How we've performedIn the first three full years of operation Spire Healthcare has transformed and grown across all key areas and a strong platform has been established for future growth.Service qualityReputationPercentage of consultants survey rating us 'excellent' or 'very good'Spire purchased video stroboscopic equipment which has had a dramatic impact on my practice. This  equipment has allowed me to complete a research project which will be submitted for publication in a peer-reviewed journal. This vision of helping in innovation and scientific research is greatly appreciated and acknowledged.""Mr Bhik Kotecha, Consultant Ear, Nose and Throat Surgeon,Spire Hartswood HospitalMean hospital audit score of Health and Safety compliance*Figure relates to the hospitals audited in each of the years stated.Number of Laing & Buisson Independent Healthcare Award wins and/or finalist placements2008220094201066543212008200920105,0004,0003,0002,0001,00004,2172,3381,848Number of patients undergoing surgery who required a blood transfusion60%10%0%70%20%80%30%40%50%20082009201071%65%51%100%80%60%40%20%0%2009/201084%*2006/200777%

Number of employees completing critical care trainingPercentage of employees who think Spire is 'a great place to work'People Improvements in EBITDAR (pre-exceptional items)Increasing EBITDAR marginUplifts in revenueShareholder value2008200924.8%2008£127.4m2009£153.6m2010£169.8m18016014012010080200821.6%200924.8%201026.4%30%25%20%15%10%5%2008£589m2009£620m2010£643m7006506005505004504006,0005,0004,0003,0002,0001,000020083,90620094,37620105,57480%70%60%50%40%30%20%200962%201070%'Great place to work' measurement introduced in 2009.