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Intangible assets and goodwill (Details 1) - Carrying Amounts [Member] - BRL (R$) R$ in Thousands | Dec. 31, 2023 | Dec. 31, 2022
--- | --- | ---
IfrsStatementLineItems [Line Items] |  |
Goodwill | R$ 1,334,699 | R$ 1,257,045
Licenses with indefinite useful life | 2,776,077 | 2,189,814
Cash generating units | 5,584,082 | 4,814,424
I P T A N Instituto De Ensino Superior Presidente Trancredo De Almeida Neves S A [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 17,446 | 17,446
Licenses with indefinite useful life | 57,214 | 57,214
Cash generating units | 125,974 | 126,024
Instituto De Educacao Superior Do Vale Do Parnaiba S A [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 27,956 | 27,956
Licenses with indefinite useful life | 81,366 | 81,366
Cash generating units | 126,996 | 129,305
Centro De Ciencias Em Saude De Itajuba S A [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 4,664 | 4,664
Licenses with indefinite useful life | 56,737 | 56,737
Cash generating units | 54,550 | 53,540
Instituto De Ensino Superior Do Piaui S A [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 73,838 | 73,838
Licenses with indefinite useful life | 179,693 | 179,693
Cash generating units | 332,104 | 322,968
F A D E P Faculdade Educacional De Pato Branco Ltda [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 49,661 | 49,661
Licenses with indefinite useful life | 70,606 | 70,606
Cash generating units | 148,032 | 153,100
Instituto Educacional Santo Agostinho S A [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 58,903 | 58,903
Licenses with indefinite useful life | 144,507 | 144,507
Cash generating units | 322,061 | 314,967
Institutode Pesquisae Ensino Medicodo Estadode Minas Gerais Ltda [member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 87,647 | 87,647
Licenses with indefinite useful life |  |
Cash generating units | 183,862 | 192,079
Instituto Paraensede Educacaoe Cultura Ltda [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill |  |
Licenses with indefinite useful life | 108,000 | 108,000
Cash generating units | 157,984 | 148,067
Uni Redentor [member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 77,662 | 77,662
Licenses with indefinite useful life | 121,477 | 121,477
Cash generating units | 234,054 | 242,600
Uni S L [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 4,420 | 4,420
Licenses with indefinite useful life | 273,795 | 273,795
Cash generating units | 401,143 | 398,492
F E S A R [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 71,664 | 71,664
Licenses with indefinite useful life | 141,616 | 141,616
Cash generating units | 244,412 | 244,084
FCMPB [member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 110,483 | 110,483
Licenses with indefinite useful life | 235,018 | 235,018
Cash generating units | 402,140 | 415,453
I T P A C Garanhuns [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill |  |
Licenses with indefinite useful life | 108,000 | 108,000
Cash generating units | 116,162 | 112,628
Medcel And C B B W [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 179,830 | 169,975
Licenses with indefinite useful life |  |
Cash generating units | 238,921 | 279,684
Practice Management Tools And Electronic Prescription [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 106,774 | 106,774
Licenses with indefinite useful life |  |
Cash generating units | 221,171 | 216,297
Clinical Decision Software [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 87,018 | 87,018
Licenses with indefinite useful life |  |
Cash generating units | 147,897 | 153,526
Cliquefarma [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 6,588 | 6,588
Licenses with indefinite useful life |  |
Cash generating units | 18,789 | 20,045
Unifip Moc [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 87,777 | 87,777
Licenses with indefinite useful life | 190,247 | 190,247
Cash generating units | 361,383 | 369,007
Unigranrio [member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 169,173 | 169,173
Licenses with indefinite useful life | 421,538 | 421,538
Cash generating units | 833,665 | 854,861
RXPRO [member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 29,809 | 29,809
Licenses with indefinite useful life |  |
Cash generating units | 34,748 | 36,675
Glic [member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 8,288 | 15,587
Licenses with indefinite useful life |  |
Cash generating units | 23,721 | 31,022
Del Rey [Member] |  |
IfrsStatementLineItems [Line Items] |  |
Goodwill | 75,098 |
Licenses with indefinite useful life | 586,263 |
Cash generating units | R$ 854,313 |

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