Complexity and efficiency drive massive EBITDA growth for Spire

Spire Healthcare has reported a massive leap in EBITDA and operating margins in the two years since its Cinven-backed acquisition of Bupa Hospitals despite a significant shift to NHS work.The 37-strong hospital group reported a modest 5.3% increase in turnover to £620m for the year ended 31 December 2009, but EBITDA climbed 21% on a…