John works at 2 different hospitals.  At the first hospital, he sees 20 different patients each day.  At the second hospital, he sees 20% more individual patients a day.  He works 5 days a week.  How many patients does he treat a year if he works 50 weeks a year?
He treats 20*.2=
<gadget id="calculator">20*.2</gadget>
<output>4</output>
4 extra patients.
So he treats 20+4=
<gadget id="calculator">20+4</gadget>
<output>24</output>
24 patients at the second hospital.
So he treats 20+24=
<gadget id="calculator">20+24</gadget>
<output>44</output>
44 patients a day.
That means he treats 44*5=
<gadget id="calculator">44*5</gadget>
<output>220</output>
220 patients a week.
So he treats 220*50=
<gadget id="calculator">220*50</gadget>
<output>11_000</output>
11,000 patients a year.

<result>11_000</result>