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Contingencies (Details) R$ in Millions, $ in Millions	1 Months Ended			3 Months Ended
	Oct. 31, 2019 lawsuit	Jul. 31, 2019 BRL (R$)	Jul. 31, 2018 BRL (R$)	Mar. 31, 2024 BRL (R$) patent	Mar. 31, 2024 USD ($) patent
Emgality Patent Litigation
Loss Contingencies [Line Items]
Number of patents | patent				3	3
Employee Litigation, July 2018 Ruling | Brazil
Loss Contingencies [Line Items]
Damages awarded, value			R$ 300	R$ 1,300	$ 260
Employee Litigation, July 2019 Ruling | Brazil
Loss Contingencies [Line Items]
Damages awarded, value		R$ 500		R$ 135	$ 27
Health Choice Alliance
Loss Contingencies [Line Items]
Lawsuits filed | lawsuit	2

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