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29 Operating costs and expenses (Tables)
12 Months Ended
Dec. 31, 2020
Operating costs and expense [abstract]  
Schedule of operating costs and expenses
2020 2019 2018
Operating costs      
Salaries, payroll charges and benefits (1,958,395) (1,938,265) (1,959,539)
Pension plan obligations (37,281) (49,564) (25,066)
Construction costs (Note 26) (3,630,139) (2,881,394) (2,739,657)
General supplies (244,054) (259,401) (238,034)
Treatment supplies (338,756) (310,380) (265,146)
Outsourced services (1,251,839) (1,250,890) (996,477)
Electricity (1,214,831) (1,140,160) (956,840)
General expenses (622,113) (647,804) (629,253)
Depreciation and amortization (1,882,259) (1,659,779) (1,276,444)
  (11,179,667) (10,137,637) (9,086,456)
       
Selling expenses      
Salaries, payroll charges and benefits (271,565) (270,549) (289,378)
Pension plan obligations (5,059) (6,848) (3,602)
General supplies (5,471) (10,332) (6,391)
Outsourced services (290,512) (360,190) (273,470)
Electricity (1,200) (1,333) (1,154)
General expenses (118,278) (122,503) (102,213)
Depreciation and amortization (59,201) (31,649) (17,272)
  (751,286) (803,404) (693,480)
       
Bad debt expense, net of recoveries (Note 10 (c)) (444,826) (128,099) (166,727)
       
Administrative expenses      
Salaries, payroll charges and benefits (257,829) (278,507) (254,284)
Pension plan obligations (116,941) (138,207) (141,758)
General supplies (14,237) (3,216) (4,881)
Outsourced services (230,054) (197,357) (204,728)
Electricity (1,359) (1,436) (1,363)
General expenses (257,693) (407,250) (232,288)
Depreciation and amortization (95,652) (88,666) (98,825)
Tax expenses (77,416) (73,205) (58,750)
  (1,051,181) (1,187,844) (996,877)
       
Operating costs and expenses      
Salaries, payroll charges and benefits (2,487,789) (2,487,321) (2,503,201)
Pension obligations (159,281) (194,619) (170,426)
Construction costs (Note 26) (3,630,139) (2,881,394) (2,739,657)
General supplies (263,762) (272,949) (249,306)
Treatment supplies (338,756) (310,380) (265,146)
Outsourced services (1,772,405) (1,808,437) (1,474,675)
Electricity (1,217,390) (1,142,929) (959,357)
General expenses (998,084) (1,177,557) (963,754)
Depreciation and amortization (2,037,112) (1,780,094) (1,392,541)
Tax expenses (77,416) (73,205) (58,750)
Bad debt expense, net of recoveries (Note 10 (c)) (444,826) (128,099) (166,727)
  (13,426,960) (12,256,984) (10,943,540)