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).

02Spire Healthcare Annual Review 2010Our business began in August 2007 with 25 hospitals, and has since expanded to 37 hospitals, London Fertility Centre, The Insight Network and eight satellite clinics across the UK. We will open our 38th hospital in 2012.Spire Healthcare at a glanceNorth East and YorkshireSpire Elland HospitalSpire Hull and East Riding HospitalSpire Leeds Hospital Spire Longlands Consulting RoomsSpire Methley Park Hospital Spire Newcastle Clinic Spire Washington HospitalEast of EnglandSpire Cambridge Lea HospitalSpire Harpenden Hospital Spire Hartswood Hospital Spire Norwich HospitalSpire Wellesley HospitalLondonLondon Fertility CentreSpire Bushey Hospital Spire Gatwick Park Hospital Spire Roding HospitalSpire Thames Valley HospitalSpire Windsor ClinicThe Insight NetworkSouth EastSpire Alexandra HospitalSpire Clare Park HospitalSpire Dunedin HospitalSpire Portsmouth HospitalSpire Southampton Hospital Spire St. Saviour's HospitalSpire Sussex Hospital Spire Tunbridge Wells HospitalScotlandSpire Livingston Clinic Spire Murrayfield Hospital (Edinburgh)Spire Shawfair Park HospitalNorth West Spire Cheshire HospitalSpire Fylde Coast HospitalSpire Liverpool Hospital Spire Manchester Clinic Hale Spire Manchester Hospital Spire Murrayfield Hospital (Wirral)Spire North Manchester Clinic Spire Regency HospitalMidlandsSpire Droitwich ClinicSpire Leicester HospitalSpire Little Aston HospitalSpire Parkway Hospital Spire South Bank Hospital WalesSpire Abergele Consulting RoomsSpire Cardiff HospitalSpire Yale Hospital South WestSpire Bristol Hospital