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  "notes": "Uses a vertical list structure with positive/negative indicators to explain variance in financial performance.",
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      "text": "Projected 2005 annual EBITDA growth 7.3% vs. 7.9% actual, however, management projects ~flat growth for 2006",
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      "text": "Volume: Competitive intensity higher; HCA's investments in new outpatient facilities have slowed relative to industry",
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