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  "documentTitle": "McKinsey Forecasting HCA Healthcare EBITDA Growth",
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  "notes": "The chart uses a solid line for actual data and a dashed line for projections. A callout box explains the 05-06 decline.",
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      "kind": "callout",
      "text": "05-06 decline due to 11% decrease in general pharmacy spend (40% of total). Decline caused by slow growth in medical submissions and one-time success in formulary standardization programs.",
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      "text": "Key drivers of projected growth: Overall pharmacy growth results from individual growth assessment of 13 pharmaceutical categories; Expense growth pressure; Expense relief from stable low growth; Additional expense control factors.",
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      "kind": "other",
      "text": "* IMS data suggests pharmaceutical industry total US. hospital channel drug sales grew at 4.2% in 2005. Source: Henry company data, team analysis",
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      "kind": "title",
      "text": "PHARMACEUTICAL PROJECTION REFLECTS FUNDAMENTAL GROWTH OF CATEGORY",
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      "text": "Pharmaceutical expense growth rate per adjusted admission, percent",
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