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Non-cash transactions (Details) - BRL (R$)
R$ in Thousands
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
IfrsStatementLineItems [Line Items]      
Remeasurement of earn-out of Alem da Medicina, CardioPapers R$ 2,556
Provision for legal proceedings with corresponding indemnification asset 20,000 48,333 4,232
Additions and remeasurements of right-of-use assets and lease liabilities 77,715 100,873 158,651
I Clinic [Member]      
IfrsStatementLineItems [Line Items]      
Issuance of shares for acquisition 71,500
Cliquefarma [Member]      
IfrsStatementLineItems [Line Items]      
Issuance of shares for acquisition 3,000
RXPRO [member]      
IfrsStatementLineItems [Line Items]      
Issuance of shares for acquisition R$ 5,112