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ChinaLSHCIndustrySurvey
2024StateofIndustryinChina
ChinaLifeSciences&HealthCareTeam
March2024
Content
.Framework
.Results–Questions&Deep-dive
?ChinaLSHCBusinessOutlook&Considerations
?RegulatoryandDigitalRevolution
?NewBusinessOpportunities&Challenges
.Concludinginsights
.Appendix
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults2
2%
8%1%
20%
Industry
Sector
69%
19%
35%
Pharma
Chairman/CEO
SOE
MedicalDevices
ManagementLevel
C-suiteLevel
POE
HealthcareServices
OtherManagementLevel
JV
Distributor/Retailer
WOFE
Others
Veryconsistentfrom2023
Veryconsistentfrom2023
46%
15%
25%
38%
LessthanRMB100million
Lessthan5,000
No.ofEmployees
2023
RMB100millionto1billion
19%
5,000to10,000
RMB1billionto5billion
MorethanRMB5billion
66%
18%
Alignedwithsize,largercompanies
withrevenues>1Bare71companies,
in2023thatsegmenttotaled75
19%
ChinaLSHCIndustry2024OutlookSurvey-Framework
?Surveyperiod:15January2024to9February2024
?EngagedChina-basedLifeSciences&HealthCare(LSHC)sectoroperatorsandinvestors:124respondents
5%
39%
CompanyType
18%
39%
Slightlymoredomestic
companies,asPOE&
SOEthisyearare44%,
in2023just35%
Morethan10,000
RevenueSize
Similarsizerespondents
with42having>5k
employees,in2023there
were50respondents
Note:SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;WOFE–WollyForeign-ownedEnterprises
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults3
ChinaLSHCBusiness
Outlook&Considerations
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults4
OverallBusinessOutlook&Considerations
#1.Howdidyourcompanyperform(topline)in2023FY?
Annualfinancialperformanceisbetterthanplanned
Annualfinancialperformanceisinlinewithplans
Annualfinancialperformanceisworsethanplans
All
31%
13%
32%
29%
41%
47%
40%
46%
18%
Largecos
41%
11%
28%
28%
37%
38%
31%
52%
31%
SOE&POE
28%
22%
33%
31%
44%
53%
41%
34%
7%
WOFE
50%
8%
28%
16%
32%
56%
34%
61%
17%
LifeScience
32%
14%
28%
27%
42%
50%
41%
45%
19%
2023Survey
2022Survey
2024Survey
KeyInsights
?Overall:while60%saw2023resultsasplannedorbetter,asignificantimprovementsfrompreviousyear(~50%)yet40%hadaworsethanplannedperformancein2023–showingthatexpectationswerehighbutfailedtomaterialize.
?LargeandForeigncompanies(WOFE)aregainingbetterbusinessoutcomein2023FY–probablyresultingfromamorecautiousapproachtopastyear.Especiallyforforeignbusinesses,as50%reportedabetterperformancethanplanned
?Localcompanies(SOE/POE)seemedtohavehadhigherexpectationsfor2023–andwhichdidnotmaterialize.
?Surprisingly,lifesciencecompanies(86/124)arereportingfor73%eitherbeloworaboveexpectations2023results–showingthat2023wasfullofsurprises.
Note:Largecos–companywith2023revenueexceedRMB1billion;SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;WOFE–WollyForeign-ownedEnterprises;thereareafewresponsesareunknownforthe2022surveythereforethetotalsumof2022percentagemaynotbe100%
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults5
EffectsfromtheVBPpoliciesorNRDLinclusion
AchievingnewproductlaunchesinChina
Increasedbusinessdevelopmentefforts(e.g.globalor
localdrivendeals)
Partneringwithlocal/domesticorganizationstoreachafastermarketpenetration
ChangesinHospitalaccessduringtheyearLocalizingyoursupplychaininChina
Increaseddirectpatientengagement
2023Survey
2024Survey
OverallBusinessOutlook&Considerations
#2.Your2023businessperformancewasmainlyimpactedby…
All
81%
63%
57%
40%
50%
40%
27%
38%
56%
23%
21%
11%
10%
Largecos
①
②
④
⑤
③
⑥
⑦
SOE&POE
①
③
②
⑤
④
⑥
⑦
WOFE
①
②
⑤
③
④
⑥
⑦
C-level
①
②
③
④
⑤
⑥
⑦
LifeScience
①
②
③
⑤
④
⑥
⑦
KeyInsights
?Pricingandtheoveralleconomicvaluecycleremainthetopimpactfactorsforallstakeholderssinceourlastyear’sstudy
?Successfulproductlaunchhasrisenofimportance,asthisisthenewbattlefieldtostayrelevantandalsogrowtopline
?Enhancedlocalizedbusinessdevelopmenteffortsandallocatedresources,togetherwithfindingabettermarketaccessthroughpartneringmodelsarecitedbynearlyhalfoftherespondents.Especiallyforeigncompaniesarekeentoexploresuchmodels.
?Interestingly,thelocalizationprogramsforexistingsupplychainsremainthesamefromprioryear.Carbonemissionaswellasglobalproductioncapacitiesandlocalmarketvolumesareyettoeventuallygeneratechanges.
Note:Largecos–companywith2023revenueexceedRMB1billion;SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;WOFE–WollyForeign-ownedEnterprises
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults6
HighImportance
2023Survey
2024Survey
OverallBusinessOutlook&Considerations
#3.Withinyourorganizational&businessmodelwhicharethekeychangesimplementedin2023?
Marketingandsalesteamshavebeenadjustedasaresultofpoliciesandregulatoryimpact
MarketingandsalesteamshavebeenadjustedtoreflectnewchannelsGovernmentaffairsandrelationshavebecomemoreimportantthanbefore
R&DactivitiesinChinahavehadnewresourcesbeenallocated
SupplychainarrangementhavebeenreviewedandtriggerchangesgoingforwardEnhanced(created)andempowereda'digital'expertteambasedinChinaEnlargedthescopeofyoursharedservicecenterfunctionsinsideinChina
ArrangedsharedservicessupportfromoutsideChinalocations
All
79%
56%
72%
83%
64%
83%
59%
53%
50%
49%
35%
42%
27%
26%
15%
9%
KeyInsights
?Alignedwithsurveyresultsinpreviousyears:commercialteamorganizationandgovernmentaffairsremainthetopthreefactorstoallrespondents,butwealsonotethat
Newchannelteamre-settinghasnowbeencompletedthusdeclineinpriorities,andalsogovernmentaffairsarefullyembeddedandnolongerrequire‘special’emphasis(moreattention)
?R&Drelatedactivitiesandallocatedresourcesarerisingintheprioritylist,whiletheexpertteams(digital)havebeencoveredthusdeclineintermsofpriorities.
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults7
LargecosSOE&POEWOFEC-level
OverallBusinessOutlook&Considerations
#3.Deep-divebystakeholdertypes
Marketingandsalesteamshavebeenadjusted
asaresultofpoliciesandregulatoryimpact
Marketingandsalesteamshavebeenadjusted
toreflectnewchannels
62%
54%
49%
39%
23%
6%
87%
80%
63%
70%
50%
31%
30%
20%
70%
65%
66%
47%
44%
44%
25%
9%
91%
75%
69%
57%
46%
33%
25%
16%
81%
73%
Governmentaffairsandrelationshavebecome
moreimportantthanbefore
R&DactivitiesinChinahavehadnewresources
beenallocated
Supplychainarrangementhavebeenreviewed
andtriggerchangesgoingforward
Enhanced(created)andempowereda'digital'
expertteambasedinChina
Enlargedthescopeofyoursharedservice
centerfunctionsinsideinChina
Arrangedsharedservicessupportfromoutside
Chinalocations
KeyInsights
?Policyandregulatorychangescontinuetoimpactsignificantlythecommercialteammodelstoallcategoriesofstakeholdersin2023,topictopinmindtoallc-levelandinparticularlywithinlargecompaniesandforeignplayers.SOE&POEaremuchlessconcerned&impactedbyeitherregulatoryandpolicychangesorexpandingintonewchannels(POE=manypre-commercialcompanies)
?Localplayers(SOE&POE)arefocusingonincreasingresourcesinR&Dactivities;andalsoexploringmoresharedservicearrangementtoenhanceefficienciesandreducecosts.
?C-levelrespondents,continuetohighlighttheimportanceandfocusongovernmentaffairsandtheircriticalroletosuccessinthelocalmarketplaceNote:Largecos–companywith2023revenueexceedRMB1billion;SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;WOFE–WollyForeign-ownedEnterprises
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults8
17%
10%
11%
8%
48%
39%
33%
35%
39%
44%
38%
40%
17%
8%
6%
8%
48%
47%
33%
32%
13%
13%
6%
8%
38%
46%
33%
38%
18%
10%
11%
7%
Toplinerevenueplan2024considersagrowthof>10%
Toplinerevenueplan2024
considersagrowthbetween5-10%
Toplinerevenueplan2024considersasingle-digitgrowth<5%
Toprevenueplan2024isexpectedtodecline
OverallBusinessOutlook&Considerations
#4.HowdoyouforeseeyourChinabusinessoutlook2024?
AllLargecosSOE&POEWOFELifeScience
48%
66%
33%
22%
13%
5%
6%
7%
2024Survey
KeyInsights
2023Survey
?Whileca.90%ofallrespondentsareexpectingapositivegrowthin2024,yetthisisslightlybelowlastyear’soptimisticoutlook:theuncertaintiesintheglobalandChinaeconomyenvironmentaretheunderlyingcauses
?Notabletoseethatthoseexpectingarevenuedeclinein2024areupto11%from8%-nearly50%increase
?Largecompaniesoverallaretakingamuchmoreprudentoutlookfor2024–as17%alookingforsingledigitgrowthbelow5%
?Nearly50%ofForeignplayers(WOFE)respondentscontinuetoexpectadouble-digitgrowth>10%for2024(overallforeigncompaniesrespondentsarejustslightlymoreambitiousfor2024–as81%seengrowthhigherthan5%(79%in2023survey)
Note:Largecos–companywith2023revenueexceedRMB1billion;SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;WOFE–WollyForeign-ownedEnterprises
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults9
OverallBusinessOutlook&Considerations
#5.HowisyourcurrentoverallbusinessoutlookforChinaforthenext3-5years?
Ouroutlookisbetterthanbefore,soourChinafocushasbeenfurtherelevatedwithinourGroup
TheChinaoutlookhasbecomelessclearandreadablethuswearebecomingmorecautiousallocatinginvestmenttoChina
Ouroutlookremainsthesameaspreviously,alsoChinahasto
competeinternallytoobtainitsrequiredinvestmentbudgetsfor
growth
DoingbusinessinChinaisperceivedareriskierwithlessreward
thanbefore,thuswearegettinglessresourcestodevelopour
Chinabusiness
WithinourGroup,othermarketshavebecomemoreappealingthusforourChinabusinesswearegettinglessresources
AllLargecos
45%①
33%②32%③
⑤
④
11%
9%
SOE&POE
①
③
②
⑤
④
WOFE
③
①
①
④
⑤
C-level
①
③
②
④
⑤
LifeScience
①
③
②
④
⑤
KeyInsights
?Comparingtolastyearssurveyresults:Wenoteanoverallstabilityandconsistencyinthelevelofperceptions.
AminorincreaseonChina’smarketimportancewithanincreaseto45%inthisyear(lastyear42%)
C-levelrespondentsremainconfidentintheChinamarketwith42%thinkChinaoutlookremainbrightin2024
Meanwhile,20%declareshiftinginvestment(11%)orhavinglessappeal(9%)toothermarketsslightlyincreasedfrom19%inlastyear.
?ForeigncompaniesarebecomingmorecautiousonthefutureopportunitiesinChinayearsbyyears,with47%statingthatChinamarkethasbecomeboth‘lessreadable’and‘lessglobal-priority’andonly25%considerChinaoutlookisbetterthanbefore
Note:Largecos–companywith2023revenueexceedRMB1billion;SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;WOFE–WollyForeign-ownedEnterprises
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults10
52%57%②
①
②
②
CreateChinaspecificgovernancemodelthatdiffersfromothermarkets
Adjustingyourproductportfolioreflectingpriceconstraints&risks
generatedbyVBPandNRDLorthegeneralcompetitiveenvironmentinChina
50%
53%
①
②
①
①
⑤
ConsiderbuildChinalocalizedsystemordatahousereflectingthecompliancerisk
SearchforChinesebasedassetsforyourproductportfoliolocalizationambitions
Leveragespecificmeasuresandfavorablepoliciesinthespecialzones(e.g.,
GBA,HainanBoao,etc.)
Considerraisinglocalfinancialresourcesfromthirdparties(debt),orevengoingpublicwouldcapitalmarketrulesfacilitatethis
ContinuouslyinvestintoChinaESG/Carbonemissionreductionstrategy
④③⑤⑦
⑥
③⑤③⑥
⑦
③③⑤⑦
⑥
④③⑦
⑥
OverallBusinessOutlook&Considerations
#6.InyourlatestChinamarketstrategy,haveyouorareyouconsideringthefollowingactions?
All
LargecosSOE&POEWOFELifeScience
38%
37%
45%
35%
30%
17%
10%
16%
13%
New!
KeyInsights
2023Survey
2024Survey
?‘China-specificsolutions’continuedtoholdthefirstplaceintheChinamarketstrategyinthisyear,resultedfromthegradualcompletionoftheformingof‘China-feature’healthcaresystem
?Foreignandlocalplayersvaluethe‘VBP&NRDLimpact’alot(1stand2ndplacerespectively),theimportanceleveldiffersalotfromeachothers(72%vs.33%)–indicatethattheforeignplayersaresufferingmuchhigherpricingpressurethanlocalsforChinamarketaccess
?While38%ofallrespondentsbelievethatitisimportanttolocalizesystems&data,forforeignplayersthisisonlythe5thfrom7priorities
?Wenotealsoasubstantialincreaseinthepotentialtoraiselocallyfunds–nowtopinmindfor17%upfrom10%lastyear
?Finally,investingintoESG/carbonemissionsolutionsremainsatthebottomforallrespondents
Note:Largecos–companywith2023revenueexceedRMB1billion;SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;WOFE–WollyForeign-ownedEnterprises
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults11
RegulatoryandDigitalRevolution
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults12
Yes
No
NewImplementationsinRegulatoryAffairsandDigitalTechnology
#7.WiththestrengthenintherestrictionindataprivacyandexportinChina,hasyourorganizationbeenimpacted?
All
49%
58%
42%
51%
2024
2023
Largecos
45%
55%
49%
51%
2024
2023
SOE&POE
63%
71%
37%
29%
2024
2023
WOFE
25%
55%
75%
45%
2023
2024
C-level
46%
61%
54%
39%
2024
2023
KeyInsights
?Thedataprivacy&exportrestrictionimpactincreasedsubstantiallythisyear,from42%to51%,asnumerousdatatransferrelatedpoliciesandregulationswerepublishedandbecame(technically)effective
?Foreignplayersseetheimpactmoresignificantly,as75%thisyear,indicatetocontinueadjustingtheirChina-specificstrategytobetterfitinthefast-changingregulatorylandscape
?Fordomesticcompaniesshowingahigherappetiteof‘going-out’,thedataexportrestrictionsaregraduallyshowingimpactaswell
?Topmanagementrespondents(C-level)havenowfocusedtheirattentiontothistopicmuchmorethatinpastyear
Note:Largecos–companywith2023revenueexceedRMB1billion;SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;WOFE–WollyForeign-ownedEnterprises
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults13
42%
41%
36%
All
26%
19%
WOFE
18%
11%
15%
14%
13%
11%
11%
8%
7%
LargecosSOE&POEC-level
ImpactedasresultinginincreasedoperatingcostsinChina
AllLargecosSOE&POEWOFEC-level
ImpactedasresultinginlessR&DortrialactivitiesbeingcarriedoutinChina
AllLargecosSOE&POEC-level
ImpactedasresultingindevelopingspecificChina-onlysolutions
NewImplementationsinRegulatoryAffairsandDigitalTechnology
#7.Deep-dive–amongthosewhosaid‘Yes’,theimpactwasfoundin…
63%
WOFE
KeyInsights
?Overall:Theimpactonoperationalcostshasdeclinedto36%respondents(downfrom>60%lastyear).Largestchangeresideswithdomesticcompanies(declinedalot)whileforeignplayers’impactcontinuestoberatherhighwithtwo-thirdsofallforeigncompanies
TheincreasedoperationcostforWOFEmayalsoduetothehighercostforChina-onlysolutionscomparedtoglobalsolutions
?TheR&Dandclinicaltrialactivitiesarelessimpactedbythenationwideregulatoryinitiatives–simplyduetotheinitiativesmorefocusonthepost-marketingeventsandpromotions
?Interestingly,theimpactonthedevelopmentof‘China-only’solutionhasbeenreducedinoverall–particularlytolocalplayers(from83%to7%).ThismightbeduetomostLSHCcompanieshavebecomemorewell-preparedforthedataissueinChinainrecentyears
Note:Largecos–companywith2023revenueexceedRMB1billion;SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;WOFE–WollyForeign-ownedEnterprises
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults14
↓
↓
↓
↓
↓
↓
↓
↓
?↓
NewImplementationsinRegulatoryAffairsandDigitalTechnology
#8.ConsideringChina'spacetotechnologychangesanddigitalpatientengagement,hasyourorganization…
AllocatedmoreresourcestomanageyourIT&datacomplianceframework
Changedyourtalentmodelfordigitalcompetencies(more
datatechnology)
Allocatedmoreresourcesfor2024tobuildmorecapabilitiesarounddata&ITsecurityforyourChinabusiness
DeployedlocalIT&datasolutionsthataredifferentfromtheglobaltools
BuiltaChina-baseddatahouseorinitiatedan‘in-China’datahostingstructureplan
All
48%
40%
38%↓
32%↓
24%New!
LargecosSOE&POEWOFEC-level
?
①?
②
②?
④↓
⑤
①
②
③↓④?
⑤
④↓
②
③?
①
⑤
①?
②
②?
②
⑤
KeyInsightsRankstatus:Increase↓DecreaseNochange
?IT&datarelatedinvestmentscontinuetoattractalargerportionofthecompliancerelatedinvestments,with48%ofallrespondents–butisreducingforforeigncompanies(only4thpriorityoutof5)indicatingthattheybelievehavingarobustsystem&processinplacealready
?Competitionindigitaltalentshasescalatedin2024,elevatedbyallplayerstotheir2ndhighestpriority–thetalentwariscoretoin-marketcompetitivenessforallcompanies
?ForeignplayerscontinuetoreviewandoptforlocalIT&datasolutionsthateventuallyaredifferentfromglobaltools
?AChina-baseddatahouseiscitedbyonly24%ofallrespondents,andconsistentlyranking5thpriorityandlast
Note:Largecos–companywith2023revenueexceedRMB1billion;SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;WOFE–WollyForeign-ownedEnterprises
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults15
NewImplementationsinRegulatoryAffairsandDigitalTechnology
#9.UndertheChinanationwideregulatoryinitiatives,haveyouandyourorganization…
All
Largecos
SOE&POE
WOFE
C-level
#9.1.Haveyouobservedmore
difficultpatientaccessfromAugust2023andonwards?
67%33%
68%32%
61%39%
66%34%
65%35%
KeyInsights
?Overtwo-thirdofrespondentsfeltharderpatientaccessunderthe
nationwideregulatoryinitiatives
?Interestingly,localplayer
respondentsfeltslightlyless
pressuresforthedifficultyin
patientaccesscomparedtoothers
#9.2.Hasyourrevenuesbeen
impactedinQ3andQ42023by10%ormore?
37%63%
28%72%
31%69%
38%63%
38%62%
KeyInsights
?Therevenueimpactwaslessthanexpectedwithonly37%felt
impacted
?Therevenueimpactwaslessinlargecosandlocalplayers
respondents
#9.3.Hasyournewpatient
enrollmentprogramsreducedbymorethan10%?
37%63%
34%66%
37%63%
31%69%
40%60%
YesNo
KeyInsights
?Thepatientenrollmentwaslessimpactedastheregulatory
initiativesmajorlyfocusonthe
illegalsalesandpromotionevents
?Foreignplayersusuallyhasastricterpatientcompliancerequirementhencefeltlessimpacted
#9.4.Hasyourmarketdirect
engagement(e.g.medicalevents,conferences,etc.)reducedbymorethan15%?
60%40%
66%34%
46%54%
81%19%
65%35%
KeyInsights
?Themarketeventsareimpactedthemost–manymedicaleventsandconferenceswereonholdorcancelledsincemid-2023
?Foreignplayerssellpatent
productsmostly,whichmay
involvemoremedicaleventstoexchangemedicalinformation
#9.5.HasyourOPEXbeenreducedby15%ormorein2023?
31%69%
30%70%
33%67%
31%69%
28%72%
KeyInsights
?TherewaslimitedimpactontheOPEX–sincethemajorimpactisontheexternaleventandaccess
?TopmanagementteamfelttheleastimpactontheOPEXreduce
Note:Largecos–companywith2023revenueexceedRMB1billion;SOE–State-ownedEnterprise;POE–Private-ownedEnterprise;JV–JointVenture;Ep–aWreodllytotriegnlo-ocwanl.dEnterprises
?2024.Forinformation,contactDeloitteChina.ChinaLifeSciences&HealthCareIndustry2024SurveyResults16
Newdrugregistrationswillcontinuetoaccelerateandyourmarketaccessforinnovativeassetswillfurtherbefacilitated
Yourdirectmarketandpatientengagementwillneedfurtheradjustmentinthefuturetomeetthenewregulatoryandcompliancerequirements
Domesticcompanieswillgainafurtherpreferentialtreatmentinyourmarketsegments
59%
52%
52%
ThesteppingupeffortinapplyingAIanddigitaltechnologythroughout
yourbusinessvaluechain
Yourglobalsupplychainorganizationmightrequireanadjustmenttofurtherlocalize,increasedomesticsourcinginyourvaluechain
China'shealthadministrationwilltrytomotivateforeigncompaniesinlicensingandpartneringtransactionstofurtherlocalize
Yourimportsarelikelytoattracthigherdutiesorincreasedscrutinyontransferpricingarrangements
36%
35%
20%
NewImplementationsinRegulatoryAffairsandDigitalTechnology
#10.WithChina'sregulatoryenvironmentkeepadjusting,doyouthinkthat…
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46%
Largecos
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