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10 Property and equipment
 12 Months Ended
Dec. 31, 2020
Property, plant and equipment [abstract]  
Property and equipment
10 Property and equipment

 

Cost Building Machinery and equipment Lands Vehicles Furniture and fixtures IT equipment Library books Laboratories and clinics Leasehold improvements Construction in progress Total
As of January 1, 2018 - 20,135 - 120 8,357 6,494 10,016 - 7,094 1,187 53,403
Additions - 3,226 2,770 - 1,023 1,728 949 - 1,940 7,918 19,554
Transfer - -   - - - - - 2,271 (2,271) -
Business combinations - 7,142 - 62 2,517 2,021 1,873 597 577 3,902 18,691
As of December 31, 2018 - 30,503 2,770 182 11,897 10,243 12,838 597 11,882 10,736 91,648
Additions - 9,838 4,235 422 6,976 4,241 1,205 34 4,488 25,525 56,964
Transfers - - - - - (525) - - - - (525)
Business combinations - 3,988 - 103 2,565 2,035 4,096 418 14,541 470 28,216
As of December 31, 2019 - 44,329 7,005 707 21,438 15,994 18,139 1,049 30,911 36,731 176,303
Additions - 13,806 672 - 4,550 9,657 1,012 - 54,748 5,387 89,832
Business combinations 6,771 8,973 5,724 508 3,061 2,493 2,473 - 12,787 5,090 47,880
Transfer 19,148 1,395 - - 82 367 - (1,049) 23,559 (43,502) -
As of December 31, 2020 25,919 68,503 13,401 1,215 29,131 28,511 21,624 - 122,005 3,706 314,015
                       
Depreciation                      
As of January 1, 2018 - (7,810) - (49) (3,449) (3,472) (6,012) - (136) - (20,928)
Depreciation - (1,886) - (10) (812) (1,017) (1,003) (27) (202) - (4,957)
As of December 31, 2018 - (9,696) - (59) (4,261) (4,489) (7,015) (27) (338) - (25,885)
Depreciation - (4,097) - - (1,629) (2,495) (1,648) (359) (1,317) - (11,545)
Disposals - - - - - 447 - - - - 447
As of December 31, 2019 - (13,793) - (59) (5,890) (6,537) (8,663) (386) (1,655) - (36,983)
Depreciation - (5,065) - (112) (2,199) (4,314) (2,154) (78) (2,729) - (16,651)
Transfer - (464) - - - - - 464 - - -
As of December 31, 2020 - (19,322) - (171) (8,089) (10,851) (10,817) - (4,384) - (53,634)
                       
Net book value                      
As of December 31, 2020 25,919 49,181 13,401 1,044 21,042 17,660 10,807 - 117,621 3,706 260,381
As of December 31, 2019 - 30,536 7,005 648 15,548 9,457 9,476 663 29,256 36,731 139,320

 

The Company assesses, at each reporting date, whether there is an indication that a property and equipment asset may be impaired. If any indication exists, the Company estimates the asset’s recoverable amount. There were no indications of impairment of property and equipment as of and for the years ended December 31, 2020, 2019 and 2018.