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41. Exhibit 2.4 Average Length of Stay and Average Charges
    hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_4.jsp
    January 01, 2005 - ear and sense organ disorders 9.9 0.983 3.0 0.178853 20,100 3,476 91 Other eye … 87 Retinal detachments, defects, vascular occlusion, and retinopathy (diseases of retina, back of eye … cholesterol) 0.7 0.067 3.8 0.353488 18,500 1,876 90 Inflammations, infection of eye

42. Maskedstats Nrd 2018 Severity (pdf file)
    hcup-us.ahrq.gov/db/nation/nrd/stats/MaskedStats_NRD_2018_Severity.PDF
    January 01, 2018 - disorders of nervous system 71,638 0.41% 59: Anoxic & other severe brain damage 2,393 0.01% 73: Orbit and eye … procedures 4,263 0.02% 82: Eye infections and other eye disorders 15,469 0.09% 89: Major cranial/facial

43. Nis 2003 Summarystats 10Pct Severity A (pdf file)
    hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2003_SummaryStats_10PCT_SEVERITY_A.PDF
    January 01, 2003 - PROCEDURES EXCEPT ORBIT 282 0.04 80: ACUTE MAJOR EYE INFECTIONS 221 0.03 82: EYE DISORDERS EXCEPT … INFECTIONS W/O CC 130 0.02 441: ACUTE MAJOR EYE INFECTIONS W CC 37 0.00 442: ACUTE MAJOR EYE INFECTIONS … W MCC <= 10 **.** 450: NEUROLOGICAL EYE DISORDERS W/O CC 123 0.02 451: NEUROLOGICAL EYE DISORDERS … W CC 54 0.01 452: NEUROLOGICAL EYE DISORDERS W MCC <= 10 **.** 460: OTHER DISORDERS OF EYE AGE>17 W … /O CC 119 0.01 461: OTHER DISORDERS OF EYE AGE>17 W CC 124 0.02 462: OTHER DISORDERS OF EYE AGE>17

44. Publicsummarystats Kid 2006 Severity (pdf file)
    hcup-us.ahrq.gov/db/nation/kid/tools/stats/PublicSummaryStats_KID_2006_Severity.PDF
    January 01, 2006 - INFECTIONS WO CC 2175 0.07 441: ACUTE MAJOR EYE INFECTIONS W CC 298 0.01 442: ACUTE MAJOR EYE INFECTIONS … W MCC 32 0.00 450: NEUROLOGICAL EYE DISORDERS WO CC 367 0.01 451: NEUROLOGICAL EYE DISORDERS W CC … 88 0.00 452: NEUROLOGICAL EYE DISORDERS W MCC <= 10 **.** 460: OTHER DISORDERS OF EYE AGE >17 WO CC … 165 0.01 461: OTHER DISORDERS OF EYE AGE >17 W CC 120 0.00 462: OTHER DISORDERS OF EYE AGE >17 W MCC … <= 10 **.** 480: OTHER DISORDERS OF EYE AGE 0-17 WO CC 2417 0.08 481: OTHER DISORDERS OF EYE AGE 0

45. User Guide: Clinical Classifications Software Refined (CCSR) (pdf file)
    hcup-us.ahrq.gov/toolssoftware/ccsr/DXCCSR-User-Guide-v2019-1.pdf
    September 01, 2019 - behavioral and neurodevelopmental disorders MBD Diseases of the nervous system NVS Diseases of the eye … and adnexa EYE Diseases of the ear and mastoid process EAR Diseases of the circulatory system CIR … ear and mastoid process (EAR); Endocrine, nutritional, and metabolic diseases (END); Diseases of the eye … Diseases of the eye and adnexa 12 6 EAR Diseases of the ear and mastoid process 6 3 CIR Diseases of … Diseases of the nervous system (NVS) – neurocognitive disorders; cerebral palsy • Diseases of the eye

46. Nis 2004 Summarystats 10Pct Severity A (pdf file)
    hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2004_SummaryStats_10PCT_SEVERITY_A.PDF
    January 01, 2004 - PROCEDURES EXCEPT ORBIT 215 0.03 80: ACUTE MAJOR EYE INFECTIONS 207 0.03 82: EYE DISORDERS EXCEPT … W MCC <= 10 **.** 450: NEUROLOGICAL EYE DISORDERS W/O CC 116 0.01 451: NEUROLOGICAL EYE DISORDERS … W CC 48 0.01 452: NEUROLOGICAL EYE DISORDERS W MCC <= 10 **.** 460: OTHER DISORDERS OF EYE AGE>17 W … /O CC 159 0.02 461: OTHER DISORDERS OF EYE AGE>17 W CC 147 0.02 462: OTHER DISORDERS OF EYE AGE>17 … W MCC 14 0.00 480: OTHER DISORDERS OF EYE AGE 0-17 W/O CC 97 0.01 481: OTHER DISORDERS OF EYE AGE 0

47. Nis 2003 Summarystats 10Pct Severity B (pdf file)
    hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2003_SummaryStats_10PCT_SEVERITY_B.PDF
    January 01, 2003 - PROCEDURES EXCEPT ORBIT 273 0.03 80: ACUTE MAJOR EYE INFECTIONS 214 0.03 82: EYE DISORDERS EXCEPT … INFECTIONS W/O CC 128 0.02 441: ACUTE MAJOR EYE INFECTIONS W CC 34 0.00 442: ACUTE MAJOR EYE INFECTIONS … W MCC <= 10 **.** 450: NEUROLOGICAL EYE DISORDERS W/O CC 112 0.01 451: NEUROLOGICAL EYE DISORDERS … W CC 51 0.01 452: NEUROLOGICAL EYE DISORDERS W MCC <= 10 **.** 460: OTHER DISORDERS OF EYE AGE>17 W … EYE AGE 0-17 W/O CC 79 0.01 481: OTHER DISORDERS OF EYE AGE 0-17 W CC 11 0.00 482: OTHER DISORDERS

48. Nis 2002 Summarystats 10Pct Severity B (pdf file)
    hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2002_SummaryStats_10PCT_SEVERITY_B.PDF
    January 01, 2002 - PROCEDURES EXCEPT ORBIT 355 0.05 80: ACUTE MAJOR EYE INFECTIONS 201 0.03 82: EYE DISORDERS EXCEPT … INFECTIONS W/O CC 124 0.02 441: ACUTE MAJOR EYE INFECTIONS W CC 29 0.00 442: ACUTE MAJOR EYE INFECTIONS … W MCC <= 10 **.** 450: NEUROLOGICAL EYE DISORDERS W/O CC 109 0.01 451: NEUROLOGICAL EYE DISORDERS … W CC 52 0.01 452: NEUROLOGICAL EYE DISORDERS W MCC <= 10 **.** 460: OTHER DISORDERS OF EYE AGE>17 W … /O CC 131 0.02 461: OTHER DISORDERS OF EYE AGE>17 W CC 114 0.01 462: OTHER DISORDERS OF EYE AGE>17

49. Nis 2002 Summarystats 10Pct Severity A (pdf file)
    hcup-us.ahrq.gov/db/nation/nis/tools/stats/NIS_2002_SummaryStats_10PCT_SEVERITY_A.PDF
    January 01, 2002 - PROCEDURES EXCEPT ORBIT 331 0.04 80: ACUTE MAJOR EYE INFECTIONS 169 0.02 82: EYE DISORDERS EXCEPT … INFECTIONS W/O CC 110 0.01 441: ACUTE MAJOR EYE INFECTIONS W CC 33 0.00 442: ACUTE MAJOR EYE INFECTIONS … W MCC <= 10 **.** 450: NEUROLOGICAL EYE DISORDERS W/O CC 111 0.01 451: NEUROLOGICAL EYE DISORDERS … W CC 38 0.00 452: NEUROLOGICAL EYE DISORDERS W MCC <= 10 **.** 460: OTHER DISORDERS OF EYE AGE>17 W … /O CC 114 0.01 461: OTHER DISORDERS OF EYE AGE>17 W CC 104 0.01 462: OTHER DISORDERS OF EYE AGE>17

50. Kid 2003 Summarystats Severity (pdf file)
    hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2003_SummaryStats_SEVERITY.PDF
    January 01, 2003 - PROCEDURES EXCEPT ORBIT 1689 0.06 80: ACUTE MAJOR EYE INFECTIONS 2823 0.09 82: EYE DISORDERS EXCEPT … W MCC 26 0.00 450: NEUROLOGICAL EYE DISORDERS W/O CC 303 0.01 451: NEUROLOGICAL EYE DISORDERS W CC … 75 0.00 452: NEUROLOGICAL EYE DISORDERS W MCC <= 10 **.** 460: OTHER DISORDERS OF EYE AGE>17 W/O CC … OF EYE AGE 0-17 W CC 566 0.02 482: OTHER DISORDERS OF EYE AGE 0-17 W MCC 92 0.00 490: MAJOR HEAD & … : Injury or Laceration: Eyelids, Periocular Area, Cornea, or Conjunctiva 553 0.02 EYE17: Injury: Eyes

51. Maskedstats Nis 2019 Severity V2 (pdf file)
    hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2019_Severity_V2.PDF
    January 01, 2019 - disorders of nervous system 42,167 0.60% 59: Anoxic & other severe brain damage 1,245 0.02% 73: Orbit & eye … procedures 1,817 0.03% 82: Eye infections & other eye disorders 6,412 0.09% 89: Major cranial/facial

52. Maskedstats Nis 2016 Severity (pdf file)
    hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2016_Severity.PDF
    January 01, 2016 - of Total 58: Other disorders of nervous system 42,743 0.60% 70: Orbital procedures 765 0.01% 73: Eye … procedures except orbit 1,126 0.02% 80: Acute major eye infections 1,443 0.02% 82: Eye disorders except

53. Maskedstats Nis 2015Q4 Severity (pdf file)
    hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2015Q4_Severity.PDF
    November 08, 2017 - of Total 58: Other disorders of nervous system 10,492 0.59% 70: Orbital procedures 179 0.01% 73: Eye … procedures except orbit 272 0.02% 80: Acute major eye infections 383 0.02% 82: Eye disorders except

54. Maskedstats Nis 2018 Severity (pdf file)
    hcup-us.ahrq.gov/db/nation/nis/tools/stats/MaskedStats_NIS_2018_Severity.PDF
    January 01, 2018 - disorders of nervous system 41,491 0.58% 59: Anoxic & other severe brain damage 1,195 0.02% 73: Orbit and eye … procedures 1,727 0.02% 82: Eye infections and other eye disorders 6,018 0.08% 89: Major cranial/facial

55. Kid 2019 Maskedstats Severity V2 (pdf file)
    hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2019_MaskedStats_Severity_V2.PDF
    January 01, 2019 - disorders of nervous system 8,828 0.29% 59: Anoxic & other severe brain damage 409 0.01% 73: Orbit & eye … procedures 1,392 0.05% 82: Eye infections & other eye disorders 3,899 0.13% 89: Major cranial/facial

56. Kid 2016 Maskedstats Severity (pdf file)
    hcup-us.ahrq.gov/db/nation/kid/tools/stats/KID_2016_MaskedStats_Severity.PDF
    January 01, 2016 - of Total 58: Other disorders of nervous system 8,259 0.26% 70: Orbital procedures 523 0.02% 73: Eye … procedures except orbit 1,038 0.03% 80: Acute major eye infections 1,227 0.04% 82: Eye disorders except

57. Maskedstats Nrd 2021 Severity (pdf file)
    hcup-us.ahrq.gov/db/nation/nrd/stats/MaskedStats_NRD_2021_Severity.PDF
    January 01, 2021 - of nervous system 69,241 0.41% 59: Anoxic and other severe brain damage 2,554 0.02% 73: Orbit and eye … procedures 4,209 0.03% 82: Eye infections and other eye disorders 16,459 0.10% 89: Major cranial or

58. Maskedstats Nrd 2022 Severity (pdf file)
    hcup-us.ahrq.gov/db/nation/nrd/stats/MaskedStats_NRD_2022_Severity.PDF
    January 01, 2022 - of nervous system 72,391 0.44% 59: Anoxic and other severe brain damage 2,379 0.01% 73: Orbit and eye … procedures 4,326 0.03% 82: Eye infections and other eye disorders 18,347 0.11% 89: Major cranial or

59. Maskedstats Nrd 2020 Severity (pdf file)
    hcup-us.ahrq.gov/db/nation/nrd/stats/MaskedStats_NRD_2020_Severity.PDF
    January 01, 2020 - of nervous system 64,370 0.39% 59: Anoxic and other severe brain damage 2,374 0.01% 73: Orbit and eye … procedures 3,914 0.02% 82: Eye infections and other eye disorders 14,045 0.08% 89: Major cranial or

60. Surgeries in Hospital-Owned Outpatient Facilities, 2012 #188
    hcup-us.ahrq.gov/reports/statbriefs/sb188-Surgeries-Hospital-Outpatient-Facilities-2012.jsp
    February 01, 2015 - Nearly all hospital-based surgical procedures related to the eye (98.8 percent) and ear (91.8 percent … Eye surgeries were 98.8% ambulatory and 1.2% inpatient. … The majority of surgeries on the eye, ear, nose/mouth/pharynx, and skin were performed in an outpatient … Nearly all invasive, therapeutic surgeries performed on the eye occurred in the AS setting (98.8 percent … : Other therapeutic endocrine procedures 27.2 30.1 14.9 16.4 47.5 Operations on the eye