Pluto Acquisition I Inc.'s (d/b/a AccentCare) operating results have been negatively affected by Medicare reimbursement rate cuts, headwinds to its patient volumes, and much higher interest expense. While we believe some of these challenges are subsiding, the pace of the improvement in the company's results has lagged our prior expectations. Based on our anticipation that labor costs will remain higher than we previous expected across several health service subsectors, we believe the upside potential for AccentCare's operating performance is less significant than we previously thought. Therefore, we placed all of our ratings on the company on CreditWatch with negative implications. The CreditWatch placement reflects the heightened risk that AccentCare will be unable to improve its operations quickly enough to generate
