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Spire Healthcare Group (SPI) investor relations material

Spire Healthcare Group Trading Update summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Trading Update summary3 Dec, 2025

Trading performance and transformation

  • Group revenue grew 3.6% year-on-year from July to October 2025, with H1 2025 revenue up 4.9% year-on-year.

  • Transformation programme is on track to deliver £30m in new savings for FY25, including a £10m uplift to offset increased National Insurance and National Minimum Wage costs.

  • Patient Support Centres launched, centralizing booking and admin, improving efficiency and private patient trends.

  • Primary Care expansion continues, with a new outpatient clinic in Kings Lynn supporting referrals.

Market trends and outlook

  • Self-pay patient trends are improving, while PMI trends remain stable; NHS commissioning activity has slowed due to budget restrictions.

  • FY25 adjusted Group EBITDA expected at the bottom end of £270m–£285m guidance.

  • FY26 adjusted EBITDA expected to be broadly in line or slightly ahead of FY25, with further £30m in planned savings.

  • NHS volumes remain a material uncertainty, especially in Q1 2026, due to proposed tariff uplifts below inflation.

Strategic initiatives and shareholder value

  • 18-month extension of £425m banking facilities to August 2028, with unchanged terms.

  • Ongoing evaluation of actions to drive shareholder value, including potential sale, property value generation, and increased focus on private payors.

  • Discussions with multiple parties are underway, but no certainty of an offer or its terms.

Shareholder value options progress
Mitigating NHS tariff shortfall
PSCs' role in private patient trends
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Frequently asked questions

Spire Healthcare Group plc is a provider of private healthcare services. The firm offers various medical treatment services in the areas of allergy and infectious diseases, blood tests, bones and joints, bowel treatments, breast screening, cancer investigations and treatments, cosmetic surgery, cyst removal, dentistry surgery, eye surgery and treatments; family planning; gastroenterology; general medicine; general surgery; haematology; hand surgery; hip and knee treatment; heart surgery and kidney treatments. In addition, it provides men's health; neurosurgery and neurology; paediatric care; pain management; rehabilitation; sports physiotherapy; podiatry & respiratory care. The company also offers scans and investigations in areas such as skin treatments, spinal care, sports science and urology care.

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