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Financial assets and liabilities (Tables)
12 Months Ended
Dec. 31, 2025
Notes and other explanatory information [abstract]  
Schedule of financial assets
   
  2025 2024
At amortized cost  
Cash and cash equivalents 1,125,381 911,015
Trade receivables 752,358 631,846
Other FIES credits - Other assets 6,866 8,982
Dividends receivable - Other assets 6,287 1,628
  1,890,892 1,553,471
Current 1,849,041 1,508,541
Non-current 41,851 44,930
Schedule of financial liabilities
   
  2025 2024
At amortized cost  
Trade payables 123,581 128,080
Loans and financing 2,054,267 2,195,161
Lease liabilities 1,065,746 978,336
Accounts payable to selling shareholders 115,447 215,819
Dividends payable 192 -
  3,359,233 3,517,396
Current 326,432 690,395
Non-current 3,032,801 2,827,001
Schedule of fair value
   
  2025 2024
At fair value  
Accounts payable to selling shareholders (earn-outs) 3,337 20,067
Accounts payable to selling shareholders (Unidom) 321,813 294,886
  325,150 314,953
Current 24,421 32,137
Non-current 300,729 282,816
Schedule of loans and financing
         
Financial institution Currency Interest rate Maturity  2025 2024
         
Banco Itaú Unibanco S.A. (a) Brazilian real CDI + 1.90% p.y. October 2025 - 309,496
FINEP (b) Brazilian real TJLP p.y. July 2027 5,262 8,209
Softbank (c) Brazilian real 6.5% p.y. April 2026 - 845,492
Debentures (d) Brazilian real CDI + 1.80% p.y. January 2028 - 526,946
IFC (e) Brazilian real CDI + 1.05% p.y. April 2030 510,672 505,018
Commercial notes (f) Brazilian real CDI + 0.70% p.y. October 2028 512,678 -
Commercial notes (f) Brazilian real CDI + 0.85% p.y. October 2030 1,025,655 -
        2,054,267 2,195,161
Current       60,668 363,554
Non-current       1,993,599 1,831,607
Schedule of right-of-use assets and lease liabilities
             
  Right-of-use assets   Lease liabilities
  2025 2024 2023   2025 2024 2023
           
Opening balance 842,219 767,609 690,073   978,336 874,569 769,525
Additions 37,727 37,671 7,328   37,727 37,671 7,328
Remeasurement 98,987 80,226 70,387   98,987 80,226 70,387
Business combinations - 28,989 65,408   - 28,989 65,408
Depreciation expense (80,864) (70,294) (63,118)   - - -
Interest expense - - -   123,067 111,966 100,849
Payments of principal - - -   (49,411) (41,221) (31,473)
Payments of interest - - -   (121,475) (111,605) (103,911)
Write-off (i) (1,311) (1,982) (2,469)   (1,485) (2,259) (3,544)
Closing balance 896,758 842,219 767,609    1,065,746 978,336 874,569

 

Balances: 2025 2024 2023   2025 2024 2023
           
Current - - -   55,772 45,580  36,898
Non-current 896,758 842,219 767,609   1,009,974 932,756 837,671

 

(i)Refers to early termination of lease contracts.
Schedule of accounts payable to selling shareholders
   
  Interest rate 2025 2024
     
Accounts payable at amortized cost (deferred consideration)      
Unigranrio (a) CDI - 90,543
DelRey (b) Selic 71,604 125,276
FUNIC (c) CDI 43,843 -
Accounts payable at fair value (contingent consideration)      
Shosp (d) - 454 454
Além da Medicina (e) - - 9,600
CardioPapers (f) - 2,883 10,013
Unidom (g) CDI 321,813 294,886
    440,597 530,772
Current   110,640 185,318
Non-current   329,957 345,454
Schedule of accounts payable
   
  2025 2024 2023
     
Opening balance 530,772 566,867 528,678
Additions 40,000 279,989 234,000
Payments of principal (144,076) (290,067) (225,460)
Payments of interest (49,608) (78,931) (55,989)
Interest 19,979 37,276 85,069
Remeasurement of contingent consideration 43,530 15,638 2,556
Other - - (1,987)
Closing balance 440,597 530,772 566,867
Schedule of fair values of the company's financial instruments
         
  2025   2024
  Carrying amount Fair value   Carrying amount Fair value
Financial liabilities          
Loans and financing 2,054,267 2,056,492   2,195,161 2,196,152
  2,054,267 2,056,492   2,195,161 2,196,152
Schedule of income before income taxes
     
  2025 Index Base rate
   
Cash equivalents 1,086,489 CDI 163,781
Loans and financing (2,049,005) CDI (323,480)
Loans and financing (5,262) TJLP (477)
Accounts payable to selling shareholders (365,656) CDI (54,483)
Accounts payable to selling shareholders (71,604) Selic (10,669)
Net exposure     (225,328)

 

  Increase in basis points
  +75 +150
Net effect on profit before tax (10,538) (21,076)
Schedule of sensitivity foreign currency
     
  Exposure +10% -10%
Cash equivalents 23,422 2,342 (2,342)
Schedule of maturity profile of financial liabilities
         
As of December 31, 2025 Less than 1 year 1 to 3 years 3 to 5 years More than 5 years Total
Trade payables 123,581 - - - 123,581
Loans and financing 308,292 1,360,411 1,473,733 - 3,142,436
Lease liabilities 178,638 347,847 331,019 1,342,713 2,200,217
Accounts payable to selling shareholders 126,307 131,446 185,821 502,355 945,929
  736,818 1,839,704 1,990,573 1,845,068 6,412,163

 

As of December 31, 2024 Less than 1 year 1 to 3 years 3 to 5 years More than 5 years Total
Trade payables 128,080 - - - 128,080
Loans and financing 526,659 1,494,287 617,818 75,526 2,714,290
Lease liabilities 158,746 303,211 293,178 1,360,107 2,115,242
Accounts payable to selling shareholders 205,322 150,565 99,100 373,498 828,485
  1,018,807 1,948,063 1,010,096 1,809,131 5,786,097
Schedule of changes in liabilities arising from financing activities
             
  January 1, 2025 Payments of principal Payments of interest Additions and remeasurements Interest Other December 31, 2025
             
Loans and financing 2,195,161 (1,624,911) (274,265) 1,494,881 252,870 10,531 2,054,267
Lease liabilities 978,336 (49,411) (121,475) 136,714 123,067 (1,485) 1,065,746
Dividends payable - (146,813) - 147,005 - - 192
  3,173,497 (1,821,135) (395,740) 1,778,600 375,937 9,046 3,120,205

 

  January 1, 2024 Payments of principal Payments of interest Additions and remeasurements Interest Business combination Other December 31, 2024
                 
Loans and financing 1,800,775 (128,696) (177,192) 491,593 201,472 4,377 2,832 2,195,161
Lease liabilities 874,569 (41,221) (111,605) 117,897 111,966 28,989 (2,259) 978,336
Dividends payable - (18,289) - 18,289 - - - -
  2,675,344 (188,206) (288,797) 627,779 313,438 33,366 573 3,173,497

 

  January 1, 2023 Payments of principal Payments of interest Additions and remeasurements Interest Business combination Other December 31, 2023
                 
Loans and financing 1,882,901 (112,630) (175,889) 5,288 197,678 - 3,427 1,800,775
Lease liabilities 769,525 (31,473) (103,911) 77,715 100,849 65,408 (3,544) 874,569
Dividends payable - (18,750) - 18,750 - - - -
  2,652,426 (162,853) (279,800) 101,753 298,527 65,408 (117) 2,675,344