Spire Healthcare Group (LSE:SPI) ROE %: 2.68% (As of Dec. 2025) — 86% Above 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 ROE %?

Spire Healthcare Group LSE:SPI -1.80% 73 ROE % is 2.68% as of Dec. 2025, which is 86% above its 10-year median of 1.44. 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 628 Healthcare Providers & Services companies, Spire Healthcare Group ranks worse than 61.78% on this metric.

ROE % is calculated as Net Income divided by its average Total Stockholders Equity over a certain period of time. Spire Healthcare Group's annualized net income for the quarter that ended in Dec. 2025 was £20 Mil. Spire Healthcare Group's average Total Stockholders Equity over the quarter that ended in Dec. 2025 was £738 Mil. Therefore, Spire Healthcare Group's annualized ROE % for the quarter that ended in Dec. 2025 was 2.68%.

The historical rank and industry rank for Spire Healthcare Group's ROE % or its related term are showing as below:

LSE:SPI' s ROE % Range Over the Past 10 Years
Min: -28.41   Med: 1.44   Max: 5.27
Current: 2.21

During the past 13 years, Spire Healthcare Group's highest ROE % was 5.27%. The lowest was -28.41%. And the median was 1.44%.

LSE:SPI's ROE % is ranked worse than
61.78% of 628 companies
in the Healthcare Providers & Services industry
Industry Median: 5.72 vs LSE:SPI: 2.21

Spire Healthcare Group  (LSE:SPI) ROE % Explanation

ROE % measures the rate of return on the ownership interest (shareholder's equity) of the common stock owners. It measures a firm's efficiency at generating profits from every unit of shareholders' equity (also known as net assets or assets minus liabilities). ROE % shows how well a company uses investment funds to generate earnings growth. ROE %s between 15% and 20% are considered desirable.

The factors that affect a company's ROE % can be illustrated with the three-step DuPont Analysis:

ROE %(Q: Dec. 2025 )
=Net Income/Total Stockholders Equity
=19.8/738.35
=(Net Income / Revenue )*(Revenue / Total Assets)*(Total Assets / Total Stockholders Equity)
=(19.8 / 1566.2)*(1566.2 / 2370.8)*(2370.8 / 738.35)
=Net Margin %*Asset Turnover*Equity Multiplier
=1.26 %*0.6606*3.2109
=ROA %*Equity Multiplier
=0.83 %*3.2109
=2.68 %

With this breakdown, it is clear that if a company grows its Net Profit Margin, its Asset Turnover, or its Leverage, it can grow its ROE %.

The factors that affect a company's ROE % can also be illustrated with the five-step DuPont Analysis:

ROE %(Q: Dec. 2025 )
=Net Income/Total Stockholders Equity
=19.8/738.35
=(Net Income / Pre-Tax Income) * (Pre-Tax Income / Operating Income) * (Operating Income / Revenue) * (Revenue / Total Assets) * (Total Assets / Total Stockholders Equity)
= (19.8 / 15.6) * (15.6 / 88.2) * (88.2 / 1566.2) * (1566.2 / 2370.8) * (2370.8 / 738.35)
= Tax Burden * Interest Burden * Operating Margin % * Asset Turnover * Equity Multiplier
= 1.2692 * 0.1769 * 5.63 % * 0.6606 * 3.2109
=2.68 %

Note: The net income data used here is two times the semi-annual (Dec. 2025) net income data. The Revenue data used here is two times the semi-annual (Dec. 2025) revenue data. The same rule applies to Pre-Tax Income and Operating Income.
* In the five-step DuPont Analysis, Operating Income is only available for non-financial companies. Thus, for Insurance companies, we use EBIT as a substitution of Operating Income. For Banks, both Operating Income and EBIT is unavailable. Thus we combined Interest Burden and Operating Margin % into Pretax Margin %, and the DuPont Analysis is divided into four components instead.

* 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.


Be Aware

Net Income is used.

Because a company can increase its ROE % by having more financial leverage, it is important to watch the equity multiplier when investing in high ROE % companies. Like ROA %, ROE % is calculated with only 12 months data. Fluctuations in company's earnings or business cycles can affect the ratio drastically. It is important to look at the ratio from a long term perspective.

Asset light businesses require very few assets to generate very high earnings. Their ROE %s can be extremely high.


Spire Healthcare Group ROE % Related Terms


Spire Healthcare Group ROE % Historical Data

* Premium members only.

The historical data trend for Spire Healthcare Group's ROE % 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 ROE % Chart

Spire Healthcare Group Annual Data
Trend Dec16 Dec17 Dec18 Dec19 Dec20 Dec21 Dec22 Dec23 Dec24 Dec25
ROE %
Get a 7-Day Free Trial Premium Member Only Premium Member Only -1.37 1.19 3.71 3.41 2.20

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
ROE % 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 4.06 3.62 3.22 1.75 2.68

LSE:SPI vs HCA, THC, DVA: ROE % Comparison

For the Medical Care Facilities subindustry, Spire Healthcare Group's ROE %, along with its competitors' market caps and ROE % 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 ROE % vs Healthcare Providers & Services Industry

For the Healthcare Providers & Services industry and Healthcare sector, Spire Healthcare Group's ROE % distribution charts can be found below:

* The bar in red indicates where Spire Healthcare Group's ROE % falls into.


LSE:SPI
73GF Score
Spire Healthcare Group PLC LSE:SPI
ROE % is just one metric. See GF Score™, valuation, warning signs, and more.
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Spire Healthcare Group ROE % Calculation

Spire Healthcare Group's annualized ROE % for the fiscal year that ended in Dec. 2025 is calculated as

ROE %=Net Income (A: Dec. 2025 )/( (Total Stockholders Equity (A: Dec. 2024 )+Total Stockholders Equity (A: Dec. 2025 ))/ count )
=16.4/( (748.4+742.8)/ 2 )
=16.4/745.6
=2.20 %

Spire Healthcare Group's annualized ROE % for the quarter that ended in Dec. 2025 is calculated as

ROE %=Net Income (Q: Dec. 2025 )/( (Total Stockholders Equity (Q: Jun. 2025 )+Total Stockholders Equity (Q: Dec. 2025 ))/ count )
=19.8/( (733.9+742.8)/ 2 )
=19.8/738.35
=2.68 %

* 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.

In the calculation of annual ROE %, the net income of the last fiscal year and the average total shareholder equity over the fiscal year are used. In calculating the quarterly data, the net income data used here is two times the semi-annual (Dec. 2025) net income data. ROE % is displayed in the 30-year financial page.

Frequently Asked Questions Learn more about ROE % →
What does a ROE % of 2.68% mean?
Spire Healthcare Group (LSE:SPI) has a ROE % of 2.68% as of Dec. 2025. Return on equity is the ratio of current-period net income to average two-period total equity. View historical data on Spire Healthcare Group and its competitors. This is 86% above median its historical median of 1.44. According to the industry distribution chart, Spire Healthcare Group ranks #388 out of 628 companies in the Healthcare Providers & Services industry, placing it in the top 61.8%.
Is Spire Healthcare Group's ROE % too high?
Spire Healthcare Group's current ROE % of 2.68% is 86% above median its 10-year median of 1.44. The Healthcare Providers & Services industry median ROE % is 5.72. Spire Healthcare Group's value of 2.68% is 53.1% below this industry median. Based on the distribution chart, Spire Healthcare Group ranks #388 out of 628 companies in the Healthcare Providers & Services industry, which is below 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 ROE % compare to HCA and THC?
According to the Healthcare Providers & Services industry distribution chart, Spire Healthcare Group ranks #388 out of 628 companies for ROE %. This places Spire Healthcare Group in the lower half of its industry. The industry median ROE % is 5.72. Spire Healthcare Group's value of 2.68% is 53.1% below this benchmark. While the company's 10-year median is 1.44 vs. the industry median of 5.72, Spire Healthcare Group has consistently been below 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 ROE % for a Healthcare Providers & Services company?
The median ROE % among Healthcare Providers & Services companies is 5.72, based on 628 companies in the industry. Companies in the top quartile (top 25%) have a ROE % significantly above this median, while those in the bottom quartile fall well below. However, ROE % should not be evaluated in isolation — investors should consider it alongside profitability, growth, and financial strength metrics. Spire Healthcare Group's current ROE % of 2.68% is 53.1% below 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 ROE % mean?
A high ROE % can signal that a stock is expensive relative to its fundamentals. Return on equity is the ratio of current-period net income to average two-period total equity. View historical data on Spire Healthcare Group and its competitors. For the Healthcare Providers & Services industry, the median ROE % is 5.72 — values significantly above this may indicate overvaluation, while values below may suggest a bargain or underlying issues. Spire Healthcare Group's current ROE % is 2.68%, which is 86% above median its own 10-year median of 1.44. 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 ROE % is 2.68%, which is 86% above median its 10-year median of 1.44 and 53.1% below the Healthcare Providers & Services industry median of 5.72. 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 ROE % calculated?
ROE % is calculated from a company's financial statements. For Spire Healthcare Group (LSE:SPI), the current ROE % is 2.68% as of Dec. 2025. 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:

  • ROE %: 2.68% (86% above median its 10-year median of 1.44)
  • GF Value™: £2.71 vs. price of £2.18 (19.6% below fair value)
  • GF Score™: 73/100 with 7 warning signs
  • Industry Position: 53.1% below the Healthcare Providers & Services median (#388 of 628)

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

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

£2.18
Price
£2.71
GF Value