Why Outcome Health needed a half-billion dollars

It turns out the company needed the money — badly.

As Shah was negotiating a deal with Goldman Sachs, Google and other investors, he was worried the company would be toppled by debt it had taken on for an acquisition, according to a voice memo played Thursday in the fraud trial of Shah, co-founder Shradha Agarwal and former chief operating officer Brad Purdy.

Shah was quizzing head of sales Ashik Desai about his forecast that showed…