Case 19-34993-KRH Doc 219 Filed 07/07/21 Entered 07/07/21 13:00:24 Desc Main

Document Page 1 of 4
Debtor Name _______________________________________________________ Case number_____________________________________ 

Official Form 425C Monthly Operating Report for Small Business Under Chapter 11 page 2

17. Have you paid any bills you owed before you filed bankruptcy?   

18. Have you allowed any checks to clear the bank that were issued before you filed bankruptcy?   

2. Summary of Cash Activity for All Accounts

19. Total opening balance of all accounts

This amount must equal what you reported as the cash on hand at the end of the month in the previous 

month. If this is your first report, report the total cash on hand as of the date of the filing of this case.

$ __________

20. Total cash receipts 

Attach a listing of all cash received for the month and label it Exhibit C. Include all 

cash received even if you have not deposited it at the bank, collections on 

receivables, credit card deposits, cash received from other parties, or loans, gifts, or 

payments made by other parties on your behalf. Do not attach bank statements in 

lieu of Exhibit C. 

Report the total from Exhibit C here. 

 

$ __________

21. Total cash disbursements 

Attach a listing of all payments you made in the month and label it Exhibit D. List the 

date paid, payee, purpose, and amount. Include all cash payments, debit card 

transactions, checks issued even if they have not cleared the bank, outstanding 

checks issued before the bankruptcy was filed that were allowed to clear this month, 

and payments made by other parties on your behalf. Do not attach bank statements 

in lieu of Exhibit D. 

Report the total from Exhibit D here. 

- $ __________

22. Net cash flow 

Subtract line 21 from line 20 and report the result here. 

This amount may be different from what you may have calculated as net profit. 

+ $ __________

23. Cash on hand at the end of the month 

Add line 22 + line 19. Report the result here. 

Report this figure as the cash on hand at the beginning of the month on your next operating report. 

This amount may not match your bank account balance because you may have outstanding checks that

have not cleared the bank or deposits in transit.

= $ __________

3. Unpaid Bills

Attach a list of all debts (including taxes) which you have incurred since the date you filed bankruptcy but 

have not paid. Label it Exhibit E. Include the date the debt was incurred, who is owed the money, the 

purpose of the debt, and when the debt is due. Report the total from Exhibit E here.

24. Total payables $ ____________

(Exhibit E) 

X

X

CIVITAS HEALTH SERVICES INC/ LEMAR BOWERS 19-34993/20-34139

CIVITAS: 91824.59

199,846.94 CIVITAS

209,454.34 CIVITAS

CIVITAS: (9607.40)

CIVITAS: 82217.19

0

LeMar Bowers: 5,065.10

 8,091.29 LeMar Bowers

 9,484.80 LeMar Bowers

LeMar Bowers: 3671.59

LeMar Bowers:(1393.51)

X

No issues noted for this section

in regards to case# 20-34139

85,888.78

(11,000.91)

218,939.14

96,889.69

207,938.23

Case 19-34993-KRH Doc 219 Filed 07/07/21 Entered 07/07/21 13:00:24 Desc Main

Document Page 2 of 4
Debtor Name _______________________________________________________ Case number_____________________________________ 

Official Form 425C Monthly Operating Report for Small Business Under Chapter 11 page 3

4. Money Owed to You

Attach a list of all amounts owed to you by your customers for work you have done or merchandise you 

have sold. Include amounts owed to you both before, and after you filed bankruptcy. Label it Exhibit F. 

Identify who owes you money, how much is owed, and when payment is due. Report the total from 

Exhibit F here. 

25. Total receivables $ ____________

(Exhibit F)

5. Employees

26. What was the number of employees when the case was filed? ____________

27. What is the number of employees as of the date of this monthly report? ____________

6. Professional Fees

28. How much have you paid this month in professional fees related to this bankruptcy case? $ ____________

29. How much have you paid in professional fees related to this bankruptcy case since the case was filed? $ ____________

30. How much have you paid this month in other professional fees? $ ____________ 

31. How much have you paid in total other professional fees since filing the case? $ ____________

7. Projections

Compare your actual cash receipts and disbursements to what you projected in the previous month. 

Projected figures in the first month should match those provided at the initial debtor interview, if any. 

Column A Column B Column C

Projected – Actual = Difference 

Copy lines 35-37 from 

the previous month’s 

report. 

Copy lines 20-22 of 

this report. 

Subtract Column B 

from Column A. 

32. Cash receipts $ ____________ – $ ____________ =

$ ____________

33. Cash disbursements $ ____________ – $ ____________ =

$ ____________

34. Net cash flow $ ____________ – $ ____________

=

$ ____________

35. Total projected cash receipts for the next month: $ ____________

36. Total projected cash disbursements for the next month: - $ ____________

37. Total projected net cash flow for the next month: = $ ____________

78,253

0

49

42

CIVITAS HEALTH SERVICES INC/LEMAR BOWERS 19-34993/20-34139

0

0

17,740.65

199,846.94

209,454.34

(9607.40)

200,127.86

211,786.19

(11,658.33)

280.92

2,331.85

(2,050.93)

256,431.40

232,706.70

23,724.70

 

No issues noted for this section

in regards to case# 20-34139

CIVITAS

PROJECTIONS

Case 19-34993-KRH Doc 219 Filed 07/07/21 Entered 07/07/21 13:00:24 Desc Main

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Debtor Name _______________________________________________________ Case number_____________________________________ 

Official Form 425C Monthly Operating Report for Small Business Under Chapter 11 page 4

8. Additional Information

If available, check the box to the left and attach copies of the following documents.

 38. Bank statements for each open account (redact all but the last 4 digits of account numbers). 

 39. Bank reconciliation reports for each account. 

 40. Financial reports such as an income statement (profit & loss) and/or balance sheet. 

 41. Budget, projection, or forecast reports. 

 42. Project, job costing, or work-in-progress reports. 

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Case 19-34993-KRH Doc 219 Filed 07/07/21 Entered 07/07/21 13:00:24 Desc Main

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