Spire Healthcare Group (LSE:SPI) Piotroski F-Score: 6 (As of Jun. 26, 2026) — Near Median


LSE:SPI Spire Healthcare Group PLC LSE:SPI
73 GF Score
Price £2.18
GF Value £2.71
Valuation Modestly Undervalued
! 7 Warning Signs
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What is Spire Healthcare Group Piotroski F-Score?

Spire Healthcare Group LSE:SPI -1.80% 73 Piotroski F-Score is 6 as of Jun. 26, 2026, which is at its 10-year median of 6.00. GuruFocus rates LSE:SPI with a GF Score™ of 73/100 and a GF Value™ of £2.71 (Modestly Undervalued). The stock has 7 warning signs investors should review. Among 652 Healthcare Providers & Services companies, Spire Healthcare Group ranks better than 74.69% on this metric.

The zones of discrimination were as such:

Good or high score = 7, 8, 9
Bad or low score = 0, 1, 2, 3

Spire Healthcare Group has an F-score of 6 indicating the company's financial situation is typical for a stable company.

The historical rank and industry rank for Spire Healthcare Group's Piotroski F-Score or its related term are showing as below:

LSE:SPI' s Piotroski F-Score Range Over the Past 10 Years
Min: 4   Med: 6   Max: 7
Current: 6

During the past 13 years, the highest Piotroski F-Score of Spire Healthcare Group was 7. The lowest was 4. And the median was 6.

Spire Healthcare Group  (LSE:SPI) Piotroski F-Score Explanation

The developer of the system is Joseph D. Piotroski is relatively unknown accounting professor who shuns publicity and rarely gives interviews.

He graduated from the University of Illinois with a B.S. in accounting in 1989, received an M.B.A. from Indiana University in 1994. Five years later, in 1999, after earning a Ph.D. in accounting from the University of Michigan, he became an associate professor of accounting at the University of Chicago.

In 2000, he wrote a research paper called "Value Investing: The Use of Historical Financial Statement Information to Separate Winners from Losers" (pdf).

He wanted to see if he can develop a system (using a simple nine-point scoring system) that can increase the returns of a strategy of investing in low price to book (referred to in the paper as high book to market) value companies.

What he found was something that exceeded his most optimistic expectations.

Buying only those companies that scored highest (8 or 9) on his nine-point scale, or F-Score as he called it, over the 20 year period from 1976 to 1996 led to an average out-performance over the market of 13.4%.

Even more impressive were the results of a strategy of investing in the highest F-Score companies (8 or 9) and shorting companies with the lowest F-Score (0 or 1).

Over the same period from 1976 to 1996 (20 years) this strategy led to an average yearly return of 23%, substantially outperforming the average S&P 500 index return of 15.83% over the same period.


Spire Healthcare Group Piotroski F-Score Related Terms


Spire Healthcare Group Piotroski F-Score Historical Data

* Premium members only.

The historical data trend for Spire Healthcare Group's Piotroski F-Score can be seen below:

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

Spire Healthcare Group Piotroski F-Score Chart

Spire Healthcare Group Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
Piotroski F-Score
Get a 7-Day Free Trial Premium Member Only Premium Member Only 5.00 7.00 6.00 6.00 6.00

Spire Healthcare Group Semi-Annual Data
Jun16 Dec16 Jun17 Dec17 Jun18 Dec18 Jun19 Dec19 Jun20 Dec20 Jun21 Dec21 Jun22 Dec22 Jun23 Dec23 Jun24 Dec24 Jun25 Dec25
Piotroski F-Score Get a 7-Day Free Trial Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only Premium Member Only 6.00 0.00 6.00 0.00 6.00

LSE:SPI vs HCA, THC, DVA: Piotroski F-Score Comparison

For the Medical Care Facilities subindustry, Spire Healthcare Group's Piotroski F-Score, along with its competitors' market caps and Piotroski F-Score data, can be viewed below:

* Competitive companies are chosen from companies within the same industry, with headquarter located in same country, with closest market capitalization; x-axis shows the market cap, and y-axis shows the term value; the bigger the dot, the larger the market cap. Note that "N/A" values will not show up in the chart.


Spire Healthcare Group Piotroski F-Score vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, Spire Healthcare Group's Piotroski F-Score distribution charts can be found below:

* The bar in red indicates where Spire Healthcare Group's Piotroski F-Score falls into.


LSE:SPI
73GF Score
Spire Healthcare Group PLC LSE:SPI
Piotroski F-Score is just one metric. See GF Score™, valuation, warning signs, and more.
View Full Analysis

How is the Piotroski F-Score calculated?

* For Operating Data section: All numbers are indicated by the unit behind each term and all currency related amount are in USD.
* For other sections: All numbers are in millions except for per share data, ratio, and percentage. All currency related amount are indicated in the company's associated stock exchange currency.

This Year (Dec25) TTM:Last Year (Dec24) TTM:
Net Income was £16 Mil.
Cash Flow from Operations was £242 Mil.
Revenue was £1,580 Mil.
Gross Profit was £716 Mil.
Average Total Assets from the begining of this year (Dec24)
to the end of this year (Dec25) was (2343.2 + 2377.1) / 2 = £2360.15 Mil.
Total Assets at the begining of this year (Dec24) was £2,343 Mil.
Long-Term Debt & Capital Lease Obligation was £1,205 Mil.
Total Current Assets was £222 Mil.
Total Current Liabilities was £347 Mil.
Net Income was £25 Mil.

Revenue was £1,511 Mil.
Gross Profit was £684 Mil.
Average Total Assets from the begining of last year (Dec23)
to the end of last year (Dec24) was (2288.1 + 2343.2) / 2 = £2315.65 Mil.
Total Assets at the begining of last year (Dec23) was £2,288 Mil.
Long-Term Debt & Capital Lease Obligation was £1,175 Mil.
Total Current Assets was £225 Mil.
Total Current Liabilities was £342 Mil.

*Note: If the latest quarterly/semi-annual/annual total assets data is 0, then we will use previous quarterly/semi-annual/annual data for all the items in the balance sheet.

Profitability

Question 1. Return on Assets (ROA)

Net income before extraordinary items for the year divided by Total Assets at the beginning of the year.

Score 1 if positive, 0 if negative.

Spire Healthcare Group's current Net Income (TTM) was 16. ==> Positive ==> Score 1.

Question 2. Cash Flow Return on Assets (CFROA)

Net cash flow from operating activities (operating cash flow) divided by Total Assets at the beginning of the year.

Score 1 if positive, 0 if negative.

Spire Healthcare Group's current Cash Flow from Operations (TTM) was 242. ==> Positive ==> Score 1.

Question 3. Change in Return on Assets

Compare this year's return on assets (1) to last year's return on assets.

Score 1 if it's higher, 0 if it's lower.

ROA (This Year)=Net Income/Total Assets (Dec24)
=16.4/2343.2
=0.00699898

ROA (Last Year)=Net Income/Total Assets (Dec23)
=25.4/2288.1
=0.01110091

Spire Healthcare Group's return on assets of this year was 0.00699898. Spire Healthcare Group's return on assets of last year was 0.01110091. ==> Last year is higher ==> Score 0.

Question 4. Quality of Earnings (Accrual)

Compare Cash flow return on assets (2) to return on assets (1)

Score 1 if CFROA > ROA, 0 if CFROA <= ROA.

Spire Healthcare Group's current Net Income (TTM) was 16. Spire Healthcare Group's current Cash Flow from Operations (TTM) was 242. ==> 242 > 16 ==> CFROA > ROA ==> Score 1.

Funding

Question 5. Change in Gearing or Leverage

Compare this year's gearing (long-term debt divided by average total assets) to last year's gearing.

Score 0 if this year's gearing is higher, 1 otherwise.

Gearing (This Year: Dec25)=Long-Term Debt & Capital Lease Obligation/Average Total Assets from Dec24 to Dec25
=1205.1/2360.15
=0.51060314

Gearing (Last Year: Dec24)=Long-Term Debt & Capital Lease Obligation/Average Total Assets from Dec23 to Dec24
=1174.5/2315.65
=0.507201

Spire Healthcare Group's gearing of this year was 0.51060314. Spire Healthcare Group's gearing of last year was 0.507201. ==> Last year is lower than this year ==> Score 0.

Question 6. Change in Working Capital (Liquidity)

Compare this year's current ratio (current assets divided by current liabilities) to last year's current ratio.

Score 1 if this year's current ratio is higher, 0 if it's lower

Current Ratio (This Year: Dec25)=Total Current Assets/Total Current Liabilities
=221.5/346.8
=0.63869666

Current Ratio (Last Year: Dec24)=Total Current Assets/Total Current Liabilities
=225.3/341.7
=0.65935031

Spire Healthcare Group's current ratio of this year was 0.63869666. Spire Healthcare Group's current ratio of last year was 0.65935031. ==> Last year's current ratio is higher ==> Score 0.

Question 7. Change in Shares in Issue

Compare the number of shares in issue this year, to the number in issue last year.

Score 0 if there is larger number of shares in issue this year, 1 otherwise.

Spire Healthcare Group's number of shares in issue this year was 405.312. Spire Healthcare Group's number of shares in issue last year was 411.393. ==> There is smaller number of shares in issue this year, or the same. ==> Score 1.

Efficiency

Question 8. Change in Gross Margin

Compare this year's gross margin (Gross Profit divided by sales) to last year's.

Score 1 if this year's gross margin is higher, 0 if it's lower.

Gross Margin (This Year: TTM)=Gross Profit/Revenue
=716.1/1579.8
=0.45328523

Gross Margin (Last Year: TTM)=Gross Profit/Revenue
=683.6/1511.2
=0.45235574

Spire Healthcare Group's gross margin of this year was 0.45328523. Spire Healthcare Group's gross margin of last year was 0.45235574. ==> This year's gross margin is higher. ==> Score 1.

Question 9. Change in asset turnover

Compare this year's asset turnover (total sales for the year divided by total assets at the beginning of the year) to last year's asset turnover ratio.

Score 1 if this year's asset turnover ratio is higher, 0 if it's lower

Asset Turnover (This Year)=Revenue/Total Assets at the Beginning of This Year (Dec24)
=1579.8/2343.2
=0.67420621

Asset Turnover (Last Year)=Revenue/Total Assets at the Beginning of Last Year (Dec23)
=1511.2/2288.1
=0.66046064

Spire Healthcare Group's asset turnover of this year was 0.67420621. Spire Healthcare Group's asset turnover of last year was 0.66046064. ==> This year's asset turnover is higher. ==> Score 1.

Evaluation

Piotroski F-Score= Que. 1+ Que. 2+ Que. 3+Que. 4+Que. 5+Que. 6+Que. 7+Que. 8+Que. 9
=1+1+0+1+0+0+1+1+1
=6

Good or high score = 7, 8, 9
Bad or low score = 0, 1, 2, 3

Spire Healthcare Group has an F-score of 6 indicating the company's financial situation is typical for a stable company.

Frequently Asked Questions Learn more about Piotroski F-Score →
What does a Piotroski F-Score of 6 mean?
Spire Healthcare Group (LSE:SPI) has a Piotroski F-Score of 6 as of Jun. 26, 2026. The Piotroski F-score grades a company's business operating strength from 0-9. View historical data on Spire Healthcare Group and its competitors. This is near median its historical median of 6.00. Over the past decade, Spire Healthcare Group's Piotroski F-Score has ranged from 4.00 to 7.00. According to the industry distribution chart, Spire Healthcare Group ranks #165 out of 652 companies in the Healthcare Providers & Services industry, placing it in the top 25.3%.
Is Spire Healthcare Group's Piotroski F-Score too high?
Spire Healthcare Group's current Piotroski F-Score of 6 is near median its 10-year median of 6.00. Over the past 10 years, this metric has ranged from a low of 4.00 to a high of 7.00. The Healthcare Providers & Services industry median Piotroski F-Score is 5.00. Spire Healthcare Group's value of 6 is 20% above this industry median. Based on the distribution chart, Spire Healthcare Group ranks #165 out of 652 companies in the Healthcare Providers & Services industry, which is above the industry midpoint. Overall, Spire Healthcare Group has a GF Score™ of 73/100 and is considered Modestly Undervalued, reflecting its overall financial health beyond just this single metric.
How does Spire Healthcare Group's Piotroski F-Score compare to HCA and THC?
According to the Healthcare Providers & Services industry distribution chart, Spire Healthcare Group ranks #165 out of 652 companies for Piotroski F-Score. This puts Spire Healthcare Group in the upper half of its industry. The industry median Piotroski F-Score is 5.00. Spire Healthcare Group's value of 6 is 20% above this benchmark. Historically, Spire Healthcare Group's own Piotroski F-Score has ranged from 4.00 to 7.00 over the past decade. While the company's 10-year median is 6.00 vs. the industry median of 5.00, Spire Healthcare Group has consistently been above the industry average. See the competitive comparison table and distribution chart on this page for a detailed peer-by-peer breakdown.
What is a good Piotroski F-Score for a Healthcare Providers & Services company?
The median Piotroski F-Score among Healthcare Providers & Services companies is 5.00, based on 652 companies in the industry. Companies in the top quartile (top 25%) have a Piotroski F-Score significantly above this median, while those in the bottom quartile fall well below. However, Piotroski F-Score should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Spire Healthcare Group's current Piotroski F-Score of 6 is 20% above the industry median. Use the industry distribution chart on this page to see where any company falls relative to its peers.
What does a high Piotroski F-Score mean?
A high Piotroski F-Score can signal that a stock is expensive relative to its fundamentals. The Piotroski F-score grades a company's business operating strength from 0-9. View historical data on Spire Healthcare Group and its competitors. For the Healthcare Providers & Services industry, the median Piotroski F-Score is 5.00 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Spire Healthcare Group's current Piotroski F-Score is 6, which is near median its own 10-year median of 6.00. However, context matters — high-growth companies often justify higher valuations. Always evaluate alongside other metrics like GF Score™ and GF Value™.
Is Spire Healthcare Group stock overvalued right now?
Based on GuruFocus' analysis, Spire Healthcare Group (LSE:SPI) is currently considered Modestly Undervalued. The stock's GF Value™ is £2.71, compared to a current price of £2.18 — trading 19.6% below its estimated fair value. The current Piotroski F-Score is 6, which is near median its 10-year median of 6.00 and 20% above the Healthcare Providers & Services industry median of 5.00. Spire Healthcare Group's overall GF Score™ is 73/100 with 7 warning signs to review. Investors should evaluate multiple metrics — including profitability, growth, and financial strength — before making a decision.
How is Piotroski F-Score calculated?
Piotroski F-Score is calculated from a company's financial statements. For Spire Healthcare Group (LSE:SPI), the current Piotroski F-Score is 6 as of Jun. 26, 2026. GuruFocus calculates this using data sourced from SEC filings and annual reports. See the calculation section and 30-year financial data on this page for the full breakdown.

Is Spire Healthcare Group (LSE:SPI) Overvalued in 2026?

Based on GuruFocus' analysis, Spire Healthcare Group stock appears to be undervalued. The current stock price of £2.18 is trading 19.6% below its estimated GF Value™ of £2.71. GuruFocus considers Spire Healthcare Group to be Modestly Undervalued.

Key valuation signals for LSE:SPI:

  • Piotroski F-Score: 6 (near median its 10-year median of 6.00)
  • GF Value™: £2.71 vs. price of £2.18 (19.6% below fair value)
  • GF Score™: 73/100 with 7 warning signs
  • Industry Position: 20% above the Healthcare Providers & Services median (#165 of 652)

No single metric tells the full story. See the LSE:SPI stock analysis page for a complete view including 30-year financials, guru trades, and insider activity.


Spire Healthcare Group Business Description

Other Exchanges SPIl:UKS00:Germany
Address 3 Dorset Rise, London, GBR, EC4Y 8EN
Spire Healthcare Group PLC is an independent hospital group in the United Kingdom. It is a private provider, by volume, of knee and hip operations in the United Kingdom. The company has two operating segments: the hospitals business and the Primary care. The company generates the majority of its revenue from Hospital Business, which consists of hospitals, clinics, medical centres and consulting rooms. The company provide diagnostics, inpatient, day case and outpatient care in areas including orthopaedics, gynaecology, cardiology, neurology, oncology and general surgery. The primary care segment encompasses services focused on the primary care needs of outpatients, including GP services, occupational health services or mental and physical health services.
73GF Score

Get the complete analysis for LSE:SPI

Piotroski F-Score is just one metric. See GF Value™, 30-year financials, guru trades, warning signs, and more.

£2.18
Price
£2.71
GF Value