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Spire Healthcare Group (SPI) investor relations material

Spire Healthcare Group H1 2025 earnings summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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H1 2025 earnings summary31 Jul, 2025

Executive summary

  • H1 results delivered in line with guidance, with revenue up 4.9% and adjusted EBITDA up 2.8%, supported by significant transformation and efficiency initiatives.

  • Transformation program advanced, including workforce reduction of ~400 and centralization of admin functions, driving cost savings and operational efficiency.

  • Strategy centers on a diversified three-payer model, scaling primary care, and maintaining quality and innovation.

  • Statutory operating profit declined due to restructuring and transformation costs; profit after tax fell 50.4%.

  • Business remains well positioned, with full-year outlook and FY25 guidance unchanged and in line with market expectations.

Financial highlights

  • Group revenue up 4.9% year-over-year to £796.7m; hospital segment revenue up 4.7% to £732.3m.

  • Adjusted EBITDA increased 2.8% to £133.8m (margin 16.8%); adjusted profit before tax declined 11.2% to £23.8m.

  • Adjusted free cash flow at £15.3m, impacted by transformation phasing and CapEx.

  • ROCE improved to 8.1%, up 50bps year-over-year.

  • Net bank debt at £356.7m, leverage at 2.2x adjusted EBITDA.

Outlook and guidance

  • FY25 guidance unchanged: mid-single digit revenue growth, >£30m new savings, adjusted EBITDA £270m–£285m, and capex £90m–£100m.

  • ROCE targeted to exceed 10% in the medium term through disciplined capex and M&A.

  • Dividend policy maintained at 25–35% of profit after tax.

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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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