Community's downsizing and more aggressive operating strategy are beginning to generate better patient volume trends and an uptick in margins. We expect further hospital divestitures and progress on its turnaround plan to continue to reap benefits. We believe proceeds from assets sales, some repayment of debt, and operating improvements will contribute to declining leverage and the elimination of cash-flow deficits by 2020. The company remains susceptible to potential rate cuts, adverse payor mix shifts, and slow migration to value-based reimbursement, in line with industry trends. The negative outlook reflects our belief that Community might not be able to improve its operations such that cash flow is at break-even, the company can maintain modest cushions on its financial covenants, and its
