedule G does not constitute anadmission that any such agreement is an executory contract or unexpired lease.

The Debtors reserve all of their rights, claims and causes of action with respect tothe contracts and agreements listed on Schedule G, including the right to disputeor challenge the characterization or the structure of any transaction, document, orinstrument. Certain executory agreements may not have been memorialized inwriting and could be subject to dispute. Further, the Debtors may be parties tovarious other agreements concerning real property, such as easements, rights of way, subordination, non-disturbance, supplemental agreements,amendments/letter agreements, title documents, consents, site plans, maps andother miscellaneous agreements. Such agreements, if any, are not set forth inSchedule G.



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The Debtors have attempted to list the appropriate Debtor parties to each contract,agreement, and lease on Schedule G. However, there may be instances in whichother Debtor entities that are not parties to the contracts, agreements, and leaseshave been the primary entities conducting business in connection with thesecontracts, agreements, and leases. Accordingly, the Debtors have listed certain

contracts, agreements, and leases on Schedule G of the Debtor entitycorresponding to the applicable contracting entity on which may, upon furtherreview, differ from the primary entity conducting business with the counterpartyto that particular contract, agreement, or lease. Additionally, certain of thecontracts, agreements, and leases listed on Schedule G may have been enteredinto by more than one of the Debtors.

f) Schedule H - Co-Debtors . Although the Debtors have made every effort toensure the accuracy of Schedule H, inadvertent errors, omissions or inclusion mayhave occurred. The Debtors hereby reserve all rights to dispute the validity, statusor enforceability of any obligations set forth on Schedule H and to further amendor supplement such Schedule as necessary.

The Debtors further reserve all rights, claims and causes of action with respect tothe obligations listed on Schedule H, including the right to dispute or challengethe characterization or the structure of any transaction, document or instrumentrelated to a creditors claim. The listing of a contract, guarantee or other obligation on Schedule H shall not be deemed an admission that such obligation isbinding, valid or enforceable.

g) SOFA Question 3(b) - Payments to Creditors within 90 days. The Debtors havemade reasonable and good faith efforts to include all payments made to creditorswithin the 90 days preceding the Petition Date in their responses to SOFA 3(b).To the extent the Debtors become aware that they have omitted any suchpayments, they will amend the SOFAs accordingly. All amounts that remainoutstanding to any creditor listed on Statement Question 3 are reflected onSchedules D, E, and F as applicable. Any creditor wishing to verify anyoutstanding indebtedness should review those schedules.

Certain payments made to creditors were made via corporate credit cards. Those payments to creditors will not be reflected in the Debtors responses to Question3b.

Certain intercompany transactions are accounted for through transfers of cash toand from appropriate bank accounts in and out of the Debtors cash managementsystem after certain adjustments are made to intercompany accounts receivableand accounts payable among the Debtor and its Debtor and non-Debtor affiliates.These payments and transactions have not been listed. However, readers of theSchedules and Statements wishing to verify any outstanding IntercompanyPayables and Intercompany Receivables should refer to Schedules B16, D or F, asapplicable.



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h) SOFA Question 3(c) Payments to Insiders within 1 year. All payments toinsiders have been reported under SOFA 23. The Debtors have made reasonableand good faith efforts to include all payments made to insiders within 1 yearpreceding the Petition Date in their responses to SOFA 23. To the extent theDebtors become aware that they have omitted any such payments, they will

amend the SOFAs accordingly.i) SOFA Question 4(a) - Suits and Administrative Proceedings. The Debtors have

made reasonable and good faith efforts to include in their responses to SOFA 4(a)a complete list of all lawsuits and litigation proceedings to which the Debtorswere a party within the one (1) year period immediately preceding the PetitionDate. To the extent the Debtors become aware that they have omitted any suchlawsuits or proceedings, they will amend the SOFAs accordingly. Forconfidentiality reasons and in compliance with the HYPAA requirements, theDebtors have not included the names and other personal information of thelitigants.

j) SOFA Question 23 - Withdrawals from a partnership or distributions by acorporation within one year. SOFA 23 includes payments to insiders in the formof checks, wire transfers and other similar disbursements made from bank accounts historically used for payroll and other employee-related disbursements.In addition, for confidentiality reasons, the Debtors have not included the namesor relationships of the individual to the Debtors. The information will be sharedwith the Bankruptcy Court, the US Trustees office and other appropriate partiesupon request.



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}bk1{Form6.SummaryofSchedules}bk{

United States Bankruptcy CourtMiddle District of Tennessee

In re ,Debtor

Case No.

Chapter

12-01573 (KML)

11

Church Street Health Management, LLC

B6 Summary (Official Form 6 - Summary) (12/07)

Indicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A,B, D, E, F, I, and J in the boxes provided. Add the amounts from Schedules A and B to determine the total amount of the debtors assets.Add the amounts of all claims from Schedules D, E, and F to determine the total amount of the debtors liabilities. Individual debtors mustalso complete the "Statistical Summary of Certain Liabilities and Related Data" if they file a case under chapter 7, 11, or 13.

SUMMARY OF SCHEDULES

ATTACHED NO. OFNAME OF SCHEDULE ASSETS LIABILITIES OTHER

(YES/NO) SHEETS

A - Real Property

B - Personal Property

C - Property Claimed as Exempt

D - Creditors Holding Secured Claims

E - Creditors Holding UnsecuredPriority Claims

F - Creditors Holding UnsecuredNonpriority Claims

G - Executory Contracts andUnexpired Leases

H - Codebtors

I - Current Income of IndividualDebtor(s)

J - Current Expenditures of IndividualDebtor(s)

Total Number of Sheets of ALL Schedules

Total Assets

Total Liabilities

(Total of Claims on Schedule E)

S ft C ight ( ) 1996 2011 CCH INCORPORATED b t B t C B k t

No

Yes

Yes

Yes

No

No

0

1,479.042

23,079,879.1937

0 N

0 N

8,782,978.61

258,611,159.23

68

No

No

No

No 0 0.00

0 8,782,978.61

0 235,529,801.0 0

29

0


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}bk1{ScheduleE-CreditorsHoldingUnsecuredPriorityClaims}bk{

B6E (Official Form 6E) (4/10)

A complete list of claims entitled to priority, listed separately by type of priority, is to be set forth on the sheets provided. Only holders of unsecured claims entitledto priority should be listed in this schedule. In the boxes provided on the attached sheets, state the name, mailing address, including zip code, and last four digits of theaccount number, if any, of all entities holding priority claims against the debtor or the property of the debtor, as of the date of the filing of the petition. Use a separatecontinuation sheet for each type of priority and label each with the type of priority.

The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses toso. If a minor child is a creditor, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardianDo not disclose the child's name. See, 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m).

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the approprischedule of creditors, and complete Schedule H-Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may beliable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the claim is contingent, place an "X" in thecolumn labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the claim is disputed, place an "X" in the column label"Disputed." (You may need to place an "X" in more than one of these three columns.)

Report the total of claims listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all claims listed on this Schedule E in the box label"Total" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules.

Report the total of amounts entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts entitled to prioritylisted on this Schedule E in the box labeled "Totals" on the last sheet of the completed schedule. Individual debtors with primarily consumer debts report this totalalso on the Statistical Summary of Certain Liabilities and Related Data.

Report the total of amounts not entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts not entitled topriority listed on this Schedule E in the box labeled "Totals" on the last sheet of the completed schedule. Individual debtors with primarily consumer debts report thistotal also on the Statistical Summary of Certain Liabilities and Related Data.

Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E.

TYPES OF PRIORITY CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets)

Domestic support obligationsClaims for domestic support that are owed to or recoverable by a spouse, former spouse, or child of the debtor, or the parent, legal guardian, or responsible relative

of such a child, or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in 11 U.S.C. 507(a)(1).

Extensions of credit in an involuntary caseClaims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier of the appointment of a

trustee or the order for relief. 11 U.S.C. 507(a)(3).

Wages, salaries, and commissions

Wages, salaries, and commissions, including vacation, severance, and sick leave pay owing to employees and commissions owing to qualifying independent salesrepresentatives up to $11,725* per person earned within 180 days immediately preceding the filing of the original petition, or the cessation of business, whicheveroccurred first, to the extent provided in 11 U.S.C. 507(a)(4).

Contributions to employee benefit plansMoney owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition, or the cessation of business,

whichever occurred first, to the extent provided in 11 U.S.C. 507(a)(5).

Certain farmers and fishermenClaims of certain farmers and fishermen, up to $5,775* per farmer or fisherman, against the debtor, as provided in 11 U.S.C. 507(a)(6).

Deposits by individualsClaims of individuals up to $2,600* for deposits for the purchase, lease, or rental of property or services for personal, family, or household use, that were not

delivered or provided. 11 U.S.C. 507(a)(7).

Taxes and certain other debts owed to governmental unitsTaxes, customs duties, and penalties owing to federal, state, and local governmental units as set forth in 11 U.S.C. 507(a)(8).

Commitments to maintain the capital of an insured depository institutionClaims based on commitments to the FDIC, RTC, Director of the Office of Thrift Supervision, Comptroller of the Currency, or Board of Governors of the Federal

Reserve System, or their predecessors or successors, to maintain the capital of an insured depository institution. 11 U.S.C. 507 (a)(9).

Claims for death or personal injury while debtor was intoxicatedClaims for death or personal injury resulting from the operation of a motor vehicle or vessel while the debtor was intoxicated from using alcohol, a drug, or

another substance. 11 U.S.C. 507(a)(10).

* Amount subject to adjustment on 4/01/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.

continuation sheets attached

SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 12-01573 (KML)Church Street Health Management, LLC

1



16/148

B6E (Official Form 6E) (4/10) - Cont.

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED

Husband, Wife, Joint, or Community

HWJC

CREDITOR'S NAME,AND MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions.)

DATE CLAIM WAS INCURRED AMOUNTAND CONSIDERATION FOR CLAIM OF CLAIM

Account No.

Account No.

Account No.

Account No.

Account No.

SubtotalSheet _____ of _____ continuation sheets attached to(Total of this page)Schedule of Creditors Holding Unsecured Priority Claims

TYPE OF PRIORITY

AMOUNT NOTENTITLED TOPRIORITY, IF ANY

AMOUENTITLED

PRIORI

SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS(Continuation Sheet)


In re ,Debtor


Taxes and Certain Other DebtsOwed to Governmental Units

2009, 2010 and 2011 Franchise TaxLiability

ALABAMA DEPARTMENT OFREVENUE50 NORTH RIPLEY STREETMONTGOMERY, AL 36132 - X

450.34 450.3

0.00

2011 Business Entity Tax Liability

CONNECTICUT DEPARTMENTOF REVENUE SERVICES25 SIGOURNEY STREETHARTFORD, CT 06106

- X

300.00 300.0

0.00

Taxes

STATE OF INDIANADEPARTMENT OF REVENUE100 N SENATE AVEINDIANAPOLIS, IN 46204

- X

728.70 728.7

0.00

1,479.04 1,479.040.001 1

1,479.04 1,479.040.00Total

(Report on Summary of Schedules)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case BankruptcyCase 3:12-bk-01573 Doc 349 Filed 05/10/12 Entered 05/10/12 23:35:47 Desc MainDocument Page 16 of 148


17/148

}bk1{ScheduleF-CreditorsHoldingUnsecuredNonpriorityClaims}bk{

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC

CREDITOR'S NAME,

MAILING ADDRESSINCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Subtotal_____ continuation sheets attached

(Total of this page)

DATE CLAIM WAS INCURRED ANDCONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLA

B6F (Official Form 6F) (12/07)

State the name, mailing address, including zip code, and last four digits of any account number, of all entities holding unsecured claims without priority against thedebtor or the property of the debtor, as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to thetrustee and the creditor and may be provided if the debtor chooses to do so. If a minor child is a creditor, state the child's initials and the name and address of the child'sparent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m). Do notinclude claims listed in Schedules D and E. If all creditors will not fit on this page, use the continuation sheet provided.

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriateschedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may beliable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community."

If the claim is contingent, place an "X" in the column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If theclaim is disputed, place an "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of these three columns.)

Report the total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules and, if the debtor is an individual with primarily consumer debts, report this total also on the Statistical Summary of Certain Liabilities and Related Data.

Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F.

S/N:28092-110822

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS


In re ,Debtor


36

Trade Payable

200 SOUTH BROADWAY, LLCATTN: SCOTT M. LUINSTRA (ALI'IMANAGEMEN201 W 8TH STSTE 300PUEBLO, CO 81003

-

918.0

Real Estate Lease Guarantee (Property: 6105Harford Road, Baltimore, MD 21214);

Guarantor: Forba Holdings, LLC.6105 HARFORD ROAD, LLC5900 WILMARY LANEBALTIMORE, MD 21210

- X X X

Undetermine

Trade Payable

ADVOCATE NETWORKS, LLC6525 THE COMERS PARKWAY SUITE310NORCROSS, GA 30092

-

6,630.0

Severance Obligation

674,545.8

682,093.9

AL SMITH -ADDRESS WITHHELD



18/148

B6F (Official Form 6F) (12/07) - Cont.

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC

CREDITOR'S NAME,MAILING ADDRESS



Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of SubtotalCreditors Holding Unsecured Nonpriority Claims (Total of this page)



SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)


In re ,Debtor


EEOC Litigation

ALMA SHOOPMANC/O ICE MILLER LLPATTN: DAVID CARRONE AMERICAN SQUARE, SUITE 2900INDIANAPOLIS, IN 46282-0200

- X X X

Undetermine

Trade Payable

ALTAIR DATA RESOURCES INC.730 COOL SPRINGS BLVD. SUITE 130FRANKLIN, TN 37067

-

1,037.9

Trade Payable

AMERICAN CAPITAL FINANCIALSERVICES INC.P.O. BOX 759068BALTIMORE, MD 21275-9068

-

14,207.1

Trade Payable

AMERICAN DENTAL ASSOCIATION211 EAST CHICAGO AVE.CHICAGO, IL 60611-2678

-

91.

Real Estate Lease Guarantee (Property: 3401Georgia Ave NW, Washington DC 20010);Guarantor: Forba Holdings, LLC.ANDREW RICHESON

PO BOX 2214UPPER MARLBORO, MD 20773-2214

- X X X

Undetermine

15,336.01 36



19/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Settlement, Principal and Accrued Interest

ANGELA CRAWFORDADDRESS WITHHELD -

58,039.7

Trade Payable

APPLIANCE THERAPY GROUPP.O. BOX 4184VAN NUYS, CA 91409-4184

-

17,207.7

Trade Payable

APPRIVER1101 GULF BREEZE PARKWAYSUITE 200GULF BREEZE, FL 32561

-

97.

Trade Payable

AUTONOMY INC.PO BOX 8374PASADENA, CA 91109

-

8,076.6

Trade Payable

AXIS DIRECT, INC.1631 LEBANON PIKE CIRCLENASHVILLE, TN 37210

-

6,532.3

89,954.02 36



20/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Trade Payable

BAKER, DONELSON, BEARMAN,CALDWELL, & BERKOWITZ PC211 COMMERCE ST, STE 800NASHVILLE, TN 37201

-

2,600.0

Trade Payable

BERKELEY RESEARCH GROUP LLC2200 POWELL ST. SUITE 1200EMERYVILLE, CA 94608

-

2,310.0

Trade Payable

BERNARD HODES GROUP, INCP.O. BOX 751741CHARLOTTE, NC 28275-1741

-

3,758.4

Trade Payable

BETTER BUSINESS SOLUTIONS CO.,INC.(DELAGE LANDEN FINANCIALSERVICES)310 WILSON PIKE CIRCLEBRENTWOOD, TN 37027

-

3,242.6

Real Estate Lease Guarantee (Property: 5412Montgomery Highway Suite 8, Dothan, AL36303); Guarantor: Forba Holdings, LLC.BHR PROPERTIES, LLC

3306 ROSS CLARK CIRCLEDOTHAN, AL 36303

- X X X

Undetermine

11,911.03 36



21/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Real Estate Lease Guarantee (Property: 7524 SAnthony Blvd, Fort Wayne, IN 46816);Guarantor: Forba Holdings, LLC.BODNER FW 27, LLC

C/O BRUCE A BODNER COMPANY,INC.47 S. MERIDIAN STREETSUITE 300INDIANAPOLIS, IN 46204

- X X X

Undetermine

Trade Payable

BRADLEY ARANT BOULT CUMMINGSLLPP.O. BOX 340025NASHVILLE, TN 37203-0025

-

11,137.4

Trade Payable

BRENTWOOD COMMUNICATIONS,INC.215 JAMESTOWN PARK ROADSUITE 203BRENTWOOD, TN 37027

-

29,333.0

Real Estate Lease Guarantee (Property: 1520Broadway Street, Toledo, OH 43609);Guarantor: Forba Holdings, LLC.BROADWAY-SOUTH ASSOCIATES,

LTD.1545 TIMBERWOLF DRIVEHOLLAND, OH 43528

- X X X

Undetermine

Trade Payable

CAMELOT COPY CENTER100 FULLER ROADALBANY, NY 12205

-

77.

40,547.64 36



22/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Trade Payable

CAPITOL ADVOCATES37 WEST BROAD STREET SUITE 420COLUMBUS, OH 43215

-

15,000.0

Trade Payable

CDW DIRECT, LLCP.O. BOX 75723CHICAGO, IL 60675-5723

-

6,387.7

Real Estate Lease Guarantee (Property: 3946Minnesota Avenue NE, Washington, DC

20019); Guarantor: Forba Holdings, LLC.CELIA PROPERTIES LIMITEDPARTNERSHIP5125 MAC ARTHUR BLVD, NW #430WASHINGTON, DC 20016

- X X X

Undetermine

Real Estate Lease Guarantee (Property: 8Vinton Street, Manchester, NH 03103);Guarantor: Forba Holdings, LLC.CHARLES G. ZOULIAS

397 NORTH BAY STREETMANCHESTER, NH 03104

- X X X

Undetermine

Trade Payable

CITRIX ONLINE6500 HOLLISTER AVENUEGOLETA, CA 93117

-

3,029.9

24,417.65 36



23/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Audit Procedure

COLORADO DEPARTMENT OFLABOR1999 BROADWAY, SUITE 2435DENVER, CO 80202-5712

- X X X

Undetermine

Real Estate Lease Guarantee (Property: 2008St. Michaels Dr #B, Sante Fe, NM 87505).Guarantor: Church Street Health Management,LLC

COMMERCIAL PROPERTIES LLC2019 GALISTEO STREEET, SUITE L-1SANTA FE, NM 87505

- X X X

Undetermine

Trade Payable

COVERALL NORTH AMERICA, INC.5201 CONGRESS AVENUESUITE 275BOCA RATON, FL 33487

-

157,337.2

Real Estate Lease Guarantee (Property: 272Franklin Avenue, Hartford, CT 06114);Guarantor: Forba Holdings, LLC.D&D REALTY OF HARTFORD, LLC

276 FRANKLIN AVENUEHARTFORD, CT 06114

- X X X

Undetermine

Trade Payable

DANSEREAU HEALTH PRODUCTS,INC.1581 COMMERCE STREETCORONA, CA 92880

-

972.0

158,309.26 36



24/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Trade Payable

DE LAGE LANDEN FINANCIALSERVICESP.O. BOX 41602PHILADELPHIA, PA 19101-1602

-

899.3

Trade Payable

DENTSPLY INTERNATIONAL INC.PO BOX 536935ATLANTA, GA 30353

-

1,923.0

Trade Payable

DG FAST CHANNEL, INC.PO BOX 951392DALLAS, TX 75395-1392

-

35.

Trade Payable

DR. JOSEPH BERNATADDRESS WITHHELD -

706.8

Trade Payable

DR. LESLEE S. HUGGINSADDRESS WITHHELD -

483.6

4,047.97 36



25/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Trade Payable

DS WATERS OF AMERICA, INC.DBA: DEEP ROCKP.O. BOX 6605795660 NEW NORTHSIDE DRIVE SUITE500ATLANTA, GA 30328

-

25.

Real Estate Lease Guarantee (Property: 2802Lafayette Road #33, Indianapolis, IN 46222).Guarantor: Church Street Health Management,LLC

EAGLEDALE REALTY LLC10689 N. PENNSYLVANIA STREET,SUITE 100INDIANAPOLIS, IN 46280

- X X X

Undetermine

Real Estate Lease Guarantee (Property: 30AAudrey Lane, Oxon Hill, MD 20745); Guarantor:

Forba Holdings, LLC.EASTOVER PLAZA IMPROVEMENTS,LLC580 WHITE PLAINS ROADTARRYTOWN, NY 10591

- X X X

Undetermine

Real Estate Lease Guarantee (Property: 3000Two Notch Road, Columbia SC 29204).Guarantor: Church Street Health Management,LLC

ECKERD CORP1429 SUNBURY LANECOLUMBIA, SC 29205

- X X X

Undetermine

Trade Payable

ELLEN WILLIAMS, LLCP.O. BOX 4618FRANKFORT, KY 40604

-

2,125.0

2,150.88 36



26/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Real Estate Lease Guarantee (Property: 502 WWilliam Cannon Dr Suite 438-A, Austin, TX78745); Guarantor: Forba Holdings, LLC.EXCHANGEPOINT PROPERTY

MANAGEMENT, LLC450 N. ROXBURY DRIVE#1050BEVERLY HILLS, CA 90210

- X X X

Undetermine

Trade Payable

FEDERAL WAGE & LABOR LAWINSTITUTE LTD.7001 W 43RD STREETHOUSTON, TX 77092

-

2,876.6

Trade Payable

FEDEXPO BOX 660481DALLAS, TX 75266

-

10,668.4

Trade Payable

FIOS, INC.921 SW WASHINGTONSUITE 850PORTLAND, OR 97205

-

44,449.6

Trade Payable

FOCUSONE SERVICES, INC.209 10TH AVENUE SOUTHSUITE 514NASHVILLE, TN 37203

-

24,005.4

82,000.09 36



27/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Trade Payable

FOLEY HOAG LLPSEAPORT WORLD TRADE CENTERWEST155 SEAPORT BLVD.BOSTON, MA 02210

-

150.0

Trade Payable

FTI CONSULTING, INC.PO BOX 418005BOSTON, MA 02241-8005

-

27,215.0

Trade Payable

FULBRIGHT & JAWORSKI L.L.P.2200 ROSS AVENUESUITE 2800DALLAS, TX 75201-2784

-

14,911.3

Trade Payable

FUN EXPRESS INC.10525 J STREETOMAHA, NE 68127-1021

-

12,917.5

Trade Payable

GAFFNEY, BENNETT ANDASSOCIATES8840 JEFFERSON HIGHWAY SUITE301BATON ROUGE, LA 70809

-

8,508.0

63,701.810 36



28/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Real Estate Lease Guarantee (Property: 3506Village Court, Gary, IN 46408); Guarantor:Forba LLC.GATEWAY ARTHUR, INC

PO BOX 57021C/O EMMESE ASSET MANAGEMENTCONEWARK, NJ 07101-5721

- X X X

Undetermine

Real Estate Lease Guarantee (Property: 3438Taylor Blvd, Louisville, KY 40215); Guarantor:Forba Holdings, LLC.GES LOUISVILLE, LLC

6060 DUTCHMAN'S LANESUITE 100LOUISVILLE, KY 40205

- X X X

Undetermine

Trade Payable

GOBIN'S INC.PO BOX 715PUEBLO, CO 81002

-

511.1

Trade Payable

GOLDEN DENTAL SERVICES, LLC112 CRAWFORD CIRCLEGOLDEN, CO 80401

-

7,397.0

Trade Payable

GRUBB & ELLIS COMPANY500 W. MONROE STREET SUITE 2900CHICAGO, IL 60661

-

23,895.5

31,803.711 36



29/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Lease Guarantee

HABI LTD.C/O SEAWAY ASSET MANAGEMENTP.O. BOX 887HOLLAND, OH 43528

- X X

326,162.0

EEOC Litigation

HELEN FORTNERC/O WIGGER LAW FIRM, INC.ATTN: CASEY CRUMBLEY8086 RIVERS AVENUE, SUITE ANORTH CHARLESTON, SC 29406

- X X X

Undetermine

Trade Payable

HELLO DIRECT, INC.DEPT. CH17200PALATINE, IL 60055-7200

-

1,139.1

Trade Payable

HENRY SCHEIN, INC.DEPT CH. 10247PALATINE, IL 60055-0241

-

250,632.0

Lease Guarantee

HERITAGE PLAZA, LLCA MISSOURI CORPC/O GRUBB & ELLIS PACIFIC REALTY1905 HARNEY STREET, SUITE 400OMAHA, NE 68102

- X

0.

577,933.112 36



30/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Trade Payable

HILLCO PARTNERS, LLCONE AMERICAN SQUARE SUITE 2450INDIANAPOLIS, IN 46282

-

12,800.0

Real Estate Lease Guarantee (Property: 2111West Patapsco Ave, Baltimore, MD 21230);Guarantor: Forba LLC.HOLLINSWOOD PARK REALTY LLC

PO BOX 823589PHILADELPHIA, PA 19182-3589

- X X X

Undetermine

Trade Payable

HOMEWOOD SUITES CHURCH STLODGING LLP706 CHURCH STREETNASHVILLE, TN 37203

-

1,551.1

State Settlement Agreement, Principal andAccrued Interest

IDAHO ATTORNEY GENERALATTN: LAWRENCE WASDEN700 W. JEFFERSON STREETBOISE, ID 83720-0010

-

64,004.2

Trade Payable

INFORMATION TECHNOLOGYEXPERTSCHEROKEE NATION TECHNOLOGIESLLCMANAGER, 2120 S. COLLEGEAVENUEFORT COLLINS, CO 80525

-

4,047.3

82,402.713 36



31/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Trade Payable

INFOSURV, INC.3340 PEACHTREE ROAD NESUITE 475ATLANTA, GA 30326

-

5,253.6

Trade Payable

INSTANT WEB, INC.DBA: IWCO DIRECTPO BOX 1521MINNEAPOLIS, MN 55480-1521

-

69,041.9

Trade Payable

INTALYTICS, INC.455 EAST EISENHOWER PARKWAYSUITE 150ANN ARBOR, MI 48107

-

29,750.0

Trade Payable

INTERO OFFICE SOLUTIONS101 N. MAIN STREETPUEBLO, CO 81003

-

90,064.5

Severance Obligation

57,648.5

251,758.714 36

JASON OWEN - X ADDRESS WITHHELD



32/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Trade Payable

JERRY CRENSHAWADDRESS WITHHELD -

6.

Trade Payable

JLH CONSULTING & PUBLICAFFAIRS, LLC1410 GRANT STREET B306DENVER, CO 80203

-

8,000.0

Trade Payable

JOHNSON JOHNSON CRABTREEARCHITECTS, P.C.ATTN: DAVID E. JOHNSON4551 TROUSDALE DRIVENASHVILLE, TN 37204

-

9,472.5

EEOC Litigation

KATINA KEMPC/O BARRETT & FARAHANY LLPMICHAEL COHEN1100 PEACHTREET ST NE, STE 500ATLANTA, GA 30309

- X X X

Undetermine

Trade Payable

KENDRICK FINANCIAL SERVICESLLC2324 GOLF CLUB LANENASHVILLE, TN 37215

-

18,862.5

36,341.015 36



33/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Trade Payable

KING & SPALDING LLPP.O. BOX 116133ATLANTA, GA 30368-6133

-

7,573.0

Trade Payable

LBMC TECHNOLOGIES, LLC5250 VIRGINIA WAYTHIRD FLOORBRENTWOOD, TN 37027

-

6,959.4

EEOC Litigation

LEIGH LAPLANTEC/O WIGGER LAW FIRM, INC.ATTN: CASEY CRUMBLEY8086 RIVERS AVENUE, SUITE ANORTH CHARLESTON, SC 29406

- X X X

Undetermine

Trade Payable

LELLYETT & ROGERS CO.1717 LEBANON ROADNASHVILLE, TN 37210-3206

-

63,275.0

Litigation

LITIGANT(S) NO. 0001C/O ANDERSON, AGOSTINO &KELLERATTN: MICHAEL P. MISCH131 SOUTH TAYLORSOUTH BEND, IN 46601

- X X X

Undetermine

77,807.516 36



34/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Litigation

LITIGANT(S) NO. 0002C/O POWERS & SANTOLA, LLPATTN: PATRICK J. HIGGINS39 NORTH PEARL STREETALBANY, NY 12207

- X X X

Undetermine

Litigation

LITIGANT(S) NOS. 0003 - 0012C/O POWERS & SANTOLA, LLPATTN: PATRICK J. HIGGINS39 NORTH PEARL STREETALBANY, NY 12207

- X X X

Undetermine

Litigation


- X X X

Undetermine

Litigation


- X X X

Undetermine

Litigation

LITIGANT(S) NOS. 0033 - 0034C/O ZOLL, KRANZ & BORGESS, LLCATTN: WESLEY D. MERILLAT6620 W. CENTRAL AVENUE, SUITE100TOLEDO, OH 43617

- X X X

Undetermine

0.17 36



35/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Litigation

LITIGANT(S) NOS. 0035 - 0077C/O HORTON & NEIGHBORS, P.C.ATTN: STEVE HORTON & BRENT L.NEIGHBORS1146 N.W. 6TH STREET, SUITE 201OKLAHOMA CITY, OK 73102

- X X X

Undetermine

Patient related tort and fraud claims;Estimated number of Litigants: 345

LITIGANT(S) NOS. 0078 - 0422C/O HORTON & NEIGHBORS, P.C.ATTN: STEVE HORTON & BRENT L.NEIGHBORS1146 N.W. 6TH STREET, SUITE 201OKLAHOMA CITY, OK 73102

- X X X

Undetermine

Patient related tort and fraud claims

LITIGANT(S) NOS. 0423 - 0499C/O ZOLL, KRANZ & BORGESS, LLCATTN: WESLEY D. MERILLAT6620 W. CENTRAL AVENUE, SUITE100TOLEDO, OH 43617

- X X X

Undetermine

Patient related tort and fraud claims

LITIGANT(S) NOS. 0500 - 1091POWERS & SANTOLA, LLPATTN: PATRICK J. HIGGINS39 NORTH PEARL STREETALBANY, NY 12207

- X X X

Undetermine

Real Estate Lease Guarantee (Property: 5430E. Washington Street, Indianapolis, IN 46219).Guarantor: Church Street Health Management,LLC

LOR CORPORATION6350 RUCKER ROAD, SUITE 101INDIANAPOLIS, IN 46220

- X X X

Undetermine

0.18 36



36/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor


Trade Payable

LORING R. HELFRICH, JR.DBA: LRH CONSULTING302 PAGE ROADNASHVILLE, TN 37205

-

14,250.0

Trade Payable

LYDIA'S PROFESSIONAL UNIFORMS2547 THREE MILE ROAD N.W. SUITEFGRAND RAPIDS, MI 49534-1358

-

25,981.2

Lease Guarantee

MCBH CHURCH SQUARE LLC2701 NORTH CHARLES STREETSUITE 404BALTIMORE, MD 21218

- X X

888,195.0

Real Estate Lease Guarantee (Property: 2332Miracle Lane, Mishawaka, IN 46545);Guarantor: Forba Holdings, LLC.MCKINLEY TOWN AND COUNTRY

CENTER, LTD2400 MIRACLE LANEMISHAWAKA, IN 46545

- X X X

Undetermine

Real Estate Lease Guarantee (Property: 2859 EFountain Blvd, Colorado Springs, CO 80910).Guarantor: Church Street Health Management,LLC

MEADOW ASSOCIATES LTDBJ&S CORPORATIONC/O OLIVE REAL ESTAEMANAGEMENT SERVICES102 N. CASCADE AVENUE, SUITE 250COLORADO SPRINGS, CO 80903

- X X X

Undetermine

928,426.219 36



37/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor



MEDICAID FRAUD CNTRL UNIT OFMASSOFC OF ATY GEN, NATHANIALYEAGERDIRECTOR, MFCU OFMASSACHUSETTSONE ASHBURTON PLACE

-

995,335.1


MFCU OF ALABAMAOFFICE OF THE ATTORNEYGENERALATTN BRUCE LIEBERMAN,DIRECTOR501 WASHINGTON AVENUEMONTGOMERY, AL 36130

-

109,119.0


MFCU OF ARIZONAOFFICE OF THE ATTORNEYGENERALATTN STEVE DUPLISSIS, DIRECTOR1275 W WASHINGTON STREETPHOENIX, AZ 85007

-

181,360.1


MFCU OF COLORADOOFFICE OF THE ATTORNEYGENERALATTN TIMOTHY SOKAS, DIRECTOR1525 SHERMAN STREET 2ND FLOORDENVER, CO 80203

-

844,621.6


MFCU OF CONNECTICUTOFFICE OF THE CHIEF STATE'SATTORNEYATTN CHRISTOPHER GODIALIS,DIRECTOR300 CORPORATE PLACEROCKY HILL, CT 06067

-

0.

2,130,435.920 36



38/148


CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED


HWJC




Account No.

Account No.

Account No.

Account No.

Account No.






In re ,Debtor



MFCU OF D.C.OFFICE OF D.C. INSPECTORGENERALATTN SUSAN KENNEDY, DIRECTOR717 14TH ST. N.W. 5TH FLOORWASHINGTON, DC 20005

-

107,009.9


MFCU OF GEORGIA2100 EAST EXCHANGE PLACEATTN CHARLES RICHARDS,DIRECTORBUILDING ONE SUITE 200TUCKER, GA 30084

-

396,072.8


MFCU OF INDIANAOFFICE OF THE ATTORNEYGENERALATTN ALLEN K. POPE, DIRECTOR8005 CASTLEWAY DRIVEINDIANAPOLIS, IN 46250-1946

-

477,812.4


MFCU OF KANSASOFFICE OF THE ATTORNEYGENERALATTN LOREN F. SNELL, JR.,DIRECTOR120 SW 10TH AVE. 2ND FLOORTOPEKA, KS 66612-1597

-

357,767.8


MFCU OF KENTUCKYOFFICE OF THE ATTORNEYGENERALATTN ROBYN BENDER, DIRECTOR1024 CAPITOL CENTER DRIVEFRANKFORT, KY 40601

-

3

doc 349-cshm updated schedules a thru h

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