Spire Healthcare Group
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Spire Healthcare Group (SPI) investor relations material

Spire Healthcare Group H1 2026 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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H1 2026 earnings summary30 Sep, 2026

Executive summary

  • Revenue for H1 2026 was £792.7m, broadly stable year-over-year, with private payor and primary care growth offsetting lower NHS activity.

  • Adjusted EBITDA declined 16.6% to £112.4m due to cost inflation and reduced NHS revenue, partially offset by £5.5m in transformation savings.

  • Statutory loss before tax was £14.8m (H1 2025: £10.8m profit), with a loss after tax of £11.5m.

  • Strong cash generation and capital efficiency led to a 35.3% increase in adjusted free cash flow to £20.7m.

  • A recommended final offer for the company was announced by Tulip UK Bidco Limited, subject to shareholder and regulatory approval.

Financial highlights

  • Group revenue decreased 0.8% year-over-year; Hospitals Business revenue down 1.6%, Primary Care up 8.1%.

  • Adjusted EBITDA margin fell to 14.2% (H1 2025: 16.8%).

  • Adjusted EBIT dropped 34.5% to £50.6m; ROCE declined 140bps to 6.7%.

  • Net bank debt reduced to £337.8m, with leverage at 2.4x.

  • Capital expenditure decreased 29.1% to £36.3m.

Outlook and guidance

  • FY26 adjusted EBITDA is targeted to be broadly in line with FY25, assuming stable market and operating conditions.

  • Visibility over NHS activity remains strong, with >95% of 2026/27 NHS revenue agreed.

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