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      "text": "Service issues causing customer losses\nSignificant revenue and Adjusted EBITDA decline in legacy business\nChallenges with cash flow and cash balance\nUnsustainable debt levels\nDowngraded to as low as CCC+ rating\nNet leverage as high as ~7x",
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      "text": "Delivering on 2023 commitments\nRetaining and winning new business\nReturned to normal business trajectory\nImproving Adjusted EBITDA\nHigher margin Patient Direct business now accounts for 80% of Adjusted EBITDA\nGenerated $600M of operating cash flow YTD\nReduced net debt by $500M YTD\nNet leverage ratio below 4x",
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