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.

01Consultant satisfaction71%Of our consultants rate Spire 'excellent' or 'very good', up from 65% in 2009. Great place to work70%Of our employees think Spire Healthcare is 'a great place to work', up from 62% in 2009. Investment£50.6mInvestment in new facilities and services to capture market demand and expand Spire's growth potential. Revenue £643mA 3.7% increase on 2009. Patient satisfaction90%Of our patients rate our overall service 'excellent' or 'very good', a year-on-year increase of three percentage points.Awards and nominations8 Laing & Buisson: Nursing Practice (winner), Risk Management (winner), Healthcare Outcomes (finalist), Management Excellence (finalist), Innovation (finalist), Best Use of Technology (finalist); Buyout Track: 10 biggest buyouts with fastest growing profits (fifth); Low Carbon Performance: Best Carbon Saving Programme (winner). Our year in numbers * Note: Earnings before interest, tax, depreciation, amortisation and hospital property rentals. This definition applies to all references to 'EBITDAR' in this Annual Review.EBITDAR* (pre-exceptional items)£169.8m Demonstrating a year-on-year increase of 10.5%, achieved at an operating margin of 26.4% (up from 24.8% in 2009).