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Operating costs and expenses (Tables)
12 Months Ended
Dec. 31, 2024
Notes and other explanatory information [abstract]  
Schedule of operating costs and expenses
     
 

2024

2023

2022

Operating costs      
Salaries, payroll charges and benefits (2,357,526) (2,717,005) (2,285,765)
Pension plan obligations (23,704) (36,998) (29,796)
Construction costs (Note 28) (6,085,895) (5,474,729) (4,754,383)
General supplies (345,771) (356,481) (369,381)
Treatment supplies (577,639) (558,557) (598,993)
Outsourced services (1,915,851) (1,843,213) (1,724,347)
Electricity (1,573,067) (1,514,542) (1,497,644)
General expenses (1,246,474) (967,148) (831,503)
Depreciation and amortization

(2,477,146)

(2,583,193)

(2,259,091)

  (16,603,073) (16,051,866) (14,350,903)
       
Selling expenses      
Salaries, payroll charges and benefits (335,382) (347,536) (306,864)
Pension plan obligations (3,825) (3,359) (4,021)
General supplies (4,679) (6,746) (7,121)
Outsourced services (423,964) (439,995) (418,632)
Electricity (658) (673) (1,001)
General expenses (98,800) (116,933) (107,313)
Depreciation and amortization

(50,281)

(68,818)

(67,015)

  (917,589) (984,060) (911,967)
       
Bad debt expense, net of recoveries (Note 10 (c)) (557,789) (652,920) (782,057)
       
Administrative expenses      
Salaries, payroll charges and benefits (602,217) (423,948) (284,562)
Pension plan obligations (78,428) (122,248) (84,670)
General supplies (108,901) (23,008) (23,664)
Outsourced services (391,637) (287,744) (250,293)
Electricity (1,297) (2,020) (1,896)
General expenses (898,587) (509,984) (548,626)
Depreciation and amortization (149,215) (138,575) (124,743)
Tax expenses

(81,156)

(90,021)

(80,053)

  (2,311,438) (1,597,548) (1,398,507)
       
Operating costs and expenses      
Salaries, payroll charges and benefits (3,295,125) (3,488,489) (2,877,191)
Pension plan obligations (Note 24 (v)) (105,957) (162,605) (118,487)
Construction costs (Note 28) (6,085,895) (5,474,729) (4,754,383)
General supplies (459,351) (386,235) (400,166)
Treatment supplies (577,639) (558,557) (598,993)
Outsourced services (2,731,452) (2,570,952) (2,393,272)
Electricity (1,575,022) (1,517,235) (1,500,541)
General expenses (2,243,861) (1,594,065) (1,487,442)
Depreciation and amortization (2,676,642) (2,790,586) (2,450,849)
Tax expenses (81,156) (90,021) (80,053)
Bad debt expense, net of recoveries (Note 10 (c))

(557,789)

(652,920)

(782,057)

 

(20,389,889)

(19,286,394)

(17,443,434)