For the past four consecutive years, M‑CO have been responsible for the design and delivery of the Rotunda Hospital Annual Report, designing reports for 2016, 2017, 2018 and 2019. The goal in each case was to visualise the hospital’s clinical and financial performance in an engaging way; to showcase the impressive clinical results achieved by the Rotunda Hospital in both a national and international context; and to emphasise their commitment to providing the best patient and staff experience. We worked closely with staff at the Hospital to gather information from each clinical and non-clinical department, creating identities for each chapter through the unique use of infographics and photography, while ensuring the information was presented in a consistent and clear manner.