UNITED STATES BANKRUPTCY COURT

MIDDLE DISTRICT OF TENNESSEE

In re:
CHURCH STREET HEALTH MANAGEMENT, LLC,
et al.

)
)
)
)
)
)
)

Debtors

Case No.: 12-01573

Jointly Administered
Judge: Keith M Lundin
Chapter 11

MONTHLY OPERATING REPORT FOR MONTH ENDING MAY 31, 2012.

CHURCH STREET HEALTH MANAGEMENT, LLC, et al., Debtor-In-Possession, submits its Monthly
Operating Report for the period commencing May 1, 2012 and ending May 31, 2012 as shown
by the report and exhibits consisting of
25
pages and containing the following, as
indicated:

Monthly Reporting Questionnaire

Comparative Balance Sheets

Summary of Accounts Receivable

Schedule of Postpetition Liabilities

Statement of Income (Loss)

I declare under penalty of perjury that this report and all attachments are true and
correct to the best of my knowledge and belief.

Date:

June 15, 2012

DEBTOR-IN-POSSESSION

By:
(name of signer)
Title: Bradley B. Williams, Chief Manager

Address:

618 Church Street, Suite 520

Nashville, Tennessee, 37219

Telephone Number: (615)750-0300

Fax Number:
Email Address:

Case 3:12-bk-01573

Doc 435

(615)750-0301
bwilliams@cshm.com

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 1 of 26

Desc Main

Case Name
Case Number
Month of

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012

Debtors Bank Accounts

Bank
Account Number
Account Type
Account Name
Beginning Bank Balance
Plus: Deposits
Less: Disbursements
Other
Ending Bank Balance

Pinnacle Bank
5274XXX
Checking / Operating
FORBA NY, LLC

Pinnacle Bank
5270XXX
Checking/Payroll
EEHC, Inc.

13,522.11
433.21
(12,679.28)
1,276.04 $

Pinnacle Bank
5269XXX
Checking / Operating
CSHM, LLC

1,702.63
1,092,990.71
(594,693.34)
500,000.00 $

Pinnacle Bank
5274XXX
Checking / Payroll
CSHM, LLC

469,125.51
11,770,971.82
(8,926,376.70)
3,313,720.63 $

Case 3:12-bk-01573

Pinnacle Bank
5274XXX
Checking / Operating
CSHM, LLC

23,805.50
5,448,046.66
(4,230,674.61)
1,241,177.55 $

Doc 435

Pinnacle Bank
5281XXX
Money Market
CSHM, LLC

9,643.75
7,037.00
(10,507.75)
6,173.00 $

Associated Bank
2213086XXX
Checking / Operating
FORBA NY, LLC

Associated Bank
2213086XXX
Checking / Operating
FORBA SERVICES, INC

Associated Bank
2213086XXX
Checking / Operating
FORBA HOLDINGS, LLC

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 2 of 26

Associated Bank
2213087XXX
Money Market
FORBA HOLDINGS, LLC

Desc Main

Associated Bank
2213032XXX
Checking / Payroll
FORBA HOLDINGS, LLC

Case Name
Case Number
Month of

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012

Professional Fee Payments

Date
5/4/2012
5/10/2012
5/10/2012
5/17/2012
5/17/2012
5/31/2012
5/31/2012
5/31/2012

Professional
Foley Hoag
Alvarez & Marsal
Imperial Capital
Foley Hoag
Walker Tipps & Malone
Imperial Capital
King & Spalding
Waller Lansden
Total

Case 3:12-bk-01573

Doc 435

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 3 of 26

Amount
22,399.44
264,788.52
11,376.01
61,918.30
23,731.25
50,000.00
23,679.87
150,318.46
608,211.85

Desc Main

Case Name
Case Number
Month of
Bank Name
Bank Account

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012
Pinnacle Bank
5274XXX

Debtors Bank Activity

Date
5/1/2012
5/1/2012
5/2/2012
5/2/2012
5/3/2012
5/3/2012
5/4/2012
5/4/2012
5/4/2012
5/7/2012
5/8/2012
5/9/2012
5/9/2012
5/14/2012
5/17/2012
5/17/2012
5/17/2012
5/31/2012

Ref/Check

Activity

10017 Check
10027 Check

10028
10032
10030

10029
10031

10033
10034
10035
10036

New York State 1573803455 NY12WTXXXXX1276

NGRIDNY NGRID36 1230176129011
Check
Check
Check
IRS USATAXPYMT 270252594385807
CSHM PayrollCov PINNACLE-FNY
Check
Check
New York State 1573803455 NY12WTXXXXX6710
IRS USATAXPYMT 270253093142083
Check
Check
Check
Check
701932398 INTERNET XFER FROM Vista Business 5269198 5/31/12 11:24
Total

Case 3:12-bk-01573

Doc 435

Description
AP Disbursements
AP Disbursements
Payroll Taxes
AP Disbursements
Payroll Garnishment
AP Disbursements
Payroll Garnishment
Payroll Taxes
Payroll
AP Disbursements
Payroll Garnishment
Payroll Taxes
Payroll Taxes
AP Disbursements
AP Disbursements
Payroll Garnishment
AP Disbursements
Transfer from CSHM Operating Account

Receipts

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 4 of 26

Disbursements

(3,236.60)
(33.81)
(6.14)
(1,449.61)
(122.42)
(2,095.61)
(117.07)
(83.71)
(3,577.57)
(80.00)
(45.33)
(201.71)
(962.68)
(60.48)
(271.62)
(176.81)
(158.11)
433.21
433.21

(12,679.28)

Desc Main

Case Name
Case Number
Month of
Bank Name
Bank Account

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012
Pinnacle Bank
5270XXX

Wind-Down Escrow Account, effective 5/31/2012

Debtors Bank Activity

Date
05/30/2012
05/30/2012
05/30/2012
05/30/2012
05/30/2012
05/30/2012
05/30/2012
05/30/2012
05/31/2012
05/31/2012

Activity
1512B*0168180716 REVERSAL
1512B*0280749620 REVERSAL
701740477 INTERNET XFER FROM Vista Business 5269198 5/29/12 23:58
1512B*1348485024 BILLING
1512B*0409685843 TRUST
1512B*0618606496 NET=PAY
1512B*1338795961 TAX
1512B*1376890560 NET=PAY
The Standard PDMDeposit 806484
701969787 INTERNET XFER FROM Vista Business 5269198 5/31/12 15:12

Description
Payroll Taxes Reversal
Payroll Taxes Reversal
Transfer from CSHM Operating Account
Payroll Processor Fees
Payroll Garnishment
Payroll
Payroll Taxes
Payroll
401K
Escrow Funding under ASA

Receipts
333.90
5,488.57
587,168.24

(740.90)
(1,500.00)
(4,883.99)
(167,176.23)
(386,226.53)
(34,165.69)
$

Case 3:12-bk-01573

Doc 435

Disbursements

500,000.00
1,092,990.71

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 5 of 26

(594,693.34)

Desc Main

Case Name
Case Number
Month of
Bank Name
Bank Account

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012
Pinnacle Bank
5269XXX

Professional Fees, 503(b)(9) and Taxes Escrow Account, effective 5/31/2012

Debtors Bank Activity

Date
5/1/2012
5/1/2012
5/1/2012
5/1/2012
5/1/2012
5/1/2012
5/1/2012
5/1/2012
5/1/2012
5/1/2012
5/1/2012
5/1/2012
5/1/2012
5/2/2012
5/2/2012
5/2/2012
5/2/2012
5/2/2012
5/2/2012
5/2/2012
5/2/2012
5/2/2012
5/3/2012
5/3/2012
5/3/2012
5/3/2012
5/3/2012
5/3/2012
5/3/2012
5/3/2012
5/3/2012
5/4/2012
5/4/2012
5/4/2012
5/4/2012
5/4/2012
5/7/2012
5/7/2012
5/7/2012
5/7/2012
5/7/2012
5/7/2012
5/7/2012
5/7/2012
5/8/2012
5/8/2012
5/8/2012
5/8/2012
5/8/2012
5/8/2012
5/8/2012
5/9/2012
5/9/2012
5/10/2012
5/10/2012
5/10/2012
5/10/2012
5/11/2012
5/11/2012
5/11/2012
5/11/2012
5/11/2012
5/11/2012
5/11/2012
5/11/2012
5/11/2012
5/11/2012
5/14/2012
5/14/2012
5/14/2012
5/14/2012
5/14/2012
5/14/2012
5/15/2012
5/15/2012
5/15/2012
5/15/2012
5/15/2012
5/16/2012
5/16/2012
5/16/2012
5/16/2012
5/16/2012
5/16/2012
5/16/2012
5/16/2012
5/16/2012
5/16/2012
5/17/2012
5/17/2012
5/17/2012
5/17/2012
5/17/2012
5/17/2012
5/18/2012

Check #

10122
10126
10133
10141
10143
10145
10123

10097
10127
10128
10129
10130
10139
10144

10137
10138
10140
10142

10086
10092
10124
10135

10132
10136
10147
10151
10154
10155
10156
10157
10134
10158
10161

3805
3806
3807
10131
10150
10160

10149
10159
10163
10177

10173
10166

10093
10162
10164
10165
10167
10170
10171
10174
10176

10168

Activity
INCOMING WIRE GARRISON LOAN AGENCY CSHM LLC DRAW 5/1
Church St Health Mgmt Fees 1204762335
OUTGOING WIRE Garrison Loan Agency Services LLC CSHM DIP Facility Fees-April 201
OUTGOING WIRE MWS Enterprises, Inc. CSHM Suspense Account CSHM Suspense Account
OUTGOING WIRE Garrison Loan Agency Services LLC CSHM April 2012 Excess Cash CSHM
700229618 INTERNET XFER TO Vista Business 5345550 5/01/12 0:55
Check
Check
Check
Check
Check
Check
Check
700365530 INTERNET XFER TO Vista Business 5271470 5/02/12 0:22
700365527 INTERNET XFER TO Vista Business 5325134 5/02/12 0:22
Check
Check
Check
Check
Check
Check
Check
INCOMING WIRE GARRISON LOAN AGENCY CSHM LLC DRAW 5/3
OUTGOING WIRE Garrison Loan Agency Services LLC CSHM DIP Interest (Contract 3, M
OUTGOING WIRE Garrison Loan Agency Services LLC CSHM DIP Interest (Contract 4, M
OUTGOING WIRE Henry Schein, Inc. EFT Account #1784372;FORBA Dental Manag ement;O
Check
Check
Check
Check
TOWNE PARK LTD MNTHLY PRK 0139-FORBA - 11
CSHM Trade AP Amex
Amex-Patters
Patters
CSHM Trade AP Amex-HenrySc
Church St Health Trade AP 3204762335
Church St Health Trade AP 3204762335
Church St Health Center Tsf 1204762335
OUTGOING WIRE CIT Healthcare LLC SSO Funding Corp - May 2012 Agency Fee SSO Fund
OUTGOING WIRE American Express TRS Company, Inc. CC#371537135061002 CC#371537135
OUTGOING WIRE Henry Schein, Inc. EFT Account #1784372;FORBA Dental Manag ement;O
Check
Check
Check
Check
UMR funding Import
OUTGOING WIRE Henry Schein
Schein, Inc
Inc. EFT Account #1784372;FORBA Dental Manag ement;O
Check
Check
Check
Check
Check
Check
Check
Check
OUTGOING WIRE Henry Schein, Inc. EFT Account #1784372;FORBA Dental Manag ement;O
Check
Check
Check
CSHM Trade AP Amex
Amex-Stericy
Stericy
Church St Health Mgmt Fees 1204762335
Check
Check
Check
Check
Check
Check
Church St Health Trade AP 3204762335
Church St Health Trade AP 3204762335
OUTGOING WIRE Henry Schein, Inc. EFT Account #1784372;FORBA Dental Manag ement;O
Check
Check
Check
Check
UMR funding Import
OUTGOING WIRE Henry Schein, Inc. EFT Account #1784372;FORBA Dental Manag ement;O
OUTGOING WIRE American Express TRS Company, Inc. CC#371537135061002 CC#371537135
Check
Check
Church St Health CHARGEBACK 1204762335
OUTGOING WIRE Henry Schein, Inc. EFT Account #1784372;FORBA Dental Manag ement;O
Check
Check
Check
Check
Check
Check
Check
Check
Check
UMR UMR C & R 76410838C
OUTGOING WIRE Henry Schein, Inc. EFT Account #1784372;FORBA Dental Manag ement;O
Check
STATE COMPTRLR TEXNET 15053386/20516
UMR Admin-SL 76410838A
UMR Admin-SL 76410838S
700507334 INTERNET XFER FROM Vista Business 5270142 5/18/12 16:29

Case 3:12-bk-01573

Doc 435

Description
DIP Borrowing
Management Fee Collection
DIP Fees and Interest Payment
AP Disbursements
DIP Repayment
Loan to Non-Debtors
Adequate Protection Payments
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
Loan to Non-Debtors
Loan to Non-Debtors
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
DIP Borrowing
DIP Fees and Interest Payment
DIP Fees and Interest Payment
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
Adequate Protection Payments
AP Disbursements
AP Disbursements - Reversal
AP Disbursements - Reversal
AP Disbursements
AP Disbursements
Loan to Non-Debtors
Adequate Protection Payments
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements - Prepetition Taxes and Fees
AP Disbursements
AP Disbursements
Healthcare Claims
AP Disbursements
Professional Fees
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements - Reversal
Management Fee Collection
AP Disbursements - Prepetition Taxes and Fees
AP Disbursements - Prepetition Taxes and Fees
AP Disbursements - Prepetition Taxes and Fees
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
Healthcare Claims
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
Management Fee Collection - Reversal
AP Disbursements
AP Disbursements - Prepetition Taxes and Fees
AP Disbursements
AP Disbursements
Adequate Protection Payments
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
Healthcare Insurance Collection
AP Disbursements
AP Disbursements
AP Disbursements - Prepetition Taxes and Fees
Healthcare Premiums
Healthcare Stop Loss
Management Fee Collection

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 6 of 26

Receipts

Disbursements

1,500,000.00
70,000.00
(4,033.61)
(10,000.00)
(710,000.00)
(10,000.00)
(2,092.50)
(531.50)
(1,458.50)
(476.72)
(11,839.42)
(2,328.00)
(275.00)
(5,000.00)
(20,000.00)
(33,760.98)
(852.10)
(15,101.22)
(1,117.75)
(1 117 75)
(12,158.77)
(299.00)
(959.52)
2,000,000.00
(4,166.67)
(7,938.89)
(38,364.31)
(785.20)
(425.30)
(447.00)
(11,893.00)
(6,995.17)
51 014 60
51,014.60
635,468.87
(23,592.06)
(951,048.62)
(1,600,000.00)
(8,333.00)
(23,339.65)
(85,941.49)
(30.00)
(100.00)
(5,000.00)
(300.44)
(99,144.10)
(17 454 29)
(17,454.29)
(75,000.00)
(275.00)
(64.05)
(75.00)
(13,425.00)
(14,583.33)
(5,000.00)
(299.00)
(11,183.26)
(753.70)
(801.20)
(1,300.00)
5,755.47
1,075,000.00
(300.00)
(300.00)
(350.34)
(3,498.00)
(5,610.00)
(2,830.08)
(62.88)
(415,162.71)
(74,747.50)
(710.21)
(947.77)
(796.47)
(2,748.00)
(131,963.87)
(17,546.86)
(51,014.60)
(1,381.50)
(1,475.00)
(2,000.00)
(25,290.15)
(250.00)
(295.00)
(4,705.05)
(417.75)
(25.82)
(4,946.37)
(49.90)
(815.66)
(420.60)
16,337.43
(14,233.05)
(2,827.92)
(12,000.00)
(23,071.90)
(53,431.74)
500.00

Desc Main

Case Name
Case Number
Month of
Bank Name
Bank Account

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012
Pinnacle Bank
5269XXX

Professional Fees, 503(b)(9) and Taxes Escrow Account, effective 5/31/2012

Debtors Bank Activity

Date
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/18/2012
5/21/2012
5/21/2012
5/21/2012
5/21/2012
5/21/2012
5/21/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/22/2012
5/23/2012
5/23/2012
5/23/2012
5/23/2012
5/23/2012
5/23/2012
5/23/2012

Check #

10175

10125
10172
10205

10180
10183
10186
10188
10189
10196
10197
10198
10200
10201
10202
10203

10148
10153
10179

Activity
700467366 INTERNET XFER FROM Vista Business 5271502 5/18/12 12:04
700462755 INTERNET XFER FROM Vista Business 5271414 5/18/12 11:35
700508212 INTERNET XFER FROM Vista Business 5274102 5/18/12 16:35
700468643 INTERNET XFER FROM Vista Business 5273438 5/18/12 12:11
700468363 INTERNET XFER FROM Vista Business 5273558 5/18/12 12:09
700508494 INTERNET XFER FROM Vista Business 5273302 5/18/12 16:37
700462883 INTERNET XFER FROM Vista Business 5271454 5/18/12 11:36
700511851 INTERNET XFER FROM Vista Business 5269998 5/18/12 17:02
700511187 INTERNET XFER FROM Vista Business 5272470 5/18/12 16:57
700511912 INTERNET XFER FROM Vista Business 5290246 5/18/12 17:02
700462594 INTERNET XFER FROM Vista Business 5271654 5/18/12 11:34
700468300 INTERNET XFER FROM Vista Business 5273574 5/18/12 12:09
700511264 INTERNET XFER FROM Vista Business 5274070 5/18/12 16:57
700511807 INTERNET XFER FROM Vista Business 5269990 5/18/12 17:01
700463001 INTERNET XFER FROM Vista Business 5271486 5/18/12 11:37
700468048 INTERNET XFER FROM Vista Business 5273638 5/18/12 12:07
700511496 INTERNET XFER FROM Vista Business 5272030 5/18/12 16:59
700507192 INTERNET XFER FROM Vista Business 5273534 5/18/12 16:28
700511665 INTERNET XFER FROM Vista Business 5272790 5/18/12 17:00
700462179 INTERNET XFER FROM Vista Business 5271566 5/18/12 11:32
700462682 INTERNET XFER FROM Vista Business 5271662 5/18/12 11:35
700511733 INTERNET XFER FROM Vista Business 5269966 5/18/12 17:01
700468611 INTERNET XFER FROM Vista Business 5273414 5/18/12 12:11
700501187 INTERNET XFER FROM Vista Business 5273494 5/18/12 15:48
700484933 INTERNET XFER FROM Vista Business 5273470 5/18/12 13:59
700508263 INTERNET XFER FROM Vista Business 5274094 5/18/12 16:36
700468153 INTERNET XFER FROM Vista Business 5273598 5/18/12 12:08
700511963 INTERNET XFER FROM Vista Business 5394070 5/18/12 17:03
700507276 INTERNET XFER FROM Vista Business 5273542 5/18/12 16:29
700511134 INTERNET XFER FROM Vista Business 5270222 5/18/12 16:56
700499838 INTERNET XFER FROM Vista Business 5273486 5/18/12 15:41
700462822 INTERNET XFER FROM Vista Business 5271438 5/18/12 11:35
700467581 INTERNET XFER FROM Vista Business 5271670 5/18/12 12:05
700506515 INTERNET XFER FROM Vista Business 5270134 5/18/12 16:23
700511606 INTERNET XFER FROM Vista Business 5272774 5/18/12 17:00
700467496 INTERNET XFER FROM Vista Business 5271622 5/18/12 12:04
700507399 INTERNET XFER FROM Vista Business 5274038 5/18/12 16:30
700468236 INTERNET XFER FROM Vista Business 5273590 5/18/12 12:09
700508433 INTERNET XFER FROM Vista Business 5270206 5/18/12 16:37
700467725 INTERNET XFER FROM Vista Business 5273606 5/18/12 12:06
700508572 INTERNET XFER FROM Vista Business 5273038 5/18/12 16:38
700468412 INTERNET XFER FROM Vista Business 5273686 5/18/12 12:09
700506680 INTERNET XFER FROM Vista Business 5273742 5/18/12 16:24
700491364 INTERNET XFER FROM Vista Business 5273718 5/18/12 15:02
700491767 INTERNET XFER FROM Vista Business 5270126 5/18/12 15:03
700506578 INTERNET XFER FROM Vista Business 5273502 5/18/12 16:24
700507548 INTERNET XFER FROM Vista Business 5273550 5/18/12 16:30
700462490 INTERNET XFER FROM Vista Business 5271630 5/18/12 11:34
700511564 INTERNET XFER FROM Vista Business 5272038 5/18/12 17:00
700506638 INTERNET XFER FROM Vista Business 5273518 5/18/12 16:24
700468463 INTERNET XFER FROM Vista Business 5270046 5/18/12 12:10
700491501 INTERNET XFER FROM Vista Business 5270102 5/18/12 15:02
700508330 INTERNET XFER FROM Vista Business 5274222 5/18/12 16:36
700463071 INTERNET XFER FROM Vista Business 5271494 5/18/12 11:37
700467940 INTERNET XFER FROM Vista Business 5273654 5/18/12 12:07
700468102 INTERNET XFER FROM Vista Business 5273614 5/18/12 12:08
700462445 INTERNET XFER FROM Vista Business 5271598 5/18/12 11:33
700507481 INTERNET XFER FROM Vista Business 5274110 5/18/12 16:30
700467687 INTERNET XFER FROM Vista Business 5272342 5/18/12 12:05
700508391 INTERNET XFER FROM Vista Business 5273406 5/18/12 16:37
700462943 INTERNET XFER FROM Vista Business 5271470 5/18/12 11:36
700467776 INTERNET XFER FROM Vista Business 5273670 5/18/12 12:06
700462273 INTERNET XFER FROM Vista Business 5271574 5/18/12 11:32
700467863 INTERNET XFER FROM Vista Business 5273662 5/18/12 12:07
700408458 INTERNET XFER TO Vista Business 5274142 5/18/12 0:06
Check
Church St Health Trade AP 3204762335
Church St Health Trade AP 3204762335
OUTGOING WIRE Henry Schein, Inc. EFT Account #1784372;FORBA Dental Manag ement;O
Check
Check
Check
IRS USATAXPYMT 270254271857374
UMR funding Import
Church St Health CHARGEBACK 3204762335
OUTGOING WIRE Garrison Loan Agency Services LLC CSHM Facility Fee and Contracts
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
Church St Health Mgmt Fees 1204762335
OUTGOING WIRE MWS Enterprises, Inc. CSHM Suspense Account CSHM Suspense Account
OUTGOING WIRE Henry Schein, Inc. EFT Account #1784372;FORBA Dental Manag ement;O
700964523 INTERNET XFER TO Vista Business 5271566 5/23/12 0:06
Check
Check
Check

Case 3:12-bk-01573

Doc 435

Description
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Loan to Non-Debtors
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
Payroll Taxes
Healthcare Claims
AP Disbursements - Reversal
DIP Fees and Interest Payment
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
Management Fee Collection
AP Disbursements
AP Disbursements
Loan to Non-Debtors
AP Disbursements
AP Disbursements
Adequate Protection Payments

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 7 of 26

Receipts

Disbursements

1,500.00
2,500.00
5,000.00
9,000.00
9,500.00
10,000.00
10,000.00
10,000.00
15,000.00
15,000.00
15,000.00
15,000.00
15,000.00
15,000.00
20,000.00
20,000.00
20,000.00
20,000.00
20,000.00
20 000 00
25,000.00
25,000.00
25,000.00
25,000.00
25,000.00
25,000.00
25,000.00
26,000.00
26,000.00
30,000.00
30,000.00
30,000.00
30 000 00
30,000.00
30,000.00
30,000.00
30,000.00
35,000.00
35,000.00
35,000.00
35,000.00
35,000.00
35,000.00
40,000.00
40,000.00
40,000.00
40 000 00
40,000.00
40,000.00
40,000.00
40,000.00
40,000.00
45,000.00
45,000.00
50,000.00
50,000.00
50,000.00
55,000.00
55,000.00
60,000.00
65,000.00
75,000.00
75,000.00
75,000.00
75,000.00
100,000.00
110,000.00
(25,000.00)
(1,017.07)
(52.64)
(270,628.16)
(87,364.08)
(1,313.70)
(1,510.35)
(2,665.00)
(131.27)
(88,376.84)
2,332.40
(29,760.98)
(1,009.21)
(2,156.45)
(1,275.00)
(2,125.00)
(1,074.75)
(157,980.07)
(170.00)
(400.00)
(400.00)
(400.00)
(400.00)
(400.00)
185,778.80
(4,601.76)
(18,514.15)
(25,000.00)
(551.56)
(5,349.42)
(4,574.18)

Desc Main

Case Name
Case Number
Month of
Bank Name
Bank Account

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012
Pinnacle Bank
5269XXX

Professional Fees, 503(b)(9) and Taxes Escrow Account, effective 5/31/2012

Debtors Bank Activity

Date
5/23/2012
5/23/2012
5/23/2012
5/23/2012
5/23/2012
5/23/2012
5/23/2012
5/23/2012
5/23/2012
5/24/2012
5/24/2012
5/24/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/25/2012
5/29/2012
5/29/2012
5/29/2012
5/29/2012
5/29/2012
5/29/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/30/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012

Check #

10184
10185
10192
10193
10194
10195
10204
10206
10182
10187
10199

10190

10178
10191
10209
10228

10208
10210
10211
10213
10215
10219
10220
10221
10222
10227
10229

Activity
Check
Check
Check
Check
Check
Check
Check
Check
Church St Health Disburseme 1204762335
Check
Check
Check
CSHM Trade AP Amex-Stericy
701286613 INTERNET XFER FROM Vista Business 5274102 5/25/12 11:24
701285342 INTERNET XFER FROM Vista Business 5271502 5/25/12 11:17
701285226 INTERNET XFER FROM Vista Business 5271414 5/25/12 11:16
701323991 INTERNET XFER FROM Vista Business 5271566 5/25/12 15:36
701285123 INTERNET XFER FROM Vista Business 5271566 5/25/12 11:16
701285553 INTERNET XFER FROM Vista Business 5273598 5/25/12 11:18
701286077 INTERNET XFER FROM Vista Business 5273438 5/25/12 11:21
701285635 INTERNET XFER FROM Vista Business 5273558 5/25/12 11:19
701286536 INTERNET XFER FROM Vista Business 5273550 5/25/12 11:23
701285497 INTERNET XFER FROM Vista Business 5271670 5/25/12 11:18
701286467 INTERNET XFER FROM Vista Business 5273742 5/25/12 11:23
701285597 INTERNET XFER FROM Vista Business 5273590 5/25/12 11:18
701287059 INTERNET XFER FROM Vista Business 5270206 5/25/12 11:26
701285288 INTERNET XFER FROM Vista Business 5271438 5/25/12 11:17
701286265 INTERNET XFER FROM Vista Business 5270134 5/25/12 11:22
701286362 INTERNET XFER FROM Vista Business 5273518 5/25/12 11:22
701285421 INTERNET XFER FROM Vista Business 5271622 5/25/12 11:17
701285712 INTERNET XFER FROM Vista Business 5270046 5/25/12 11:19
701286147 INTERNET XFER FROM Vista Business 5273718 5/25/12 11:21
701287164 INTERNET XFER FROM Vista Business 5273038 5/25/12 11:26
701286931 INTERNET XFER FROM Vista Business 5274222 5/25/12 11:25
701287369 INTERNET XFER TO Vista Business 5270142 5/25/12 11:27
701287274 INTERNET XFER TO Vista Business 5270158 5/25/12 11:27
Check
Church St Health Trade AP 3204762335
Church St Health Trade AP 3204762335
Church St Health Trade AP 3204762335
UMR UMR OSR Import
Check
Check
Check
Check
UMR funding Import
Remote Deposit
Remote Deposit
Remote Deposit
Remote Deposit
Remote Deposit
701857112 INTERNET XFER FROM Vista Business 5273414 5/30/12 18:52
701855364 INTERNET XFER FROM Vista Business 5273614 5/30/12 18:35
701855280 INTERNET XFER FROM Vista Business 5271598 5/30/12 18:35
701857487 INTERNET XFER FROM Vista Business 5272038 5/30/12 18:56
701857000 INTERNET XFER FROM Vista Business 5273574 5/30/12 18:51
701855426 INTERNET XFER FROM Vista Business 5273590 5/30/12 18:36
701857053 INTERNET XFER FROM Vista Business 5273686 5/30/12 18:52
701855331 INTERNET XFER FROM Vista Business 5271438 5/30/12 18:35
701857163 INTERNET XFER FROM Vista Business 5273718 5/30/12 18:53
701857362 INTERNET XFER FROM Vista Business 5272470 5/30/12 18:55
701857415 INTERNET XFER FROM Vista Business 5274070 5/30/12 18:56
701857223 INTERNET XFER FROM Vista Business 5273502 5/30/12 18:54
701857273 INTERNET XFER FROM Vista Business 5273302 5/30/12 18:54
701857526 INTERNET XFER FROM Vista Business 5269974 5/30/12 18:56
OUTGOING WIRE Henry Schein, Inc. EFT Account #1784372;FORBA Dental Manag ement;O
701740477 INTERNET XFER TO Vista Business 5270006 5/29/12 23:58
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
INCOMING WIRE GARRISON LOAN AGENCY CSHM LLC DRAW
701875433 INTERNET XFER FROM Vista Business 5274102 5/31/12 0:28
701874686 INTERNET XFER FROM Vista Business 5271502 5/31/12 0:08
701898747 INTERNET XFER FROM Vista Business 5271566 5/31/12 8:13
701875452 INTERNET XFER FROM Vista Business 5272774 5/31/12 0:28
701962620 INTERNET XFER FROM Vista Business 5271566 5/31/12 14:18
701961118 INTERNET XFER FROM Vista Business 5271566 5/31/12 14:05
Miscellaneous Debit
OUTGOING WIRE Garrison Loan Agency Services LLC CSHM Facility Fee $898.75 / Inte
OUTGOING WIRE Garrison Loan Agency Services LLC CSHM Travel Reimbursement CSHM T
OUTGOING WIRE LBMC Employment Partners EEHC INC PTO PAYROLL EEHC INC PTO PAYROLL
OUTGOING WIRE Pershing LLC FFC A/C: #7LU-891022 Imperial Disbu rsements REF: Chu
701932398 INTERNET XFER TO Vista Business 5274246 5/31/12 11:24
701928076 INTERNET XFER TO Vista Business 5273598 5/31/12 11:04
701875858 INTERNET XFER TO Vista Business 5271566 5/31/12 1:00
701874681 INTERNET XFER TO Vista Business 5271414 5/31/12 0:08
701937602 INTERNET XFER TO Vista Business 5274270 5/31/12 11:50

Case 3:12-bk-01573

Doc 435

Description
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
Professional Fees
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements - Reversal
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Loan to Non-Debtors
Loan to Non-Debtors
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
Healthcare Claims - Reversal
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
Healthcare Claims
Deposit - Other
Deposit - Other
Deposit - Other
Interest Income
Deposit - Other
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
AP Disbursements
Transfer to EEHC Payroll Account
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements - US Trustee Fees
AP Disbursements
DIP Borrowing
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Management Fee Collection
Bank Fees
DIP Fees and Interest Payment
AP Disbursements
Payroll
Professional Fees
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 8 of 26

Receipts

Disbursements

(2,088.31)
(22,649.09)
(420.79)
(1,395.06)
(820.58)
(5,691.69)
(235.00)
(23,731.25)
(181,205.10)
(76.35)
(135.00)
(400.00)
5,923.89
156.42
304.86
758.45
782.20
3,052.64
3,493.03
3 493 03
4,649.76
5,180.00
10,000.00
15,000.00
15,000.00
15,000.00
20,000.00
25,000.00
25,000.00
25,000.00
25,000.00
25,000.00
25 000 00
25,000.00
25,000.00
50,000.00
(69.03)
(15,000.00)
(64,416.00)
(684.44)
(2,928.04)
(175,227.39)
2,894.22
(75.00)
(30.00)
(200.00)
(2 665 00)
(2,665.00)
(97,259.51)
5.00
38.19
38.97
176.51
200.00
10,000.00
10,000.00
15,000.00
15,000.00
20,000.00
20,000.00
20,000.00
20,000.00
20,000.00
25,000.00
25,000.00
25,000.00
25,000.00
25,000.00
(108,416.70)
(587,168.24)
(33,760.98)
(75.00)
(40.68)
(3,029.91)
(96.42)
(12,862.50)
(2,231.25)
(3,187.50)
(14,583.33)
(1,625.00)
(5,989.52)
3,000,000.00
161.17
1,535.49
13,667.45
15,000.00
40,000.00
356,266.00
(9,376.89)
(12,923.75)
(13,639.00)
(15,545.79)
(61,376.01)
(433.21)
(738.36)
(1,224.76)
(2,848.28)
(2,920.00)

Desc Main

Case Name
Case Number
Month of
Bank Name
Bank Account

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012
Pinnacle Bank
5269XXX

Professional Fees, 503(b)(9) and Taxes Escrow Account, effective 5/31/2012

Debtors Bank Activity

Date
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012
5/31/2012

Check #

Activity
701932158 INTERNET XFER TO Vista Business 5273470 5/31/12 11:23
701962795 INTERNET XFER TO Vista Business 5273302 5/31/12 14:19
701874671 INTERNET XFER TO Vista Business 5269966 5/31/12 0:08
701874673 INTERNET XFER TO Vista Business 5269998 5/31/12 0:08
701874467 INTERNET XFER TO Vista Business 5271470 5/31/12 0:00
701874624 INTERNET XFER TO Vista Business 5271654 5/31/12 0:06
701874634 INTERNET XFER TO Vista Business 5271574 5/31/12 0:06
701874676 INTERNET XFER TO Vista Business 5270126 5/31/12 0:08
701909126 INTERNET XFER TO Vista Business 5271574 5/31/12 9:08
701874527 INTERNET XFER TO Vista Business 5270102 5/31/12 0:01
701874501 INTERNET XFER TO Vista Business 5272438 5/31/12 0:00
701874514 INTERNET XFER TO Vista Business 5273486 5/31/12 0:01
701874626 INTERNET XFER TO Vista Business 5271662 5/31/12 0:06
701874632 INTERNET XFER TO Vista Business 5271566 5/31/12 0:06
701874679 INTERNET XFER TO Vista Business 5273598 5/31/12 0:08
701874496 INTERNET XFER TO Vista Business 5270134 5/31/12 0:00
701932276 INTERNET XFER TO Vista Business 5273550 5/31/12 11:24
701874507 INTERNET XFER TO Vista Business 5272790 5/31/12 0:00
701874515 INTERNET XFER TO Vista Business 5273518 5/31/12 0:01
701875952 INTERNET XFER TO Vista Business 5394006 5/31/12 1:05
701874674 INTERNET XFER TO Vista Business 5274222 5/31/12 0:08
701874723 INTERNET XFER TO Vista Business 5272470 5/31/12 0:10
701874503 INTERNET XFER TO Vista Business 5273038 5/31/12 0:00
701874521 INTERNET XFER TO Vista Business 5270206 5/31/12 0:01
701874630 INTERNET XFER TO Vista Business 5273558 5/31/12 0:06
701874678 INTERNET XFER TO Vista Business 5273590 5/31/12 0:08
701874412 INTERNET XFER TO Vista Business 5271494 5/30/12 23:58
701874500 INTERNET XFER TO Vista Business 5273302 5/31/12 0:00
701874682 INTERNET XFER TO Vista Business 5271598 5/31/12 0:08
701874587 INTERNET XFER TO Vista Business 5274142 5/31/12 0:03
701874581 INTERNET XFER TO Vista Business 5271630 5/31/12 0:03
701918342 INTERNET XFER TO Vista Business 5273550 5/31/12 10:00
701961252 INTERNET XFER TO Vista Business 5273302 5/31/12 14:06
701961195 INTERNET XFER TO Vista Business 5271566 5/31/12 14:05
701874505 INTERNET XFER TO Vista Business 5270158 5/31/12 0:00
701969627 INTERNET XFER TO Vista Business 5541526 5/31/12 15:12
701969787 INTERNET XFER TO Vista Business 5270006 5/31/12 15:12
10214 Check
10224 Check
Church St Health Trade AP 3204762335
Church St Health Trade AP 3204762335
Total

Case 3:12-bk-01573

Doc 435

Description
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Non Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Loan to Non-Debtors
Transfer to CSHM LLC under ASA
Escrow Funding under ASA
AP Disbursements
AP Disbursements
AP Disbursements
AP Disbursements

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 9 of 26

Receipts

Disbursements

(5,000.00)
(5,000.00)
(10,000.00)
(10,000.00)
(10,000.00)
(10,000.00)
(10,000.00)
(10,000.00)
(10,000.00)
(10,000.00)
(10,000.00)
(10,000.00)
(10,000.00)
(10,843.65)
(11,138.99)
(15,000.00)
(15,000.00)
(15,000.00)
(15,000.00)
(15 000 00)
(15,000.00)
(15,000.00)
(15,000.00)
(20,000.00)
(20,000.00)
(24,013.60)
(25,000.00)
(25,000.00)
(25,000.00)
(25,000.00)
(35,000.00)
(40,000.00)
(40 000 00)
(40,000.00)
(40,000.00)
(60,755.05)
(75,000.00)
(335,728.81)
(500,000.00)
(531.50)
(790.58)
(197,704.06)
(257,603.09)
$ 11,770,971.82

Desc Main

(8,926,376.70)

Case Name
Case Number
Month of
Bank Name
Bank Account

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012
Pinnacle Bank
5274XXX

Debtors Bank Activity

Date
Ref/Check Activity
05/01/2012
660349 Check
05/01/2012
660360 Check
05/01/2012
710073 Check
05/02/2012
30837 Check
05/02/2012
161030 Check
05/02/2012
240553 Check
05/02/2012
520187 Check
05/02/2012
5274238 Check
05/03/2012
360598 Check
05/03/2012
380516 Check
05/04/2012
Church St Health PayrollCov 2204762335
05/04/2012
700642371 INTERNET XFER FROM Vista Business 5290246 5/04/12 0:44
05/04/2012
700642266 INTERNET XFER FROM Vista Business 5273558 5/04/12 0:41
05/04/2012
700642366 INTERNET XFER TO Vista Business 5270158 5/04/12 0:44
05/04/2012
The Standard PDMDeposit 806484
05/04/2012
274238 Check
05/04/2012
330415 Check
05/04/2012
590175 Check
05/04/2012
Church St Health PAYROLL 1840692404
05/07/2012
700933657 INTERNET XFER FROM Vista Business 5345550 5/07/12 0:31
05/07/2012
51316 Check
05/07/2012
51317 Check
05/07/2012
51318 Check
05/07/2012
51319 Check
05/07/2012
51320 Check
05/07/2012
77006 Check
05/07/2012
274238 Check
05/07/2012
460575 Check
05/07/2012
460591 Check
05/07/2012
600312 Check
05/08/2012
701068161 INTERNET XFER FROM Vista Business 5273558 5/08/12 0:12
05/08/2012
161033 Check
05/08/2012
260780 Check
05/08/2012
260781 Check
05/08/2012
260782 Check
05/08/2012
260783 Check
05/08/2012
260793 Check
05/08/2012
260795 Check
05/08/2012
260796 Check
05/08/2012
260805 Check
05/08/2012
260811 Check
05/08/2012
260816 Check
05/08/2012
274238 Check
05/08/2012
320600 Check
05/08/2012
540291 Check
05/08/2012
900029 Check
05/08/2012
900031 Check
05/09/2012
170687 Check
05/09/2012
260784 Check
05/09/2012
260785 Check
05/09/2012
260786 Check
05/09/2012
260794 Check
05/09/2012
260797 Check
05/09/2012
260798 Check
05/09/2012
260799 Check
05/09/2012
260808 Check
05/09/2012
260813 Check
05/09/2012
260814 Check
05/09/2012
260815 Check
05/09/2012
380513 Check
05/09/2012
400502 Check
05/09/2012
527428 Check
05/09/2012
690435 Check
05/09/2012
900030 Check
05/09/2012
900032 Check
05/09/2012
990386 Check
05/09/2012
990392 Check
05/09/2012
990393 Check
05/09/2012
990394 Check
05/10/2012
701368070 INTERNET XFER FROM Vista Business 5271486 5/10/12 9:41
05/10/2012
200776 Check
05/10/2012
260792 Check
05/10/2012
260802 Check
05/10/2012
260806 Check
05/10/2012
730085 Check
05/11/2012
260789 Check
05/11/2012
260803 Check
05/11/2012
260812 Check
05/11/2012
274238 Check
05/11/2012
660352 Check
05/11/2012
690415 Check
05/14/2012
701756458 INTERNET XFER FROM Vista Business 5273550 5/14/12 7:47
05/14/2012
260788 Check
05/14/2012
390912 Check
05/15/2012
700026448 INTERNET XFER FROM Vista Business 5269966 5/15/12 8:30
05/15/2012
700026705 INTERNET XFER FROM Vista Business 5271574 5/15/12 8:31
05/15/2012
60927 Check
05/15/2012
260790 Check
05/15/2012
260801 Check
05/15/2012
260809 Check
05/15/2012
540280 Check
05/15/2012
560211 Check
05/15/2012
980291 Check

Case 3:12-bk-01573

Doc 435

Description
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors Reversal
401K - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Direct Deposit - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors

Receipts

Disbursements
(17.70)
(78.66)
(53.43)
(1,753.53)
(19.98)
(18.97)
(24.25)
(26.47)
(92.47)
(18.04)

1,332,660.29
34.70
11,561.27

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 10 of 26

(34.70)
(132,430.40)
(41.49)
(16.63)
(42.38)
(1,175,527.01)
1,072.06
(956.22)
(829.48)
(811.75)
(959.05)
(796.60)
(770.06)
(308.30)
(17.46)
(405.70)
(13.73)
56.48
(22.74)
(1,130.46)
(785.34)
(148.98)
(76.57)
(601.36)
(426.62)
(377.07)
(729.22)
(702.25)
(1,123.51)
(447.98)
(29.13)
(825.97)
(376.83)
(48.94)
(685.36)
(127.53)
(76.15)
(80.16)
(507.27)
(507.26)
(424.63)
(420.83)
(624.06)
(722.78)
(733.93)
(869.69)
(11.17)
(7.03)
(27.18)
(1,126.73)
(355.00)
(291.29)
(20.19)
(105.20)
(989.93)
(2,299.47)
1,254.08
(738.76)
(715.54)
(918.76)
(1,438.98)
(1,121.42)
(174.63)
(781.91)
(1,259.28)
(59.35)
(27.09)
(24.86)
77.83
(87.21)
(18.03)
977.59
1,401.23
(21.15)
(160.32)
(828.35)
(1,297.75)
(29.19)
(17.50)
(482.50)

Desc Main

Case Name
Case Number
Month of
Bank Name
Bank Account

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012
Pinnacle Bank
5274XXX

Debtors Bank Activity

Date
Ref/Check Activity
05/16/2012
41010 Check
05/16/2012
260791 Check
05/16/2012
260804 Check
05/16/2012
260807 Check
05/16/2012
274238 Check
05/16/2012
350456 Check
05/16/2012
600328 Check
05/17/2012
274238 Check
05/17/2012
470305 Check
05/18/2012
Church St Health PayrollCov 2204762335
05/18/2012
700409465 INTERNET XFER FROM Vista Business 5274222 5/18/12 0:43
05/18/2012
700447803 INTERNET XFER FROM Vista Business 5271598 5/18/12 9:52
05/18/2012
260787 Check
05/18/2012
260800 Check
05/18/2012
274238 Check
05/18/2012
350458 Check
05/18/2012
The Standard PDMDeposit 806484
05/18/2012
Church St Health PAYROLL 1840692404
05/21/2012
30835 Check
05/21/2012
41030 Check
05/21/2012
51321 Check
05/21/2012
51322 Check
05/21/2012
51323 Check
05/21/2012
51324 Check
05/21/2012
51325 Check
05/21/2012
260810 Check
05/21/2012
274238 Check
05/21/2012
460587 Check
05/21/2012
470312 Check
05/21/2012
690428 Check
05/21/2012
590171 Check
05/22/2012
700832496 INTERNET XFER FROM Vista Business 5271670 5/21/12 23:59
05/22/2012
700832505 INTERNET XFER FROM Vista Business 5271502 5/21/12 23:59
05/22/2012
700832494 INTERNET XFER FROM Vista Business 5271574 5/21/12 23:59
05/22/2012
700832531 INTERNET XFER FROM Vista Business 5271470 5/22/12 0:01
05/22/2012
700832503 INTERNET XFER FROM Vista Business 5290246 5/21/12 23:59
05/22/2012
700832747 INTERNET XFER FROM Vista Business 5273494 5/22/12 0:07
05/22/2012
700832568 INTERNET XFER FROM Vista Business 5271598 5/22/12 0:02
05/22/2012
700832566 INTERNET XFER TO Vista Business 5271470 5/22/12 0:02
05/22/2012
700832554 INTERNET XFER TO Vista Business 5271630 5/22/12 0:01
05/22/2012
700832614 INTERNET XFER TO Vista Business 5273302 5/22/12 0:03
05/22/2012
700832557 INTERNET XFER TO Vista Business 5271630 5/22/12 0:01
05/22/2012
700832615 INTERNET XFER TO Vista Business 5274070 5/22/12 0:03
05/22/2012
700832613 INTERNET XFER TO Vista Business 5272790 5/22/12 0:03
05/22/2012
700832618 INTERNET XFER TO Vista Business 5273574 5/22/12 0:03
05/22/2012
700832564 INTERNET XFER TO Vista Business 5271502 5/22/12 0:02
05/22/2012
700832480 INTERNET XFER TO Vista Business 5271630 5/21/12 23:59
05/22/2012
700832571 INTERNET XFER TO Vista Business 5271654 5/22/12 0:02
05/22/2012
700832617 INTERNET XFER TO Vista Business 5273486 5/22/12 0:03
05/22/2012
700832492 INTERNET XFER TO Vista Business 5273638 5/21/12 23:59
05/22/2012
700832570 INTERNET XFER TO Vista Business 5271414 5/22/12 0:02
05/22/2012
700832488 INTERNET XFER TO Vista Business 5273662 5/21/12 23:59
05/22/2012
700832620 INTERNET XFER TO Vista Business 5273438 5/22/12 0:03
05/22/2012
30838 Check
05/22/2012
90520 Check
05/22/2012
170680 Check
05/22/2012
220475 Check
05/22/2012
274238 Check
05/22/2012
490378 Check
05/22/2012
520206 Check
05/22/2012
540292 Check
05/22/2012
560213 Check
05/22/2012
570174 Check
05/22/2012
690436 Check
05/22/2012
5274238 Check
05/23/2012
700964784 INTERNET XFER FROM Vista Business 5271566 5/23/12 0:12
05/23/2012
30839 Check
05/23/2012
200777 Check
05/23/2012
330420 Check
05/23/2012
370429 Check
05/23/2012
370430 Check
05/23/2012
700133 Check
05/23/2012
730087 Check
05/24/2012
701098470 INTERNET XFER FROM Vista Business 5273518 5/24/12 0:04
05/24/2012
20248 Check
05/24/2012
20249 Check
05/24/2012
20251 Check
05/24/2012
20259 Check
05/24/2012
20260 Check
05/24/2012
20263 Check
05/25/2012
20250 Check
05/25/2012
20253 Check
05/25/2012
20258 Check
05/25/2012
20264 Check
05/29/2012
2021 Check
05/29/2012
20252 Check
05/29/2012
20256 Check
05/29/2012
400509 Check
05/29/2012
400524 Check
05/29/2012
400525 Check
05/29/2012
620107 Check
05/30/2012
701740788 INTERNET XFER FROM Vista Business 5325134 5/30/12 0:05
05/30/2012
701740825 INTERNET XFER FROM Vista Business 5273486 5/30/12 0:07

Case 3:12-bk-01573

Doc 435

Description
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
401K - Non-Debtors
Payroll Direct Deposit - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Funding - Non-Debtors Reversal
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors

Receipts

Disbursements
(23.68)
(316.54)
(417.36)
(852.02)
(19.57)
(28.49)
(16.92)
(1,401.23)
(18.52)

1,190,786.42
54.39
617.58

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 11 of 26

(507.57)
(375.15)
(56.48)
(40.99)
(42,678.08)
(1,134,264.81)
(22.08)
(783.13)
(912.83)
(804.95)
(806.77)
(947.43)
(786.85)
(682.34)
(538.49)
(27.00)
(77.83)
(23.93)
(44.76)
26.09
30.13
41.22
219.55
550.01
1,089.25
1,529.55
(17.61)
(17.79)
(18.80)
(20.47)
(31.44)
(32.30)
(50.00)
(156.31)
(189.34)
(251.95)
(286.65)
(565.62)
(1,017.26)
(1,309.42)
(4,428.39)
(617.58)
(419.26)
(20.25)
(844.96)
(835.35)
(1,094.76)
(54.39)
(829.89)
(29.07)
(40.36)
(1,076.07)
(683.76)
38,453.68
(1,529.55)
(626.20)
(16.87)
(412.68)
(1,089.25)
(19.74)
(1,168.66)
294.84
(1,039.49)
(937.62)
(557.82)
(3,092.20)
(2,234.52)
(10,741.27)
(1,303.50)
(559.43)
(1,147.28)
(1,199.33)
(4,892.04)
(905.32)
(998.81)
(20.70)
(147.42)
(147.42)
(16.28)
949.63
1,108.13

Desc Main

Case Name
Case Number
Month of
Bank Name
Bank Account

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012
Pinnacle Bank
5274XXX

Debtors Bank Activity

Date
Ref/Check Activity
05/30/2012
20255 Check
05/30/2012
170673 Check
05/30/2012
274238 Check
05/30/2012
410255 Check
05/31/2012
Church St Health PayrollCov 2204762335
05/31/2012
Church St Health PayrollCov 2204762335
05/31/2012
701923000 INTERNET XFER FROM Vista Business 5325134 5/31/12 10:32
05/31/2012
701973748 INTERNET XFER FROM Vista Business 5325134 5/31/12 15:32
05/31/2012
701974041 INTERNET XFER FROM Vista Business 5271566 5/31/12 15:34
05/31/2012
701974394 INTERNET XFER FROM Vista Business 5273302 5/31/12 15:36
05/31/2012
20247 Check
05/31/2012
20257 Check
05/31/2012
140566 Check
05/31/2012
220457 Check
05/31/2012
490377 Check
05/31/2012
720106 Check
05/31/2012
Church St Health PAYROLL 1841311102
Total

Case 3:12-bk-01573

Doc 435

Description
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Funding - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Check - Non-Debtors
Payroll Direct Deposit - Non-Debtors

Receipts

Disbursements
(370.79)
(40.92)
(20.17)
(18.21)

1,165,698.75
1,651,435.31
79.25
853.56
13,698.15
31,435.64

5,448,046.66 $

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 12 of 26

(649.57)
(1,277.65)
(271.49)
(41.46)
(65.01)
(550.01)
(1,645,018.23)
(4,230,674.61)

Desc Main

Case Name
Case Number
Month of
Bank Name
Bank Account

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012
Pinnacle Bank
5274XXX

Debtors Bank Activity

Date
Ref/Check
05/03/2012
1417
05/04/2012
1418
05/10/2012
05/14/2012
1426
05/14/2012
1434
05/15/2012
05/15/2012
1435
05/16/2012
1413
05/17/2012
1412
05/17/2012
1427
05/18/2012
05/21/2012
1438
05/22/2012
1437
05/22/2012
1439
05/23/2012
1424
05/23/2012
1429
05/23/2012
1444
05/24/2012
1398
05/24/2012
1399
05/24/2012
1430
05/24/2012
1432
05/24/2012
1433
05/25/2012
1403
05/25/2012
1423
05/25/2012
1442
05/29/2012
1401
05/31/2012
05/31/2012

Activity
Check
Check
Miscellaneous Debit
Check
Check
Miscellaneous Debit
Check
Check
Check
Check
CSHM Trade AP Forba
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
Check
701937602 INTERNET XFER FROM Vista Business 5269198 5/31/12 11:50
701941812 INTERNET XFER TO Vista Business 5541526 5/31/12 12:14
Total

Case 3:12-bk-01573

Doc 435

Description
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Funding - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Disbursements - Non-Debtors
AP Funding - Non-Debtors
Transfer to CSHM LLC under ASA

Receipts

Disbursements
(50.00)
(40.00)
(50.00)
(115.00)
(200.00)
(30.00)
(9.00)
(250.00)
(250.00)
(1,500.00)

4,117.00
(120.00)
(565.00)
(25.00)
(75.00)
(225.00)
(125.00)
(565.00)
(4.75)
(225.00)
(225.00)
(34.00)
(15.00)
(350.00)
(430.00)
(30.00)
2,920.00
$

7,037.00

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 13 of 26

(5,000.00)
(10,507.75)

Desc Main

Case Name
Case Number
Month of

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012

Debtors AP Disbursements
Date
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/04/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/04/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/04/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/03/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12

Check
Check: 0000010149
Check: 0000010160
Check: 0000000418
Check: 0000000431
Check: 0000000435
Check: 0000010155
Check: 0000000438
Check: 0000000434
Check: 0000000429
Check: 0000000424
Check: 0000000436
Check: 0000010147
Check: 0000010151
Check: 0000000437
Check: 0000000432
Check: 0000000410
Check: 0000010152
Check: 0000010162
Check: 0000000426
Check: 0000000413
Check: 0000000415
Check: 0000010157
Check: 0000000428
Check: 0000010150
Check: 0000000421
Check: 0000010153
Check: 0000010154
Check: 0000010156
Check: 0000010158
Check: 0000010159
Check: 0000010161
Check: 0000000430
Check: 0000000403
Check: 0000000400
Check: 0000000401
Check: 0000000420
Check: 0000000403
Check: 0000000422
Check: 0000000425
Check: 0000000411
Check: 0000000427
Check: 0000000418
Check: 0000000419
Check: 0000000402
Check: 0000010152
Check: 0000010148
Check: 0000000437
Check: 0000000404
Check: 0000000423
Check: 0000000405
Check: 0000000406
Check: 0000000407
Check: 0000000408
Check: 0000000409
Check: 0000000412
Check: 0000000414
Check: 0000000433
Check: 0000000416
Check: 0000000417
Check: 0000000419
Check: 0000003805
Check: 0000003806
Check: 0000003807
Check: 0000010164
Check: 0000010166
Check: 0000000469
Check: 0000000452
Check: 0000000471
Check: 0000000457
Check: 0000010173
Check: 0000000462
Check: 0000000476
Check: 0000000465
Check: 0000010169
Check: 0000010175
Check: 0000000474

Case 3:12-bk-01573

Paid to
AxisDirect
Snagajob.com
StaplesBus
VisualDataSo
BenefitsBrok
Lockton
FoleyHoagLLP
MerrillCommu
Shearman
FocusOne
WasteManagem
Appriver
BernardHodes
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
HealthCareCo
HealthCareCo
Employee Reimbursement
Employee Reimbursement
Payroll Deductions
Progressive
Employee Reimbursement
BerkeleyRese
CoverallNort
Infosurv
KendrickFina
MaryStewartH
Randstad
Richards&Ric
Thomas&Thorn
TollesonMcco
Employee Reimbursement
GoldenDental
Amex-HenrySc
Appliance
Employee Reimbursement
Dansereau
FunExpress
InteroOffice
Pomeroy
StaplesBus
Employee Reimbursement
Amex-Patters
HealthCareCo
ArthurNowak
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
DeptofRevenu
DeptofRevenu
TaxAL
AxisDirect
BernardHodes
IWCODirect
Employee Reimbursement
Lellyett&Rog
Employee Reimbursement
QuestDiagnos
StaplesBus
VisualDataSo
Alvarez&Mars
ImperialCapi
Richards&Ric
Shearman

Doc 435

Amount
710.21
2,830.08
6,254.60
13,388.39
11,272.00
14,583.33
22,399.44
6,960.65
25,045.17
17,994.17
6,994.01
64.05
75.00
43.69
304.09
141.10
295.00
295.00
125.00
327.00
2,408.00
299.00
183.54
5,610.00
88,649.37
5,349.42
13,425.00
5,000.00
801.20
947.77
1,300.00
743.75
877.17
2,500.00
635,468.87
10,214.30
10.98
1,554.00
4,520.75
22,055.57
2,296.42
10,729.82
43.18
51,014.60
-295.00
551.56
1,148.93
1,140.13
2,870.61
6,841.64
293.76
3,212.94
3,162.32
1,643.52
2,653.29
2,237.98
899.82
511.17
2,148.09
1,356.85
300.00
300.00
350.34
4,705.05
1,475.00
17,194.37
50.00
590.00
3,926.37
1,381.50
7,704.39
6,437.12
264,788.52
11,376.01
1,017.07
8,710.04

Debtor
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 14 of 26

Desc Main

Case Name
Case Number
Month of

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012

Debtors AP Disbursements
Date
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/10/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12

Check
Check: 0000000467
Check: 0000010168
Check: 0000010163
Check: 0000010165
Check: 0000000480
Check: 0000000443
Check: 0000000444
Check: 0000000466
Check: 0000010167
Check: 0000000470
Check: 0000000452
Check: 0000000453
Check: 0000000454
Check: 0000000455
Check: 0000000458
Check: 0000010171
Check: 0000000473
Check: 0000010176
Check: 0000000459
Check: 0000000460
Check: 0000000478
Check: 0000010178
Check: 0000010172
Check: 0000000477
Check: 0000010174
Check: 0000010177
Check: 0000000439
Check: 0000010170
Check: 0000000464
Check: 0000000440
Check: 0000000443
Check: 0000000468
Check: 0000000451
Check: 0000000452
Check: 0000000471
Check: 0000000472
Check: 0000000462
Check: 0000000441
Check: 0000010163
Check: 0000000442
Check: 0000000443
Check: 0000000445
Check: 0000000446
Check: 0000000447
Check: 0000000448
Check: 0000000449
Check: 0000000450
Check: 0000000479
Check: 0000000452
Check: 0000000456
Check: 0000000475
Check: 0000000461
Check: 0000000463
Check: 0000000478
Check: 0000000464
Check: 0000006487
Check: 0000010180
Check: 0000000528
Check: 0000000567
Check: 0000010185
Check: 0000010186
Check: 0000010188
Check: 0000000514
Check: 0000000522
Check: 0000000557
Check: 0000000524
Check: 0000000525
Check: 0000000526
Check: 0000000527
Check: 0000010190
Check: 0000010179
Check: 0000000547
Check: 0000000566
Check: 0000010196
Check: 0000010206
Check: 0000010182

Case 3:12-bk-01573

Paid to
FocusOne
Hartford
AmericanExpr
BassBerrySim
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Dansereau
DeepRock/DSW
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Navigent3
Pomeroy
RossBrittain
Employee Reimbursement
Employee Reimbursement
TCNConNO1099
WhittTransfe
PropioLangua
ProviderTrus
Randstad
Vaco,LLC
GoldenDental
ITX
Employee Reimbursement
Amex-Stericy
Employee Reimbursement
FunExpress
InteroOffice
Employee Reimbursement
Lellyett&Rog
Lydias
StaplesBus
Employee Reimbursement
AmericanExpr
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
TCNConNO1099
Employee Reimbursement
Employee Reimbursement
BernardHodes
BrentwoodCom
CBS/KCNC TV
DexOne
DGFastChanne
KDVR
Employee Reimbursement
StaplesBus
VisualDataSo
WHNS
WMYA
WYCW
BenefitsBrok
Metlife
BassBerrySim
FoleyHoagLLP
Shearman
StrategicHea
Walker,Tipps
Comcast-Atla

Doc 435

Amount
14,141.66
2,827.92
37.29
417.75
390.38
6.54
173.71
202.00
25.82
135.00
56.53
100.13
370.23
188.42
420.90
49.90
171.59
420.60
20.96
435.54
1,069.91
75.00
1,510.35
3,634.30
815.66
2,748.00
2,500.00
4,946.37
823.45
5,755.47
780.87
1,304.40
24,420.13
10.00
171.00
3,387.37
18,281.36
955.00
759.18
1,827.53
1,916.92
1,345.25
265.63
1,611.18
1,790.93
964.34
2,194.11
3,193.12
3,034.22
793.88
1,312.74
1,437.55
735.90
3,322.21
109.54
62.88
1,009.21
29,000.00
4,250.00
22,649.09
1,275.00
2,125.00
550.00
8,669.70
3,691.74
1,190.00
4,335.00
1,317.50
10,720.00
64,416.00
4,574.18
61,918.30
11,612.04
157,980.07
23,731.25
76.35

Debtor
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 15 of 26

Desc Main

Case Name
Case Number
Month of

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012

Debtors AP Disbursements
Date
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12

Check
Check: 0000010183
Check: 0000010184
Check: 0000000482
Check: 0000000483
Check: 0000000486
Check: 0000000511
Check: 0000010187
Check: 0000000550
Check: 0000000551
Check: 0000000561
Check: 0000000552
Check: 0000000516
Check: 0000000517
Check: 0000010191
Check: 0000010192
Check: 0000000523
Check: 0000010197
Check: 0000000555
Check: 0000010204
Check: 0000010181
Check: 0000000546
Check: 0000000549
Check: 0000010189
Check: 0000010194
Check: 0000010195
Check: 0000010205
Check: 0000000559
Check: 0000000481
Check: 0000000484
Check: 0000000559
Check: 0000000548
Check: 0000000512
Check: 0000000553
Check: 0000010193
Check: 0000000522
Check: 0000000556
Check: 0000000485
Check: 0000000511
Check: 0000010198
Check: 0000010199
Check: 0000010200
Check: 0000010201
Check: 0000010202
Check: 0000010203
Check: 0000000484
Check: 0000000485
Check: 0000000529
Check: 0000000487
Check: 0000000559
Check: 0000000558
Check: 0000000488
Check: 0000000530
Check: 0000000489
Check: 0000000490
Check: 0000000531
Check: 0000000532
Check: 0000000491
Check: 0000000533
Check: 0000000565
Check: 0000000564
Check: 0000000492
Check: 0000000534
Check: 0000000535
Check: 0000000493
Check: 0000000536
Check: 0000000494
Check: 0000000495
Check: 0000000537
Check: 0000000496
Check: 0000000497
Check: 0000000498
Check: 0000000538
Check: 0000000499
Check: 0000000500
Check: 0000000563
Check: 0000000539

Case 3:12-bk-01573

Paid to
ComcastSpotL
DeLageLanden
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Forba
Iron
Employee Reimbursement
JohnConti
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
MusicCityPac
NielsenMedia
Employee Reimbursement
TimeWarnerEn
TollesonMcco
TSCPA
BradSmoot
FocusOne
HighPoint
LBMC Tech
Randstad
Richards&Ric
Vaco,LLC
Employee Reimbursement
GoldenDental
Employee Reimbursement
Employee Reimbursement
FunExpress
InteroOffice
Lydias
PurchasePowe
StaplesBus
Employee Reimbursement
Employee Reimbursement
Forba
TNDeptRev
TNDeptRev
TNDeptRev
TNDeptRev
TNDeptRev
TNDeptRev
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement

Doc 435

Amount
2,156.45
2,088.31
125.06
328.32
456.00
120.00
135.00
226.47
39.82
404.03
153.98
18.96
144.58
30.00
420.79
492.71
170.00
400.00
235.00
1,666.67
17,764.48
4,326.00
1,074.75
820.58
5,691.69
2,665.00
255.00
2,500.00
2,746.62
45.00
3,869.70
21,740.67
3,537.46
1,395.06
10,388.99
202.13
16.00
3,997.00
400.00
400.00
400.00
400.00
400.00
400.00
1,788.44
1,380.56
2,332.40
1,412.85
467.01
806.49
1,948.56
2,020.36
329.08
49.95
1,427.19
1,163.02
379.98
352.47
1,752.19
239.12
452.59
1,993.63
957.96
340.31
220.71
619.40
572.51
855.04
1,484.81
502.33
180.97
511.28
730.32
244.82
719.47
1,952.17

Debtor
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 16 of 26

Desc Main

Case Name
Case Number
Month of

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012

Debtors AP Disbursements
Date
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/17/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/23/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12

Check
Check: 0000000501
Check: 0000000540
Check: 0000000502
Check: 0000000503
Check: 0000000541
Check: 0000000542
Check: 0000000504
Check: 0000000505
Check: 0000000543
Check: 0000000544
Check: 0000000545
Check: 0000000506
Check: 0000000507
Check: 0000000508
Check: 0000000509
Check: 0000000510
Check: 0000000562
Check: 0000000513
Check: 0000000560
Check: 0000000515
Check: 0000000518
Check: 0000000519
Check: 0000000520
Check: 0000000554
Check: 0000000521
Check: 0000000556
Check: 0000006488
Check: 0000000580
Check: 0000010220
Check: 0000010221
Check: 0000010221
Check: 0000010221
Check: 0000000601
Check: 0000000586
Check: 0000000607
Check: 0000000590
Check: 0000000591
Check: 0000010222
Check: 0000010223
Check: 0000010229
Check: 0000010217
Check: 0000010227
Check: 0000010207
Check: 0000010208
Check: 0000010212
Check: 0000010214
Check: 0000000596
Check: 0000000568
Check: 0000010209
Check: 0000010210
Check: 0000000529
Check: 0000000593
Check: 0000010211
Check: 0000000571
Check: 0000000572
Check: 0000010218
Check: 0000000599
Check: 0000000603
Check: 0000010219
Check: 0000010224
Check: 0000010224
Check: 0000010224
Check: 0000010225
Check: 0000000604
Check: 0000010228
Check: 0000000592
Check: 0000000570
Check: 0000010213
Check: 0000000598
Check: 0000000569
Check: 0000000570
Check: 0000000594
Check: 0000000573
Check: 0000000597
Check: 0000000579
Check: 0000000601

Case 3:12-bk-01573

Paid to
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
KMGH
KUSA
KUSA
KUSA
Lellyett&Rog
StaplesBus
VisualDataSo
WLOS - TV
WMYA
Lockton
OCTanner
VSP
FiosInc
USTrustee
200S.Broadwa
Adventure 3
CentralParki
DeLageLanden
FocusOne
Employee Reimbursement
ArcherProduc
BernardHodes
Employee Reimbursement
Employee Reimbursement
CamelotCopy
Employee Reimbursement
Employee Reimbursement
Gobins
Employee Reimbursement
Pomeroy
KendrickFina
Randstad
Randstad
Randstad
Richards&Ric
RubinMeyer
Vaco,LLC
Autonomy
Employee Reimbursement
CitrixOnline
GoldenDental
Amex-Stericy
Employee Reimbursement
Dansereau
Dentsply
FunExpress
InteroOffice
Lellyett&Rog

Doc 435

Amount
742.80
248.46
753.97
216.34
748.48
4,132.04
754.14
130.47
547.49
474.35
77.29
134.01
1,064.93
522.45
2,218.46
1,581.60
1,533.91
528.36
938.44
2,781.51
2,063.18
505.62
830.73
671.28
3,753.02
933.58
52.64
25.00
2,231.25
3,187.50
-3,187.50
3,187.50
2,299.75
4,788.39
3,840.96
918.00
1,887.00
14,583.33
3,296.89
5,989.52
1,737.98
1,625.00
3,062.63
33,760.98
1,637.00
531.50
20,831.31
67.95
200.00
75.00
-2,332.40
2,332.40
40.68
441.00
281.62
70.59
213.24
162.13
12,862.50
790.58
-790.58
790.58
253.46
7,500.00
2,665.00
12,162.44
235.87
3,029.91
3,709.24
5,923.89
671.10
970.00
3,117.06
3,552.10
20,441.70
28,648.50

Debtor
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 17 of 26

Desc Main

Case Name
Case Number
Month of

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012

Debtors AP Disbursements
Date
05/25/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/24/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12

Check
Check: 0000000609
Check: 0000000583
Check: 0000000586
Check: 0000000606
Check: 0000010226
Check: 0000000608
Check: 0000010215
Check: 0000000595
Check: 0000000574
Check: 0000000575
Check: 0000000576
Check: 0000000577
Check: 0000010216
Check: 0000000578
Check: 0000000580
Check: 0000000600
Check: 0000000581
Check: 0000000582
Check: 0000000602
Check: 0000000584
Check: 0000000585
Check: 0000000605
Check: 0000000587
Check: 0000000588
Check: 0000000589
Check: 0000006489
Check: 0000010231
Check: 0000000634
Check: 0000000619
Check: 0000000636
Check: 0000010243
Check: 0000000625
Check: 0000000640
Check: 0000000631
Check: 0000010245
Check: 0000010246
Check: 0000010247
Check: 0000000643
Check: 0000010248
Check: 0000010249
Check: 0000000644
Check: 0000000647
Check: 0000000645
Check: 0000000646
Check: 0000000633
Check: 0000010238
Check: 0000000630
Check: 0000000613
Check: 0000000635
Check: 0000000619
Check: 0000000636
Check: 0000000621
Check: 0000000622
Check: 0000000637
Check: 0000010242
Check: 0000010244
Check: 0000000628
Check: 0000000639
Check: 0000010230
Check: 0000010239
Check: 0000000636
Check: 0000010241
Check: 0000010237
Check: 0000010240
Check: 0000000641
Check: 0000000629
Check: 0000000610
Check: 0000010236
Check: 0000000617
Check: 0000000636
Check: 0000000625
Check: 0000000611
Check: 0000000610
Check: 0000000611
Check: 0000000642
Check: 0000000612

Case 3:12-bk-01573

Paid to
Lydias
NuSmile
StaplesBus
TMG
USPS
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
AltairDataRe
IWCODirect
Employee Reimbursement
Lellyett&Rog
Snagajob.com
StaplesBus
VisualDataSo
Cigna
BakerDonelso
BassBerrySim
BurrFormanLL
ConwayDel
Gibson,Dunn&
ImperialCapi
King
MerrillCommu
Shearman
Waller
FocusOne
Hartford
Employee Reimbursement
Dentsply
Employee Reimbursement
Employee Reimbursement
Lellyett&Rog
Employee Reimbursement
Employee Reimbursement
Pomeroy
Richards&Ric
Thompson
Employee Reimbursement
TollesonMcco
AlmaShoopman
Iron
Lellyett&Rog
Randstad
FRII
ITX
TCNConsu1099
ACES CoreyGo
Employee Reimbursement
FedEx
InteroOffice
Lellyett&Rog
StaplesBus
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement

Doc 435

Amount
2,928.04
8,893.03
12,148.02
583.00
260.00
555.12
96.42
1,348.81
3,252.62
238.93
4,068.97
1,041.21
79.65
1,728.93
702.05
638.43
800.34
3,326.64
1,466.00
108.91
4,182.97
1,139.37
2,021.30
634.09
1,328.00
684.44
24,091.10
3,306.75
600.00
4,960.75
2,744.32
6,061.06
15,223.66
42,973.82
173,249.64
12,272.00
28,733.77
26,425.02
408,950.29
50,000.00
23,679.87
1,942.25
55,237.49
150,318.46
3,866.34
10,775.38
5.29
19.82
311.87
58.98
594.10
292.98
434.96
116.88
471.13
1,539.00
71.84
190.00
3,297.50
1,482.31
670.50
879.50
1,095.55
2,145.62
25,066.67
4,000.00
2,523.28
15,630.28
21,131.85
20,965.34
5,695.94
1,273.60
13,143.31
4,475.43
953.86
1,263.71

Debtor
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC

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Document
Page 18 of 26

Desc Main

Case Name
Case Number
Month of

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 1 - 31, 2012

Debtors AP Disbursements
Date
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12
05/31/12

Check
Check: 0000010232
Check: 0000000632
Check: 0000010233
Check: 0000000614
Check: 0000010234
Check: 0000010234
Check: 0000010234
Check: 0000000615
Check: 0000010235
Check: 0000000616
Check: 0000000618
Check: 0000000620
Check: 0000000623
Check: 0000000638
Check: 0000000624
Check: 0000000626
Check: 0000000627

Paid to
Dr.FredB.Dun
Employee Reimbursement
Dr.LarryBloo
Employee Reimbursement
Dr.MounikaFa
Dr.MounkiaF
Dr.MounkiaF
Employee Reimbursement
Dr.VirginiaK
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement
Employee Reimbursement

05/03/12
05/10/12
05/10/12
05/10/12
05/31/12

Check: 0000010033
Check: 0000010036
Check: 0000010035
Check: 0000010034
Check: 0000010037

FlowerCity
Hartford
Payroll Garnishment
Cintas
RG&E

Amount
728.10
4,618.85
94.48
214.90
74.02
74.02
-74.02
1,242.92
134.04
1,650.66
665.99
2,148.27
1,016.27
886.62
2,770.34
1,266.10
970.55
$ 3,508,982.97

Case 3:12-bk-01573

Doc 435

60.48
158.11
176.81
271.62
1,199.53
1,866.55

Debtor
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC
CHURCH STREET HEALTH MANAGEMENT, LLC

FORBA NY, LLC

FORBA NY, LLC
FORBA NY, LLC
FORBA NY, LLC
FORBA NY, LLC

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Document
Page 19 of 26

Desc Main

Case Name
Case Number
As of

CHURCH STREET HEALTH MANAGEMENT, LLC, et al

12-01573; Jointly Administered
May 31, 2012

Post-Petition AP Aging (excludes accrued AP)

Total
1,770,727.08
158.11

CHURCH STREET HEALTH MANAGEMENT, LLC

FORBA NY, LLC

Case 3:12-bk-01573

Doc 435

Current
1,636,037.37
158.11

Over 30 Days
121,997.92
-

Over 60 Days
8,951.79
-

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Document
Page 20 of 26

Over 90 Days
3,740.00
-

Desc Main

Over 120 Days

-

Small Smiles Holding Company, LLC

Consolidated Balance Sheet
For the Month Ended May 31, 2012
Amounts in thousands

Assets
Cash and cash equivalents
Patient accounts receivable
Allowance for doubtful accounts
Net accounts receivable
Other receivables
Prepaid expenses
Total current assets

Gross fixed assets

Accumulated depreciation
Net fixed assets

6,193
8,908
(1,319)
7,589
83
2,196
16,061
66,596
(49,347)
17,249

Intangible assets, net

Other long term assets

76,302
658

Total Assets

110,270

6,164
5,494
111
1,994
2,414
16,177

Liabilities and Shareholders' Equity

Accounts payable
Accrued salaries and wages
Accrued interest
Current portion of long-term debt
Other accrued liabilities
Total current liabilities
Liabilities subject to compromise

264,154

Long-term debt
Settlement note
Total long-term debt

25,310
15,455
40,765

Other long term liabilities

Total Liabilities

667
321,763

Preferred interests - Class A and Subordinated

Contributed capital
Minority interest - capital
Owner distributions
Other comprehensive income
Retained earnings
Total Equity
Total Liabilities and Equity

22,525
171,963
477
(602)
(405,856)
(211,493)
110,270
-

Case 3:12-bk-01573

Doc 435

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Document
Page 21 of 26

Desc Main

Small Smiles Holding Company, LLC

Consolidated Income Statement
For the Month Ended May 31, 2012
Amounts in thousands

Description
Revenues
Gross patient service revenue
Revenue adjustments
Other revenue
Total revenue

Operating expenses
Salaries and wages
Draw reconciliation
Payroll taxes
Employee benefits
Supplies
Advertising and marketing
Purchased services
Bad debt expense
Rent and lease expense
Utilities
Travel and entertainment
Repairs and maintenance
Taxes and licenses
Insurance
Other operating expenses
Total operating expenses

10,420
(117)
6
10,309

5,911
663
583
594
943
390
147
113
586
162
177
57
198
95
19
10,638

EBITDA (operating)
EBITDA Margin

(329)
-3.2%

Depreciation and amort exp

EBIT

952
(1,281)

Interest expense (income)

Interest income
Interest expense
Other expense (inc), net
Total interest exp (inc)

82
82

Minority interest
Other external costs / restructuring
Management fees
Loss (gain) on disposal

22
2,548
-

Earnings from continuing ops

(3,933)

Gain (loss) from disc ops

Loss on disc ops disposal

(156)
-

Earnings before taxes

Income tax provision
Net income (loss)

(4,089)
(4,089)

Case 3:12-bk-01573

Doc 435

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Document
Page 22 of 26

Desc Main

Small Smiles Holding Company, LLC

Consolidated Statement of Cash Flows
For the Month Ended May 31, 2012
Amounts in thousands

Cash flows from operating activities:

Net income (loss)
Adjustments to reconcile net income to net cash
provided by operating activities:
Provision for bad debts
Depreciation
Interest expense paid through notes payable
Amortization of noncompete agreements
Amortization of deferred finance fees
Minority interest in earnings
(Gain)/loss on fixed asset disposal
Changes in assets and liabilities:
Accounts receivable
Prepaid assets
Other receivables
Other assets
Accounts payable
Accrued salaries and wages
Accrued interest
Other accrued liabilities
Other long term liabilities
Net cash provided by operating activities

(4,089)

112
679
298
22
273
520
273
(3)
122
510
312
25
35
(35)
(946)

Cash flows from investing activities:

Capital expenditures
Other investing activities
Net cash used by investing activities

(6)
(6)

Cash flows from financing activities:

Settlement note payments
DIP borrowings (payments)
Net Senior debt borrowings (payments)
Net OpCo PIK borrowings (payments)
Deferred finance fees paid
Contributed capital
Distributions to minority interest holders
Owner distributions
Net cash used in (provided by) financing activities

7
5,790
(40)
5,757

Net increase (decrease) in cash and cash equivalents

Cash, beginning of period
Cash, end of period

4,805
1,388
6,193

Case 3:12-bk-01573

Doc 435

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Document
Page 23 of 26

Desc Main

Small Smiles Holding Company, LLC

Consolidating Balance Sheet
For the Month Ended May 31, 2012

Small Smiles
Holding Co
Cash and cash equivalents
Accounts receivable, gross
Allowance for doubtful accounts
Mgmt company receivables
Allowance for mgmt fees
Other receivables
Prepaid expenses
Total current assets

Church Street
Health Mgmt
2,613,268
555,083,297
(555,083,297)
399,223
3,012,491

Fixed assets, net

Intercompany investments
Intangibles
Other assets

191,015,198
-

38,733,077
74,075,957
1

Total Assets

191,015,198

115,821,526

500,000
(645)
(500,000)
500,000
5,760
55
505,170
(2,283)

FORBA NY
(597)
1,954,640
(1,954,640)
1,088
491

Dental
Centers

3,112,671
(645)
556,537,937
(556,537,937)
5,760
400,366
3,518,152

3,079,923
8,908,360
(1,319,037)
27,331,117
(27,331,117)
77,737
1,795,578
12,542,561

(229,748,275)
-

74,124,891
617

17,248,611
(217,662,870)
2,176,958
657,370

502,887

48,251

4,073

(229,748,275)

77,643,660

(185,037,369)

333
71,673
72,006

158
(9,467)
(9,309)

2,284,618
51,873
31,250
11,558
2,379,299

3,879,159
5,441,680
79,977
1,994,230
583,869,054
(583,869,054)
3,155,544
14,550,590

Liabilities subject to compromise

261,764,832

2,365,214

24,233

Long term debt

Long term liabilities
Total Liabilities

74,163
264,155,597

2,437,220

14,924

(44,875,000)
192,268,788
(290,137)
(295,437,723)
(148,334,072)
115,821,525

22,038,972
(935,707)
(23,037,600)
(1,934,335)
502,885

Case 3:12-bk-01573

Total
Debtors

2,966
616

67,400,000
169,966,574
(46,351,376)
191,015,198
191,015,198

Intercompany
Eliminations

45,968
2,283

Accounts payable
Accrued employee comp
Accrued interest
Current portion - LTD
Mgmt company payables
Mgmt co payable reserve
Other accrued liabilities
Total current liabilities

Preferred equity
Contributed capital
Minority interest
Owner distributions
Retained earnings
Total Equity
Total Liabilities and Equity

2,284,127
(10,333)
31,250
11,558
2,316,602

EEHC, Inc.

DEBTORS
FORBA
Services, Inc.

Doc 435

18,802,050
680,360
(19,434,158)
48,252
48,252

(27,071,499)
27,060,648
(10,851)
4,073

Intercompany
Eliminations

Consolidated
Entity

(27,331,117)
27,331,117

217,662,870
(1)

(229,748,275)
(229,748,275)
(229,748,275)

17,248,611
76,301,849
657,986

217,662,869

110,269,159

(583,869,054)
583,869,054
(753,618)
(753,618)

6,163,777
5,493,553
111,227
1,994,230
2,413,484
16,176,271

264,154,279
-

6,192,594
8,907,715
(1,319,037)
556,537,937
(556,537,937)
83,497
2,195,944
16,060,713

264,154,279

74,163
266,607,741

40,765,283
592,794
55,908,666

22,525,000
173,328,109
(27,616,983)
(357,200,209)
(188,964,083)
77,643,658

(192,227,162)
376,733
(258,599)
(48,837,009)
(240,946,038)
(185,037,371)

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 24 of 26

(753,618)

190,862,253
100,000
27,273,346
180,889
218,416,488
217,662,870

Desc Main

40,765,283
666,957
321,762,790
22,525,000
171,963,200
476,733
(602,236)
(405,856,329)
(211,493,633)
110,269,157

Small Smiles Holding Company, LLC

Consolidating Income Statement
Month Ended May 31, 2012
DEBTORS
Church Street EEHC, Inc.
$
$
10,500,961
(10,500,961)
-

Gross patient revenue

Revenue adjustments
Management fees
Management fee reserve
Other income
Net revenue
Salaries
Draw reconciliation and bonuses
Payroll taxes and benefits
Supplies
Advertising
Purchased services
Bad debt expense
Rent
Utilities
Travel and entertainment
Repairs and maintenance
Taxes and licenses
Insurance
Other operating expenses
Total operating expenses

32,000
25,067
38,738
44,204
4,959
116,808
48,080
21,125
51,365
21,644
37,813
11,412
12,794
466,009

528,935
60,916
33,522
741
624,114

EBITDA

(466,009)

Depreciation and amortization

EBIT

351,179
(817,188)

Interest income
Interest expense
Minority interest
Other external costs
Management fees - CSHM
Management fees - external
Discontinued operations
(Gain)/loss on asset disposal

(177)
75,947
1,708,628
8

Net income (loss)

(2,601,594)

Case 3:12-bk-01573

FORBA NY
$
(10)
(128)
(4,684)
1,433
(7,611)
-

Small Smiles
Holding Co
$
-

Total
Debtors
$
10,500,961
(10,500,961)
-

3,616
3,287
49
9
395
14
(3,630)

560,925
85,983
72,132
39,520
6,392
109,938
48,080
24,741
54,652
21,693
37,822
11,807
12,808
1,086,493

(624,114)

3,630

(624,114)

3,630

5,350,160
577,092
1,104,004
903,728
383,450
37,362
112,569
537,735
137,181
121,751
35,697
160,355
83,195
5,913
9,550,192

(1,086,493)

757,733

(328,760)

351,179
(1,437,672)

601,229
156,504

952,408
(1,281,168)

(177)
75,940
1,708,628
8

(8)
5,703
21,632
839,471
(39,618)
10,190,579
156,489
-

39,618
(10,190,579)
-

(185)
81,643
21,632
2,548,099
156,489
8

3,637

(3,222,071)

(11,017,744)

10,150,961

(4,088,854)

(624,114)

Doc 435

Dental
Centers
Eliminations Consolidated
$ 10,419,517 $
$ 10,419,517
(117,422)
(117,422)
(10,500,961)
10,500,961
5,830
5,830
10,307,925
10,307,925

(7)

Filed 06/15/12 Entered 06/15/12 12:13:34

Document
Page 25 of 26

5,911,085
663,075
1,176,136
943,248
389,842
147,300
112,569
585,815
161,922
176,403
57,390
198,177
95,002
18,721
10,636,685

Desc Main

Small Smiles Holding Company, LLC

Consolidating Cash Flow Statement
Month Ended May 31, 2012

Church Street
Cash flows from operating activities
Net income
Adjustments to reconcile net income to net cash
provided by operating activities:
Depreciation
Interest expense paid through issuance of notes payable
Amortization of noncompete agreements
Amortization of deferred finance fees
(Gain)/loss on fixed asset disposal
Changes in operating assets and liabilities:
Mgmt fees receivable
Prepaid assets
Other receivables
Other assets
Accounts payable
Accrued salaries and wages
Accrued interest
Liabilities subject to compromise
Other accrued liabilities
Other long term liabilities
Net cash provided (used) by operating activities

EEHC, Inc.

3,637

53,560
297,619
-

500,000
333
19,364
-

2,722
(294)
24
(26,902)
(5,959)
-

(104,417)

63
(26,709)

5,790,000
(27,208)
5,762,792

2,612,258
2,612,258

Cash flows from financing activities

Settlement payments
Net DIP revolver borrowings
Contributed capital - intercompany
Distributions to minority interest holders
Owner distributions
Net cash provided (used) by operating activities

5,790,000
(648,127)
5,141,873

602,714
602,714

18,205
18,205

Net increase (decrease) in cash and cash equivalents

Cash, beginning of month
Cash, end of month

2,122,465
490,803
2,613,268

498,297
1,703
500,000

(8,504)
7,907
(597) $

Case 3:12-bk-01573

Doc 435

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Document
Page 26 of 26

Desc Main

Total
Debtors

(624,114) $

Small Smiles
Holding Co

(2,601,594) $

(911,851)
199,659
(131)
(56,672)
2
(3,019,408)

Cash flows from investing activities

Capital expenditures
Other investing activities
Net cash provided (used) in investing activities

DEBTORS
FORBA
Services, Inc.
FORBA NY

(3,222,071)

53,560
297,619
(909,129)
199,365
500,000
24
(26,569)
13,274
(56,672)
63
2
(3,150,534)