1

Jeff P. Prostok

State Bar No. 16352500

Lynda L. Lankford

State Bar No. 11935020

Emily S. Chou

State Bar No. 24006997 

Dylan T.F. Ross

State Bar No. 24104435

FORSHEY & PROSTOK, L.L.P.

777 Main Street, Suite 1550

Fort Worth, Texas 76102

Phone: (817) 877-8855

Fax: (817) 877-4151

jprostok@forsheyprostok.com

llankford@forsheyprostok.com

echou@forsheyprostok.com

dross@forsheyprostok.com

PROPOSED ATTORNEYS FOR DEBTOR

AND DEBTOR IN POSSESSION

IN THE UNITED STATES BANKRUPTCY COURT

FOR THE NORTHERN DISTRICT OF TEXAS

FORT WORTH DIVISION

_____________________________________

In re:

LION STAR NACOGDOCHES HOSPITAL, 

LLC d/b/a NACOGDOCHES MEMORIAL 

HOSPITAL,

Debtor.

____________________________________

§

§

§

§

§

§

§

§

Chapter 11

Case No. 23-43535-MXM-11

GLOBAL NOTES REGARDING DEBTOR’S SCHEDULES
2

These Global Notes (the “Global Notes”) regarding the Schedules of Lion Star 

Nacogdoches Hospital, LLC, d/b/a Nacogdoches Memorial Hospital (the "Debtor")

comprise an integral part of the Schedules of Assets and Liabilities and should be referred 

to and considered in connection with any review of them.

The Debtor's Schedules of assets, liabilities, executory contracts and unexpired leases, and codebtors (collectively, the “Schedules”) have been prepared pursuant to section 521 of title 11 of 

the United States Code, U.S.C. §§ 101, et seq. (the “Bankruptcy Code”), and Rule 1007 of the 

Federal Rules of Bankruptcy Procedure (the “Bankruptcy Rules”) by personnel of the Debtor with 

the assistance of its advisors. The Global Notes pertain to all of the Schedules. The Schedules 

are unaudited.

The financial affairs and business of the Debtor are complex. While the Debtor’s management 

has made reasonable efforts to ensure that the Schedules are accurate and complete based on 

information that was available to them at the time of preparation, the subsequent receipt or 

discovery of information and/or further review and analysis of the Debtor’s books and records may 

result in material changes to financial data and other information contained in the Schedules. 

Moreover, because the Schedules contain unaudited information, which is subject to further 

review and potential adjustment, there can be no assurance that the Schedules are complete and 

accurate. Furthermore, nothing contained in the Schedules shall constitute a waiver of the 

Debtor’s rights or an admission with respect to this chapter 11 case, including, without limitation, 

any issues involving equitable subordination and/or causes of action arising under the provisions 

of chapter 5 of the Bankruptcy Code and other relevant applicable laws to recover assets or avoid 

transfers.

Agreements Subject to Confidentiality. There may be instances within the Schedules where 

names, addresses or amounts have been left blank. Due to the nature of an agreement between 

the Debtor and the third party, concerns of confidentiality or concerns for the privacy of an 

individual, the Debtor may have deemed it appropriate and necessary to avoid listing such names, 

addresses and amounts.

Amendment. While reasonable efforts were made to file complete and accurate Schedules, 

inadvertent errors or omissions may exist. The Debtor reserves all rights to amend and/or 

supplement its Schedules as is necessary and appropriate.

Basis of Presentation. While the Schedules, at times, incorporate information prepared in 

accordance with generally accepted accounting principles (“GAAP”), the Schedules do not purport 

to represent financial information prepared in accordance with GAAP.

Causes of Action. The Debtor, despite its best efforts, may not have identified or set forth all of 

its causes of action (filed or potential) as assets in its Schedules. The Debtor reserves all of its 

rights with respect to any causes of action it may have and neither these Global Notes nor the 

Schedules shall be deemed a waiver of any such causes of action.

Claims Description. Any failure to designate an amount on the Debtor’s Schedules as 

“disputed,” “contingent” or “unliquidated” does not constitute an admission by the Debtor that such 
3

amount is not “disputed,” “contingent” or “unliquidated.” The Debtor reserves the right to dispute 

any claim reflected on its Schedules on any grounds including, without limitation, amount, liability, 

validity, priority or classification, or to otherwise subsequently designate such claims as 

“disputed,” “contingent” or “unliquidated.” The Debtor reserves its rights to object to any 

scheduled claims.

Current Value of Assets. It would be prohibitively expensive, unduly burdensome and an 

inefficient use of resources for the Debtor to obtain current valuations of all of its assets. 

Accordingly, unless otherwise indicated, net book values, rather than current market valuations, 

of the Debtor’s interests in assets are reflected on the Schedules. For this reason, amounts 

ultimately realized may vary from net book value and such variance may be material. As 

applicable, assets that have been fully depreciated or were expensed for accounting purposes 

have no net book value. 

Date. Unless otherwise indicated, the values reflected on the Schedules are as of November 17, 

2023 (the “Petition Date”). 

Estimates. The preparation of the Schedules required the Debtor to make certain estimates and 

assumptions that affect the reported amounts of its assets and liabilities. Actual results could 

differ from those estimates.

Insiders. Persons and entities listed as “insiders” have been included for informational purposes 

only and should not be construed as a legal characterization of such party as an insider and does 

not act as an admission of any fact, claim, right or defense and all such rights, claims and 

defenses are hereby expressly reserved. Further, the Debtor does not take any position with 

respect to (a) any person’s influence over the control of the Debtor, (b) the management 

responsibilities or functions of such individual, (c) the decision-making or corporate authority of 

such individual or (d) whether such individual could successfully argue that he or she is not an 

“insider” under applicable law. The Debtor presumes that persons who are not corporate officers 

of the Debtor are not “officers” for purposes of determining insider status, regardless of job title.

Inventory. Inventory, where applicable, is presented without consideration for any potential liens 

asserted by domestic common carriers, shippers, truckers, or similar liens.

Liabilities Generally. Some of the Debtor’s scheduled liabilities are unknown and/or unliquidated 

at this time. In such cases, the amounts may be listed as “Unknown” or “Undetermined.” As a 

result, the Debtor’s Schedules do not accurately reflect the aggregate amount of the Debtor’s 

liabilities, which may differ materially from those stated in the Schedules.

Prepetition and Postpetition Liabilities. The Debtor has sought to allocate liabilities between 

prepetition and postpetition periods based on information from research that was conducted in 

connection with the preparation of the Schedules. As additional information becomes available 

and further research is conducted, the allocation of liabilities between prepetition and postpetition 

periods may change.
4

Schedule A/B – Real and Personal Property. Accounts receivable amounts in Part 3 are 

reported at net realizable amounts due from patients, third-party payors and others that the Debtor 

expects to receive in exchange for providing patient care.

Schedule D – Creditors Holding Secured Claims. The Debtor has not included on Schedule 

D entities that may believe their claims are secured through setoff rights, deposits posted by or 

on behalf of the Debtor, or inchoate statutory lien rights. Except as otherwise agreed pursuant to 

a stipulation or agreed order or general order entered by the Bankruptcy Court, the Debtor 

reserves its right to dispute or challenge, among other things, the validity, perfection or immunity 

from avoidance of any lien purported to be granted or perfected in any specific asset to a creditor 

listed on Schedule D. Moreover, although the Debtor may have scheduled claims of various 

creditors as secured claims, the Debtor reserves all rights to dispute or challenge the secured 

nature of any such creditor’s claim or the characterization of the structure of any such transaction 

or any document or instrument related to such creditor’s claim. For instance, the inclusion of a 

counterparty to a lease in Schedule D is not an admission that such lease constitutes a capital 

lease, and the Debtor reserves all rights to contend that the referenced agreement is, instead, an 

operating lease. The descriptions provided in Schedule D are intended only to be a summary. 

Reference to the applicable loan agreements and related documents is necessary for a complete 

description of the collateral and the nature, extent and priority of any liens. Nothing in the Global 

Notes or the Schedules shall be deemed a modification or interpretation of the terms of such 

agreements. The Debtor reserves the right to dispute the tax assessed value for any of the 

taxable assets.

Schedule E/F – Creditors Holding Unsecured Claims. Schedule E/F does not include claims 

held by employees and physicians as of the Petition Date that were paid post-petition pursuant to 

Court Order. Schedule E/F does not include certain deferred charges, deferred liabilities or 

general reserves. Such amounts may, however, be reflected on the Debtor’s books and records 

as required in accordance with GAAP. Such accruals are general estimates of liabilities and do 

not represent specific claims as of the Petition Date. The claims listed in Schedule E/F arose or 

were incurred on various dates. In certain instances, the date on which a claim arose is an open 

issue of fact. While best efforts have been made, determination of each date upon which each 

claim in Schedule E/F was incurred or arose would be unduly burdensome and cost prohibitive 

and, therefore, the Debtor does not list a date for each claim listed on Schedule E/F. The Debtor 

reserves its rights to dispute or challenge whether creditors listed on Schedule E/F, Part 1, are 

entitled to priority claims.

Schedule G – Executory Contracts and Unexpired Leases. The business of the Debtor is 

complex. While reasonable efforts have been made to ensure the accuracy of Schedule G 

regarding executory contracts and unexpired leases, inadvertent errors, omissions or 

overinclusion may have occurred. The Debtor hereby reserves all of its rights to dispute the 

validity, status or enforceability of any contract, agreement or lease set forth on Schedule G that 

may have expired or may have been modified, amended and supplemented from time to time by 

various amendments, restatements, waivers, estoppel certificates, letters and other documents, 

instruments, and agreements which may not be listed on Schedule G. Certain of the leases and 

contracts listed on Schedule G may contain certain renewal options, guarantees of payment, 
5

options to purchase, rights of first refusal, and other miscellaneous rights. Such rights, powers, 

duties and obligations are not set forth on Schedule G. Certain executory agreements may not 

have been memorialized in writing and could be subject to dispute. In addition, the Debtor may 

have entered into various other types of agreements in the ordinary course of business, such as 

easements, right of way, subordination, non-disturbance, and attornment agreements, 

supplemental agreements, amendment/letter agreements, title agreements and confidentially 

agreements. Such documents may not be set forth on Schedule G. The Debtor reserves all of 

its rights to dispute or challenge the characterization of the structure or substances of any 

transaction, or any document or instrument. In the ordinary course of business, the Debtor may 

have entered into agreements, written or oral, for the provision of certain services on a month-tomonth or at-will basis. Such contracts may not be included on Schedule G. The Debtor, however, 

reserves the right to assert that such agreements constitute executory contracts. Listing a 

contract, agreement or lease on Schedule G does not constitute an admission that such contract, 

agreement or lease is an executory contract or unexpired lease or that such contract or agreement 

was in effect on the Petition Date or is valid or enforceable. The Debtor reserves all rights to 

challenge whether any of the listed contracts, agreements, leases or other documents constitute 

an executory contract or unexpired lease, including if any are unexpired real property leases. The 

Debtor reserves all rights to contend that any of the listed leases are capital leases rather than 

operating leases. Any and all of the Debtor's rights, claims and causes of action with respect to 

the contracts and agreements listed on Schedule G are hereby reserved and preserved. 

Omission of a contract, agreement or lease from Schedule G does not constitute an admission 

that such omitted contract or agreement is not an executory contract or unexpired lease. The 

Debtor’s rights under the Bankruptcy Code with respect to any such omitted contracts, 

agreements or leases are not impaired by the omission. Schedule G may be amended at any 

time to add any omitted contract, agreement or lease. For any executory contract or unexpired 

lease that purportedly may have been assigned to the Debtor, but for which there is not 

documentation to support the purported assignment, neither the executory contract nor unexpired 

lease (or related claim) has been included on the Schedules.

Totals. All totals that are included in the Schedules represent totals of all known amounts 

included in the Debtor’s books and records at the time of the Petition Date. To the extent there 

are unknown or undetermined amounts, the actual total may be different than the listed total, at 

times materially.

* * *

The Debtor and its agents, attorneys and financial advisors do not guarantee or warrant the 

accuracy, completeness, or currentness of the data that is provided herein and shall not be liable 

for any loss or injury arising out of or caused in whole or in part by the acts, errors or omissions, 

whether negligent or otherwise, in procuring, compiling, collecting, interpreting, reporting, 

communication or delivering the information contained herein. While every effort has been made 

to provide accurate and complete information herein, inadvertent errors and omissions may exist.

L:\JPROSTOK\Lion Star Nacogdoches Hospital, LLC #6429\Pleadings\Global Notes - Schedules 1.6.24.docx
Official Form 206A/B

Schedule A/B: Assets -- Real and Personal Property 12/15 

Fill in this information to identify the case

Debtor name

United States Bankruptcy Court for the:

Case number

(if known)

Lion Star Nacogdoches Hospital, LLC

NORTHERN DISTRICT OF TEXAS

23-43535-mxm11

1. Does the debtor have any cash or cash equivalents?





No. Go to Part 2.

Yes. Fill in the information below.

 Check if this is an

amended filing

Part 1: Cash and cash equivalents

In Schedule A/B, list any executory contracts or unexpired leases. Also list them on Schedule G: Executory Contracts and

Unexpired Leases (Official Form 206G).

All cash or cash equivalents owned or controlled by the debtor Current value of

debtor's interest

Disclose all property, real and personal, which the debtor owns or in which the debtor has any other legal, equitable, or future 

interest. Include all property in which the debtor holds rights and powers exercisable for the debtor's own benefit. Also 

include assets and properties which have no book value, such as fully depreciated assets or assets that were not capitalized.

Be as complete and accurate as possible. If more space is needed, attach a separate sheet to this form. At the top of any 

pages added, write the debtor's name and case number (if known). Also identify the form and line number to which the 

additional information applies. If an additional sheet is attached, include the amounts from the attachment in the total for the 

pertinent part.

For Part 1 through Part 11, list each asset under the appropriate category or attach separate supporting schedules, such as a 

fixed asset schedule or depreciation schedule, that gives the details for each asset in a particular category. List each asset 

only once. In valuing the debtor's interest, do not deduct the value of secured claims. See the instructions to understand the 

terms used in this form.

2. Cash on hand $2,100.00 

3. Checking, savings, money market, or financial brokerage accounts (Identify all)

Name of institution (bank or brokerage firm) Type of account Last 4 digits of

account number

3.1. Prosperity Bank Accounts Payable Checking account 8311 $1,081.49 

3.2. Prosperity Bank Operating Account Checking account 8281 $0.00 

3.3. Prosperity Bank Payroll Account Checking account 8303 $0.00 

3.4. Prosperity Bank Commercial Account Checking account 8338 $0.00 

3.5. Prosperity Bank Government Account Checking account 8346 $0.00 

3.6. Prosperity Bank NMPG Lockbox Checking account 8583 $0.00 

3.7. Prosperity Bank MERP Account Checking account 8699 $0.00 

3.8. Prosperity Bank LPPF Account Checking account 8818 $0.00 

4. Other cash equivalents (Identify all)

Name of institution (bank or brokerage firm)

5. Total of Part 1

Add lines 2 through 4 (including amounts on any additional sheets). Copy the total to line 80. $3,181.49 

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 1 
Debtor

Name

Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

Part 2: Deposits and prepayments

6. Does the debtor have any deposits or prepayments?





No. Go to Part 3.

Yes. Fill in the information below.

7. Deposits, including security deposits and utility deposits

Description, including name of holder of deposit

Current value of

debtor's interest

7.1. Retainer to ForsheyProstok, LLP $106,202.00 

7.2. Retainer to Reed, Claymon, Meeker, Krienke and Spurck, PLLC $80,000.00 

7.3. Retainer to Fenley & Bate, LLP $80,000.00 

8. Prepayments, including prepayments on executory contracts, leases, insurance, taxes, and rent

Description, including name of holder of prepayment

8.1. PC Connection $1,187.39 

8.2. Nuance Communications maintenance and support $10,296.09 

8.3. MCN Healthcare annual license fee $7,210.03 

8.4. TriSource annual credentialing $57,752.92 

8.5. Garlic Media annual media contract $9,433.33 

8.6. Network Box gateway service $21,570.36 

8.7. TTUHSC - Health.ED continuing education services $3,921.39 

8.8. Biomerieux contract $114.70 

8.9. Premier Software Assoc., Inc annual subsription fee $35,641.98 

8.10. Biomerieux BioFire Torch extended warranty $19,150.87 

8.11. 3M coding software $10,138.19 

8.12. TASC FMLA admin and renewal fee $9,610.29 

8.13. Pitney Bowes SendPro P Series $1,688.88 

8.14. TASC ERISAEdge $1,733.82 

8.15. PULSARA annual dues $15,812.50 

8.16. eCapital Healthcare Corp. (Foley & Lardner, LLP) $30,000.00 

8.17. Tokio Marine Insurance $111,050.90 

8.18. Travelers/Bank Direct Capital Finance $93,599.91 

8.19. Texas Hospital Insurance Exchange $226,421.81 

8.20. Argonaut Insurance Company $59.84 

8.21. Bank Direct Capital Finance $187,761.04 

9. Total of Part 2.

Add lines 7 through 8. Copy the total to line 81. $1,120,358.24 

Part 3: Accounts receivable

10. Does the debtor have any accounts receivable?





No. Go to Part 4.

Yes. Fill in the information below.

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 2 
Debtor

Name

Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

11. Accounts receivable

11a. 90 days old or less:

11b. Over 90 days old:

face amount doubtful or uncollectible accounts

face amount doubtful or uncollectible accounts

– = .............. 

– = .............. 

$5,177,857.00 

$5,689,653.00 

$24,082,335.00

$27,762,907.00

$18,904,478.00

$22,073,254.00

Current value of

debtor's interest

12. Total of Part 3

Current value on lines 11a + 11b = line 12. Copy the total to line 82. $10,867,510.00 

Part 4: Investments

13. Does the debtor own any investments?





No. Go to Part 5.

Yes. Fill in the information below.

14. Mutual funds or publicly traded stocks not included in Part 1

Name of fund or stock:

Current value of

debtor's interest

Valuation method

used for current value

15. Non-publicly traded stock and interests in incorporated and unincorporated

Name of entity:

businesses, including any interest in an LLC, partnership, or joint venture

% of ownership:

16. Government bonds, corporate bonds, and other negotiable and

Describe:

non-negotiable instruments not included in Part 1

17. Total of Part 4

Add lines 14 through 16. Copy the total to line 83. $0.00 

Part 5: Inventory, excluding agriculture assets

18. Does the debtor own any inventory (excluding agriculture assets)?





No. Go to Part 6.

Yes. Fill in the information below.

19. Raw materials

Current value of

debtor's interest

Valuation method

used for current value

Net book value of

debtor's interest

Date of the

last physical

General description

inventory (Where available)

MM/DD/YYYY

20. Work in progress

21. Finished goods, including goods held for resale

22. Other inventory or supplies

Inventory or supplies 06/30/2023 $979,172.00 Cost $1,011,864.00 

23. Total of Part 5

Add lines 19 through 22. Copy the total to line 84. $1,011,864.00 

24. Is any of the property listed in Part 5 perishable?





No

Yes

25. Has any of the property listed in Part 5 been purchased within 20 days before the bankruptcy was filed?





No

Yes. Book value $137,266.00 Valuation method Cost Current value $137,266.00

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 3 
Debtor

Name

Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

26. Has any of the property listed in Part 5 been appraised by a professional within the last year?





No

Yes

Part 6: Farming and fishing-related assets (other than titled motor vehicles and land)

27. Does the debtor own or lease any farming or fishing-related assets (other than titled motor vehicles and land)?





No. Go to Part 7.

Yes. Fill in the information below.

28. Crops--either planted or harvested

Current value of

debtor's interest

Valuation method

used for current value

Net book value of

debtor's interest

General description

(Where available)

29. Farm animals Examples: Livestock, poultry, farm-raised fish

30. Farm machinery and equipment (Other than titled motor vehicles)

31. Farm and fishing supplies, chemicals, and feed

32. Other farming and fishing-related property not already listed in Part 6

33. Total of Part 6.

Add lines 28 through 32. Copy the total to line 85. $0.00 

34. Is the debtor a member of an agricultural cooperative?





No

Yes. Is any of the debtor's property stored at the cooperative?





No

Yes

35. Has any of the property listed in Part 6 been purchased within 20 days before the bankruptcy was filed?





No

Yes. Book value Valuation method Current value

36. Is a depreciation schedule available for any of the property listed in Part 6?





No

Yes

37. Has any of the property listed in Part 6 been appraised by a professional within the last year?





No

Yes

Part 7: Office furniture, fixtures, and equipment; and collectibles

38. Does the debtor own or lease any office furniture, fixtures, equipment, or collectibles?





No. Go to Part 8.

Yes. Fill in the information below.

39. Office furniture

Current value of

debtor's interest

Valuation method

used for current value

Net book value of

debtor's interest

General description

(Where available)

Office furniture $345,077.00 Cost $345,077.00 

40. Office fixtures

41. Office equipment, including all computer equipment and

communication systems equipment and software

Office equipment $743,482.00 Cost $743,482.00 

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 4 
Debtor

Name

Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

42. Collectibles

artwork; books, pictures, or other art objects; china and crystal; stamp, coin,

Examples: Antiques and figurines; paintings, prints, or other

or baseball card collections; other collections, memorabilia, or collectibles

43. Total of Part 7.

Add lines 39 through 42. Copy the total to line 86. $1,088,559.00 

44. Is a depreciation schedule available for any of the property listed in Part 7?





No

Yes

45. Has any of the property listed in Part 7 been appraised by a professional within the last year?





No

Yes

Part 8: Machinery, equipment, and vehicles

46. Does the debtor own or lease any machinery, equipment, or vehicles?





No. Go to Part 9.

Yes. Fill in the information below.

47. Automobiles, vans, trucks, motorcycles, trailers, and titled farm vehicles

Current value of

debtor's interest

Valuation method

used for current value

Net book value of

debtor's interest

General description

(Where available)

Include year, make, model, and identification numbers

(i.e., VIN, HIN, or N-number)

47.1. 2020 Lincoln Nautilus VIN X1604 $31,728.71 NBV $31,728.71 

47.2. 2020 Chrysler Rehab Van VIN X3513 Unknown 

47.3. 2004 Ford F150 Maintenance VIN X5646 Unknown 

47.4. 2008 Ford E250 Materials Mgmt. Van VIN X3383 Unknown 

47.5. 2017 MOTO EZ Cart VIN X1411 Unknown 

47.6. Kawasaki Utility Cart Maintenance VIN X300C Unknown 

47.7. Gator Golf Cart Maintenance VIN X7309 Unknown 

48. Watercraft, trailers, motors, and related accessories Examples: Boats

trailers, motors, floating homes, personal watercraft, and fishing vessels

49. Aircraft and accessories

50. Other machinery, fixtures, and equipment (excluding farm

machinery and equipment)

Other equipment - see Addendum 1 $2,703,110.89 

51. Total of Part 8.

Add lines 47 through 50. Copy the total to line 87. $2,734,839.60 

52. Is a depreciation schedule available for any of the property listed in Part 8?





No

Yes

53. Has any of the property listed in Part 8 been appraised by a professional within the last year?





No

Yes

Part 9: Real property

54. Does the debtor own or lease any real property?





No. Go to Part 10.

Yes. Fill in the information below.

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 5 
Debtor

Name

Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

55. Any building, other improved real estate, or land which the debtor owns or in which the debtor has an interest

Current value of

debtor's interest

Valuation method

used for current

Net book value of

debtor's interest

Description and location of property

(Where available)

Nature and extent

of debtor's interest

in property value

Include street address or other description 

such as Assessor Parcel Number (APN), 

and type of property (for example, 

acreage, factory, warehouse, apartment or 

office building), if available.

Lessee Unknown 

55.1. Nacogdoches Memorial Hospital 

Building

1204 N. Mound St., 

Nacogdoches, TX 75961

Lessee Unknown 

55.2. Nacogdoches Diagnostic Center

1023 N. Mound St., Suites A, B And H, 

Nacogdoches, TX 75961

Lessee Unknown 

55.3. Cecil Bomar Rehabilitation Center 

707 Woods St.,

Nacogdoches, TX 75961

Lessee Unknown 

55.4. Care First Clinic – Garrison 

130 South Hwy. 59

Nacogdoches, TX 75964

Lessee Unknown 

55.5. Accounting/Finance Building

914 Raguet St.,

Nacogdoches, TX 75961

Lessee Unknown 

55.6. Purchasing Receiving Building

801 North St.

Nacogdoches, TX 75961

Lessee Unknown 

55.7. Earl Elliott Medical Center

1018 N. Mound St.,

Nacogdoches, TX 75961

Lessee Unknown 

55.8. Coussen Building 

1002 & 1004 N. Mound St.,

Nacogdoches, TX 75961

Lessee Unknown 

55.9. Care First Clinic Nacogdoches 

Women’s Health Clinic

1106/1108 South St.,

Nacogdoches, TX 75964

Lessee Unknown 

55.10. 3604 Lawson Parkway

Nacogdoches, TX 75965

56. Total of Part 9.

Add the current value on lines 55.1 through 55.6 and entries from any additional sheets. Copy the total to line 88. $0.00 

57. Is a depreciation schedule available for any of the property listed in Part 9?





No

Yes

58. Has any of the property listed in Part 9 been appraised by a professional within the last year?





No

Yes

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 6 
Debtor

Name

Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

Part 10: Intangibles and Intellectual Property

59. Does the debtor have any interests in intangibles or intellectual property?





No. Go to Part 11.

Yes. Fill in the information below.

60. Patents, copyrights, trademarks, and trade secrets

Current value of

debtor's interest

Valuation method

used for current value

Net book value of

debtor's interest

General description

(Where available)

61. Internet domain names and websites

htpps://nacmen.org/ Unknown 

62. Licenses, franchises, and royalties

See attached Addendum 2 Unknown 

63. Customer lists, mailing lists, or other compilations

Patient lists Unknown 

64. Other intangibles, or intellectual property

See attached Addendum 3 Unknown 

65. Goodwill

66. Total of Part 10.

Add lines 60 through 65. Copy the total to line 89. $0.00 

67. Do your lists or records include personally identifiable information of customers





No

Yes

(as defined in 11 U.S.C. §§ 101(41A) and 107)?

68. Is there an amortization or other similar schedule available for any of the property listed in Part 10?

 No

 Yes

69. Has any of the property listed in Part 10 been appraised by a professional within the last year?





No

Yes

Part 11: All other assets

70. Does the debtor own any other assets that have not yet been reported on this form?





No. Go to Part 12.

Yes. Fill in the information below.

Include all interests in executory contracts and unexpired leases not previously reported on this form.

71. Notes receivable

Description (include name of obligor)

Current value of

debtor's interest

72. Tax refunds and unused net operating losses (NOLs)

Description (for example, federal, state, local)

73. Interests in insurance policies or annuities

Unknown 

Professional & General Liability

Carrier: THIE

Unknown 

Property 

Carrier: Travelers

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 7 
Debtor

Name

Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

Unknown 

Property-Wind & Hail Deductible Buy Back

Carrier: Underwriters at Lloyds

Unknown 

Umbrella 

Carrier: THIE

Unknown 

Directors & Officers/Fiduciary

Carrier: Berkley Healthcare

Unknown 

Crime

Carrier: Berkley Healthcare

Unknown 

Cybersecurity

Carrier: Toki Marine

Unknown 

Business Auto

Carrier: THIE

Unknown 

Worker's Compensation 

Carrier: Texas Mutual

Unknown 

Worker's Compensation Out of State

Carrier: Agronaut

Unknown 

Kidnap & Ransom

Carrier: US Specialty

Unknown 

Storage Tank Liability

Carrier: Colony

74. Causes of action against third parties (whether or not a lawsuit has been filed)

Nature of claim

Amount requested

Unknown 

Claims asserted or assertable against Nacogdoches County Hospital District including as 

provided in case no. C2338992 pending in the 145th District Court of Nacogdoches County, 

Texas.

Nature of claim

Amount requested

Unknown 

Claims assertable against United Healthcare based on inappropriate underpayments under 

Payor Agreement.

Nature of claim

Amount requested

Unknown 

Claims assertable against Molina Healthcare based on inappropriate underpayments under 

Payor Agreement.

75. Other contingent and unliquidated claims or causes of action of every nature,

including counterclaims of the debtor and rights to set off claims

76. Trusts, equitable or future interests in property

77. Other property of any kind not already listed Examples: Season tickets, country club membership

Supplemental fees $3,391,241.00 

Due from Nacogdoches County Hospital District $1,200,000.00 

78. Total of Part 11.

Add lines 71 through 77. Copy the total to line 90. $4,591,241.00 

79. Has any of the property listed in Part 11 been appraised by a professional within the last year?





No

Yes

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 8 
Debtor

Name

Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

Part 12: Summary

80. Cash, cash equivalents, and financial assets.

81. Deposits and prepayments.

82. Accounts receivable.

83. Investments.

84. Inventory.

85. Farming and fishing-related assets.

90. All other assets.

91. Total.

92. Total of all property on Schedule A/B.

Add lines 80 through 90 for each column.

+

Lines 91a + 91b = 92.......................................................................................

In Part 12 copy all of the totals from the earlier parts of the form.

Type of property Current value of

personal property

Current value of

real property

Copy line 5, Part 1.

Copy line 9, Part 2.

Copy line 12, Part 3.

Copy line 17, Part 4.

Copy line 23, Part 5.

Copy line 33, Part 6.

86. Office furniture, fixtures, and equipment;

Copy line 43, Part 7.

87. Machinery, equipment, and vehicles.

Copy line 51, Part 8.

88. Real property. Copy line 56, Part 9................................................................

89. Intangibles and intellectual property.

Copy line 66, Part 10.

Copy line 78, Part 11.

and collectibles.

91a. + 91b.

$0.00 

$1,120,358.24 

$10,867,510.00 

$0.00 

$1,011,864.00 

$0.00 

$1,088,559.00 

$21,417,553.33 

$21,417,553.33 

$0.00 

$3,181.49 

$2,734,839.60 

$0.00 

$4,591,241.00 

Official Form 206A/B Schedule A/B: Assets -- Real and Personal Property page 9 
 

Book Net

Property Description Book Value

1700.1713 less 1800.1811

Vendor Name Description

SCG Capital Toshiba Optima MR450W $ 9,122.26

GE Optima CT Scanner $ 23,525.38

GE 696 Cardio Lab $ 6,464.97

GE MacLab $ 4,629.39

ThermoFisher Tissue Processor $ 30,548.28

Philips Arboretum Silver $ 142,567.81

Stryker ProCare Surgical Intruments $ 65,919.45

Omnicell CSM Workstation $ 1,350.36

Omnicell Additional Base Server Windows 10 Upgrade $ 3,579.86

TriCor Systems Dri Scope Aid $ 2,723.76

Intuitive Surgical DaVinci Surgical System $ 1,451,062.52

MedOne Tablo Dialysis Machines $ 182,160.00

MedOne Apinion X Cube Ultrasounds $ 122,833.35

Minor Moveable Equipment 2,046,487.39
FRIENDSHIP HEARING HEARING BOOTH FOR PHILIP MOORE 7,500.0

G&G LOCK AND SAFE CAMERA SYSTEM UPGRADE AND INSTALL 4,223.3

3 WEST MEDICAL VIDEO BRONCHOSCOPE LEVEL 3 REFURBISHMENT 4,995.0

NOVUS SURGICAL CLEAR LINE LSX CUSTOM LUMBAR 30,955.0

CANON MEDICAL SYSTEMS CT VITREA EXTEND EQUIPMENT 10,392.0

MEDLINE SCALE/HANDRAIL BARIATRIC 1000 LB 2,172.9

MEDLINE STERILIZER 5,792.0

MINDRAY ACCUTTOR 11,911.2

OMNICELL OMNICELL G5 WORKSTATION, ANESTHESIA AND OMNIRX 320,395.9

SURGIQUIP SOLUTIONS SKYTRON SURGICAL LIGHT REPAIR 5,378.5

PRICE DAVID T MD P UROLOGY OFFICE EQUIPMENT 60,025.0

WIPFLI EHR IMPLEMENTATION PAYMENTS 102,763.5

SQN XRAY EQUIPMENT BUYOUT 22,225.7

TOBIAS ASSOC DENSITOMETER 2,650.0

HENTRY SCHEIN ENT CABINET 5,490.0

ABBOTT ACCUCHECK 9,724.0

TOTAL 656,623.5
Addendum 2 

License Type Number Issued by

1. Hospital License 100544 Texas Department of 

State Health Services

2. X-Ray Registration R48088 Texas Department of

State Health Services

3. Radioactive Material License L01071 Texas Department of 

State Health Services

4. Mammogram License M01713 Texas Department of

State Health Services

5. Drug Enforcement Agency License FN0917457 Drug Enforcement 

Agency, Department 

of Justice

6. Pharmacy License 34008 Texas State Board of

Pharmacy

7. Clinical Laboratory Improvement 

Amendments (CLIA)

45D0052220 Centers for Medicare 

& Medicaid Services

a. Addison CLIA 45D0902790 Centers for Medicare 

& Medicaid Services

b. Fuller CLIA 45D2190904 Centers for Medicare 

& Medicaid Services

c. Key CLIA 45D2087307 Centers for Medicare 

& Medicaid Services

d. Senior Center CLIA 45D2269523 Centers for Medicare 

& Medicaid Services

e. Hairston CLIA 45D0674852 Centers for Medicare 

& Medicaid Services

f. Moreria CLIA 45D2185931 Centers for Medicare 

& Medicaid Services

g. Schaus CLIA 45D2085423 Centers for Medicare 

& Medicaid Services

h. Drake CLIA 45D2265346 Centers for Medicare 

& Medicaid Services

L:\JPROSTOK\Lion Star Nacogdoches Hospital, LLC #6429\Info for Schedules\Addendum 1.docx
Addendum 3 

(a) an exclusive license to the names, logos and symbols used by Seller in connection with the 

Hospital Operations, including the name “Nacogdoches Memorial Hospital,” and all telephone 

and facsimile numbers as currently used by Seller primarily in support of the Hospital Operations 

and to the extent held or used in or ancillary to the Hospital Operations and owned by Seller, 

other trademarks, trade names, service marks, copyrights and any applications therefor, and 

domain names;

(b) a co-exclusive license, to the extent also held or used in the Seller’s ambulance operations or 

with respect to other Excluded Assets, to mask works, net lists, schematics, technology, knowhow, trade secrets, ideas, algorithms, process, or intangible proprietary information as well as 

any other intellectual property material set forth on Schedule 1.05(b) and in each case pertaining 

to or used in connection with the Hospital Operations, whether in hard copy or other form; and

(c) a co-exclusive license, to the extent also held or used in the Seller’s ambulance operations or 

with respect to other Excluded Assets, to operating and policy manuals, compliance policies, and 

similar files and records owned by Seller pertaining to or used in connection with the Hospital 

Operations, whether in hard copy or other form.

L:\JPROSTOK\Lion Star Nacogdoches Hospital, LLC #6429\Info for Schedules\Addendum 2 (#64 to Schedule AB).docx
Official Form 206D

Schedule D: Creditors Who Have Claims Secured by Property 12/15 

Fill in this information to identify the case:

Debtor name

United States Bankruptcy Court for the:

Case number

(if known)

Lion Star Nacogdoches Hospital, LLC

NORTHERN DISTRICT OF TEXAS

23-43535-mxm11

1. Do any creditors have claims secured by debtor's property?





No. Check this box and submit page 1 of this form to the court with debtor's other schedules. Debtor has nothing else to report on this form.

Yes. Fill in all of the information below.

 Check if this is an

amended filing

Be as complete and accurate as possible.

Part 1: List Creditors Who Have Secured Claims

2. List in alphabetical order all creditors who have secured claims. Column A Column B

Amount of claim Value of collateral

that supports

this claim

Do not deduct the

value of collateral.

If a creditor has more

than one secured claim, list the creditor separately for each claim.

2.1 Describe debtor's property that is

Date debt was incurred

Is the creditor an insider or related party?









No

Yes

No

Yes. Fill out

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Last 4 digits of account

subject to a lien

Creditor's name

Creditor's mailing address

Creditor's email address, if known

number

Do multiple creditors have an interest in

the same property?





No

Yes. Specify each creditor, including this

creditor, and its relative priority.

Describe the lien

Is anyone else liable on this claim?

Schedule H: Codebtors (Official Form 206H)

eCapital Healthcare Corp. $4,623,350.08 $0.00 

 

20807 Biscayne Blvd

Suite 203

Aventura FL 33180

Senior Secured Lien

All assets

3.

$5,383,067.09 

Official Form 206D Schedule D: Creditors Who Have Claims Secured by Property page 1 

Total of the dollar amounts from Part 1, Column A, including the amounts from the 

Additional Page, if any.
Part 1: Additional Page Column A Column B

Amount of claim Value of collateral

that supports

this claim

Do not deduct the

value of collateral.

Debtor Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

Copy this page only if more space is needed. Continue numbering the lines 

sequentially from the previous page.

2.2 Describe debtor's property that is

Date debt was incurred

Is the creditor an insider or related party?









No

Yes

No

Yes. Fill out

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Last 4 digits of account

subject to a lien

Creditor's name

Creditor's mailing address

Creditor's email address, if known

number

Do multiple creditors have an interest in

the same property?

 No

Describe the lien

Is anyone else liable on this claim?

Schedule H: Codebtors (Official Form 206H)

Nacogdoches Tax Assessor-Collector $129,619.56 $0.00 

 

Nacogdoches County Court House

101 W Main St., Suite 100

Nacogdoches TX 75961

Statutory Tax Lien

 No. Specify each creditor, including this

creditor, and its relative priority.

 Yes. Have you already specified the

relative priority?

 Yes. The relative priority of creditors is

specified on lines

2023 Personal Property Tax

2.3 Describe debtor's property that is

Date debt was incurred

Is the creditor an insider or related party?









No

Yes

No

Yes. Fill out

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Last 4 digits of account

subject to a lien

Creditor's name

Creditor's mailing address

Creditor's email address, if known

number

Do multiple creditors have an interest in

the same property?

 No

Describe the lien

Is anyone else liable on this claim?

Schedule H: Codebtors (Official Form 206H)

Nacogdoches Tax Assessor-Collector $601,923.19 $0.00 

 

Nacogdoches County Court House

101 W Main St., Suite 100

Nacogdoches TX 75961

Statutory Tax Lien

 No. Specify each creditor, including this

creditor, and its relative priority.

 Yes. Have you already specified the

relative priority?

 Yes. The relative priority of creditors is

specified on lines

2023 Real Property Tax

Official Form 206D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 2 
Part 1: Additional Page Column A Column B

Amount of claim Value of collateral

that supports

this claim

Do not deduct the

value of collateral.

Debtor Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

Copy this page only if more space is needed. Continue numbering the lines 

sequentially from the previous page.

2.4 Describe debtor's property that is

Date debt was incurred

Is the creditor an insider or related party?









No

Yes

No

Yes. Fill out

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Last 4 digits of account

subject to a lien

Creditor's name

Creditor's mailing address

Creditor's email address, if known

number

Do multiple creditors have an interest in

the same property?

 No

Describe the lien

Is anyone else liable on this claim?

Schedule H: Codebtors (Official Form 206H)

Prosperity Bank $28,174.26 $31,728.71 

 

c/o Pope, Hardwicke, Christie, Schell, K

500 West 7th Street, Suite 600

Fort Worth TX 76102

Lien on automobile

 No. Specify each creditor, including this

creditor, and its relative priority.

 Yes. Have you already specified the

relative priority?

 Yes. The relative priority of creditors is

specified on lines

2020 Lincoln Nautilus

Official Form 206D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 3 
Part 2: List Others to Be Notified for a Debt Already Listed in Part 1

Name and address On which line in Part 1

did you enter the

related creditor?

Last 4 digits of

account number

for this entity

Debtor Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

List in alphabetical order any others who must be notified for a debt already listed in Part 1. Examples of entities that may be 

listed are collection agencies, assignees of claims listed above, and attorneys for secured creditors.

If no others need to be notified for the debts listed in Part 1, do not fill out or submit this page. If additional pages are needed, 

copy this page.

Foley & Lardner LLP Line

500 Woodward Avenue, Suite 2700,

Detroit MI 48226-3489

2.1 

Official Form 206D Part 2 of Schedule D: Creditors Who Have Claims Secured by Property page 4 
Official Form 206E/F

Schedule E/F: Creditors Who Have Unsecured Claims 12/15 

1. Do any creditors have priority unsecured claims?





No. Go to Part 2.

Yes. Go to line 2.

Also list executory contracts on Schedule A/B: Assets - Real and Personal Property (Official Form 206A/B) and on Schedule G:

Executory Contracts and Unexpired Leases (Official Form 206G). Number the entries in Parts 1 and 2 in the boxes on the left.

If more space is needed for Part 1 or Part 2, fill out and attach the Additional Page of that Part included in this form.

Be as complete and accurate as possible. Use Part 1 for creditors with PRIORITY unsecured claims and Part 2 for creditors with

NONPRIORITY unsecured claims. List the other party to any executory contracts or unexpired leases that could result in a claim.

Part 1: List All Creditors with PRIORITY Unsecured Claims

Fill in this information to identify the case:

Debtor

United States Bankruptcy Court for the:

Case number

(if known)

Lion Star Nacogdoches Hospital, LLC

NORTHERN DISTRICT OF TEXAS

23-43535-mxm11  Check if this is an

amended filing

(See 11 U.S.C. § 507).

2. List in alphabetical order all creditors who have unsecured claims that are entitled to priority in whole or part.

If more space is needed for priority unsecured claims, fill out and attach the Additional Page of Part 1.

Total claim Priority amount

2.1

Last 4 digits of account

Is the claim subject to offset?

 No

 Yes

Date or dates debt was incurred

As of the petition filing date, the

Check all that apply.







Contingent

Unliquidated

Disputed

Texas Comptroller

PO Box 13528

Unknown Unknown 

 

Priority creditor's name and mailing address

Austin TX 78711

number

Specify Code subsection of PRIORITY unsecured 

claim: 11 U.S.C. § 507(a)( 8 )

Basis for the claim:

Sales Taxes

claim is:

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 1 
3. List in alphabetical order all of the creditors with nonpriority unsecured claims.

Part 2: List All Creditors with NONPRIORITY Unsecured Claims

Debtor Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

If more space is needed for nonpriority unsecured

claims, fill out and attach the Additional Page of Part 2. Amount of claim

3.1

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

3 WEST CAPITAL

24007 VENTURA BLVD

SUITE 120

CALABASAS CA 91302

$900.00 

5902

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.2

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

3DR LABS LLC

1941 BISHOP LANE

SUITE 807

LOUISVILLE KY 40218

$1,227.66 

5953

Nonpriority creditor's name and mailing address

Basis for the claim:

Other Purchased Services

Is the claim subject to offset?

 No

 Yes

Other Purchased Services

3.3

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

3M

PO BOX 120881

DALLAS TX 75312-0881

$21,219.46 

1033

Nonpriority creditor's name and mailing address

Basis for the claim:

Coding Software

Is the claim subject to offset?

 No

 Yes

Coding Software

3.4

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

A & D HYDRAULICS

2124 NW STALLINGS DR

NACOGDOCHES TX 75964

$3,573.81 

1036

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 2 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.5

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ABBOTT LABORATORY

PO BOX 92679

CHICAGO IL 60675-2679

$8,673.12 

3711

Nonpriority creditor's name and mailing address

Basis for the claim:

Lab-Medical Supplies

Is the claim subject to offset?

 No

 Yes

Lab-Medical Supplies

3.6

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ABBOTT NUTRITION

PO BOX 92679

CHICAGO IL 60675-2679

$842.07 

4321

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary - Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary - Food Supplies

3.7

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ABBOTT RAPID DIAGNOSTICS INFO

PO BOX 734697 (PAYMENT)

2000 HOLIDAY DR

DALLAS TX 75373

$16,144.41 

5894

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary-Pharmaceuticals

Is the claim subject to offset?

 No

 Yes

Dietary-Pharmaceuticals

3.8

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ABBOTT VASCULAR

22400 NETWORK PLACE

CHICAGO IL 60673-1224

$59,504.36 

4008

Nonpriority creditor's name and mailing address

Basis for the claim:

Cath Lab-Medical Supplies

Is the claim subject to offset?

 No

 Yes

Cath Lab-Medical Supplies

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 3 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.9

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ABC AUTO PARTS

PO BOX 3688

LONGVIEW TX 75606

$3,951.56 

3089

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Auto

Is the claim subject to offset?

 No

 Yes

Supplies - Auto

3.10

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ACADIAN AMBULANCE SERVICE, INC.

PO BOX 92970

LAFAYETTE LA 70509

$870.43 

6091

Nonpriority creditor's name and mailing address

Basis for the claim:

Patient Transportation

Is the claim subject to offset?

 No

 Yes

Patient Transportation

3.11

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ACCLARENT

16888 COLLECTION CENTER DRIVE

CHICAGO IL 60693

$46,245.13 

4465

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.12

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ACCUPATH DIAGNOSITC

PO BOX 12140

BURLINGTON NC 27216-2140

$2,471.60 

1417

Nonpriority creditor's name and mailing address

Basis for the claim:

Other Purchased Services

Is the claim subject to offset?

 No

 Yes

Other Purchased Services

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 4 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.13

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ACIST MEDICAL

PO BOX 978952

DALLAS TX 75397-8952

$14,852.82 

4587

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.14

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ADVANCED MEDICAL RESOURCES

PO BOX 731969

DALLAS TX 75373

$33,297.17 

4859

Nonpriority creditor's name and mailing address

Basis for the claim:

Other Purchased Services

Is the claim subject to offset?

 No

 Yes

Other Purchased Services

3.15

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

AESCULAP IN

PO BOX 780426

PHILADELPHIA PA 19178-0426

$11,095.81 

3446

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.16

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

AGILITI SURGICAL EQUIP RPR

6625 W 78TH STREET

SUITE 300

MINNEAPOLIS MN 55439

$10,868.16 

5886

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 5 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.17

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ALL MEDICAL STAFFING

PO BOX 823826

PEMBROKE PINES FL 33082

$72,320.00 

6057

Nonpriority creditor's name and mailing address

Basis for the claim:

Professional Fees - Medical

Is the claim subject to offset?

 No

 Yes

Professional Fees - Medical

3.18

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ALLISON ENTERPRISES, INC

KLEEN-AIR FILTER SERVICE & SALES

P O BOX 207

GROESBECK TX 76642

$17,347.01 

6050

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.19

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

AMBU INC

PO BOX 347818

PITTSBURGH PA 15251-4818

$981.09 

1547

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.20

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

AMERICAN MEDICAL ASSOCIATI

75 REMITTANCE DR

STE 1413

CHICAGO IL 60675-1413

$1,463.00 

1655

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 6 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.21

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

AMERICAN MESSAGING SERVICE LLC

PO BOX 5749

CAROL STREAM IL 60197-5749

$759.55 

5417

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

3.22

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

AMERICAN PROFICIENCY INSTITUE

DEPT 9526

PO BOX 30516

LANSING MI 48909-8016

$1,662.12 

2865

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

3.23

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

AMPCARE LLC

1120 SOUTH FREEWAY STE 111

FORT WORTH TX 76104

$501.00 

5323

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies-Medical

Is the claim subject to offset?

 No

 Yes

Supplies-Medical

3.24

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Amy Huggins, DO, P.A.

3614 N University Dr

Nacogdoches TX 75965

$6,000.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 7 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.25

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ANAZAOHEALTH CORP

DEPT CH 18068

PALATINE IL 60055-8068

$3,135.00 

5160

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.26

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ANDERSON ORTHOTICS & PROSTETIC

P0 BOX 1457

HALLSVILLE TX 75650

$1,146.65 

5101

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.27

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

APEX REVENUNE

ATTN: WENDY BAZA

1230 VENUS ST

CEDAR HILL TX 75104

$31,766.71 

5734

Nonpriority creditor's name and mailing address

Basis for the claim:

Collection Agency

Is the claim subject to offset?

 No

 Yes

Collection Agency

3.28

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

APPLETON MEDICAL

118 N MAIN ST

SAINT CHARLES MO 63301

$169.92 

4525

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 8 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.29

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

APPLIED MEDICAL

PO BOX 3511

CAROL STREAM IL 60132-3511

$33,912.66 

2023

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.30

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

APPRISS HEALTH

9901 LINN STATION ROAD

SUITE 500

LOUISVILLE KY 40223

$840.00 

3870

Nonpriority creditor's name and mailing address

Basis for the claim:

Other Purchased Services

Is the claim subject to offset?

 No

 Yes

Other Purchased Services

3.31

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

APRISS HEALTH

9901 LINN STATION ROAD

SUITE 500

LOUISVILLE KY 40223

$800.00 

6114

Nonpriority creditor's name and mailing address

Basis for the claim:

Software- NMPG

Is the claim subject to offset?

 No

 Yes

Software- NMPG

3.32

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ARMADILLO SIGNS

1009 WANKAN ST

NACOGDOCHES TX 75961

$969.92 

2257

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 9 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.33

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ARTHREX

PO BOX 403511

ATLANTA GA 30384-3511

$8,367.96 

1848

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.34

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ASCEND CLINICAL LLC

P O BOX 45021

SAN FRANCISC0 CA 94145

$2,424.00 

6048

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.35

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

AT&T

PO Box 105414

Atlanta GA 30348

$260,343.45 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Telephone Provider

Is the claim subject to offset?

 No

 Yes

3.36

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

AT&T MOBILITY

PO BOX 6463

CAROL STREAM IL 60197-6463

$534.36 

1665

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 10 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.37

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ATLAS INTERNATIONAL

2663 FREEWOOD DR

DALLAS TX 75220

$1,332.18 

5501

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.38

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ATLAS VAN LINES INC.

PO BOX 952340

ST LOUIS MO 63195-2340

$5,314.17 

1513

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.39

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

AVC GROUP INC

PO BOX 1102

MANSFIELD TX 76063-1102

$3,507.64 

1591

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.40

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BANK DIRECT CAPITAL FINANCE

150 NORTH FIELD DRIVE

STE 190

LAKE FOREST IL 60045

$99,819.73 

6023

Nonpriority creditor's name and mailing address

Basis for the claim:

Insurance

Is the claim subject to offset?

 No

 Yes

Insurance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 11 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.41

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Banner State Emergency Phy PA

5000 Ambassador Caffery Pkwy

Bldg. 15, Suite A

Lafayette LA 70508

$107,758.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

ER Physician Group

Is the claim subject to offset?

 No

 Yes

3.42

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BAXTER HEALTHCARE

PO BOX 730531

DALLAS TX 75373-0531

$39,854.69 

1008

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.43

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BEAR-ENT, LLC

274 LANCASTER AVE

SUITE 208

MALVERN PA 19355

$1,906.30 

6066

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.44

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Beckman Coulter, Inc.

Dept. CH 10164

Palatine IL 60055

$111,340.65 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies/Service Equip. Contract

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 12 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.45

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BECTON, DICKINSON AND CO

21588 NETWORK PLACE

CHICAGO IL 60673-1215

$23,617.22 

5474

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.46

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BEEKLEY CORPORATION

ONE PRESTIGE LANE

BRISTOL CT 06010

$720.05 

1100

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.47

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BEN E KEITH COMPANY

PO BOX 2607

FORT WORTH TX 76113

$45,442.69 

1310

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary - Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary - Food Supplies

3.48

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BEST WATER STORE

127 MOUND ST

NACOGDOCHES TX 75961

$40.00 

0087

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary - Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary - Food Supplies

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 13 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.49

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BHS Physicians Network, Inc

203 E Main Street

Nacogdoches TX 75965

$68,080.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.50

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BIMBO BAKERS USA

PO BOX 846243

DALLAS TX 75284-6243

$5,068.99 

4884

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary - Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary - Food Supplies

3.51

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BIO-RAD LABORATORIES INC

PO BOX 849740

LOS ANGELES CA 90084-9740

$14,194.00 

1105

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.52

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Biomerieux, Inc. - St. Louis

PO Box 500308

St. Louis MO 63150

$189,031.58 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Lab Supplies

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 14 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.53

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Biotronik, Inc.

PO Box 205421

Dallas TX 75320

$122,332.63 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Cath Lab Medical Supplies

Is the claim subject to offset?

 No

 Yes

3.54

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Blaise Ferraraccio, MD

4848 NE Stallings Dr.

Ste. 106

Nacogdoches TX 75965

$7,500.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.55

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BLOCK IMAGING INTERNATIONA

1845 CEDAR STREET

HOLT MI 48842

$6,949.66 

5803

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.56

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BOATMAN TIRE

315 N UNIVERSITY DR

NACOGDOCHES TX 75961

$347.60 

2683

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 15 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.57

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BOSTON SCIENTIFIC-DALLAS

PO BOX 951653

DALLAS TX 75395-1653

$36,550.43 

1011

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.58

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BOUND TREE MEDICAL LLC

23537 NETWORK PLACE

CHICAGO IL 60673-1235

$1,275.19 

2804

Nonpriority creditor's name and mailing address

Basis for the claim:

EMS-DISTRICT

Is the claim subject to offset?

 No

 Yes

EMS-DISTRICT

3.59

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BRACCO DIAGNOSTICS INC

PO BOX 978952

DALLAS TX 75397-8952

$6,823.79 

4506

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.60

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BRANDEE BEST

406 E.MAIN ST.

NACOGDOCHES TX 75961

$135.31 

5969

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

Marketing

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 16 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.61

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

BREG INC.

PO BOX 849991

DALLAS TX 75284-9991

$397.58 

2934

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies-Medical

Is the claim subject to offset?

 No

 Yes

Supplies-Medical

3.62

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

C R BARD INC

PO BOX 75767

CHARLOTTE NC 28275

$65,398.67 

4494

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.63

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CAMBER SPINE TECHNOLOGIES LLC

PO BOX 71232

PHILADELPHIA PA 19176-6207

$38,766.30 

5703

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.64

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CAMI POWERS DBA CONSULTING BY CSP

16 SAN JEWELL DRIVE

FARMINGTON MO 63640

$2,800.00 

6109

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 17 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.65

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CAMP COUNTY AMBULANCE SERVICE CORPORATIO

122 CHURCH ST.

PITTSBURGH TX 75686

$867.61 

6084

Nonpriority creditor's name and mailing address

Basis for the claim:

Patient Transportation

Is the claim subject to offset?

 No

 Yes

Patient Transportation

3.66

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CANCER DIAGNOSTICS INC

PO BOX 748545

ATLANTA GA 30374-8545

$102.89 

5988

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.67

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CANON MEDICAL SYSTEMS USA

2441 Michelle Drive

TUSTIN CA 92780

$14,281.35 

5503

Nonpriority creditor's name and mailing address

Basis for the claim:

Services-Radiology

Is the claim subject to offset?

 No

 Yes

Services-Radiology

3.68

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CARDIOVASCULAR SYSTEMS INC

DEPT CH 19348

PALATINE IL 60055-9348

$11,498.31 

5167

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 18 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.69

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Career Builder.com

13047 Collections Center Dr.

CHICAGO IL 60693-0130

$3,742.56 

3761

Nonpriority creditor's name and mailing address

Basis for the claim:

Recruiting

Is the claim subject to offset?

 No

 Yes

Recruiting

3.70

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CAREFUSION

25146 NETWORK PLACE

CHICAGO IL 60673-1250

$66,054.89 

1076

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.71

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Carney Roofing

PO Box 630631

NACOGDOCHES TX 75963

$3,355.75 

1735

Nonpriority creditor's name and mailing address

Basis for the claim:

Is the claim subject to offset?

 No

 Yes

3.72

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CATILIZE HEALTH INC

2605 NICHOLSON ROAD

SUITE 1140

SEWICKLEY PA 15143

$31,079.61 

5977

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee Benefits

Is the claim subject to offset?

 No

 Yes

Employee Benefits

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 19 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.73

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CENTERPOINT ENERGY

PO BOX 4981

HOUSTON TX 77210-4981

$5,041.69 

3749

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

3.74

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CENTURYLINK

PO BOX 52187

PHOENIX AZ 85072-2187

$5,637.70 

4792

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

3.75

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Cerner Health Services, Inc.

PO Box 959156

St. Louis MO 63195

$1,077,018.89 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Electronic Health Record-Patients

Is the claim subject to offset?

 No

 Yes

3.76

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CHRISTOPHER IHIONKHAN, MD

818 N 4TH ST

LONGVIEW TX 75601

$10,000.00 

5326

Nonpriority creditor's name and mailing address

Basis for the claim:

Physician Call / Directorships

Is the claim subject to offset?

 No

 Yes

Physician Call / Directorships

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 20 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.77

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CIOX HEALTH

PO BOX 409669

ATLANTA GA 30384

$640.24 

5132

Nonpriority creditor's name and mailing address

Basis for the claim:

Medical Records

Is the claim subject to offset?

 No

 Yes

Medical Records

3.78

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CITY OF GARRISON

330 S B AVE

GARRISON TX 75946

$565.56 

1135

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

3.79

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CITY OF NACOGDOCHES

PO BOX 635090

NACOGDOCHES TX 75963-5090

$24,098.08 

1737

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

3.80

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CLIA LABORA

PO BOX 3056

PORTLAND OR 97208-3056

$710.00 

0351

Nonpriority creditor's name and mailing address

Basis for the claim:

Lab Licensing

Is the claim subject to offset?

 No

 Yes

Lab Licensing

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 21 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.81

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Clifton Thomas, MD

5718 W. Westheimer

Houston TX 76961

$0.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.82

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CLINICAL MANAGEMENT CONSULTANT

DEPT LA 25399

PASADENA CA 91185-5399

$49,600.00 

6019

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

3.83

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CLINICAL PATHOLOGY LABS INC

PO BOX 141669

AUSTIN TX 78714-1669

$9,849.69 

3759

Nonpriority creditor's name and mailing address

Basis for the claim:

Lab Services - NMPG

Is the claim subject to offset?

 No

 Yes

Lab Services - NMPG

3.84

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CLOUDMED SOLUTIONS LLC

ATTN: ACCOUNTS RECEIVABLE

P O BOX 208272

DALLAS TX 75320-8272

$71,207.67 

5906

Nonpriority creditor's name and mailing address

Basis for the claim:

Software

Is the claim subject to offset?

 No

 Yes

Software

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 22 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.85

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COAST SURGICAL INC

5318 E. 2ND STREET

SUITE 367

LONG BEACH CA 90803

$1,112.75 

5882

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.86

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COCA-COLA S

PO BOX 744010

ATLANTA GA 30384-4010

$849.54 

1139

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary - Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary - Food Supplies

3.87

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COFFEY COMMUNICATIONS INC

1505 BUSINESS ONE CIRCLE

WALLA WALLA WA 99362

$24,040.40 

6033

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

Marketing

3.88

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COLA INC

9881 BROKEN LAND PKWY

STE 200

COLUMBIA MD 21046

$1,542.00 

5488

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary - Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary - Food Supplies

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 23 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.89

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COLOPLAST CORP

DEPT CH 19024

PALATINE IL 60055-9024

$3,935.00 

4147

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.90

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COMBINATORICS CONSULTING COMP

41850 W.11 MILE RD.

SUITE 200

NOVI MI 48375-1857

$12,487.50 

5864

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

3.91

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COMMON CENT SOLUTIONS INC

6380 I-55 N STE 160

JACKSON MS 39211

$1,244.00 

4696

Nonpriority creditor's name and mailing address

Basis for the claim:

Cafeteria Software

Is the claim subject to offset?

 No

 Yes

Cafeteria Software

3.92

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COMMUNITY HOSPITAL CONSULTING

7950 LEGACY DR STE 1000

PLANO TX 75024

$25,108.04 

4925

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 24 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.93

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COMPLIANCELINE INC

8615 CLIFF CAMERON DR

STE 290

CHARLOTTE NC 28269

$2,345.00 

5008

Nonpriority creditor's name and mailing address

Basis for the claim:

Other Purchased Services

Is the claim subject to offset?

 No

 Yes

Other Purchased Services

3.94

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COMPREHENSIVE PHARAMACY SVC INC

6409 QUAIL HOLLOW RD

MEMPHIS TN 38120

$7,159.28 

5406

Nonpriority creditor's name and mailing address

Basis for the claim:

Services- HR

Is the claim subject to offset?

 No

 Yes

Services- HR

3.95

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COMPREHENSIVE SCREENING SOLUTI

4705 PALMETTO RD SUITE 4

BENTON LA 71006

$160.00 

5985

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee Benefits

Is the claim subject to offset?

 No

 Yes

Employee Benefits

3.96

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COMPRESSION THERAPY CONCEPTS

PO BOX 840166

DALLAS TX 75284-0166

$2,443.92 

4618

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies-Medical

Is the claim subject to offset?

 No

 Yes

Supplies-Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 25 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.97

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CONMED CORP

CHURCH STREET STATION

PO BOX 6814

NEW YORK NY 10249-6814

$7,020.60 

1141

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.98

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COOK MEDICAL INC

22988 NETWORK PLACE

CHICAGO IL 60673-1229

$2,773.20 

1059

Nonpriority creditor's name and mailing address

Basis for the claim:

Radioactive Materials

Is the claim subject to offset?

 No

 Yes

Radioactive Materials

3.99

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COOKSEY MARCIN, PLLC

25511 BUDDE ROAD, SUITE 2202

THE WOODLANDS TX 77380

$102,297.50 

3103

Nonpriority creditor's name and mailing address

Basis for the claim:

Attorney

Is the claim subject to offset?

 No

 Yes

Attorney

3.100

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COOPER SURGICAL

PO BOX 712280

CINCINNATI OH 45271-2280

$1,911.33 

1144

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 26 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.101

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CORDIS US CORP

14201 NW 60TH AVENUE

MIAMI LAKES FL 33014-2894

$7,687.25 

6049

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.102

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CORE SOUND IMAGING INC

5510 SIX FORKS RD

STE 200

RALEIGH NC 27609

$329.54 

5717

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.103

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

COVIDIEN

4642 COLLECTION CENTER DR

CHICAGO IL 60693-0046

$3,837.16 

1312

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.104

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CQ PARTNERS, LLC

580 HOWARD AVE

SOMERSET NJ 08873

$13,838.38 

6075

Nonpriority creditor's name and mailing address

Basis for the claim:

Medical Charge

Is the claim subject to offset?

 No

 Yes

Medical Charge

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 27 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.105

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CREST HEALTH CARE

PO BOX 727

DASSEL MN 55325-0727

$1,269.04 

1149

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.106

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CSS

330 RAYFORD ROAD SUITE 417

SPRING TX 77386

$2,766.00 

6000

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.107

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

CTL MEDICAL CORP

4550 EXCEL PARKWAY STE# 300

ADDISON TX 75001

$6,200.00 

6025

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.108

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DAILY SENTINEL

4920 COLONIAL DRIVE

PO BOX 630068

NACOGDOCHES TX 75963-0068

$3,438.08 

1150

Nonpriority creditor's name and mailing address

Basis for the claim:

Local Newspaper

Is the claim subject to offset?

 No

 Yes

Local Newspaper

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 28 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.109

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DEEP EAST TEXAS ELECTRIC COOP

PO BOX 736

SAN AUGSTINE TX 75972

$350.32 

1155

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

3.110

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DEPARTMENT HEALTH & HUMAN SVC

POWDER MILL 62143

12225 WILKINS AVE

ROCKVILLE MD 20852

$548.00 

5975

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

3.111

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DEPUY SYNTHES-POWER TOOLS

ATTENTION: LBX 406663

6000 FELDWOOD RD.

COLLEGE PARK GA 30349

$17,164.46 

1091

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.112

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DEROYAL INDUSTRIES INC

MSC 30316

PO BOX 415000

NASHVILLE TN 37241

$1,764.02 

1160

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 29 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.113

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DIGICERT

PO BOX 840695

DALLAS TX 75284-0695

$17,713.00 

4693

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.114

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DISCOVERY HEALTHCARE CONSULTING GROUP

PO BOX 93067

LUBBOCK, TX 7493-3067

$26,938.75 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Accounting

Is the claim subject to offset?

 No

 Yes

3.115

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DISK-O-TAPE

23775 MERCANTILE ROAD

CLEVELAND OH 44122

$771.43 

5770

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.116

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DOOR CONTROL SERVICES INC

PO BOX 675067

DALLAS TX 75267-9347

$2,330.70 

1016

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 30 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.117

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DSHS CENTRAL LAB

PO BOX 149347

AUSTIN TX 78714-9347

$2,986.85 

1672

Nonpriority creditor's name and mailing address

Basis for the claim:

Lab Testing

Is the claim subject to offset?

 No

 Yes

Lab Testing

3.118

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

DSS

521 E MAIN

NACOGDOCHES TX 75961

$522.60 

5272

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.119

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

E T NEPHROLOGY ASSOC PA

PO BOX 150408

LUFKIN TX 75915-0408

$9,000.00 

4668

Nonpriority creditor's name and mailing address

Basis for the claim:

Physician Call / Directorships

Is the claim subject to offset?

 No

 Yes

Physician Call / Directorships

3.120

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

E3 DIAGNOSTICS INC

3333 N. KENNICOTT

ARLINGTON HEIGHT IL 60004

$32,517.25 

6072

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 31 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.121

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

EARS AND HEARING PA

12319 N MOPAC EXP

BLDG C 300

AUSTIN TX 75758

$5,390.00 

5700

Nonpriority creditor's name and mailing address

Basis for the claim:

Physician Call / Directorships

Is the claim subject to offset?

 No

 Yes

Physician Call / Directorships

3.122

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

EAST TEX COMMUNITY HEALTH

P O BOX 632040

NACOGDOCHES TX 75963-2040

$1,596.00 

1014

Nonpriority creditor's name and mailing address

Basis for the claim:

NMPG

Is the claim subject to offset?

 No

 Yes

NMPG

3.123

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

EAST TEXAS BP LLC

305A EQUIPMENT COURT

LAWRENCEVILLE GA 30046

$2,079.48 

6069

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.124

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

EAST TEXAS CARPETS INC.

1115 NORTH UNIVERSITY DRIVE

NACOGDOCHES TX 75961

$14,187.81 

2413

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 32 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.125

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Eclinicalworks llc

PO BOX 847950

BOSTON MA 02284-7950

$14,438.86 

5568

Nonpriority creditor's name and mailing address

Basis for the claim:

NMPG Billing & Coding Software

Is the claim subject to offset?

 No

 Yes

NMPG Billing & Coding Software

3.126

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

EDF, Inc.

PO Box 74007029

Chicago IL 60674

$431,854.24 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Electricity Provider

Is the claim subject to offset?

 No

 Yes

3.127

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Edmund C. King

5351 N Eagles View Dr.

Lehi UT 84043

$2,711.54 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Wages etc.

Is the claim subject to offset?

 No

 Yes

3.128

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Edmund C. King

5351 N Eagles View Dr.

Lehi UT 84043

Unknown 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee expenses reimbursement

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 33 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.129

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

EDWARD DON & COMPANY

2562 PAYSPHERE CIRCLE

CHICAGO IL 60674

$1,126.55 

1171

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary- Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary- Food Supplies

3.130

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

EEC INTERMEDIATE HOLDINGS LLC

15161 TECHNOLOGY DR

BROOKSVILLE FL 34604

$3,674.49 

6006

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary- Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary- Food Supplies

3.131

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ELIAS GEORGE

1118 TOPACIO ST.

EDINBURG TX 78539

$2,753.28 

6078

Nonpriority creditor's name and mailing address

Basis for the claim:

Expense Reimbursement

Is the claim subject to offset?

 No

 Yes

Expense Reimbursement

3.132

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ELLIOTT ELECTRIC SUPPLY

PO BOX 206524

DALLAS TX 75320-6524

$8,625.74 

1174

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 34 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.133

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ENCORE MUSIC CO

706 N UNIVERSITY DR

NACOGDOCHES TX 75961

$448.16 

1177

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

Services

3.134

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ERI CONSULTING, INC

2026 REPUBLIC DRIVE, SUITE A

TYLER TX 75701

$1,375.00 

3148

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting-Construction in Progress

Is the claim subject to offset?

 No

 Yes

Consulting-Construction in Progress

3.135

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

EVERGREEN MEDICAL SVCS INC

DEPT CH 17023

PALATINE IL 60055-7023

$9,795.00 

0512

Nonpriority creditor's name and mailing address

Basis for the claim:

Medical Gas

Is the claim subject to offset?

 No

 Yes

Medical Gas

3.136

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

EVOQUA WATER TECHNOLOGIES LLC

28563 NETWORK PLACE

CHICAGO IL 60673-1285

$5,680.11 

3827

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 35 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.137

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

EXPRESS PERSONNEL SERVICES

210 C TIMBERLAND DR

LUFKIN TX 75901

$7,415.13 

1188

Nonpriority creditor's name and mailing address

Basis for the claim:

Contract Labor

Is the claim subject to offset?

 No

 Yes

Contract Labor

3.138

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FASTENAL CO

PO BOX 1286

WINONA MN 55987-1286

$727.58 

0466

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.139

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FEDEX

PO BOX 660481

Vendor Account Number: 30508

DALLAS TX 75266-0481

$10,900.34 

1190

Nonpriority creditor's name and mailing address

Basis for the claim:

Postage & Shipping

Is the claim subject to offset?

 No

 Yes

Postage & Shipping

3.140

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FEDORA INTERTECH LLC

1501 PREBLE AVE

PITTSBURGH PA 15233

$1,636.00 

5936

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 36 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.141

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FENLEY & BATE LLP

P O BOX 450

LUFKIN, TX

$14,815.37 

1965

Nonpriority creditor's name and mailing address

Basis for the claim:

Attorney

Is the claim subject to offset?

 No

 Yes

Attorney

3.142

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FINTHRIVE INC

PO BOX 733492

DALLAS TX 75373-3492

$13,412.43 

5569

Nonpriority creditor's name and mailing address

Basis for the claim:

Subscription

Is the claim subject to offset?

 No

 Yes

Subscription

3.143

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FISHER & PAYKEL HEALTHCARE INC

DEPT CH 16926

PALATINE IL 60055-6926

$661.60 

4658

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.144

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FISHER HEAL

ACCT# 524483-001

PO BOX 404705

ATLANTA GA 30384-4705

$25,806.07 

1193

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 37 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.145

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FOOD SERVICE RESOURCES

5350 MCEVER ROAD STE A

FLOWERY BRANCH GA 30542

$509.12 

1198

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary- Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary- Food Supplies

3.146

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FORVIS

510 N VALLEY MILLS

STE 200

WACO TX 76710

$55,825.00 

4788

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

3.147

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FREDONIA HOSPITALITY LLC

200 N FREDONIA ST

NACOGDOCHES TX 75961

$6,062.31 

5640

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

Marketing

3.148

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

FREDONIA ROTARY CLUB

PO BOX 633092

NACOGDOCHES TX 75963

$201.76 

1240

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 38 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.149

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Garlic Media Management LLC

1195 S Lipan St, Unit A

Denver CO 80223

$108,000.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

3.150

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GE HEALTHCARE EQUIPMENT FINANCE

PO BOX 641419

PITTSBURGH PA 15264-1419

$32,605.02 

3757

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

3.151

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GE PRECISION HEALTHCARE LLC

3000 N GRANDVIEW BLVD

WAUKESHA WI 53188-1615

$4,776.67 

6012

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.152

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GERMER PLLC

P.O BOX 4915

BEAUMONT TX 77701

$19,951.18 

6032

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 39 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.153

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GETINGE

PO BOX 775436

CHICAGO IL 60677-5436

$27,548.37 

1056

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.154

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GETINGE/CASTLE INC

PO BOX 775436

CHICAGO IL 60677-5436

$552.35 

1018

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.155

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GEXTIXHEALTH HOLDING CORP

PO BOX 2587

STAFFORD TX 77497

$5,260.14 

5567

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

Services

3.156

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GIFTED INTERMEDIATE HOLDINGS II, INC.

GIFTED NURSES, LLC DBA GIFTED HEALTHCARE

3330 W ESPLANADE AVE, STE 505

METAIRIE LA 70002

$47,454.66 

6087

Nonpriority creditor's name and mailing address

Basis for the claim:

Staffing

Is the claim subject to offset?

 No

 Yes

Staffing

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 40 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.157

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Gjerset & Lorez, LLP

2801 Via Fortuna

Austin TX 78746

$215,110.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Attorney Fees

Is the claim subject to offset?

 No

 Yes

3.158

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Goldie's Upholstery

920 SOUTH ST

NACOGDOCHES TX 75964

$135.00 

6118

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.159

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Gordon Food

PO Box 88029

Chicago IL 60680

$125,843.90 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary-Food Supplies (Cafeteria)

Is the claim subject to offset?

 No

 Yes

3.160

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GRAINGER

DEPT 823364534

PO BOX 419267

KANSAS CITY MO 64141-6267

$45,985.93 

1209

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 41 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.161

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GREEN & GREEN CPA INC

28382 CONSTELLATION ROAD

VALENCIA CA 91355

Unknown 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Accounting

Is the claim subject to offset?

 No

 Yes

3.162

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GREEN AND SPIEGEL U.S., LLC

1524 DELANCEY ST., 4TH FLOOR

PHILADELPHIA PA 19102

$10,450.00 

6077

Nonpriority creditor's name and mailing address

Basis for the claim:

Legal

Is the claim subject to offset?

 No

 Yes

Legal

3.163

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Gregory Tate, DDS, MD

508 Russell Blvd

Nacogdoches TX 75965

Unknown 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.164

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GUERBET LLC

DEPT 3917

CAROL STREAM IL 60132

$4,384.48 

5668

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 42 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.165

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

GULF COAST REGIONAL BLOOD CENTER

PO BOX 301092

DALLAS TX 75303-1092

$56,505.78 

1021

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Blood

Is the claim subject to offset?

 No

 Yes

Supplies - Blood

3.166

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HASHMET WALI AND ASSOCIATES INC.

8914 DAFFODIL STREET

HOUSTON TX 77063

$22,072.69 

6083

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenace

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenace

3.167

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HAVELS INCORPORATED

3726 LONSDALES ST

CINCINNATI OH 45227

$233.50 

1218

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.168

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HD SUPPLY FACILIITES MAINTENANCE

PO BOX 509058

SAN DIEGO CA 92150-9058

$2,160.58 

5486

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 43 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.169

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Head Pediatric, PLLC

625 Russell Blvd

Nacogdoches TX 75965

$6,000.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.170

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HEALTHCARE FACILITIES CONSULTING INC

2517 LEBANON PIKE

SUITE 302

NASHVILLE TN 37214

$24,163.34 

6090

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting

Is the claim subject to offset?

 No

 Yes

Consulting

3.171

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HEDMAN PARTNERS LP

27441 TOURNEY ROAD

SUITE 200

VALENCIA CA 91355

$15,814.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Accounting

Is the claim subject to offset?

 No

 Yes

3.172

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HELENA LABORATORIES CORP

PO BOX 676445

DALLAS TX 75267-6445

$124.98 

1225

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 44 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.173

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HELPING HANDS NURSING AGENCY

PO BOX 297

JASPER TX 75951

$37,709.03 

5347

Nonpriority creditor's name and mailing address

Basis for the claim:

Staffing Agency

Is the claim subject to offset?

 No

 Yes

Staffing Agency

3.174

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HENSLER SURGICAL,LLC

2420 SOUTH 17TH ST STE C

WILMINGTON NC 28401

$5,417.70 

5797

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.175

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HFMA

5195 EAGLE WAY

CHICAGO IL 60678-1051

$8,000.00 

0589

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

3.176

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HILL ROM

PO BOX 643592

PITTSBURGH PA 15264-3592

$50,344.32 

1227

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 45 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.177

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HOBART

PO BOX 2517

CAROL STREAM IL 60132

$4,249.00 

1229

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

3.178

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HOLOGIC INC

24506 NETWORK PLACE

CHICAGO IL 60673-1245

$94,187.05 

3162

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.179

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HPHG, LLC - DBA 90 DEGREE BENEFITS

4401 82ND ST. UNIT 1200

LUBBOCK TX 79424

$95,256.48 

6108

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee Benefits

Is the claim subject to offset?

 No

 Yes

Employee Benefits

3.180

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HUGHES CONSTRUCTION & DEVELOPMENT, LLC

13570 EAST STATE HWY 103

HUNTINGTON TX 75949

$1,610.00 

6100

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenace

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenace

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 46 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.181

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

HUSCH BLACKWELL LLP

P.O. BOX 790379

ST LOUIS MO 63179-0379

$16,533.00 

6008

Nonpriority creditor's name and mailing address

Basis for the claim:

Legal

Is the claim subject to offset?

 No

 Yes

Legal

3.182

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ICU MEDICAL INC

PO BOX 848908

LOS ANGELES CA 09008

$237.60 

4812

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.183

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

IMAGING PHYSICS LLC

227 SANDY SPRINGS PLACE

STE D-300

SANDY SPRINGS GA 30328

$17,467.60 

4897

Nonpriority creditor's name and mailing address

Basis for the claim:

Is the claim subject to offset?

 No

 Yes

3.184

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

IMMUCOR

PO BOX 102118

ATLANTA GA 30368-2118

$19,217.67 

1801

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 47 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.185

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

INSIGHT DIRECT USA INC

GALEN & DAVIS, LLP

2945 TOWNSGATE RD - STE 200

WESTLAKE VILLAGE CA 91361

$7,239.69 

6055

Nonpriority creditor's name and mailing address

Basis for the claim:

IT

Is the claim subject to offset?

 No

 Yes

IT

3.186

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

INTEGRA

PO BOX 404129

ATLANTA GA 30384-4129

$21,639.16 

1164

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.187

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

INTERFACE SECURITY SYSTEMS LLC

8339 SOLUTIONS CENTER

CHICAGO IL 60677-8003

$16,868.94 

5118

Nonpriority creditor's name and mailing address

Basis for the claim:

NICU Infant Monitoring

Is the claim subject to offset?

 No

 Yes

NICU Infant Monitoring

3.188

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

INTERLINE BRANDS INC

PO BOX 404468

ATLANTA GA 30384-4468

$1,825.95 

5609

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 48 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.189

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

INTERTECH SECURITY-use 593

1501 PREBLE AVN

PITTSBURGH PA 15233

$5,982.00 

5061

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

Supplies

3.190

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

JAMES A. HUGHES

123 RIDGEWOOD ST

LUFKIN TX 75904

$500.00 

6014

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

Marketing

3.191

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

James Redfield, MD

1002 Mound Street

Nacogdoches TX 75961

$11,000.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.192

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

JB CRAWFORD CONSTRUCTION, LLC

2802 DURST STREET

NACOGDOCHES TX 75964

$733.39 

6115

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 49 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.193

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

JENSEN HUGHES INC

3610 COMMERCE DRIVE

SUITE 8

BALTIMORE MD 21227-1640

$12,000.00 

6047

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

3.194

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

JETT BUSINESS SYSTEMS INC

1452 HAWN AVE

SHREVEPORT LA 71107

$9,584.61 

1304

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Office

Is the claim subject to offset?

 No

 Yes

Supplies - Office

3.195

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

JOHNSON & JOHNSON HEALTHCARE

5972 COLLECTIONS CENTER DR

CHICAGO IL 60693

$3,919.28 

1306

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.196

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

JOHNSON CONTROLS INC

5757 N GREEN BAT AVE

MILWAUKEE WI 53209

$8,944.14 

5997

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 50 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.197

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

KENTEC

17871 FITCH

IRVINE CA 92614

$235.96 

4395

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.198

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

KERMA MEDICAL PRODUCTS INC

215 SUBURBAN DR

SUFFOLK VA 23434

$1,608.96 

4986

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.199

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

KEY SCIENTIFIC

1113 E REYNOLDS

STAMFORD TX 79553

$410.16 

2710

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.200

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

KLINE'S

628 N UNIVERSITY DR

NACOGDOCHES TX 75961

$1,169.83 

1317

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

Supplies

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 51 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.201

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

KOPPEL & KOZEL LLC

2947 SPECIALLY DRIVE UNIT 4

TYLER TX 75707

$10,655.05 

5885

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.202

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

KROGER

PO BOX 776417

CHICAGO IL 60677-6714

$166.38 

1326

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary - Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary - Food Supplies

3.203

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

KUMURA & ASSOCIATES INC

1602 SIDDALL DR.

VISTA CA 92084

$30,362.50 

5898

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

3.204

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

KURIN INC

10755 SCRIPPS POWAY PKWY 257

SAN DIEGO CA 92131

$22,834.17 

5825

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 52 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.205

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

KURZ MEDICAL INC

70 CHESTNUT ST

SHERWSBURY MA 01545

$3,544.70 

6064

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.206

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LABORIE MEDICAL TECHNOLOGIES

PO BOX 734615

CHICAGO CA 60673-4615

$248.08 

5312

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.207

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LAMAR TEXAS LIMITED PARTNERSHIP

P.O. BOX 746966

ATLANTA GA 30374-6966

$28,330.17 

6067

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

Marketing

3.208

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LAMAR UNIVERSITY

4400 DR. MARTIN LUTHER KING, JR.

PARKWAY SOUTH

BEAUMONT TX 77705

$300.00 

6120

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee Recruitment

Is the claim subject to offset?

 No

 Yes

Employee Recruitment

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 53 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.209

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LANDAUER

PO BOX 809051

CHICAGO IL 60680-9051

$957.10 

1337

Nonpriority creditor's name and mailing address

Basis for the claim:

Services- Radiology

Is the claim subject to offset?

 No

 Yes

Services- Radiology

3.210

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LANGLEY MFG INC

PO BOX 632732

NACOGDOCHES TX 75963

$630.63 

5698

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.211

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LANGUAGE SERVICE ASSOC

PO BOX 829752

PHILADELPHIA PA 19182-9752

$3,158.83 

4962

Nonpriority creditor's name and mailing address

Basis for the claim:

Services-Interpreting

Is the claim subject to offset?

 No

 Yes

Services-Interpreting

3.212

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LAWSON PRODUCTS

PO BOX 734922

CHICAGO IL 60673-4922

$599.20 

1167

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 54 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.213

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LEADING REACH INC

7719 WOOD HOLLOW DRIVE

SUITE 265

AUSTIN TX 78731

$1,139.76 

5980

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.214

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LEASING ASSOC OF BARRINGTON

220 N RIVER ST

EAST DUNDLE IL 60118

$25,531.72 

5349

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

3.215

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LEITERS

PO BOX 92154

LAS VEGAS NV 89193-2154

$7,065.50 

5765

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.216

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LHASA OMS, INC

230 LIBBEY INDUSTRIAL PARKWAY

WEYMOUTH MA 02189

$62.58 

6027

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies-Medical

Is the claim subject to offset?

 No

 Yes

Supplies-Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 55 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.217

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LIBERTY FLAG & SPECIALTY CO

PO BOX 424

REEDSBURG WI 53959

$860.20 

1346

Nonpriority creditor's name and mailing address

Basis for the claim:

Maintenance Supplies

Is the claim subject to offset?

 No

 Yes

Maintenance Supplies

3.218

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LIFE SAFETY SERVICES

908 S 8TH STREET, SUITE 500

LOUISVILLE KY 40203

$3,223.00 

6124

Nonpriority creditor's name and mailing address

Basis for the claim:

Inspection

Is the claim subject to offset?

 No

 Yes

Inspection

3.219

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LIFENET HEALTH

PO BOX 79636

BALTIMORE MD 21279-0636

$3,965.50 

4770

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.220

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LILLY SANITATION

PO BOX 672

GARRISON TX 75946-0672

$348.65 

3829

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 56 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.221

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LOWE'S HOME CENTER INC

PO BOX 530954

ATLANTA GA 30353-0954

$953.50 

3018

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.222

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

LUFKIN ARMATURE WORKS INC

PO BOX 1227

LUFKIN TX 75901

$11,997.10 

4914

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.223

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MAINE STANDARDS COMPANY LLC

DEPT CH 16362

PALATINE IL 60055-6362

$3,886.74 

3434

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.224

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MALL ENERGY

PO BOX 945

LONGVIEW TX 75606

$40,379.15 

5228

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 57 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.225

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MARGARET JOAN MORGAN

4738 LA VILLA MARINA UNIT C

MARINA DEL RAY CA 90292

$8,000.00 

5827

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

3.226

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MARK'S PLUMBING PARTS

PO BOX 121554

FT WORTH TX 76116

$1,989.26 

1358

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.227

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MARKETLAB INC

PO BOX 844348

BOSTON MA 02284-4348

$3,003.94 

1359

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.228

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Mary Barnette, MD

3614 N University Dr

Nacogdoches TX 75965

$5,200.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 58 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.229

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MASIMO

28932 NETWORK PLACE

CHICAGO IL 60673-1289

$6,866.34 

4131

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.230

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Matheson Tri-Gas

Dept. 3028

PO Box 123028

Dallas TX 75312

$123,428.72 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Patient Cases

Is the claim subject to offset?

 No

 Yes

3.231

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MCG HEALTH LLC

PO BOX 742350

ATLANTA GA 30374-2350

$3,918.82 

4939

Nonpriority creditor's name and mailing address

Basis for the claim:

Prepaid Service Maintenance

Is the claim subject to offset?

 No

 Yes

Prepaid Service Maintenance

3.232

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MCWILLIAMS & SON

7642 S US HWY 59

BURKE TX 75941-4427

$253.82 

5060

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 59 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.233

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MD SAVE INC

PO BOX 197596

NASHVILLE TN 37219-7596

$48,742.50 

5230

Nonpriority creditor's name and mailing address

Basis for the claim:

Patient Insurance

Is the claim subject to offset?

 No

 Yes

Patient Insurance

3.234

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MED ONE CAPITAL FUNDING LLC

LB 271128

P O BOX 35145

SEATTLE WA 98124-5145

$6,254.64 

4648

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

3.235

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MED-PAT INC

31 RIORDAN PLACE

SHREWSBURY NJ 07702

$545.49 

1367

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.236

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MEDCOMP

1499 DELP DR

HARLEYSVILLE PA 19438

$2,812.60 

4282

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 60 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.237

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MEDELA INC.

38789 EAGLE WAY

CHICAGO IL 60678-1387

$3,523.62 

1252

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.238

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MEDI-DOSE INC

LOCK BOX 427

JAMISON PA 18929-0427

$1,639.34 

1181

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.239

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Medline Industries, Inc.

Dept. 1080

PO Box 121080

Dallas TX 75312

$250,112.21 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Medical Supplies

Is the claim subject to offset?

 No

 Yes

3.240

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MEDSERVICE REPAIR INC

300 CENTER DR

SUITE 104

VERNON HILLS IL 60061

$444.90 

3820

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 61 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.241

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Medtronic Xomed

PO Box 848086

Dallas TX 75284

$123,494.94 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Cath Lab Medical Supplies

Is the claim subject to offset?

 No

 Yes

3.242

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Medygate, Inc.

447 S. Robertson Blvd., #204

Beverly Hills CA 90211

$581,896.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Bio-Medical Services

Is the claim subject to offset?

 No

 Yes

3.243

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MEMORIAL HOSPITAL-GIFT SHOP

1204 MOUND ST

NACOGDOCHES TX 75961

$747.25 

1379

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee Benefits

Is the claim subject to offset?

 No

 Yes

Employee Benefits

3.244

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MERCURY MEDICAL

PO BOX 17009

CLEARWATER FL 33762-0009

$1,844.04 

1937

Nonpriority creditor's name and mailing address

Basis for the claim:

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 62 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.245

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MERIT MEDICAL SYSTEM INC

PO BOX 204842

DALLAS TX 75320-4842

$5,407.80 

1389

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.246

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MID SOUTH CHEMICAL

PO BOX 116

RINGGOLD LA 71068-0116

$14,123.34 

1394

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.247

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MID SOUTH TILE COMPANY

3977 W STATE HWY 7

NACOGDOCHES TX 75964

$920.13 

3623

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.248

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MOORE SUPPLY COMPANY

PO BOX 951949

DALLAS TX 75395-1949

$1,312.39 

1051

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 63 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.249

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MSDSONLINE INC

DBA VELOCITY EHS

27185 NETWORK PLACE

CHICAGO IL 60673

$5,997.32 

5260

Nonpriority creditor's name and mailing address

Basis for the claim:

Facilities- Reports

Is the claim subject to offset?

 No

 Yes

Facilities- Reports

3.250

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MUTAL SPRINKLERS

PO BOX 74008409

CHICAGO IL 60674-8409

$8,220.00 

4903

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance/ Inspection

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance/ Inspection

3.251

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

MXR IMAGING- INC

4909 MURPHY CANYON RD

STE 120

SAN DIEGO CA 92123

$8,319.01 

2328

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.252

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

NAC COUNTY CHAMBER OF COMMERCE

2516 NORTH STREET

NACOGDOCHES TX 75965

$6,000.00 

1414

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 64 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.253

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

NAC SAFE SPACE

3111 MELWOOD CIRCLE

NACOGDOCHES TX 75964

$500.00 

6112

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

Marketing

3.254

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Nacogdoches County Hospital District

Attention: Administrator

1204 North Mound Street

Nacogdoches TX 75961

$0.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Lease

Is the claim subject to offset?

 No

 Yes

3.255

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

NACOGDOCHES ECONOMIC DEVEL

PO BOX 635030

NACOGDOCHES TX 75963-5030

$3,937.50 

5164

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

3.256

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Nacogdoches Gastroenterology

522 Russell Blvd

Nacogdoches TX 75965

$12,250.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 65 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.257

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Nacogdoches Nephrology, PA

522 Russell Blvd

Nacogdoches TX 75961

$9,400.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.258

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Nacogdoches Pulmonary & Sleep

5500 North Street

Nacogdoches TX 75965

$62,200.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.259

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Nacogdoches Sheet Metal, Plumbing & AC

PO BOX 631277

NACOGDOCHES TX 75963

$75.00 

2705

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.260

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

NALCOM WIRELESS COMMUNICATIONS

1023 N MOUND ST

NACOGDOCHES TX 75961

$7,144.50 

3982

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 66 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.261

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

NATIONAL WHOLESALE SUPPLY INC

1972 CALIFORNIA CROSSING

DALLAS TX 75220

$1,121.58 

5771

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.262

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

NISD EDUCATION FOUNDATION

4632 NE STALLINGS DR

NACOGDOCHES TX 75965

$3,500.00 

6021

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

Marketing

3.263

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

NOVARAD CORP

PO BOX 859

PROVO UT 84603

$48,462.10 

3473

Nonpriority creditor's name and mailing address

Basis for the claim:

Radiology Software

Is the claim subject to offset?

 No

 Yes

Radiology Software

3.264

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

NUTECH INC

1301 CLINIC DRIVE

TYLER TX 75701

$29,716.78 

1069

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies-Radioactive materials

Is the claim subject to offset?

 No

 Yes

Supplies-Radioactive materials

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 67 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.265

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

OAK FARMS DAIRY

SUIZA DALLAS

P O BOX 676010

DALLAS TX 75267-6010

$5,105.46 

1199

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary - Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary - Food Supplies

3.266

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

OFFICE FURNITURE WAREHOUSE

602 N BONNER ST

LUFKIN TX 75904

$3,939.00 

1283

Nonpriority creditor's name and mailing address

Basis for the claim:

Office Supplies

Is the claim subject to offset?

 No

 Yes

Office Supplies

3.267

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Olin Fearing, MD

4628 N. University Dr.

Nacogdoches TX 75961

$4,400.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.268

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

OLYMPUS AMERICA INC (LAB)

48 WOERD AVENUE

SUITE 105

WALTHAM MA 02453

$3,660.39 

5883

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 68 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.269

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

OMNICELL INC

PO BOX 204650

DALLAS TX 75320-4650

$77,555.41 

5014

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.270

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

OMNILERT LLC

PO BOX 178570

SAN DIEGO CA 92177

$8,210.00 

6082

Nonpriority creditor's name and mailing address

Basis for the claim:

Software

Is the claim subject to offset?

 No

 Yes

Software

3.271

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

OPTUM EXECUTIVE HEALTH RES

PO BOX 84019

CHICAGO IL 60689

$31,309.00 

5130

Nonpriority creditor's name and mailing address

Basis for the claim:

Case Management Software

Is the claim subject to offset?

 No

 Yes

Case Management Software

3.272

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

OPTUS INC

3423 ONE PLACE

JONESBORO AR 72404

$22.10 

5107

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

Supplies

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 69 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.273

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ORASURE TECHNOLOGIES INC

PO BOX 780518

PHILADELPHIA PA 19178-0518

$3,261.00 

4598

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies-Medical

Is the claim subject to offset?

 No

 Yes

Supplies-Medical

3.274

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ORKIN OF THE PINES

DBA ORKIN OF THE PINES

12649 SH 30

COLLEGE STATION TX 77045

$5,674.64 

4767

Nonpriority creditor's name and mailing address

Basis for the claim:

Exterminating

Is the claim subject to offset?

 No

 Yes

Exterminating

3.275

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

OUTSET MEDICAL INC

3052 ORCHARD DRIVE

SAN JOSE CA 95134

$42,380.00 

6038

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.276

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PARAGARD DIRECT

12601 COLLECTION CENTER DRIVE

CHICAGO IL 60693

$8,961.00 

5209

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 70 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.277

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PARTS TOWN LLC

27787 NETWORK PLACE

CHICAGO IL 60673

$10,082.78 

5783

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.278

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PARTSOURCE LLC

PO BOX 645186

CINCINNATI OH 45264

$35,849.73 

3133

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.279

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PATIENT TELEPHONE SUPPLY LLC

PO BOX 84372

BATON ROUGE LA 70884

$550.00 

5248

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.280

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Patton Brothers

Attn: Florence Patton

412 Bostwick St.

Nacogdoches TX 75965

$0.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Lease

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 71 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.281

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PC CONNECTIONS SALES CORP

PO BOX 536472

PITTSBURGH PA 15253

$13,747.75 

4624

Nonpriority creditor's name and mailing address

Basis for the claim:

Information Systems - Equipment

Is the claim subject to offset?

 No

 Yes

Information Systems - Equipment

3.282

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PERFORMANCE HEALTH (PATTERSON)

PO BOX 93040

CHICAGO IL 60673

$373.57 

1515

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee Education

Is the claim subject to offset?

 No

 Yes

Employee Education

3.283

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PEVCO SYSTEMS INTERNATIONAL INC

1401 TANGIER DRIVE

BALTIMORE MD 21220

$1,643.11 

2030

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.284

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PFIZER INC

PO BOX 417510

BOSTON MA 02241-7510

$1,802.52 

2083

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 72 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.285

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PG EXTRAORDINARIES LLC

15584 SW THRUSH LN

BEAVERTON OR 97007

$1,140.00 

6039

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

3.286

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PHYSICIAN SELECT MANAGEMENT

318 N CARSON ST. SUITE 214

CARSON CITY NV 89701

$5,632.26 

5911

Nonpriority creditor's name and mailing address

Basis for the claim:

NMPG- Software

Is the claim subject to offset?

 No

 Yes

NMPG- Software

3.287

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PHYSICIANS TRUST AKA URO HEALTH

PO BOX 776953

CHICAGO IL 60677

$6,116.25 

5342

Nonpriority creditor's name and mailing address

Basis for the claim:

NMPG- Software

Is the claim subject to offset?

 No

 Yes

NMPG- Software

3.288

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PIONEER RX

PO BOX 53407

SHREVEPORT LA 71135

$400.00 

2070

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 73 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.289

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PITNEY BOWES GLOBAL FINANCIAL SVS LLC

PO BOX 371887

PITTSBURGH PA 15250

$2,432.18 

2512

Nonpriority creditor's name and mailing address

Basis for the claim:

Postage & Shipping

Is the claim subject to offset?

 No

 Yes

Postage & Shipping

3.290

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PRECISION DYNAMICS CORP

PO BOX 71549

CHICAGO IL 60694

$6,486.75 

1471

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.291

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PREFERRED MEDICAL SYSTEM LLC

1921 APPLING ROAD

CORDOVA TN 38016

$3,139.25 

5942

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

3.292

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PREMIER HEALTHCARE SOLUTIONS

5882 COLLECTIONS CENTER

CHICAGO IL 60693

$34,611.09 

2384

Nonpriority creditor's name and mailing address

Basis for the claim:

Software- Mindy

Is the claim subject to offset?

 No

 Yes

Software- Mindy

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 74 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.293

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PREMIER SOFTWARE ASSOC INC

997 WEST 950 NORTH

SUITE 200

CENTERVILLE UT 84014

$76,383.23 

2552

Nonpriority creditor's name and mailing address

Basis for the claim:

Software-Mindy

Is the claim subject to offset?

 No

 Yes

Software-Mindy

3.294

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PRODIGY HEALTH SUPPLIER CORP

PO BOX 679826

DALLAS TX 75267

$94.00 

5244

Nonpriority creditor's name and mailing address

Basis for the claim:

Pharmaceuticals

Is the claim subject to offset?

 No

 Yes

Pharmaceuticals

3.295

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PROPATH LABORATORY

PO BOX 678175

DALLAS TX 75267-8175

$43,086.52 

1480

Nonpriority creditor's name and mailing address

Basis for the claim:

Services- Path Lab

Is the claim subject to offset?

 No

 Yes

Services- Path Lab

3.296

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PULSARA

2880 TECHNOLOGY BLVD WEST

SUITE 183

BOZEMAN MT 59718

$21,850.00 

5281

Nonpriority creditor's name and mailing address

Basis for the claim:

Services-Facilties

Is the claim subject to offset?

 No

 Yes

Services-Facilties

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 75 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.297

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PURCHASE POWER (PITNEY BOWES)

PO BOX 981026

BOSTON MA 02298-1026

$19,552.65 

1481

Nonpriority creditor's name and mailing address

Basis for the claim:

Postage & Shipping

Is the claim subject to offset?

 No

 Yes

Postage & Shipping

3.298

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

PURVIS BEARING SERVICE

PO BOX 540757

DALLAS TX 75354

$1,728.25 

1911

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.299

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

QIAGEN NORTH AMERICAN HOLDINGS

19300 GERMANTOWN ROAD

GERMANTOWN MD 20874

$2,620.78 

5955

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.300

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

QUADMED INC

PO BOX 550773

JACKSONVILLE FL 32255

$6,029.98 

5670

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 76 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.301

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

QUEST DIAGNOSTICS NMH & CPU

PO BOX 677960

DALLAS TX 75267

$56,379.55 

1038

Nonpriority creditor's name and mailing address

Basis for the claim:

Lab Services

Is the claim subject to offset?

 No

 Yes

Lab Services

3.302

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

QUEST DIAGNOSTICS OHRS DOT

PO BOX 740709

ATLANTA GA 30374

$3,189.68 

5487

Nonpriority creditor's name and mailing address

Basis for the claim:

Lab Services

Is the claim subject to offset?

 No

 Yes

Lab Services

3.303

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

QUINTECH INC

PO BOX 3488

TUPLEO MS 38803

$6,409.28 

5065

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.304

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

QuVa PHARMA INC

PO BOX 120142

DEPT 0142

DALLAS TX 75312

$5,995.20 

5293

Nonpriority creditor's name and mailing address

Basis for the claim:

Pharmacy Services

Is the claim subject to offset?

 No

 Yes

Pharmacy Services

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 77 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.305

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Rachel Head, MD

617 Russell Blvd

Nacogdoches TX 75965

$5,200.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.306

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

RADIOLOGY CONSULTANTS

PO BOX 632728

NACOGDOCHES TX 75963

$40,175.76 

3351

Nonpriority creditor's name and mailing address

Basis for the claim:

Physician Call / Directorships

Is the claim subject to offset?

 No

 Yes

Physician Call / Directorships

3.307

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

RECORD SPACE

PO BOX 3539

LUFKIN TX 75903

$18,553.48 

1495

Nonpriority creditor's name and mailing address

Basis for the claim:

Records Storage

Is the claim subject to offset?

 No

 Yes

Records Storage

3.308

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

REED, CLAYMON, MEEKER & HARGET

5608 PARKCREST DRIVE

SUITE 200

AUSTIN TX 78731

$68,725.08 

4954

Nonpriority creditor's name and mailing address

Basis for the claim:

Attorney

Is the claim subject to offset?

 No

 Yes

Attorney

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 78 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.309

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

RELATIENT INC

PO BOX 778721

CHICAGO IL 60677

$201.96 

5693

Nonpriority creditor's name and mailing address

Basis for the claim:

NMPG- Services

Is the claim subject to offset?

 No

 Yes

NMPG- Services

3.310

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

REMEL INC

PO BOX 96299

CHICAGO IL 60693

$328.39 

1432

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.311

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

RETAIL ACQUISITION & DEVELOPMENT, INC.

4301 121ST STREET

URBANDALE IA 50323

$1,732.90 

6065

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.312

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Richard Baker, MD

1301 Raguet St.

Nacogdoches TX 75965

Unknown 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 79 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.313

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

RINGRX LLC

114 E HALEY STREET

SUITE L

SANTA BARBARA CA 93101

$47.50 

5728

Nonpriority creditor's name and mailing address

Basis for the claim:

Phones

Is the claim subject to offset?

 No

 Yes

Phones

3.314

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

RITTER LUMBER

PO BOX 1265

NEDERLAND TX 77627

$487.70 

5538

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.315

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ROCHE DIAGNOSTICS CORP

PO BOX 660367

MAIL CODE 5021

DALLAS TX 75266

$5,327.71 

1506

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.316

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

RODZILLA GRAPHICS INC

807 South Street

NACOGDOCHES TX 75965

$1,396.67 

2004

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

Marketing

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 80 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.317

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SAGE SERVICES GROUP LLC

506 DEANNA LANE

CHARLESTON SC 29492

$2,350.00 

6111

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & maintenance

3.318

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SALESFORCE, INC.

415 MISSION STREET, 3RD FLOOR

SAN FRANCISC0 CA 94105

$19,475.00 

6085

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

Marketing

3.319

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SANOFI PASTUER

12458 COLLECTIONS CENTER DR

CHICAGO IL 60693

($6,150.94) 

1126

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.320

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SCC Soft Computer

5400 Tech Data Dr.

Clearwater FL 33760

$357,110.54 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Lab Software, Hardware Mtn. Interface

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 81 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.321

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SCI Solutions

PO Box 735381

Dallas TX 75373

$164,922.04 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Patient Scheduling Software

Is the claim subject to offset?

 No

 Yes

3.322

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SEA SPINE INC.

2302 LA MIRAND DR.

VISTA CA 92081

$28,271.00 

4197

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.323

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SECURITY SHREDDING

PO BOX 3539

LUFKIN TX 75903

$6,622.00 

1524

Nonpriority creditor's name and mailing address

Basis for the claim:

Shredding Service

Is the claim subject to offset?

 No

 Yes

Shredding Service

3.324

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SENTACT LLC

2500 W HIGGINS ROAD

SUITE 150

HOFFMAN ESTATES IL 60169

$6,000.00 

6095

Nonpriority creditor's name and mailing address

Basis for the claim:

Compliace Software

Is the claim subject to offset?

 No

 Yes

Compliace Software

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 82 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.325

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SENTINEL TECHNOLOGIES INC

2550 WARRENVILLE ROAD

DOWNERS GROVE IL 60515

$50,360.24 

5996

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

3.326

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SHARON C TOUCHETTE

7169 COUNTY ROAD 302

NACOGDOCHES TX 75961

$2,180.50 

2973

Nonpriority creditor's name and mailing address

Basis for the claim:

Is the claim subject to offset?

 No

 Yes

3.327

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SHERWIN WILLIAMS

2715 NORTH STREET

NACOGDOCHES TX 75961

$1,294.23 

1528

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.328

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SIEMENS MEDICAL SOLUTIONS USA

PO BOX 121102

DEPT 0733

DALLAS TX 75312-1102

$76,499.62 

1531

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 83 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.329

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SMITH & NEPHEW INC

PO BOX 842935

DALLAS TX 75284-2935

$29,446.63 

1259

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.330

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SMITH & NEPHEW ORTHAPEDICS

PO BOX 951605

DALLAS TX 75395-1605

$33,185.05 

3625

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.331

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SMITH MEDICAL ASD INC

PO BOX 7247-7784

PHILADELPHIA PA 19170-7784

$2,978.55 

1244

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.332

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SOLAR SUPPLY INC

1212 12TH STREET

LAKE CHARLES LA 70601-6376

$136.79 

1436

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 84 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.333

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SOLUTIONZ VIDEOCONFERENCING

901 BRINGHAM AVENUE

LOS ANGELES CA 90049

$1,948.50 

5981

Nonpriority creditor's name and mailing address

Basis for the claim:

Software

Is the claim subject to offset?

 No

 Yes

Software

3.334

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SOMA TECH INTL INC

166 HIGHLAND PARK DRIVE

BLOOMFIELD CT 06002

$14,259.82 

5963

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

3.335

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SOUTH FLORIDA UTILIZATION REVIEW

860 JOHNSON FERRY RD

NE #140-390

ATLANTA GA 30342

$1,880.00 

6063

Nonpriority creditor's name and mailing address

Basis for the claim:

Licensing & Fees

Is the claim subject to offset?

 No

 Yes

Licensing & Fees

3.336

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SOUTHERN NEURO SPECIALTY LLC

PO BOX 459

PRAIRIEVILLE LA 70769

$1,700.00 

5938

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 85 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.337

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SOUTHWEST LITHO II LLC

9010 STRADA STELL CT

SUITE 103

NAPLES FL 34109

$19,250.00 

5404

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.338

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SPARTAN TOOL LLC

25582 NETWORK PLACE

CHICAGO IL 60673-1255

$759.74 

3610

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.339

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SPIVEY ANGELA

27704 FM 95 S

GARRISON TX 75946

$216.67 

4869

Nonpriority creditor's name and mailing address

Basis for the claim:

Is the claim subject to offset?

 No

 Yes

3.340

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SQN Asset Income Fund V, LP

100 Arboretum Drive, Suite 105,

Portsmouth NH 03801

Unknown 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Lease

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 86 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.341

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

STACY SEAN FOWLER

24 CAYMAN COURT

MANHATTAN BEACH CA 90266

$15,169.61 

5873

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee - Expense Reimb

Is the claim subject to offset?

 No

 Yes

Employee - Expense Reimb

3.342

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

STACY SEAN FOWLER

24 CAYMAN COURT

MANHATTAN BEACH CA 90266

$2,711.54 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Wages etc.

Is the claim subject to offset?

 No

 Yes

3.343

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

STAPLES BUSINESS LINK

PO BOX 660409

DALLAS TX 75266-0409

$25,728.37 

4490

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies

Is the claim subject to offset?

 No

 Yes

Supplies

3.344

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

STATLAB MEDICAL PRODUCTS

PO BOX 678056

DALLAS TX 75267-8056

$1,426.88 

1556

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 87 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.345

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

STEPHEN F. AUSTIN STATE UNIV

PO BOX 13053

NACOGDOCHES TX 75962

$250.00 

2832

Nonpriority creditor's name and mailing address

Basis for the claim:

Events

Is the claim subject to offset?

 No

 Yes

Events

3.346

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Stericycle, Inc.

PO Box 6575

Carol Stream IL 60197

$120,379.80 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Medical Waste

Is the claim subject to offset?

 No

 Yes

3.347

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

STERLING TALENT SOLUTIONS

PO BOX 35626

NEWARK NJ 07193-5626

$991.61 

5422

Nonpriority creditor's name and mailing address

Basis for the claim:

Background Checks

Is the claim subject to offset?

 No

 Yes

Background Checks

3.348

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

STREAMLINE TAX SOLUTIONS LP

8751 COLLIN MCKINNEY PKWY

SUITE 102

MCKINNEY TX 75070

$92.50 

6010

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 88 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.349

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

STRYKER ENDOSCOPY

PO BOX 93276

C/O STRYKER SALES CORPORATION

CHICAGO IL 60673-3308

$2,511.38 

1562

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.350

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

STRYKER MEDICAL

PO BOX 93308

C/O STRYKER SALES CORPORATION

CHICAGO IL 60673-3308

$39,460.92 

2143

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.351

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

STRYKER SALES LLC

21343 NETWORK PLACE

C/O STRYKER SALES CORPORATION

CHICAGO IL 60673-1213

$82,387.78 

1999

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.352

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SUDDENLINK AKA OPTIMUM

PO BOX 70340

PHILADELPHIA PA 19176-0340

$1,598.73 

3999

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 89 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.353

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SUMMIT FIRE & SECURITY LLC

PO BOX 6783

CAROL STREAM IL 60197-6783

$5,908.52 

5991

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance/ Inspection

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance/ Inspection

3.354

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SUPERIOR KITCHEN SERVICES LLC

1439 CARROLL RD

LUFKIN TX 75901

$1,200.00 

1663

Nonpriority creditor's name and mailing address

Basis for the claim:

Dietary - Food Supplies

Is the claim subject to offset?

 No

 Yes

Dietary - Food Supplies

3.355

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SUTTER MEDICAL TECHNOLOGIES

120 INTERSTATE N PKWY

ATLANTA GA 30339

$1,710.35 

5937

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.356

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SWORD COMPANY INC

PO BOX 6365

TYLER TX 75711

$810.59 

2126

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 90 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.357

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

SYMMETRY ENERGY SOLUTIONS

9811 KATY FREEWAY

SUITE 140

HOUSTON TX 77024

$19,238.83 

6054

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

3.358

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

T Waggner

(Employee address on record)

$45.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee expenses reimbursement

Is the claim subject to offset?

 No

 Yes

3.359

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TACY MEDICAL INC

PO BOX 15807

FERNANDIAN BEACH FL 32034

$2,598.77 

5517

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.360

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TELADOC HEALTH, INC

DEPT 3417, PO BOX 123417

DALLAS TX 75312

$50,806.63 

6080

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 91 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.361

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TELE-ONE COMM

5620 OLD BULLARD RD

SUITE 109

TYLER TX 75703-4358

$3,901.52 

1574

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

3.362

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TELEFLEX LLC

PO BOX 936729

C/O TELEFLEX FUNDING, LLC

ATLANTA GA 31193-6729

$14,566.96 

1634

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

3.363

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TELPLEX COMMUNICATIONS

16830 VENTURA BLVD

SUITE 350

ENCINO CA 91436

$1,795.14 

5476

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

3.364

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TENET HEALTHCARE LTD

FILE # 849788

DALLAS TX 75284-9788

$13,893.86 

1412

Nonpriority creditor's name and mailing address

Basis for the claim:

Chairty Deductions

Is the claim subject to offset?

 No

 Yes

Chairty Deductions

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 92 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.365

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TENNANT COMPANY

PO BOX 71414

CHICAGO IL 60694-1414

$2,405.40 

4716

Nonpriority creditor's name and mailing address

Basis for the claim:

Repairs & Maintenance

Is the claim subject to offset?

 No

 Yes

Repairs & Maintenance

3.366

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TERUMO MEDICAL CORP

PO BOX 281402

ATLANTA GA 30384-1402

$12,417.00 

3991

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.367

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TEX CAL INVENTORY SERVICE INC

PO BOX 6194

KATY TX 77491

$1,900.00 

5411

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.368

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TEXAS AIRSYSTEMS,LLC

6029 W.CAMPUS CIRCLE DR.

STE 100

IRVING TX 75063

$4,906.00 

5986

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Facilities

Is the claim subject to offset?

 No

 Yes

Supplies- Facilities

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 93 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.369

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TEXAS EMS,TRAUMA & ACUTE FOUND

3400 ENFIELD ROAD

AUSTIN TX 78703

$13,000.00 

1807

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

3.370

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TEXAS HOSPITAL ASSOC

PO BOX 95353

GRAPEVINE TX 76099-9733

$10,911.00 

1928

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

3.371

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TEXAS MUTUAL INS COMPANY

PO BOX 841843

DALLAS TX 75284-1843

$39,348.78 

1548

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee Benefits

Is the claim subject to offset?

 No

 Yes

Employee Benefits

3.372

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TEXAS WOMAN'S UNIVERSITY

304 ADMINISTRATION DRIVE

DENTON TX 76204

$100.00 

6121

Nonpriority creditor's name and mailing address

Basis for the claim:

Employee Recruitment

Is the claim subject to offset?

 No

 Yes

Employee Recruitment

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 94 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.373

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

THE INLINE GROUP LLC

1826 LAKEWAY DRIVE

LEWISVILLE TX 75057

$22,750.00 

6029

Nonpriority creditor's name and mailing address

Basis for the claim:

Software

Is the claim subject to offset?

 No

 Yes

Software

3.374

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

THERMO FISHER FINANCIAL SVC

PO BOX 41602

PHILADELPHIA PA 19101-1602

$2,414.80 

5671

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.375

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TIGERCONNECT INC

2110 BROADWAY

SANTA MONICA CA 90404

$14,981.25 

5768

Nonpriority creditor's name and mailing address

Basis for the claim:

Software

Is the claim subject to offset?

 No

 Yes

Software

3.376

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TRANSCRIPTION GEAR INC

7280 AUBURN ROAD

CONCORD OH 44077

$809.15 

5967

Nonpriority creditor's name and mailing address

Basis for the claim:

Services- Hart

Is the claim subject to offset?

 No

 Yes

Services- Hart

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 95 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.377

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TRI-ANIM HEALTH SVC INC

25197 NETWORK PLACE

CHICAGO IL 60673

$1,500.11 

1597

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.378

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TRI-PHARMA INC

975 COBB PLACE BLVD, STE 118

KENNESAW GA 30144

$2,253.20 

5702

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.379

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TRICOR SYSTEMS INC

1650 TODD FARM DRIVE

ELGIN IL 60123

$715.16 

5982

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.380

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TRISOURCE LLC

5465 LEGACY DR

STE 650

PLANO TX 75024

$103,725.00 

4944

Nonpriority creditor's name and mailing address

Basis for the claim:

Consulting Services

Is the claim subject to offset?

 No

 Yes

Consulting Services

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 96 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.381

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TRS Managed Services, LLC

5001 Founders Way, Suite L10

Rogers AR 72758

$2,831,127.74 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Clinical Staffing

Is the claim subject to offset?

 No

 Yes

3.382

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TSSI HOLDINGS INC

DEPT CH 17717

PALATINE IL 60055-7717

$5,556.25 

5650

Nonpriority creditor's name and mailing address

Basis for the claim:

Medical Testing

Is the claim subject to offset?

 No

 Yes

Medical Testing

3.383

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TX DEPT OF STATE HEALTH SERV - X-RAY

LOCKBOX-RADIOACTIVE MATERIAL

PO BOX 12190

AUSTIN TX 78711-2190

$1,972.00 

5516

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

3.384

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TX ORGANIZATION OF RURAL & COMM

3309 FOREST CREEK DR

UNIT 305

ROUND ROCK TX 78664-6168

$28,850.00 

0170

Nonpriority creditor's name and mailing address

Basis for the claim:

Licenses & Dues

Is the claim subject to offset?

 No

 Yes

Licenses & Dues

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 97 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.385

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

TYPENEX MEDICAL LLC

303 E WACKER DR STE 1200

CHICAGO IL 60601

$1,263.19 

4699

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.386

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

U S POSTAL SERVICE

3007 N UNIVERSITY DR

NACOGDOCHES TX 75961

$822.00 

1619

Nonpriority creditor's name and mailing address

Basis for the claim:

Postage & Shipping

Is the claim subject to offset?

 No

 Yes

Postage & Shipping

3.387

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ULINE

PO BOX 88741

CHICAGO IL 60680-1741

$252.74 

4486

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.388

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

UNITED OF OMAHA LIFE INSURANCE COMPANY

3300 MUTUAL OF OMAHA PLAZA

OMAHA NE 68175

$105,674.57 

3875

Nonpriority creditor's name and mailing address

Basis for the claim:

Insurance

Is the claim subject to offset?

 No

 Yes

Insurance

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 98 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.389

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

UNIVERSAL TIME EQUIPMENT

PO BOX 7279

TYLER TX 75711

$269.54 

2572

Nonpriority creditor's name and mailing address

Basis for the claim:

Regulatory-Repairs & Maintenance/Inspection

Is the claim subject to offset?

 No

 Yes

Regulatory-Repairs & Maintenance/Inspection

3.390

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

UNIVERSITY RENTAL

510 E MAIN ST

NACOGDOCHES TX 75961

$2,091.18 

1616

Nonpriority creditor's name and mailing address

Basis for the claim:

Marketing

Is the claim subject to offset?

 No

 Yes

Marketing

3.391

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

US ENDOSCOPY

PO BOX 676548

DALLAS TX 75267-6548

$6,594.89 

1070

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.392

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

US MED EQUIP LLC

PO BOX 4339

HOUSTON TX 77210-4339

$3,268.64 

4185

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 99 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.393

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

UT HEALTH SAN ANTONIO

PO BOX 759

MEDICAL SERVICE R&D PLAN

SAN ANTONIO TX 78293-0759

$1,893.12 

1283

Nonpriority creditor's name and mailing address

Basis for the claim:

Physician Services

Is the claim subject to offset?

 No

 Yes

Physician Services

3.394

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

UTAH MEDICAL PRODUCTS INC

7043 SOUTH 300 WEST

MIDVALE UT 84047

$2,211.67 

1551

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.395

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

VASCULAR SOLUTIONS-TELEFLE

PO BOX 936729

ATLANTA GA 31193-6729

$8,428.74 

1625

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.396

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

VENDOR CREDENTIALING SERVICE LLC

315 CAPITOL STREET #100

HOUSTON TX 77002

$65,734.03 

3876

Nonpriority creditor's name and mailing address

Basis for the claim:

Software-Cindi

Is the claim subject to offset?

 No

 Yes

Software-Cindi

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 100 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.397

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

VERATHON MEDICAL

PO BOX 935117

ATLANTA GA 31193-5117

$795.64 

2783

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.398

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Vivek Mangla, MD, PC

710 Gaslight Blvd

Suite A

Lufkin TX 75904

$2,400.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.399

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

VOICEBROOK INC

1983 MARCUS AVE SUITE 105

LAKE SUCCESS NY 11042

$17,168.26 

5824

Nonpriority creditor's name and mailing address

Basis for the claim:

Services- Facilities

Is the claim subject to offset?

 No

 Yes

Services- Facilities

3.400

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

VOLCANO CORP

PO BOX 100355

ATLANTA GA 30384

$74,270.80 

1452

Nonpriority creditor's name and mailing address

Basis for the claim:

Services- Candace

Is the claim subject to offset?

 No

 Yes

Services- Candace

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 101 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.401

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

VYAIRE MEDICAL INC

29429 NETWORK PLACE

CHICAGO IL 60673-1294

$193.79 

1075

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.402

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

W L GORE & ASSOCIATES

PO BOX 751331

MEDICAL PRODUCTS DIVISION

CHARLOTTE NC 28275

$8,146.00 

2046

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Medical

Is the claim subject to offset?

 No

 Yes

Supplies- Medical

3.403

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

WALLER LANSDEN DORTH & DAV

511 UNION STREET STE 2700

NASHVILLE TN 37219

$2,830.50 

1900

Nonpriority creditor's name and mailing address

Basis for the claim:

Legal

Is the claim subject to offset?

 No

 Yes

Legal

3.404

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

WENZEL SPINE, INC

1130 RUTHERFORD LANE

SUITE 200

AUSTIN TX 78753

$27,500.00 

5901

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 102 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.405

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

WERFEN USA LLC

PO BOX 347934

PITTSBURGH, PA 15251-493

$46,576.83 

1290

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.406

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

William Hairston, DO

$5,248.00 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Services

Is the claim subject to offset?

 No

 Yes

3.407

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

WINDER'S SALES & SVC

PO BOX 635141

NACOGDOCHES TX 75963

$6,582.92 

1643

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies- Facilities

Is the claim subject to offset?

 No

 Yes

Supplies- Facilities

3.408

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

WINDSTREAM

PO BOX 9001908

LOUISVILLE KY 40290

$154.13 

4001

Nonpriority creditor's name and mailing address

Basis for the claim:

Utilities

Is the claim subject to offset?

 No

 Yes

Utilities

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 103 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.409

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Wipfli, LLP

PO Box 3160

Milwaukee WI 53201

$196,129.24 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Former Proj. Mgr. for Electronic Health Record

Is the claim subject to offset?

 No

 Yes

3.410

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

XEROX CORPORATION

PO BOX 802555

CHICAGO IL 60680-2555

$42,341.11 

1241

Nonpriority creditor's name and mailing address

Basis for the claim:

Equipment Rent/Lease

Is the claim subject to offset?

 No

 Yes

Equipment Rent/Lease

3.411

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

XTANT MEDICAL, INC

DEPT CH 16872

PALATINE IL 60055-6872

$22,565.70 

5701

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.412

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

Young's Professional Svc

200 Greenleaves Blvd., Suite 5

Mandeville LA 70448

$162,945.48 

 

Nonpriority creditor's name and mailing address

Basis for the claim:

Anesthesia Services

Is the claim subject to offset?

 No

 Yes

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 104 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.413

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ZAVATION, LLC

220 LAKELAND PKWY

FLOWOOD MS 39232

$13,750.00 

5782

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.414

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ZEPTOMETRIX LLC

14957 COLLECTION CENTER DRIVE

CHICAGO IL 60693-0149

$3,239.92 

5750

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.415

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ZIMMER

PO BOX 840166

DALLAS TX 75284-0166

$47,769.60 

1041

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

3.416

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ZIRMED INC

1311 SOLUTIONS CENTER

CHICAGO IL 60677-1311

$2,490.77 

5795

Nonpriority creditor's name and mailing address

Basis for the claim:

Billing Software

Is the claim subject to offset?

 No

 Yes

Billing Software

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 105 
Debtor Case number (if known)

Part 2: Additional Page

Amount of claim

Copy this page only if more space is needed. Continue numbering the lines sequentially from the

previous page. If no additional NONPRIORITY creditors exist, do not fill out or submit this page.

Lion Star Nacogdoches Hospital, LLC 23-43535-mxm11

3.417

Last 4 digits of account number

Date or dates debt was incurred

As of the petition filing date, the claim is:

Check all that apply.







Contingent

Unliquidated

Disputed

ZOLL MEDICA

PO BOX 27028

NEW YORK NY 10087-7028

$13,710.69 

4314

Nonpriority creditor's name and mailing address

Basis for the claim:

Supplies - Medical

Is the claim subject to offset?

 No

 Yes

Supplies - Medical

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 106 
Part 4: Total Amounts of the Priority and Nonpriority Unsecured Claims

5.

5a.

Add the amounts of priority and nonpriority unsecured claims.

5b.

Total claims from Part 1

Total claims from Part 2

5c. Total of Parts 1 and 2

Lines 5a + 5b = 5c.

5a.

Total of claim amounts

5b.

5c.

+ 

Debtor Lion Star Nacogdoches Hospital, LLC Case number (if known) 23-43535-mxm11

$12,823,320.86 

$0.00 

$12,823,320.86 

Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims page 107 
Official Form 206G

Schedule G: Executory Contracts and Unexpired Leases 12/15 

1. Does the debtor have any executory contracts or unexpired leases?





No. Check this box and file this form with the court with the debtor's other schedules. There is nothing else to report on this form.

Yes. Fill in all of the information below even if the contracts or leases are listed on

 Check if this is an

amended filing

Schedule A/B: Assets - Real and Personal Property

(Official Form 206A/B).

Fill in this information to identify the case:

Debtor name

United States Bankruptcy Court for the:

Case number

(if known)

Lion Star Nacogdoches Hospital, LLC

NORTHERN DISTRICT OF TEXAS

23-43535-mxm11 Chapter 11

Be as complete and accurate as possible. If more space is needed, copy and attach the additional page, numbering the entries 

consecutively.

2. List all contracts and unexpired leases State the name and mailing address for all other 

parties with whom the debtor has an executory 

contract or unexpired lease

2.1 See attached Addendum 4

State the term remaining

State what the contract See attached Addendum 4

or lease is for and the 

nature of the debtor's 

interest

List the contract 

number of any 

government contract

Official Form 206G Schedule G: Executory Contracts and Unexpired Leases page 1 
SCHEDULE G ATTACHMENT

Executory Contracts and Unexpired Leases

Counter‐Party Name Description of Contract or Lease Address 

3DR Labs, LLC Purchased Services Agreement  1941 BISHOP LANE SUITE 807, LOUISVILLE,KY 40218

3M  Master Software and Services Agreement ‐ Amendment ‐ July 2023 PO BOX 120881, DALLAS,TX 75312‐0881

Abbott  Accu Chek Glucometers June 30, 2023 PO BOX 92679, CHICAGO,IL 60675‐2679Abbott  Comprehensive Service Plan Agreement ‐ iSTATE 1 Analyzer ‐ August 8, 2023 PO BOX 92679, CHICAGO,IL 60675‐2679Abbott  Service Plan Agreement ‐ i STAT Analyzer ‐ August 8, 2023 PO BOX 92679, CHICAGO,IL 60675‐2679Abbott  i‐STAT comprehensive service plan agreement PO BOX 92679, CHICAGO,IL 60675‐2679Abbott Rapid  Distributor Purchase Agreement ‐  November 4, 2022 PO BOX 92679, CHICAGO,IL 60675‐2679Abbott Rapid  License Agreement ‐ June 30, 2023 PO BOX 92679, CHICAGO,IL 60675‐2679

Abbott Rapid Diagnostics Informatics, Inc.  Roche Glu7cose License Agreement ‐ June 30, 2023 PO BOX 92679, CHICAGO,IL 60675‐2679Abbott Vascular  Inventory Stocking Agreement ‐ October 6, 2022 PO BOX 92679, CHICAGO,IL 60675‐2679

Abiomed, Inc.  Serivce Agreement  PO BOX 6214, BOSTON,MA 02212‐6214ACL OP500  Service Agreement ‐ March 12, 2023 180 HARTWELL ROAD BEDFORD MA 01730

Administrative Fiduciary Services Inc.  Contract ‐ 401‐K Plan ‐ December 9, 2022 10777 NORTHWEST FREEWAY STE450, HOUSTON,TX 770Advanced Medical Resources, LLC  Agreement  PO BOX 731969, DALLAS,TX 75373

Aetna  Payor Agreement  PO BOX 91507 ARLINGTON TX 76015Ahammed Hashim, MD  Medical Director Cerner Community Works ‐ March 7, 2023 1209 N MOUND ST NACOGDOCHES TX 75961Allegiance Mobile Health  Transfer Agreement ‐ March 1, 2022 1702 N LEXINGTON BLVD CORPUS CHRISTI TX 78409

American College of Radiology NDR Agreement ‐ July 13, 2015 1891 PRESTON WHITE DRIVE, RESTON,VA 20191‐4397 U

American Heart Association  Agreement for participation in association ‐ January 4, 2023    7272 GREENVILLE AVENUE DALLAS TX 75231

American Medical Foundation  Peer Review Retention Agreement ‐ September 10, 2015 75 REMITTANCE DR STE 1413, CHICAGO,IL 60675‐1413Amerigroup Thru Multiplan TX True Choice Network Agreement for Insurance Payor PO BOX 62947 VIRGINA BEACH VA 23466‐2947Amy Huggins, MD  On Call Agreement ‐ August 1, 2023 3614 N UNIVERSITY DR, NACOGDOCHES,TX 75965

Andrew Hurst, MD Orthopedic Call Coverage ‐ August 1, 2023 3616 N UNIVERSITY DRIVE, NACOGDOCHES,TX 75965

Angelina Surgical Associates  General Surgery Call Agreement ‐ January 1, 2023 302 MEDICAL PARK DRIVE STE 101 LUFKIN TX 75904

APEX Revenue Recovery Inc   Liability Agreement ‐ April 1, 2020 ATTN: WENDY BAZA1230 VENUS ST, CEDAR HILL,TX 7510

Applied Statisics and Management, Inc   Subscription and Service Agreement‐ May 13, 2023 PO BOX 2738, TEMECULA,CA 92593‐2738Ascend  Services Agreement ‐ October 15, 2022 P O BOX 45021, SAN FRANCISCO,CA 94145Barkocy, Gary  DO Call Agreement 409 RUSSELL BLVD A NACOGDOCHES TX 75965BCBS  Institution Agreement ‐ February 1, 2023 ATTN: 6506151501 N PLANO RD, STE 100, RICHARDSON,BCBS  Administrative Services Agreement ‐ July 1, 2022 ATTN: 6506151501 N PLANO RD, STE 100, RICHARDSON,BCBS   Payor Agreement ATTN: 6506151501 N PLANO RD, STE 100, RICHARDSON,BCBS TriWest Agreement for Insurance Payor ATTN: 6506151501 N PLANO RD, STE 100, RICHARDSON,BD Alaris  Software Management Services ‐ November 19, 2022 25565 NETWORK PLACE CHICAGO IL 60673‐1255

Beckman Coulter  DXS Service Agreement ‐ November 2, 2022 DEPT CH 10164, PALATINE,IL 60055‐0164

Beckman Coulter  Purchase Service Agreement ‐ June 28, 2017 DEPT CH 10164, PALATINE,IL 60055‐0164

Beckman Coulter  Allegra X30 ‐ Centrifuge Service Agreement ‐ June 29,2023 DEPT CH 10164, PALATINE,IL 60055‐0164Beckman Coulter  Life Sciences Service Agreement for Allegra X22 DEPT CH 10164, PALATINE,IL 60055‐0164Benjamin Thompson, MD   OBGYN Call Agreement ‐ July 29, 2019 4800 NE STALLINGS DR STE 106, NACOGDOCHES,TX 7596

BHS Physicians Network, Inc  General Surgery On‐Call Service Agreement ‐ June 13, 2023 203 E MAIN ST, NACOGDOCHES,TX 75965BHS Physicians Network, Inc  Orthopedic Surgery On‐Call Service Agreement ‐ February 15, 2022 203 E MAIN ST, NACOGDOCHES,TX 75965BHS Physicians Network, Inc.  Cardiology On‐Call Services Agreement ‐ March 4, 2022 203 E MAIN ST, NACOGDOCHES,TX 75965Binusha Moitheennazima, M.D.  Pulmonology On Call Agreement ‐ October 29, 2019 1209 N MOUND ST NACOGDOCHES TX 75961

BioMerieux BioFire Extended Warranty ‐ June 26, 2023 PO BOX 500308, ST LOUIS,MO 63150‐0308

Biomerieux  Service Agreement BacT ALERT 3D System ‐ December 15 2023  PO BOX 500308, ST LOUIS,MO 63150‐0308

Biomerieux  Service Agreement Quote ‐ Full Service Plan ‐ November 7, 2022 to November 6,  2023 PO BOX 500308, ST LOUIS,MO 63150‐0308

BioMerieux  Service Agreement Quote ‐ September 26, 2022 PO BOX 500308, ST LOUIS,MO 63150‐0308

Biomerieux  Service Agreement VITEK 2 Compact ‐ December 15, 2023 PO BOX 500308, ST LOUIS,MO 63150‐0308

BioTronik  Exhibit B ‐ April 25, 2022 PO BOX 205421, DALLAS,TX 75320‐5421BioTronik  Exhibit B ‐ September 12, 2022 PO BOX 205421, DALLAS,TX 75320‐5421

In re Lion Star Nacogdoches HospitalCase No. 23‐43535‐mxm Page 1 of  7
SCHEDULE G ATTACHMENT

Executory Contracts and Unexpired Leases

Counter‐Party Name Description of Contract or Lease Address 

BKD  Accountant Scope of Services ‐ May 25, 2022 510 N VALLEY MILLSSTE 200, WACO,TX 76710

Block Imaging  3D Tomo Digital Mammography Service Agreement 1845 CEDAR STREET, HOLT,MI 48842Brain Drake, MD  Maternal Medical Director ‐ September 15, 2022 1018 NORTH MOUND ST., STE. 205, NACOGDOCHES,TX 7Brain Drake, MD  OBGYN On Call Agreement ‐ June 10, 2022 1018 NORTH MOUND ST., STE. 205, NACOGDOCHES,TX 7Brenda Bowman Motes 3604 Lawson Parkway Lease  105 GRANDVIEW BLVD, MONTGOMERY,TX 77356Brian Glymph MD  OBGYN Call Agreement ‐ July 1, 2020 4800 NORTHEAST STALLING DR., STE/ 106, NACOGDOCH

Canon Medical Systems  Service Agreement ‐ January 27, 2022 2441 Michelle Drive, Tustin,CA 92780CAPS IV  Services Agreement ‐ June 1, 2023 824 12th Avenue, Bethlehem,PA 18018 USCapstone Personnel Services, Inc. Agency Agreement ‐ November 28, 2022 1415 TROUP HIGHWAY TYLER TX 75701Cardinal Health  Vascular Product Consignment Agreement ‐ November 30, 2022 DEPT CH 19348, PALATINE,IL 60055‐9348

CareFusion  Master Agreement 25146 NETWORK PLACE, CHICAGO,IL 60673‐1250CCH incorporated Wolters Kluwer Master Agreement  2700 LAKE COOK ROAD RIVERWOODS IL 60015‐3867

Centerpoint Energy Electric Agreement PO BOX 4981, HOUSTON,TX 77210‐4981

CenterPoint Energy Gas  Gas Sales Agreement ‐ August 06, 2019 PO BOX 4981, HOUSTON,TX 77210‐4981Cerner  Direct HISP ‐ October 5, 2022 PO BOX 959156, ST LOUIS,MO 63195‐9156

Change Healthcare ‐ Interqual, Inc. Click Through Purchase Agreement ‐ October 2, 2023 424 CHURCH ST SUITE 1400 NASHVILLE TN 37219

Charles Page, MD  General Surgery Call Agreement ‐ May 1, 2022 1320 N UNIVERSITY DR SUITE A, NACOGDOCHES,TX 7696

Christopher Ihionkhan, M.D.  NICU Supervision Agreement ‐ February 27, 2022 818 N 4TH ST, LONGVIEW,TX 75601Christus ‐ Tyler & Longview  Patient Transfer Agreement ‐ May 15, 2023 919 HIDDEN RIDGE DR., IRVING,TX 75038

Christus Good Shepherd & Mother Frances  Patient Transfer Agreement ‐ May 15, 2023 919 HIDDEN RIDGE DRIVE, IRVING,TX 75038Cigna HealthCare of Texas  Hospital Services Agreement ‐ November 1, 2023 2800 N LOOP W SUITE 700 HOUSTON TX 77092

CIOX  Agreement for Service ‐ May 21, 2015 PO BOX 409669, ATLANTA,GA 30384

Clifton Thomas MD  Locum Tenens General Surgery Coverage ‐ April 27, 2022 5718 W WESTHEIMER, HOUSTON,TX 77056

Cloudmed Solutions, LLC  Automation Licensing Service Order ‐ November 7, 2022 ATTN: ACCOUNTS RECEIVABLEPO BOX 208272, DALLAS,T

Coffey Communications, Inc.  Agreement ‐ February 15, 2023 1505 BUSINESS ONE CIRCLE, WALLA WALLA,WA 99362Coffey Communications, Inc.  Time and Materials Agreement ‐ August 15, 2022 1505 BUSINESS ONE CIRCLEWALLA WALLA,WA 99362Common Cents Solutions  System Quotation & Agreement ‐ 2023 6380 I‐55 N STE 160, JACKSON,MS 39211Common Spirit Health June 20, 2023 ‐ Patient Transfer Agreement  6624 FANNIN ST SUITE 1190 HOUSTON TX 77030Communicare Technology, Inc. ‐ Pulsara  Amendment to the Master Agreements ‐ August 11, 2022 2880 TECHNOLOGY BLVD WEST SUITE 183, BOZEMAN,M

Comp Health  Retained Search Agreement ‐ December 8, 2022 P.O. BOX 972651, DALLAS,TX 75397 USCompHealth  OBGYN Search Agreement ‐ November 23, 2022 P.O. BOX 972651, DALLAS,TX 75397 USCompHealth   Contingency Search Agreement P.O. BOX 972651, DALLAS,TX 75397 US

Complete Care  Service Agreement ‐ May 10, 2016 PO BOX 23840 LITTLE ROCK AR 72221Compliance Line, Inc.  Agreement ‐ June 12, 2014 8615 CLIFF CAMERON DR STE 290, CHAROLOTTE,NC 282Comprehensive Pharmacy Services Agreement for pharmacy supplies/medication/services 6409 QUAIL HOLLOW RD, MEMPHIS,TN 38120

Conexus Agreement for staffing agency ‐ March 31, 2021  5001 W. FOUNDERS WAY, SUITE L10, ROGERS,AR 72758 

Cooksey Marcin, PLLC  Engagement Agreement ‐ November 17, 2022 25511 BUDDE ROAD, SUITE 2202, THE WOODLANDS,TX 7Core Sound Imaging, Inc  Service Agreement 5510 SIX FORKS RD STE 200, RALEIGH,NC 27609Corpra Care Inc  Agreement ‐ January 31, 2020 1011 HIGHWAY SIX SOUTH STE 309 HOUSTON TX 77077

Craig Sessions, MD  Professional Services Agreement ‐ October 1, 2023 1018 N MOUND ST STE 206 NACOGDOCHES TX 75961

CSP Consulting  Grant Writing ‐ September 2023 16 SAN JEWELL DRIVE, FARMINGTON,MO 63640David Vinther, MD  Cecil Bomar Rehab Medical Director ‐ August 1, 2022 409 RUSSELL BLVD STE D, NACOGDOCHES,TX 75965Digicert Inc. Agreement for IT services ‐ March 15, 2023 PO BOX 840695, DALLAS,TX 75284‐0695

Discovery Healthcare Consulting Group Services Agreement October 19, 2021 1500 BROADWAY SUITE 100, LUBBOCK,TX 79401Discovery Solutions, Inc.  ZixCorp Email Encryption ‐ April 1, 2023 PO BOX 3036, FARMINGTON HILLS,MI 48333 USDolamu Sokunbi, MD  Nephrology On Call Agreement ‐ September 1, 2021 522 RUSSELL BLVD, NACOGDOCHES,TX 75961

Ears & Hearing, P.A. First Addendum to Hearing Screen Agreement ‐ October 16, 2023 12319 N MOPAC EXP BLDG C 300, AUSTIN,TX 75758

Ears & Hearing, PA  Hearing Screen Agreement ‐ October 1, 2019 12319 N MOPAC EXP BLDG C 300, AUSTIN,TX 75758East Texas Community Health Services, Inc  Diagnostic Radiology Services PO BOX 632040 NACOGDOCHES TX 75963‐2040

In re Lion Star Nacogdoches HospitalCase No. 23‐43535‐mxm Page 2 of  7
SCHEDULE G ATTACHMENT

Executory Contracts and Unexpired Leases

Counter‐Party Name Description of Contract or Lease Address 

East Texas Nephrology Associates  Nephrology Call Agreement ‐ September 1, 2021 PO BOX 150408, LUFKIN,TX 75915‐0408East Texas Nephrology Associates  Nephrology Medical Director ‐ November 14,2022 PO BOX 150408, LUFKIN,TX 75915‐0408

eClinical Works  Software License and Support Upfront Agreement for Electronic Medical  Records and Practice Management PO BOX 847950, BOSTON,MA 02284‐7950

EDF Energy Services, LLC Electric Agreement PO BOX 74007029, CHICAGO,IL 60674‐7029

Elsevier Inc.  Master Agreement PO BOX 9533, NEW YORK,NY 10087‐9533

ERI Consulting  Asbestos Abatement ‐ May 2023 PO BOX 2024 TYLER TX 75710Ero Health  Business Associate Agreement ‐ September 29, 2021 PO BOX 776953, CHICAGO,IL 60677eSolutions, Inc.  Service Agreement ‐ June 2, 2023 WS# 165PO BOX 414378, KANSAS CITY,KS 64141‐4378

Esquisek, Inc.  Master Equipment and Software Rental Agreement ‐ November 30, 2022 87A GRANGER BLVD MARLBOROUGH MA 01752Express Employment   Staffing Agreement ‐ May 25, 2023 210 C TIMBERLAND DR, LUFKIN,TX 75901Ferrarraccio, Blaise MD  Neurology On Call Agreement ‐ November 20, 2019 4848 NE STALLINGS DR., STE. 106, NACOGDOCHES, TX 75Finesse Microtome  Equipment Lease Agreement  1111 OLD EAGLE SCHOOL ROAD WAYNE PA 19087Fisher Firm  General Immigration Engagement Letter ‐ January 31, 2023 560 S 4TH STREET, SILSBEE,TX 77656 US

Forrest King   ACLS & PALS Training ‐ October 21, 2021 1010 NORTHWOOD CIRCLE, NACOGDOCHES,TX 75965

ForTec Medical, Inc   Hearing Aides ‐ March 7, 2023 6245 HUDSON CROSSING PARKWAY HUDSON OHIO 442

Friendship Hearing, Inc.  Equipment Purchase Agreement ‐ February 21, 2023 1520 E. DENMAN AVE, SUITE 103, LUFKIN,TX 75901 US

Galaxy Agreement for Insurance Payor 631 106TH STREET ARLINGTON TX 76011Galaxy Health Network Insurance payor contract 631 106TH STREET ARLINGTON TX 76011

GE  Master Lease Agreement for Equipment Optima CT660 and Optima MR450w,  Mobile Optima 220 X‐Ray PO BOX 641419, PITTSBURGH,PA 15264‐1419

GE Capital  CT660 OPTIMA ‐ Additional Contract Documents  PO BOX 641419, PITTSBURGH,PA 15264‐1419

GE Government Finance, Inc.  Equipment Agreement  74 West Park Place, STAMFORD,CT 06901‐0001GE Healthcare  Cath Lab  PO BOX 641419, PITTSBURGH,PA 15264‐1419

GE Healthcare Service Cath Lab ‐ August 8, 2022 PO BOX 641419, PITTSBURGH,PA 15264‐1419Gia Marotta, MD  Employment Agreement ‐ January 15, 2023 PO BOX 631430, NACOGDOCHES,TX 75963 US

Gia Marotto, MD  ENT Call Agreement ‐ February 1, 2023 PO BOX 631430, NACOGDOCHES,TX 75963 US

Green & Green, CPA Inc.  Management Letter ‐ August 21, 2023 28382 CONSTELLATION RD., VALENCIA,CA 91355Green and Spiegel   Representation Agreement ‐ April 13, 2023 1524 DELANCEY ST., 4TH FLOOR, PHILADELPHIA,PA 1910

Gregory Tate MD   Maxillo Facial Call Agreement ‐ July 1, 2020 508 RUSSELL BLVD, NACOGDOCHES,TX 75965

Gulf Coast Regional Blood Center  Master Agreement PO BOX 301092, DALLAS,TX 75303‐1092

Hashmet Wali & Associates  Agreement for renovations to the Pharmacy ‐ March 1, 2023 8914 DAFFODIL STREET, HOUSTON,TX 77063 US

HCA Houston Healthcare Kingwood  Patient Transfer Agreement ‐ December 20, 2021 22999 US HIGHWAY 59 KINGWOOD TX 77339Head Start  Service Agreement‐ October 29, 2020 1902 OLD TYLER ROAD NACOGDOCHES TX 75961Healthcare Transformation (HCT)  Interim Management Services ‐ December 3, 2021 875 N MICHIGAN AVE STE 3100, CHICAGO,IL 60611

Healthcare Transformation Inc. Termination ‐ October 17, 2022 875 N MICHIGAN AVE STE 3100, CHICAGO,IL 60611

Healthsmart Preffered Care  Amendment ‐ August 1, 2022 222 W LAS COLINAS BLVD SUITE 500N IRVING TX 75039

Heart Institute of East Texas                            premises lease,  1004 N Mound St. ‐ May 25, 2023       310 GASLIGHT BLVD LUDKIN TX 75904

Heart to Heart Hospice of the Lakes Area, LLC Inpatient Hospice ‐ May 9, 2023 7240 CHASE OAKS BLVD. PLANO TX 75025

Helping Hands  Client Contract Agreement ‐ February 14, 2023 PO BOX 297, JASPER,TX 75951Hill‐Rom Company, Inc.  The Vest System Device Access Program Agreement ‐ October 6, 2023 PO BOX 643592, PITTSBURGH,PA 15264‐3592

Humana Agreement for Insurance Payor PO BOX 14601 LEXINGTON KY 40512‐4601

Humana Tricare Prime Agreement for Insurance Payor PO BOX 69452 HARRISBURG PA 17106IES Central Texas PLLC  Emergency Services Agreement ‐ November 1, 2023 4835 LBJ FREEWAY SUITE 900 DALLAS TX 75244

IL Elite and IL Top500  Service Agreement PO BOX 347934 PITTSBURGH PA 15251‐4934

Imaging Physics, LLC Memorandum of Understanding ‐ July 1, 2020 227 SANDY SPRINGS PLACE STE D‐300, SANDY SPRINGS,G

Inmar RX Colutions, Inc.  Compliance Solutions Services ‐ March 20, 2023 ONE WEST FOURTH ST STE 500 WINSTON SALEM NC 271

Integrity Recruiters, Inc.  Recruitment Agreement 5348 VEGAS DR #1073, LAS VEGAS,NV 891082347

Interface Security Systems, LLC  Commercial Security Services Agreement ‐ August 13, 2014 8339 SOLUTIONS CENTER, CHICAGO,IL 60677‐8003Intuitive Surgical, Inc.  Service & Lease Agreement ‐ September 28, 2022 DEPT. 336293440 Flair Drive, El Monte,CA 91731 US

In re Lion Star Nacogdoches HospitalCase No. 23‐43535‐mxm Page 3 of  7
SCHEDULE G ATTACHMENT

Executory Contracts and Unexpired Leases

Counter‐Party Name Description of Contract or Lease Address 

Ironside Human Resources  Recruitment Agreement  6060 N CENTRAL EXPY STE 690 DALLAS TX 75206James M Randle  Professional Service Agreement 203 E MAIN ST, NACOGDOCHES,TX 75965Jason Suits, MD  General Surgery On Call Agreement ‐ BHS ‐ June 13, 2023 1002 N. MOUND STREET, NACOGDOCHES,TX 75961Jericho HR Group, LLC  Services Agreement ‐ June 21, 2023 402 EAST 78 ST SUITE 11 NEW YORK NY 10075

Jonathan Polk, MD   General Surgery Call Agreement ‐ August 12, 2022 4800 NE STALLINGS DR STE 114, NACOGDOCHES,TX 7596Jones, Carl, D.O.  Nacogdoches Gastroenterology, PLLC ‐ July 1, 2021  522 RUSSELL BLVD, NACOGDOCHES,TX 75965Keith Fishbeck, DO  Professional Services Agreement ‐ November 1, 2023 3816 N UNIVERSITY DRIVE, NACOGDOCHES,TX 75965Kelly S. Parman  Independent Contractor Consulting Agreement ‐ November 17, 2022 5929 MARILYN DRIVE, KNOXVILLE,TN 37914 USKepro, Inc  Agreement for Pharmacy Services ‐ August 26, 2019  5700 LOMBARDO CENTER DRIVE SUITE 100 SEVEN GILLSKim Schaus, MD  Coverage Agreement ‐ July 14, 2021 1018 N Mound Street Suite 160, Nacogdoches,TX 75961Kim Schaus, MD  OBGYN Call Agreement ‐ October 1, 2021 1018 N Mound Street Suite 160, Nacogdoches,TX 75961Krucial Rapid Response  Recruitment ‐ December 2, 2022 10895 LOWELL AVENUE OVERLAND PARK KS 66210

Kyle McMorries, MD  On Call Agreement ‐ August 1, 2023 4710 NE STALLINGS, NACOGDOCHES,TX 75965Language Services Associates Contract for language line/services PO BOX 829752, PHILADELPHIA,PA 19182‐9752

Language Services Line Purchaser Specific Agreement ‐ Sign Language Addition ‐ November 1, 2021 PO BOX 829752, PHILADELPHIA,PA 19182‐9752Lase'R Ventures , Inc. Service Agreement  PO BOX 95333, GRAPEVINE,TX 76099‐9732

Legacy Hospice, LLC  Facility Inpatient Hospice Contract ‐ May 30, 2017 1901 RICKETY LANE SUITE 103 TYLER TX 75703

Life Gift  Agreement re organ donations ‐ January 3, 2023  2510 WESTRIDGE ST HOUSTON TX 77054Life Safety Services  Agreement for Smoke & Fire door labeling ‐ September 14, 2023 908 S 8TH STREET, SUITE 500, LOUISVILLE,KY 40203

Locum Tenens  Coverage Agreement with Staff Care, Inc 8840 CYPRESS WATERS BLVD SUITE 300 DALLAST TX 750

Mangla, Vivek  Call Agreement  710 GASLIGHT BLVD STE A LUFKIN TX 75904Margret Morgan  Consulting Services Agreement ‐ June 1, 2021 4738 LA VILLA MARINA UNIT C, MARINA DEL RAY,CA 902

Mark Robbins, MD  Timeshare Lease 1002 Mound Street 1040 S FLEISHEL AVE TYLER TX 75701

Mary Barnette, MD  Pediatric On Call ‐ August 1, 2023 3614 N UNIVERSITY DR, NACOGDOCHES,TX 75965

MCG Health, LLC Agreement for Quality Reporting PO BOX 742350, ATLANTA,GA 30374‐2350

MCN Healthcare  Policy Manager Agreement 501 S CHERRY ST #1100‐106, DENVER,CO 80246MD Save, Inc.  Facility Subscription Agreement ‐ September 28, 2023 PO BOX 197596, NASHVILLE,TN 37219‐7596

Med One  Equipment Lease Agreement ‐ Alpinion X Cube 90 ‐ September 30, 2022 LB 271128, PO BOX 35145, SEATTLE,WA 98124‐5145Med One  Equipment Lease Agreement TABLO ‐ September 28, 2022 LB 271128, PO BOX 35145, SEATTLE,WA 98124‐5145Med One Capital Funding, LLC  Lease Agreement LB 271128, PO BOX 35145, SEATTLE,WA 98124‐5145

Medela LLC  Symphony Pump Placed Equipment Agreement 38789 EAGLE WAY, CHICAGO,IL 60678‐1387Medicaid Agreement for Insurance Payor, Contract Nos. 437483702; 437483701 PO BOX 202948 AUSTIN TX 78720‐2948

Medicare Agreement for Insurance Payor, Contract Nos.  45‐0508; 45‐T508; 1X‐5224 2020 TECHNOLOGY PARKWAY STE 100 MECHANISCSBUR

Medtronic Carelink Express  Service Agreement PO BOX 848086, DALLAS,TX 75284‐8086MedVed, Inc. Agreement ‐ July 1, 2023 2136 W CHESTERFIELD BLVD STE D106 SPRINGFIELD MO

Medygate  BioMedical Management Program ‐ July 15, 2021 447 S ROBERTSON BLVD #204, BEVERLY HILL,CA 90211Molina Agreement for Insurance Payor 5605 N MACARTHUR BLVD SUITE 400 IRVING TX 75038Mom365  Services Agreement  3613 MURELLER ROAD ST CHARLES MO 63301

MSDS online  Velocity EHS Chemical Management Customer Order Form ‐ April 27, 2016 DBA VELOCITY EHS27185 NETWORK PLACE, CHICAGO,IL 

MultiPlan, Inc.  Insurance payor contract  222 W LAS COLINAS BLVD IRVING TX 75039

Munawwer Khurshid, MD  Professional Services Agreement ‐ October 24, 2023 1018 N MOUND ST STE 201 NACOGDOCHES TX 75961MYLA  Full Service Plan with Biomerieux PO BOX 500308, ST LOUIS,MO 63150‐0308

Nacogdoches Cardiac Center  Professional Services Agreement ‐ January 1 2024  1023 N MOUND ST STE K NACOGDOCHES TX 75961

Nacogdoches County EMS  Transportation Services Agreement ‐ October 21, 2022 1018 N MOUND ST STE 105 NAC TX 75961Nacogdoches County Hospital District Hospital Facility Lease Agreement  1204 NORTH MOUND STREET, NACOGDOCHES, TEXAS 7Nacogdoches County Hospital District Sublease Agreement (1810 N. Mound Street) 1204 NORTH MOUND STREET, NACOGDOCHES, TEXAS 7

Nacogdoches County Hospital District First Amended and Restated Sublease Agreement (1810 N. Mound Street) 1204 NORTH MOUND STREET, NACOGDOCHES, TEXAS 7

Nacogdoches County Hospital District Sublease Agreement (1002 N. Mound Street) 1204 NORTH MOUND STREET, NACOGDOCHES, TEXAS 7

Nacogdoches County Hospital District Sublease Agreement (1106/1108 South Street) 1204 NORTH MOUND STREET, NACOGDOCHES, TEXAS 7

Nacogdoches County Hospital District Assignment of Lease and Consent to Assignment (801 North Street) 1204 NORTH MOUND STREET, NACOGDOCHES, TEXAS 7

In re Lion Star Nacogdoches HospitalCase No. 23‐43535‐mxm Page 4 of  7
SCHEDULE G ATTACHMENT

Executory Contracts and Unexpired Leases

Counter‐Party Name Description of Contract or Lease Address 

Nacogdoches Diagnostic Center  Utility Agreement ‐ March 1, 2023 1023 N MOUND ST STE K, NACOGDOCHES,TX 75961

Nacogdoches Pulmonary & Sleep Associates  Professional Services Agreement ‐ August 1, 2023 1209 N MOUND ST NACOGDOCHES TX 75961

Nacogdoches Transcription Solutions  Agreement ‐ June 28, 2019 5284 W ST HWY 7, NACOGDOCHES,TX 75964Nathan Drever, MD  Maternal Fetal Medicine Activation Agreement ‐ December 6, 2022 707 HOLLYBROOK DR. SUITE 503, LONGVIEW,TX 75605 U

NATIONAL RESEARCH CORP  Membership Subscription Agreement HCAHPS & ED Solution 1245 Q STREET LINCOLN NE 68508National Tax Resource Group  Service Agreement ‐ October 5, 2021 14800 QUORUM DRIVE SUITE 510 DALLAS TX 75254NCHD  LPPF Agreement ‐ April 25, 2023 ‐   1018 N MOUND ST STE 105 NAC TX 75961NCHD  Administrative Services Agreement ‐ July 1, 2023  1018 N MOUND ST STE 105 NAC TX 75961NCHD  Vehicle Lease Agreement ‐ December 20, 2022 1018 N MOUND ST STE 105 NAC TX 75961Netsmart Technologies, Inc. ‐ UDSMR  Business Associates Agreement ‐ July 22, 2023 11100 NALL AVENUE, OVERLAND PARK,KS 66211

Netsmart Technologies, Inc. ‐ UDSMR  Facility Subscription Agreement ‐ July 22, 2023 11100 NALL AVENUE, OVERLAND PARK,KS 66211

Network Box  Agreement ‐ June 6, 2023 2825 WILCREST STE 259, HOUSTON,TX 77042 USNMPG Multi Plan ‐ March 15, 2023 Insurance payor contract 222 W LAS COLINAS BLVD IRVING TX 75039

North Texas Pathology Laboratories, LLC  Locums Pathology Agreement ‐ November 25, 2020  PO BOX 1709, ROWLETT,TX 75030Nova 401K  Agreement ‐ December 1 2022 10777 NORTHWEST FREEWAY STE 440 HOUSTON TX 770NovaRad Corporation  License Support Agreement PO BOX 859, PROVO,UT 84603nThrive Revenue Systems, LLC  Master Agreement ‐ July 25, 2018 PO BOX 733492, DALLAS,TX 75373‐3492

NuTech, Inc.  Preferred Pricing Agreement 1301 CLINIC DRIVE, TYLER,TX 75701Olin Fearing, MD  Pediatric On Call ‐ August 1, 2023 3618 N. UNIVERISTY, NACOGDOCHES,TX 75965

Omnicell  Pricing Supplement Agreement ‐ November 3, 2022 PO BOX 204650, DALLAS,TX 75320‐4650Omnilert  Services Agreement ‐ July 31, 2023 PO BOX 178570, SAN DIEGO,CA 92177 USOptum Advisory Services  Agreement for Quality Reporting ‐ March 1 2020 PO BOX 84019, CHICAGO,IL 60689Orkin  Commercial Services Agreement ‐ August 22, 2022 DBA ORKIN OF THE PINES12649 SH 30, COLLEGE STATION

Ortho Clinic Diagnostics  Service Agreement ‐ December 15, 2021 1001 US ROUTE 202, RARITAN,NJ 08869Ortho‐Clinical Diagnostics, Inc.  GPO Product Agreement ‐ July 1, 2011 1001 US ROUTE 202, RARITAN,NJ 08869

Outset Medical, Inc.  Master Sales and Service Agreement ‐ September 28, 2022 3052 ORCHARD DRIVE, SAN JOSE,CA 95134Outset Medical, Inc.  Order Agreement ‐ September 28, 2022 3052 ORCHARD DRIVE, SAN JOSE,CA 95134Outset Medical, Inc.  Order Agreement/Service Contract ‐ November 1, 2023 3052 ORCHARD DRIVE, SAN JOSE,CA 95134

Overturf  Orthopedic Call Coverage ‐ July 1, 2023 3816 N UNIVERSITY DRIVE, NACOGDOCHES,TX 75965

Partners Healthcare Group, PHG  Medical Equipment Planning ‐ June 2023 5301 VIRGINIA WAY SUITE 130 BRENTWOOD TN 37027Patton Brothers Commercial Lease (801 North Street)  412 BOSTWICK ST., NACOGDOCHES, TEXAS 75965

PAXTON BROTHERS  801 North Street Commercial Lease 412 BOSTWICK ST NACOGDOCHES TX 75965Peter Ramzy, MD  General Surgery Call Agreement ‐ September 1, 2023 1023 N MOUND ST STE H NACOGDOCHES TX 75961

Peter Ramzy, MD  Trauma Medical Directorship ‐ August 1, 2023 1023 N MOUND ST STE H NACOGDOCHES TX 75961

Philips  Service Agreement for COREMB (Volcano) 2425 NETWORK PLACE CGICAGO IL 60673‐1242

Philips Healthcare Allura Clarity FD20 Service Agreement 22100 BOTHELL EVERETT HIGHWAY PO BOX 3003 BOTHE

Physician Select Management  SaaS Hosting Services Agreement 318 N CARSON ST. SUITE 214, CARSON CITY,NV 89701PioneerRx, LLC  Agreement  PO BOX 53407, SHREVPORT,LA 71135

Premier Healthcare Solutions, Inc. Master Service Agreement 5882 COLLECTIONS CENTER, CHICAGO,IL 60693

Premier Software Associates  Contract for Revenue Cycle reporting ‐ June 13, 2013  997 WEST 950 NORTH SUITE 200, CENTERVILLE,UT 8401Premier Software Associates, Inc  License Agreement‐ April 4, 2022 997 WEST 950 NORTH SUITE 200, CENTERVILLE,UT 8401Premier Software Associates, Inc.  THCIC Agreement ‐ June 12, 2013 997 WEST 950 NORTH SUITE 200, CENTERVILLE,UT 8401Prosperity Bank  Account Access Authorization Agreement ‐ May 30, 2023 1205 N NAVARRO STREET, VICTORIA,TX 77901Prosperity Bank  Electronic Transfer Agreement ‐ January 4, 2023 1205 N NAVARRO STREET, VICTORIA,TX 77901Prosperity Bank  Deposit Account Control Agreement 1205 N NAVARRO STREET, VICTORIA,TX 77901

Prosperity Bank  Deposit Account Control Agreement (Springing) 1205 N NAVARRO STREET, VICTORIA,TX 77901

Prosperity Bank 

Deposit Account Instructions and Service Agreement (Govt. Healthcare 

Receivables) 1205 N NAVARRO STREET, VICTORIA,TX 77901

Pulsara  Purchase Terms ‐ August 12, 2022 2880 TECHNOLOGY BLVD WEST SUITE 183, BOZEMAN,MQuest  Amendment of Agreement ‐ September 2, 2022 PO BOX 740709. ATLANTA,GA 30374

In re Lion Star Nacogdoches HospitalCase No. 23‐43535‐mxm Page 5 of  7
SCHEDULE G ATTACHMENT

Executory Contracts and Unexpired Leases

Counter‐Party Name Description of Contract or Lease Address 

Quest Diagnostics  MRO Account Revision ‐ December 5, 2022 PO BOX 740709. ATLANTA,GA 30374

Quest Healthcare Solutions Lab Service Agreement  PO BOX 740709, ATLANTA,GA 30374Rachel Head, MD  Urology Call Agreement ‐ September 1, 2022 617 RUSSELL BLVD, NACOGDOCHES,TX 75965Radiology Consultants of Nacogdoches, LLP  Radiology Medical Directorship ‐ March 1, 2021 PO BOX 632728, NACOGDOCHES,TX 75963

Reagant  Pruchase Agreement ‐ Plus  3130 GATEWAY DRIVE NORCROSS GA 330091‐5625Relode, LLC  Recruitment Agreement  7000 EXECUTIVE CENTER DRIVE BUILDING 2 STE 190 BRE

Richard Baker, MD  Medical Director of Cardiac Rehab ‐ December 5, 2019 1301 RAGUET ST, NACOGDOCHES,TX 75961

Roche Diagnostics Corporation  Encompass Agreement  PO BOX 660367, MAIL CODE 5021, DALLAS,TX 75266Ryan Head, MD  Pediatric On Call ‐ July 1, 2020 625 RUSSELL BLVD, NACOGDOCHES,TX 75965Sandman Studios Entertainment  Social Media Agreement  3972 QUAIL RIDGE DRIVE, PROVO,UT 84604

Sentact  Agreement for Reporting ‐ March 2, 2023  2500 W HIGGINS ROAD, SUITE 150, HOFFMAN ESTATES,Sentinel Technologies Agreement for IT security services ‐ March 31, 2023 2550 WARRENVILLE ROAD, DOWNERS GROVE,IL 60515

Shirley, Brett, M.D.  Maxillo Facial Surgery Call Agreement ‐ September 1, 2020 4800 NE STALLINGS DR STE 113, NACOGDOCHES,TX 7596Siemens   Professional Service Quotation ‐ January 30, 2023 PO BOX 121102 DEPT 0733, DALLAS,TX 75312‐1102

Siemens  Dimension ExL Lease Agreement  PO BOX 121102, DEPT 0733, DALLAS,TX 75312‐1102

Smart Facility Software  Service Agreement ‐ February 21, 2023 2517 LEBANON PIKE SUITE 302 NASHVILLE TN 37214

SOUTH GATE SHOPPING CENTER  Signed Estopped Re Lease @ 1006 South Street 136 S BROADWAY WHITE PLAINS NY 10605Southern Neuro Specialty, LLC  Service Agreement  PO BOX 459, PRAIRIEVILLE,LA 70769Southwest Litho 11, LLC  Service Agreement  9010 STRADA STELL CT SUITE 103, NAPLES,FL 34109Southwest Medical  First Amendment to First Addendum to Hospitalist Coverage and Services  Agreement ‐ October 1, 2023 PO BOX 2168, ROCKPORT,TX 78381

Southwest Medical  Termination Agreement ‐ March 15, 2023 PO BOX 2168, ROCKPORT,TX 78381Southwest Medical Associates  Confidentiality and Non‐Disclosure Agreement  PO BOX 2168, ROCKPORT,TX 78381Southwest Medical Associates, Inc  Hospitalist Coverage and Services Agreement PO BOX 2168, ROCKPORT,TX 78381

Staff Care, Inc.   Agreement for Locum Tenens Coverage ‐ November 16, 2021 8840 CYPRESS WATERS BLVD SUITE 300 DALLAST TX 750

Stallings Court Nursing and Rehabilitation  Transfer Agreement ‐ September 29, 2021 4616 NE STALLINGS DR NACOGDOCHES TX 75965

Stericycle Agreement for Sharp pickup PO BOX 6575, CAROL STREAM,IL 60197‐6575

Stryker Sales, LLC  Service Agreement ‐ November 1, 2023 C/O STRYKER SALES CORPORATION21343 NETWORK PLA

Sullins & Johnston Attorneys at Law, P.C. Contract for Legal services ‐ June 1, 2018  2200 PHOENIX TOWER 3200 SOUTHWEST FREEWAY HOU

Superior Agreement for Insurance Payor 5900 E BEN WHITE BLVD AUSTIN TX 78741Symmertry Base Gas Sales Agreement ‐ April 1, 2023 9811 KATY FREEWAY SUITE 140, HOUSTON,TX 77024Symmetry  Natural Gas Sales ‐ September 1, 2023 9811 KATY FREEWAY SUITE 140, HOUSTON,TX 77024Symmetry  Natural Gas Sales Agreement ‐ March 29, 2023 9811 KATY FREEWAY SUITE 140, HOUSTON,TX 77024Teladoc Health, Inc.  Master Services and Technology Agreement ‐ May 1, 2023 DEPT 3417, PO BOX 123417, DALLAS,TX 75312 USTexas Children Health Plan Agreement for Interance Payor PO BOX 300709 HOUSTON TX 77230

Texas Childrens  Mutual Three‐Party Confidentiality Agreement ‐ October 26, 2022 6330 WEST LOOP SOUTH, SUITE 800 BELLAIRE TX 77401Texas Children's Health Plan, Inc.  Amendment to Professional Services Agreement ‐ September 20, 2022 6330 WEST LOOP SOUTH, SUITE 800 BELLAIRE TX 77401

Texas Home Health Hospice  General Inpatient Care Hospital Agreement ‐ June 1, 2020 17855 N DALLAS PARKWAY SUITE 200 DALLAS TX 75287

Texas Hospital Association Agreement for PSO Agreement ‐ August 11, 2021 PO BOX 95353, GRAPEVINE,TX 76099‐9733Texas Workforce Commission Agreement for employee benefits ‐ November 11, 2022             Contract No. 3020VRS026 TAX DEPARTMENT101 E 115TH STREET, AUSTIN,TX 78778

Texas Workforce Commission  Amendment No. 2 ‐ January 1, 2023 TAX DEPARTMENT101 E 115TH STREET, AUSTIN,TX 78778TH Healthcare, LTD  Ancillary and Patient Services Agreement ‐ February 28, 2022 FILE # 849788, DALLAS,TX 75284‐9788TH Healthcare, LTD  Borrowed Equipment and Supplies FILE # 849788, DALLAS,TX 75284‐9788TH Healthcare, LTD  Transfer Agreement ‐ February 17, 2022 FILE # 849788, DALLAS,TX 75284‐9788TH Healthcare, LTD.  Transfer Agreement ‐ February 11,2020 FILE # 849788, DALLAS,TX 75284‐9788TH Healthcare, LTD.  Ancillary and Patient Service Agreement FILE # 849788, DALLAS,TX 75284‐9788

The Fredonia Hotel ‐  Agreement for Corporate Hotel Rate ‐ January 1, 2023  200 N FREDONIA ST, NACOGDOCHES,TX 75961United Healthcare  Payor Agreement  PO BOX 5270 KINGSTON NY 12402‐5270

USA MCO  Payor Agreement  4609 BEE CAVES ROAD SUITE 200 AUSTIN TX 78746

In re Lion Star Nacogdoches HospitalCase No. 23‐43535‐mxm Page 6 of  7
SCHEDULE G ATTACHMENT

Executory Contracts and Unexpired Leases

Counter‐Party Name Description of Contract or Lease Address 

WellMed  Payor Agreement  PO BOX 846032, DALLAS,TX 75284‐6032YPS Anesthesia  Memorandum of Understanding ‐ April 26, 2023 200 GREENLEAVES BLVD SUITE 5, MANDEVILLE,LA 70448

In re Lion Star Nacogdoches HospitalCase No. 23‐43535‐mxm Page 7 of  7
Official Form 206H

Schedule H: Codebtors 12/15 

1. Does the debtor have any codebtors?





No. Check this box and submit this form to the court with the debtor's other schedules. Nothing else needs to be reported on this form.

Yes

 Check if this is an

amended filing

Fill in this information to identify the case:

Debtor name

United States Bankruptcy Court for the:

Case number

(if known)

Lion Star Nacogdoches Hospital, LLC

NORTHERN DISTRICT OF TEXAS

23-43535-mxm11

Be as complete and accurate as possible. If more space is needed, copy the Additional Page, numbering the entries 

consecutively. Attach the Additional Page to this page.

2. In Column 1, list as codebtors all of the people or entities who are also liable for any debts listed by the debtor in the

schedules of creditors, Schedules D-G.

Column 1: Codebtor Column 2: Creditor

Include all guarantors and co-obligors. In Column 2, identify the creditor to whom the debt is

owed and each schedule on which the creditor is listed. If the codebtor is liable on a debt to more than one creditor, list each creditor

separately in Column 2.

Name Mailing address Name

Check all schedules 

that apply:

Official Form 206H Schedule H: Codebtors page 1 
 Check if this is an

amended filing

Official Form 206Sum

Summary of Assets and Liabilities for Non-Individuals 12/15 

Part 1: Summary of Assets

1.

Fill in this information to identify the case:

United States Bankruptcy Court for the:

Case number (if known):

Debtor Name

Schedule A/B: Assets--Real and Personal Property (Official Form 206A/B)

1a.

1b.

1c.

Real property:

Total personal property:

Total of all property

Copy line 88 from Schedule A/B.............................................................................................................................

Copy line 91A from Schedule A/B...........................................................................................................................

Copy line 92 from Schedule A/B.............................................................................................................................

$0.00 

$21,417,553.33 

$21,417,553.33 

Lion Star Nacogdoches Hospital, LLC

NORTHERN DISTRICT OF TEXAS

23-43535-mxm11

Part 2: Summary of Liabilities

2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D)

Copy the total dollar amount listed in Column A, Amount of claim, from line 3 of Schedule D.......................................

3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F)

3a.

3b.

Total claim amounts of priority unsecured claims:

Total amount of claims of nonpriority amount of unsecured claims:

Copy the total claims from Part 1 from line 5a of Schedule E/F..............................................................................

Copy the total of the amount of claims from Part 2 from line 5b of Schedule E/F.................................................. + 

4. Total liabilities

Lines 2 + 3a + 3b.............................................................................................................................................................

$5,383,067.09 

$0.00 

$12,823,320.86 

$18,206,387.95 

Official Form 206Sum Summary of Assets and Liabilities for Non-Individuals page 1 
Official Form 202

Declaration Under Penalty of Perjury for Non-Individual Debtors 12/15 

Fill in this information to identify the case and this filing:

Debtor Name

United States Bankruptcy Court for the:

Case number

(if known)

Lion Star Nacogdoches Hospital, LLC

NORTHERN DISTRICT OF TEXAS

23-43535-mxm11

An individual who is authorized to act on behalf of a non-individual debtor, such as a corporation or partnership, must sign and 

submit this form for the schedules of assets and liabilities, any other document that requires a declaration that is not included 

in the document, and any amendments of those documents. This form must state the individual's position or relationship to 

the debtor, the identity of the document, and the date. Bankruptcy Rules 1008 and 9011.

WARNING -- Bankruptcy fraud is a serious crime. Making a false statement, concealing property, or obtaining money or 

property by fraud in connection with a bankruptcy case can result in fines up to $500,000 or imprisonment for up to 20 years, or 

both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.

Declaration and signature

X

Signature of individual signing on behalf of debtor

Executed on

MM / DD / YYYY



I declare under penalty of perjury that the foregoing is true and correct.



Schedule A/B: Assets--Real and Personal Property (Official Form 206A/B)

Schedule D: Creditors Who Have Claims Secured by Property (Official Form 206D)





Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 206E/F)

Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G)





Schedule H: Codebtors (Official Form 206H)

A Summary of Assets and Liabilities for Non-Individuals (Official Form 206-Summary)





Amended Schedule

Other document that requires a declaration

Printed name

Position or relationship to debtor

 Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders

(Official Form 204)

Sean Fowler

Chief Executive Officer

I am the president, another officer, or an authorized agent of the corporation; a member or an authorized agent of the partnership; 

or another individual serving as a representative of the debtor in this case.

I have examined the information in the documents checked below and I have a reasonable belief that the information is true and

correct:

Official Form 202 Declaration Under Penalty of Perjury for Non-Individual Debtors

01/07/2024