presentation fleury group...
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PresentationPresentation
Jul 2010Jul 2010
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A l e a d i n g pr o v i d er o f d i a g n o s t i c s er v i c e s a n d s o l u t i o n sD o u b l e- d i g i t gr o w t h w i t h s u p er i o r r e t ur n s– R e v e n u e s C A G R‘ 0 4- 0 9 : 1 7 . 5 %– E B I T D A m a r gi n 2 0 0 9 : 2 3 . 3 %– R O I C2 L T M 1 Q 1 0 : 2 1 . 5 % ,o n e o f t h e hi g h e s t i n t h e i n d u s t r y gl o b al l yS tr o n g a c q u i s i t i o n tr a c k- r e c o r d (’ 0 2- 1 0 : 2 4 a c q u i si ti o n s )
366
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587
720
820
195
217000
0
0 ,20 ,30 ,40 ,50 ,60 ,70 ,80 ,9
2004 2005 2006 2007 2008 2009 1Q09 1Q10(1 )O r ga n i c g r o w t h o f 1 0 % i n 2 0 0 9( 2 )C a l c u la t e d b y d i v i d i n g (a ) e a r n i n g b e f o r e i n t e r e s t a n d ta x e s m i n u s ta x e s , b y ( b ) a v e ra g e e q u i t y p l u s a v e ra g e n e t d e b t , i n c l u d i n g o b l i ga t i o n s r e la t e d t o a c q u i s i t i o n s 22
R e t ur n o n c a pi t al²C o n s o l i d a t e d gr o s s r ev e n u e s¹(R $M i l l i o n )
cagr 17.5%11.2%
20.7%21.5%
0 , 00 , 01Q09 1Q10
77 bps
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P r e v e n t i v eM e d i c i n e D i a g n o s t i c s T h e r a p e u t i cM e d i c i n e
H e a l t h a s s e s s m e n t : m a r k e tl d ( d d l d N e t w o r k o f 1 3 9 P a t i e n t S e r v i c ed b d C h r o n i c d i s e a s e m a n a g e m e n t :h l kl e a d e r (i n d i v i d u a li z e d p r o g r a m sf o r e x e c u t i v e s )H e a l t h p r o m o t i o n : w e l l n e s sp r o g r a m s f o r c o m p a n i e s C e n t e r s u n d e r 1 6 b r a n d sI n c h a r g e o f D i a g n o s t i c C e n t e r si n 8 t o p t i e r h o s p i t a l sN a t i o n w i d e , p r o v i d e r o fd i a g n o s t i c s o l u t i o n s t o o v e r3 . 0 0 0 l a b o r a t o r i e sp i o n e e r i n t h e B r a z i li a n m a r k e tP a r t n e r s h i p w i t h H e a l t h w a y s
33
C o m p l e t e p o r t f o l i o o f d i a g n o s t i c s t e s t sC li n i c a l A n a l y s i s (R o u t i n e , P a t h o l o g y& E s o t e r i c t e s t s )D i a g n o s t i c C e n t e r ( I m a g i n g ,> 4 0 d i a g n o s t i c s p e c i a l t i e s )
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B a h i aP e r n a m b u c o1 1 u n i t s
1 4 u n i t sD F
Presence in the major
economic centers, which
concentrate 46% of health
plan members
24 Acquisitions since 2002
16 brands, 139 PSCsS o u r c e : A N S 1 u n i t 1 u n i t1 0 u n i t s9 u n i t s2 1 u n i t s3 u n i t s5 u n i t s1 0 u n i t s2 u n i t s8 u n i t s2 u n i t s1 8 u n i t s1 3 u n i t s1 3 u n i t sR i o G r a n d e d o S u l
P a r a n á1 4 u n i t s
S ã o P a u l oR i o d e J a n e i r o
44
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24 acquisitions since 2002
2002 2004 2005 2007 2008
São Paulo ParanáPernambucoBahiaRio de Janeiro
2009
Rio de Janeiro
2010
São Paulo
55
Paraná
Rio de JaneiroSão Paulo Bahia São Paulo Rio Grande do Sul
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66
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1.3
2.5
4.1
5.6
6.6
0 , 00 , 00 , 00 , 00 , 0
2005 2006 2007 2008 2009
13.9
19.3
28.3
40.5
52.1
64.1
0 , 0 0 , 0 0 , 0 0 ,1 0 ,1
2000
2010
2020
2030
2040
2050
F o r m al e m p l o y m e n t i n cr e a s e(C u m u l a t i v e n e t j o b c r e a t i o n ,M i l l i o n s s i n c e 2 0 0 5 ) G r ow i n g el d er p o p u l a ti o n(M i l l i o n s o f l i v e s a b o v e 6 0 y e a r s o l d a n d % o f t o t a l p o p u l a t i o n )
8%
10%
14%
19%
24%
30%
22.8
47.60 , 00 , 00 , 00 ,1
2003 2008
31.4
41.1
53.9
0 , 00 , 00 , 00 ,10 ,1
2003 2008 2014E
2005 2006 2007 2008 2009
85%
60%
22%0 , 00 , 00 , 0USA Mexico Brazil
64.12050I n cr e a si n g n u m b er of m e m b er s a n d ex p e n d i t ur e(M i l l i o n s o f l i v e s )S o u r c e : e s t i m a t e s b a s e d u p o n I B G E ,A N S a n d M o r g a n S t a n l e yR e s e a r c h d a t a# of H e al th p l an m e m b er s Pr i v a t e h e al th c ar ea s s i s t an c e ex p e n d i t u r e
(R $B i l l i o n s )2 0 0 8 ; S o u r c e : I B G E ,A N S ;U . S . C e n s u s B u r e a u ; I n s t i t u t o N a c i o n a l d e S a l u d P u b l i c a
Pr i v a t eh e al th p l a n p e n e tr a ti o n% H e a l t h p l a n p e n e t r a t i o n ( % o f p o p u l a t i o n c o v e r e d b y p r i v a t e h e a l t h p l a n )77
S o u r c e : C A G E D / M T E S o u r c e : I B G E 30%
18% 22% 27%
cagr16%
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1 . P h y s i c i a n r a i s e s a h y p o t h e s i s , r e q u e s t s a s e r i e s o f t e s t sa n d s u g g e s t s w h e r e p a t i e n t s h o u l d b e i n v e s t i g a t e d
2 . P a t i e n t g o e s t o h i s t r u s t e d m e d i c a l s e r v i c e p r o v i d e r
3 . M e d i c a l s e r v i c e (e . g . , d i a g n o s t i c t e s t ) i s p r o v i d e d
4 . P a t i e n t r e c e i v e s r e p o r t s a n d d e l i v e r s t o p h y s i c i a n
88
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99
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• H e a l t h P l a n P r o v i d e r sO f f e r s s e v e r a l c o v e r a g e o pt i o n s7 2 % o f F l e u r y r e v e n u e s
• E m p l o y e rC h o o s e s h e a lt h p l a na n d s e r v i c e s p r o v i d e r : • D o c t o r sR e c o m m e n d h e a lt h• P a t i e n tC h o o s e s s e r v i c e p r o v i d e r b a s e d o nh e a lt h p l a n c o v e r a g e , p e r s o n a lp r e f e r e n c e a n d p h y s i c i a n’ sO u r b r a n d s p o rt f o l i o c o v e r s t h e e nt i r eh e a lt h p l a n c o v e r a g e s e g m e nt at i o n
O f f e r s p r e v e nt i v e m e d i c i n e s o l ut i o n st o i m p r o v e e m p l o y e e w e l l n e s s
a n d s e r v i c e s p r o v i d e r :f o r h i m F l e u r y i sa m u st - h a v e s e r v i c e p r o v i d e r
B e st a n d m o st t r u st e d c e nt e r f o r d i a g n o st i cm e d i c i n e f o r 8 5 % o f p h y s i c i a n s
i n d i c at i o nC l i e nt s at i s f a ct i o n i n d e xa b o v e 8 5 %
• (1 ) I n 2 0 0 9 • 1 0• 1 0
20102008
•Source: 2008 – IBOPE; 2010 – Ipsos
•Fleury competitor A competitor B
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Fleury was rated as one of the most valuable brands in Brazil by BrandAnalytics and Millward Brown*: 25th among 50
most important companies in the country
The 6th most valuable brand among the service companies
The most valuable brazilian brand in the healthcare industry
•* Millward Brown is a leading global researchagency specializing in advertising, marketing communications, media and brand equityresearch, BrandAnalyticsis one of the mostimportant brazilian brandconsulting.
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77%
11%
12%
Business Units Administrative areas Physicians
4,936 employees and 530 physicians•Professionals by Area
•2.6%
•3.2%
17%
40%
26%
13%
4%
less than 1 year 1 - 3 years
4 - 10 years 11 - 20 years
above 20 years
Business Units Administrative areas Physicians
1 21 2
•Years working at Fleury Group•Age
•2.6%
•0.2%
•10.3%•66.2%
•4.3%
•13.3%
18%
26%
38%
14%
4%
up to 25 years 26 - 30
31 - 40 41 - 50
above 50 years(1 ) I n 2 0 0 9
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33
46
55 580 , 00 , 00 , 00 , 0•34,4 hours•Global average¹
530 Physicians - Master degree/PhD 37% - Post Doc 5%
•Hours of training per employee•Investments in education (R$ million)
• Qualification
2.37% 2.09% 2.60%
2008 2009 2010*
33
0 , 00 , 00 , 00 , 00 , 02006 2007 2008 2009
• (1) source: American Society of Training and Development, 2008
1 31 3
•Turn Over (12-month average)
•*2010 - average by March
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3950
80103• K n ow l e d g e • In n o v a t i o n
K n o w l e d g e g e n e r a t i o n*5 3 0 p h y s i c i a n s1 7 2 p e e r - r e v i e w e d p u b l i s h e d a rt i c l e s3 1 3 a b st r a ct s i n s c i e nt i f i c m e et i n g s9 5 b o o k c h a pt e r sI n t e g r a t e d s o l u t i o n sA rt i f i c i a l i nt e l l i g e n c e t o o l s t oa n a l yz e t e st r e s u lt s N e w p r o d u c t s# o f n e w p r o d u c t s•* 2 0 0 97.4
9.612.2
14.817.9
4th Qtr 2008
1st Qtr 2009
2nd Qtr 2009
3rd Qtr 2009
4th Qtr 2009
2006 2007 2008 2009
20,12622,748
39,085
2007 2008 2009
• K n ow l e d g e • In n o v a t i o nM e d i c a l C o n s u l t a n c yS e r v i c e s 2 4 /7P h y s i c i a n s a n a l yz e c o m p l e x c a s e s a n ds u g g e st s u b s e q u e nt i n v e st i g at i o n
• # o f c o n s l u ta n c i e s r e g i s t e r e d i n e l e c t r o n i c m e d i ca l r e c o r d sR e v e n u e s i n B R L m i l l i o n s2 6 m e d i c a l s p e c i a lt i e s b r a n c h e s ,3 9 t y p e s o f i nt e g r at e d r e p o rt s
1 41 4
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3950
80103
K n o w l e d g e g e n e r a t i o n*5 3 4 p h y s i c i a n s1 7 2 p e e r- r e v i e w e d p u b l i s h e da r t i c l e s3 1 3 a b s t r a c t s i n s c i e n t i f i cm e e t i n g s9 5 b o o k c h a p t e r sI n t e g r a t e d s o l u t i o n sE l e c t r o n i c h i s t o r i c a l d a t a/ e v o l u t i o n a r y r e p o r t sA r t i f i c i a l i n t e l l i g e n c et o o l s t o a n a l yz e t e s t N e w p r o d u c t s# o f n e w p r o d u c t s•* 2 0 0 9
• I nt r o d u ct i o no f i nt e g r at e dr e p o rt s
• T e st r e s u lt sw it h h i st o r i c a ld at a• H e a lt ha s s e s s m e ntd i v e r s i f i c at i o n
• I m a g er e s u lt s o nt h e i nt e r n et
• 2 0 0 2 • 2 0 0 5
• 2 0 0 3 • 2 0 0 4
Tempo de Protrombina
0,00
8,00
16,00
24,00
32,00
40,00
16/11/2009 25/10/2009 5/10/2009 19/9/2009 7/9/2009 29/8/2009
Data
Va
lor
(se
gu
nd
os
)
Resultado Referência Máxima Referência Mínima
2006 2007 2008 2009
20,12622,748
39,085
2007 2008 2009
• K n o w l e d ge • I n n o v a t i o nt o o l s t o a n a l yz e t e s tr e s u l t s M D s a v a i l a b l e 2 4 /7 t od i s c u s s c o m p l e x c a s e sP h y s i c i a n s a n a l yz e c a s e s n o tc o v e r e d b y a r t i f i c i a li n t e l l i g e n c e a n d s u g g e s ts u b s e q u e n t i n v e s t i g a t i o n 7,49,6
12,214,8
17,9
4° Trim
2008
1° Trim
2009
2° Trim
2009
3° Trim
2009
4° Trim
2009
R e v e n u e s i n B R L m i l l i o n sI n t e g r a t e d r e p o r t s • H e a lt hp r o m o t i o np r o g r a m s
• C h r o n i cd i s e a s em a n a g e m e ntp r o g r a m
• It a i m P at i e ntS e r v i c e C e nt e r • 2 0 0 9 • 2 0 0 6
• 2 0 0 8 • 2 0 0 7 • I n n o v at i o n &k n o w l e d g em a n a g e m e nt
A n i n c u b a t or f orCl i e n tE x p er i e n c eI n n ov a t i o n sU s e o f ar t &c ul t ur e i nS er v i c eI n n ov a t i o n 1 51 5
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2 5 1 6H i gh c o r p o r a t e g o v e r n a n c es t a n d a r d s b e f o r e g o i n g p u b l i cB o a r d o f D i r e c t o r s s i n c e 1 9 9 8I n d e p e n d e n t m e m b e r s s i n c e c r e a t i o n3 o u t o f 9 m e m b e r s a r e i n d e p e n d e n tA u d i t C o m m i t t e e a n d C o m p e n s a t i o n a n dS u c c e s s i o n C o m m i t t e eE t l d i t i i 1 9 9 2
K e y E x e c u t i v e s Y e a r s o f e x p e r i e n c eH e a l t h c a r e i n d u s t r y F l e u r yM a u r o F i g u e i r e d o 2 3 1 3W i l s o n P e d r e i r aO m a r H a u a c h eC h i e fE x e c u t i v e O f f i c e rE x e c u t i v e D i r e c t o r ,D i a gn o s t i c M e d i c in eE x e c u t i v e D i r e c t o r ,P r e v en t i v e & T h e r a p e u t i c M e d i c in e 1 9 9 E x t e r n a l a u d i t i n g s i n c e 1 9 9 2A n n u a l R e p o r t p u b l i s h e d s i n c e 2 0 0 5A w a r d s2 0 0 8 a n d 2 0 0 9 E x e c u t i v e o f V a l u e– H e a l t h c a r eI n d u s t r y2 0 0 7“ B e s t c o r p o r a t e g o v e r n a n c e a m o n gn o t- li s t e d c o m p a n i e s” b y I B G CF á b i o M a r c h i o r iR e n d r i k F r a n c o
M a r i a L ú c i a F e r r a zP a u l o P e d o t eE x e c u t i v e D i r e c t o r ,C h i e fF in an c i a l O f f i c e r & In v e s t o r R e l a t i on s
P r e v en t i v e & T h e r a p e u t i c M e d i c in eE x e c u t i v e D i r e c t o r ,S t r a t e g y an d M a r k e t in g
E x e c u t i v e D i r e c t o r ,P e o p l e & O r g an i z a t i on a l D e v e l o pm en tE x e c u t i v e D i r e c t o r ,S u p p l y C h a in , In f o rm a t i on T e c hn o l o g y & F a c i l i t i e s- -
2 8 2 33 31 6 8
1 61 6
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E i / R l iE x p a n s i o n o f h o s p i t a la n d l a b- t o - l a bo p e r a t i o n s
G r o w t h i n P r e v e n t i v ea n d T h e r a p e u t i cM e d i c i n e
S e l e c t i v ea c q u i s i t i o n sI n c r e a s i n g s e r v i c e so f f e r i n g t o e x i s t i n gc l i e n t sN e w o f f e r i n g s w it h f o c u s o nI m a g i n g t e st sH i g h g r o w t h s p e c i a lt yd i a g n o st i c s t e st s
I n c r e a s e n u m b e ro f h o s p it a l sa n d l a b c l i e nt s
E x p a n s i o n / R e l o c a t i o no f s e r v i c e u n i t s S e a r c h f o r n e wo p p o rt u n it i e s / b u s i n e s s e sT o e x p a n d c h r o n i c d i s e a s em a n a g e m e nt b u s i n e s s l i n eP u r s u e a d d - o na c q u i s it i o n s o nC u r r e nt m a r k et sI m a g i n g d i a g n o st i c sb u s i n e s sN e w m a r k et sG o a l sI n c r e a s i n g s iz e a n d n u m b e rI m p r o v i n g q u a l i f i c at i o nI n c r e a s i n g at t r a ct i o n o fp o t e nt i a l c l i e nt s f o r u n it si n e a c h b r a n d 1 71 7
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1 81 8
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P a t i e n t S e r v i c e C e n t e r(N u m b e r o f P a t i e n t S e r v i c e C e n t e r ) A v e r a g e G r o s s R e v e n u e p e r P a t i e n t S e r v i c e C e n t e r(R $M i l l i o n )
130
145 147 153139
3,4
4,2
4,5
1,15
1,34 1 ,21 ,31 ,41 ,51 ,6
0 , 00 , 0 cagr 12.6%
16.2%
20 21 20 21 21
110124 127 132
118
2006 2007 2008 2009 1Q10
Other Brands Fleury
(1 ) I n c l u d e s 2 6 u n i t s f r o m t h e a c q u i s i t i o n o f W e i n m a n n i n O c t o b e r , 2 0 0 9 1 91 9
3,2
3,41,15
0 ,60 ,70 ,80 ,91 , 01 , 1,
0 , 00 , 00 , 00 , 02006 2007 2008 2009 1Q09 1Q10
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720
820 000 ,80 ,9(R $ M i l l i o n )cagr 17.5% 11.2%
366
488521
587195
217
000000
00
0 ,20 ,30 ,40 ,50 ,60 ,7
2004 2005 2006 2007 2008 2009 1Q09 1Q10S o u r c e : C o m p a n y d a t a 2 02 0
cagr 17.5% 11.2%
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71.9% 70.2% 66.5% 66.1% 67.3% 67.4%
28.1% 29.8% 33.5% 33.9% 32.7% 32.6%
M e d i c al d i a g n o s ti c s gr o s s r ev e n u e sB r e ak d ow n b y t y p e of ex a m / t e s t (% )Health Plan Providers
72,0%
Individuals14,0%
Other sources14,0%
2006 2007 2008 2009 1Q09 1Q10
Imaging and others Clinical analyses
Patient Service Centers
85,7%
Operations in Hospitals
8,2%
Lab-to-lab4,4%
Preventive and Therapeutic
Medicine1,7%
G r o s s r ev e n u e s br e ak d ow n b y b u si n e s s l i n e G r o s s r ev e n u e s br e ak d ow n b y s o ur c e1 Q 1 0 ( % ) 1 Q 1 0 ( % )
2 12 1S o u r c e : C o m p a n y d a t a
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95 98
155
179
38
45
00000000
0 00 ,10 ,10 ,10 ,10 ,10 ,20 ,2 E B I T D A a n d E B I T D A m ar g i n( R $ M i l l i o n )cagr 23.5% 16.7%
19.5% 17.9% 22.9% 23.3% 21.0% 22.0%
3225
42
84
11
24
-000000000
0
0 , 00 , 00 , 00 , 00 , 00 ,10 ,10 ,10 ,10 ,1
2006 2007 2008 2009 1Q09 1Q10
00 , 02006 2007 2008 2009 1Q09 1Q10( R $ M i l l i o n ) N e t i n c o m e a n d n e t m ar g i n
2 22 2
cagr 37.6%
6.6% 4.6% 6.2% 10.9% 2.2% 9.9%
114.3%
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( % ) 2 0 0 9 A E B I T D A m a r g i n1 2 0 0 9 A R e t u r n o n C a p i t a l2( % )
1 )F l e u r yC o m pa n yd a taD A S A C o m pa n y d a taO t h e r p e e r s b yB l o o m b e r g 2 32 32 ) F l e u r yC o m pa n y d a taP e e r s b yB l o o m b e r g
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1 0 5 , 0 01 1 0 , 0 01 1 5 , 0 01 2 0 , 0 01 2 5 , 0 0Fleury shares compose the IGC (Special Corporate Governance Stock Index) from BM&FBovespa.
FLRY3 +20.0%
8 0 , 0 08 5 , 0 09 0 , 0 09 5 , 0 01 0 0 , 0 012/16/09 12/23/09 12/30/09 01/06/10 01/13/10 01/20/10 01/27/10 02/03/10 02/10/10 02/17/10 02/24/10 03/03/10 03/10/10 03/17/10 03/24/10 03/31/10 04/07/10 04/14/10 04/21/10 04/28/10 05/05/10 05/12/10 05/19/10 05/26/10 06/02/10 06/09/10 06/16/10 06/23/10F L R Y 3 I B O V I G C 2 42 4Base 100 = prices Dec 16, 2009
Share Price on Jun 25, 2010 = R$ 19.20
IBOV -5.5%
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2 52 5
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• 2 6• 2 6
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S h a r e s o f f e r e dO f f e r i n g s i z e
3 9 , 3 8 9 ,5 7 0 c o m m o n s h a r e s i n B r a z i l ,1 0 0 % p r i m a r y , 1 0 0 % t a g a l o n g r i g h t s ( N o v o M e r c a d o )
R $6 3 0 . 2 m i l li o n a f t e r t h e G r e e n s h o e
N e t p r o c e e d s R $ 5 9 7 . 8 m i l li o n ( a p p r o x i m a t e l yU S $ 3 1 8 . 9 m i l li o n(1 ) ) n e t o f I P O e x p e n s e s .P r i c e E s t a b li s h e d a t R $ 1 6 . 0 p e r s h a r e , p r i c e r a n g e R $ 1 5 . 0 t o R $ 1 7 . 0 p e r s h a r e
F r e e F l o a t 3 0 % a f t e r t h e G r e e n s h o e
2 72 7(1 )B a s e d o n f o r e i g n e x c ha n g e ra t e o f R $ 1 . 8 7 4 8 /U S $ a s o f Ja n u a r y 2 9 , 2 0 1 0( 2 ) A l l c u r r e n t s ha r e h o l d e r s s u b j e c t t o 1 8 0 d a y s l o c k- u p
L o c k- u p p e r i o dU s e o f p r o c e e d sT i m e t a b l e1 8 0 d a y s f o r 1 0 0 % a n d a d d i t i o n a l1 8 0 d a y s f o r 4 0 % (2 )E x p a n s i o n a n d r e m o d e li n g o f P a t i e n t S e r v i c e C e n t e r s , E q u i p m e n t s a n d A c q u i s i t i o n sP r i c i n g : D e c e m b e r 1 5 , 2 0 0 9 F i r s t D a y o f T r a d i n g : D e c e m b e r 1 7 , 2 0 0 9
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7 9 . 5 %2 0 , 5 %
• 2 8• 2 8
6 8 . 2 % 31 , 8 %
1 3 1 . 3 m i l l i o n v o ti n g sh ar e s p o s t G r e e n sh o e
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P r o a c t i v e m e d i c a lc o n s u l t a n c y i n m o r et h a n 4 0 d i f f e r e n tm e d i c a l s p e c i a l t i e sC o m p l e t e
B r a n d s t r a t e g y , po s i t io n i n g i n d i f f e r e n t m a r k e ts e g m e n t s a n d co m p e t i t i v e a t t r i b u t e s
B a h i aP e r n a m b u c o
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M a n a g e m e n t : F l e u r y G r o u p
C a l l C e n t e rB a s i c p a t i e n t s e r v i c ec e n t e r sC l i n i c a l a n a l y s i s :t r u s t w o r t h y r e s u l t sB a s i c d i a g n o s t i c c e n t e r
O n d e m a n d m e d i c a lc o n s u l t a n c yP a t i e n t s e r v i c e c e n t e r sw i t h i n t e r m e d i a t ev a l u e - a d d e d
C l i n i c a l a n a l y s i s :t r u s t w o r t h y r e s u l t sI n t e r m e d i a t ed i a g n o s t i c c e n t e rP e r s o n a l i z e d c a r e a n dI n n o v a t i o n
C l i n i c a l a n a l y s i s :i n t e r p r e t a t i v e r e s u l t sa n d i n t e g r a t e ds o l u t i o n sC o m p l e t ed i a g n o s t i c c e n t e rB a h i a
R i o G r a n d e d o S u lS ã o P a u l o R i o d e J a n e i r oP a r a n á
2 92 9