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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.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.
- Targeting £40m EBITDA, growth is driven by integrated, capital-light primary care expansion.SPI
Status Update - FY26 adjusted EBITDA is expected to match FY25, with strong private and NHS revenue growth.SPI
Trading update - Strong cash flow and private growth offset NHS slowdown; 2026 outlook cautious.SPI
H2 2025 - Revenue growth, cost savings, and strategic review position the group for stable FY26 performance.SPI
Trading Update - Revenue and EBITDA rose, with transformation and NHS growth supporting a strong outlook.SPI
H1 2025 - Double-digit revenue and earnings growth, margin expansion, and robust outlook for 2024.SPI
H1 2024 - 2025 trading meets expectations, with efficiency gains and NHS partnerships driving growth.SPI
Trading Update - Strong 2024 revenue and margin growth, with robust efficiencies and positive 2025 outlook.SPI
H2 2024
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Next Spire Healthcare Group earnings date
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