He treats 20*.2=<<20*.2=4>>4 extra patients

So he treats 20+4=<<20+4=24>>24 patients at the second hospital

So he treats 20+24=<<20+24=44>>44 patients a day

That means he treats 44*5=<<44*5=220>>220 patients a week

So he treats 220*50=<<220*50=11000>>11,000 patients a year

# Answer

11000
<|im_start|>system
You are a helpful assistant.<|im_end|>
<|im_start|>user
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?
Please reason step by step, and put your final answer within \boxed{{}}.<|im_end|>
<|im_start|>assistant

user
11000
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?
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