Painel Abramed 2019 - Inglês

199 Graph 90 Percentage of laboratories with committees (2018) Source: Abramed Panel. Abramed Elaboration. 40% 30% 20% 10% 0% 2 34 5 1 5 = > The practice is formally documented and systematically performed. 1 = > The practice is nonexistent. Payment Succession Strategy Innovation Finances Risks Social and corporate responsibility People and human resources <

200 ABRAMED ABRAMED PANEL PANEL Associados Abramed

201 Abramed Associates

202 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1955 Practice Areas: Clinical Analysis, Diagnostic Imaging, Pathological Anatomy, other diagnostic methods. Geographic coverage: Minas Gerais, Rio de Janeiro and São Paulo Number of Units: 33 Number of Employees: 22,000 Number of patients attended/year: not informed Number of brands served: 1

203 ALBERT EINSTEIN MEDICINA DIAGNÓSTICA The Sociedade Beneficente Israelita Brasileira Albert Einstein is a non-profit civil society, founded in 1955, which operates in the areas of medical, hospital and outpatient care, diagnostic medicine, health education, research and innovation, consulting and social responsibility, Supplementary Health and the Sistema Único de Saúde (SUS). It has 33 units and has about 13,000 employees and It also inaugurated the first Center for Personalized 10,000 doctors. Its commitment to the development of the country’s health sector is reflected in the Medicine, which combines Einstein’s genetic teaching, research, management and operation of 25 public health units, and about 30 projects for counseling center, Genomika Einstein, and clinical the institutional development of SUS, including cell therapy and big data analytics. areas of the Hospital. The Center is able to provide In 2018, Einstein processed more than 8 million support for different clinical specialties such as rare exams and continued its investments with the inauguration of a large and modern Operational diseases, neurology and oncology. In addition to Technical Center (NTO), which concentrates most of the clinical analysis exams from Einstein’s outpatient these fronts, two new Einstein Clinics, focused on network and third parties. One of the differentials is the automation belt, which primary care, under the walk-in care model, went brings together, in the same structure, equipment capable of performing biochemistry, immunology, into operation. The patient has a team of doctors, hematology and molecular biology tests. nurses, physical educators, nutritionists and psychologists who work strongly in prevention and < health promotion.

204 ABRAMED ABRAMED PANEL PANEL Year of foundation: 2011 Practice Areas: Clinical Analysis, Diagnostic Imaging, Pathological Anatomy, other diagnostic methods. Geographic coverage: Pará, São Paulo, Mato Grosso do Sul, Paraná, Rio Grande do Norte, Bahia, Paraíba, Espírito Santo, Minas Gerais Number of Units: 121 Number of Employees: 5,900 Number of patients treated / year: 2 million Number of brands it operates: 14

205 ALLIAR MÉDICOS À FRENTE Alliar Médicos à Frente was created in 2011 after the merge of four leading companies in the medical imaging sector in their respective cities: Belo Horizonte (Minas Gerais), Juiz de Fora (Minas Gerais), Campo Grande (Mato Grosso do Sul) and São José dos Campos (São Paulo). Today, it is among the three largest in the country, with a massive presence in 9 Brazilian states, totaling over 5,000 employees and 900 medical partners. In recent years, Alliar Médicos à Frente has partnered IDR was also launched, a Digital Platform that, with a number of leading companies in their regions, through its systems, centralized operation and and new care units have been opened, both in automation, allows the creation of a fully automated already active markets and in new locations, always and remote operating diagnostic center franchise. keeping doctors ahead of the business by personally taking care of their labs and patients, and ensuring Currently, iDr. remotely controls 103 MRI and CT that - in the midst of everyday decision making - human values and contact are never lost as the equipment installed throughout Brazil, integrating essence of the operation. different medical device manufacturers in 9 As we look closely at the history of Alliar Médicos à Frente, we see that excellence is more than command centers, thanks to an excellent and < a mission, more than a commitment: it is the foundation on which the company was built. unique technology in the world. In 2018, by unifying the various call centers in one centralized location, the Contact Center began a new phase and capture efficiency and automation with the launch of SOFIA, our virtual attendant using artificial intelligence.

206 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1988 Practice Areas: Clinical Analysis and Diagnostic Imaging Geographic coverage: Pernambuco Number of Units: 5 Number of Employees: 400 Number of patients attended/year: 400,000 Number of brands it operates: 1

BORIS 207 BERENSTEIN < Created more than three decades ago by physician Boris Berenstein, the diagnostic imaging clinic named after its founder has a distinguished trajectory in the Brazilian healthcare market. Its team, made up of around 400 employees and 60 experienced and qualified doctors, is spread over five units located in different regions of Recife, Pernambuco, Brazil. Using the best equipment available in the diagnostic market, and of course, in accordance with global industry practices and standards, the company constantly qualifies its collaborators and maintains important partnerships with various Medical Societies and specialists from all over Brazil. By performing more than 400 types of exams and meeting 50 covenants, Boris Berenstein is committed to making the best of diagnostic imaging available. Today, the clinic has five units distributed by the Metropolitan Region of Recife: Olinda (Casa Caiada), Recife (Derby and Boa Viagem), Jaboatão dos Guararapes (Piedade), Cabo de Santo Agostinho (Downtown) and one in the countryside, in the city of Arcoverde.

208 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1859 Practice Areas: Laboratory tests, Diagnostic Imaging, Nuclear Medicine, Graphic Methods, Endoscopy, Hemodialysis, Lithotripsy, Physiotherapy, Hemodynamic Procedures Geographic coverage: São Paulo Number of Units: 3 Number of Employees: 1,212 Number of patients treated/year: 5 million (* number of tests performed) Number of brands it operates: 1

209 BP MEDICINA DIAGNÓSTICA BP Medicina Diagnóstica is the diagnostic unit of BP - A Beneficência Portuguesa of São Paulo. It is a complete and up-to-date diagnostic and treatment center, which offers the most diverse types of laboratory tests, diagnostic imaging, graphic methods, endoscopy, hemodialysis, hemodynamics and other diagnostic specialties. It brings together professionals from different infrastructure and upgrading the technology park, disciplines working together to offer diagnostic and with the acquisition of digital video processors, therapeutic solutions to external clients or inpatients videogastroscopes, videoduodenoscopes and full at BP hospitals. Combining research, analysis and HD videobronchoscopes, a high definition ultrasound therapy, it ensures individualized and, whenever system, as well as new equipment for disinfection. possible, less invasive medicine. The service now has six new fully equipped Through highly qualified and up-to-date teams, as well as an excellent infrastructure, it achieves more examination rooms and a new post-anesthetic accurate results and full clinical support, favoring the safety of both the client and the doctor. recovery wing with 18 individualized boxes. For Each year, more than 5 million tests and treatments colonoscopy exams, 14 private beds were created, are performed, thus providing more effective prevention and more efficient treatments, as well taking into account the presence of a companion. as generating valuable knowledge for medicine. Treating health intelligently is the BP way to value life. Another difference is that the service now also has a complete hybrid room for performing endoscopic retrograde cholangiopancreatography (ERCP), a procedure that is usually performed only in operating rooms and that in BP Diagnostic Medicine has been performed on an outpatient basis. < The year 2018 was a milestone for BP Medicina Diagnóstica, with the inauguration of the new facilities in the endoscopy area of the Bela Vista unit. In all, R$14 million was invested in modernizing the

210 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1992 Practice Areas: Diagnostic Imaging Geographic coverage: Rio de Janeiro Number of Units: 4 Number of Employees: 240 Number of patients treated/year: 240,000 Number of brands it operates: 1

211 CEDI CEDI - Centro Especializado em Diagnóstico por Imagem, is a family business that began with the dream of the patriarch, Mr. Semi Alexandre (in memoriam), and his wife, Mrs. Dionita Lopes Alexandre, to see their children graduated in medicine. In 1978, Miguel Alexandre graduated, and in 1981, the youngest, Antonio Alexandre Neto. Both followed the field of radiology, were certified as 2001 CEDI acquired the first magnetic resonance Full Members of the Brazilian College of Radiology imaging equipment of the Lakes Region. In the same and, in 1980, began their activities with the company year, it also created the fourth company of the group, Exames Radiologia Irmãos Alexandre Ltda. Cinticedi Medicina Nuclear Ltda, bringing another imaging diagnostic method. Five years later, in 1985, the second company of the group was created, Ultrassom Médico Macaé Ltda, In 2006, expanding its projects and its experience always maintaining as a priority the quality of care in the area, two new units were inaugurated: one and respect for the specialty. New service centers also in Macaé, and the other in the downtown of the were created, but the milestone happened in 1992, neighboring city, Rio das Ostras. with the acquisition of its own headquarters, located to this day in downtown Macaé, Rio de Janeiro, In 2013, the group founded another unit, located in Brazil. the city of Cabo Frio, focusing on Nuclear Medicine. In 1993, the first CT Scan device of the city was Following a path of innovation and increasingly acquired, establishing the third company, Tomografia Macaé Ltda. investing in state-of-the-art equipment, CEDI has Always innovating and growing with excellence, in become the largest imaging diagnostic group in the < region.

212 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1994 Practice Areas: Diagnostic Imaging Geographic coverage: Rio de Janeiro Number of Units: 4 Number of Employees: 400 Number of patients treated/year: 95,000 Number of brands it operates: 1

213 CEPEM For 25 years taking care of women’s health, CEPEM has invested heavily in the technology of its devices and the qualification of its medical team, composed of mastologists, gynecologists, radiologists, among other specialists. Always prioritizing efficient and humanized treatment, In the same year, angiomamography was made the center is a reference in diagnostic medicine in available, an innovative procedure in which a Rio de Janeiro, with emphasis on the screening, conventional contrast-enhanced mammogram is diagnosis and monitoring of breast cancer. performed. The method decreases the incidence of false positives due to its higher specificity Whether for routine examinations or for more and sensitivity compared to conventional digital complex investigations, CEPEM has complete structures for agile care and safe reports. The units mammography and magnetic resonance imaging. < are scattered at strategic points in Rio: Botafogo, Downtown, Barra da Tijuca and, recently, Taquara. In 2018, it acquired the 3D Breast Biopsy System - the first device to be installed in Brazil - the Affirm Prone 3D, utilizing tomosynthesis (3D mammography) to improve the definition, accuracy and timing of the biopsy, as well as reducing 60% radiation exposure.

214 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1977 Practice Areas: Diagnostic Imaging Geographic coverage: Paraná, Santa Catarina and São Paulo Number of Units: 2 Number of Employees: 474 Direct/1,422 Indirect Number of patients treated / year: 172,000 Number of brands it operates: 1

215 CETAC Inaugurated in 1977, CETAC was the first diagnostic center in Paraná and the second in Brazil to perform examinations using computed tomography devices. Aiming at the best patient care, CETAC offers affection of the Pediatric Unit team, the space brings several services such as: simple and contrast digital a warm and relaxed atmosphere, making the little general radiology, general and 3D/4D ultrasound, ones more comfortable during their examinations. low radiation computed tomography, 3D digital mammography and tomosynthesis, 1.5 and 3T The group also has the Center for Nuclear Medicine magnetic resonance, bone densitometry, punctures, (CMN), performing scintigraphy, brain SPECT and biopsies and PET/CT. therapies, together with Cyclopet Radiofármacos With over 40 physicians in its clinical staff, all capable Ltda, the company responsible for the production of < of meeting any exam demand, CETAC has state-of- the-art equipment to provide precision and quality FDG. results, with a PACS system and a CR scanning system of radiological images. CETAC participates in the Goals for Life Selection/ Pelé Pequeno Príncipe Research Institute project, and in its Batel Unit, offers an exclusive and developed space for children of all ages, where they receive a differentiated treatment. In addition to the

216 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1976 Practice Areas: Clinical Analysis and Diagnostic Imaging Geographic coverage: Tocantins, Pará, Maranhão and Piauí Number of Units: 1 Number of Employees: 65 Number of patients treated/year: 31,000 Number of brands it operates: 1

217 CLÍNICA DA IMAGEM DO TOCANTINS Clínica da Imagem do Tocantins was founded in 1976 by a couple of radiologists, Dr. Francisco Barbosa de Brito and Dr. Maria Lúcia Carneiro Barbosa de Brito, in the city of Araguaína, Tocantins. After 43 years, it stands out among diagnostic service providers for its history, quality and size. In 1992, Clínica da Imagem do Tocantins was In the same year, Clínica da Imagem do Tocantins responsible for the installation of the first CT scanner inaugurated the most modern Clinical Analysis in the newly created state of Tocantins. With the Laboratory, which consolidated them as the leader physical restructuring of its space, it began to offer of the diagnostic market in the region. all diagnostic modalities for the local population, with X-ray, Densitometry, Mammography, The company, always striving for excellence, is the Ultrasonography and CT Scan. Always seeking only imaging diagnostic clinic to have the Selo de for innovation for the region, in 2011, the first 1.5 Qualidade de Ressonância Magnética of the Colégio T MRI device was acquired. And in 2017, a new Brasileiro de Radiologia in this same region. 128-channel CT scanner was installed, allowing it to expand its portfolio of exams, offering tests such as It currently serves about 31,000 patients per year, coronary angiography. with a specialized medical team, highly qualified Already in 2018, the Nuclear Medicine service came into operation through the acquisition of one of the collaborators, infrastructure and state-of-the-art most modern devices in the country, offering this facility to the local population - who previously had to technology for the population of MATOPIBA (which travel to other cities for scintigraphy exams. includes the states of Maranhão, Tocantins, Piauí and Bahia). <

218 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1994 Practice Areas: Diagnostic Imaging Geographic coverage: Santa Catarina Number of Units: 1 Number of Employees: 300 Number of patients treated/year: 172,000 Number of brands it operates: 1

219 CLÍNICA IMAGEM Clínica Imagem installed its first unit in 1994, with magnetic resonance imaging, CT Scan, digital angiography and ultrasound. This unit remained active with magnetic resonance imaging until the end of 2007. The following year, a new unit was inaugurated in Digital Angiography, Cineangiography, endoscopic Florianópolis, named Clínica Imagem II. Providing procedures, among others. expansion of the service capacity with even more modern equipment, it decisively contributed to the With the installation of two new diagnostic health and well-being of Santa Catarina inhabitants. technologies, Imagem Baía Sul was created in August 2007, an extension designed to bring new With the evolution of the services offered, Imagem diagnostic resources to different medical specialties Mulher was inaugurated in September 2005. A in the market, guaranteeing Clinica Imagem’s clients differentiated place that offers comfort and tranquility our commitment to meet the community with the for women who perform their periodic exams (digital best quality. mammography, 4d obstetric ultrasonography, bone densitometry, etc.). The diversified expansion of the In 2011, tireless in its search for solutions to improve Clinic’s services makes it easier to schedule multiple the care of its patients, Clínica Imagem replaced exams in one place. equipment seeking to keep its technology park updated. In 2006, with the acquisition of a magnetic resonance imaging equipment of the extremities, the clinical The following year, Imagem Mulher was reopened in image sought to expedite exams’ booking, providing more comfort for patients and enabling non-sedation a large and comfortable space. exams for cases of claustrophobia. And in 2014, it celebrated 20 years of operation, In the same year, located on the premises of Clínica Imagem, CORIS Medicina Avançada consolidating itself as a reference in the market of < received an exclusive space for exams such as diagnostic imaging exams.

220 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1979 Practice Areas: Imaging Diagnostics, Telemedicine and Clinical Analysis Geographic coverage: São Paulo, Paraná, Rio Grande do Sul and Santa Catarina Number of Units: 13 Number of Employees: 1,380 Number of patients attended/year: 9,868 examina- tions per day, more than 1,000 patients per day. Number of brands it operates: 9

221 CURA With 40 years of history, CURA has become one of the most important groups of imaging and diagnostic laboratories in the country. Recognized for its pioneering spirit, tradition, quality and excellence of protocols, exams, services and attendance. With high-tech equipment and a highly trained In 2018, the company appointed the new President clinical staff, CURA’s path was built by Professor and Doctor Jacob Szejnfeld - advisor and partner of the of the group, Dr. Wilson Pedreira, still aiming to Group - who transformed the imaging scene in the 1980s, when he created the first CURA unit in the broaden its operations, now with the participation capital of São Paulo. It was he who brought in the first 3 Tesla magnetic resonance imaging equipment of private equity fund manager Vinci Partners, and that generates very high definition images for the analysis of organs and internal structures of the body, acquired the diagnostic imaging center Mérya, without radiation emission. It was just the beginning of building the reputation that the brand brings to reference in the southern region of Brazil. Currently, this day, highlighting the quality and pioneering technology. the Group has 13 units in the cities of São Paulo, Paraná, Santa Catarina and Rio Grande do Sul. <

222 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1966 Practice Areas: Diagnostic Medicine (Clinical Analysis and RDI) and Genomics. Geographic coverage: São Paulo, Rio de Janeiro, Mid- west, NE, South, Federal District and Argentina Number of Units: 700 private laboratories, 100 hospitals and over 4,000 clients in the B2B market. Number of Employees: Over 20,000 Number of patients treated/year: 20 million Number of brands it operates: more than 40

vvvvvvvv 223 DASA Dasa is the leader in diagnostic medicine in Brazil, the largest company in the sector in Latin America - operating in Brazil and Argentina - and the 5th largest in the world, focusing on clinical analysis, imaging diagnosis and genomic medicine. Today, the company has a team of more than 20,000 staff; the use of data technology, capillarity and employees and approximately 2,000 doctors, management model. In this sense, the company who work in a robust and capillarized health care works to create value for the entire chain by network throughout the country. Through its more promoting smart health connections. than 40 laboratory brands and more than 800 units - such as Delboni Auriemo, Lavoisier, Alta Excelência In January 2015, Pedro de Godoy Bueno, the current Diagnóstica, Salomão Zoppi, Sérgio Franco, CDPI, Frischmann, Laboratório Exame, among others - it president of the company, promoted a culture offers 5,000 types of tests and performs over 250 million exams a year. change at Dasa, focusing on owner vision, passion Dasa is in a strategic position to realize and accelerate for serving, and especially the patient in the center. forward thinking and transform health with an aggregating, human, efficient and strongly innovative A company turnaround then began with a strong look, focused on personalized, individualized and precision medicine. transformation of medical quality, enhancement of the spirit of patient enchantment, and acceleration of the pace of innovation in the company. < Some foundations enable their competitive advantage: the highly qualified clinical and scientific

224 ABRAMED ABRAMED PANEL PANEL Year of foundation: 2001 Practice Areas: Molecular Biology, Flow Cytometry, Neonatalogy, ELISA, Immunology, Immunofluo- rescence, Microbiology, Instrumental Analysis and Toxicology, Oncotic Colpocytology, Biochemistry, Urinalysis, Cytogenetics, Pathological Anatomy, He- mostasis, Hormones, Hematology, Electrophoresis, Mycology, Immunohematology, Parasitology, Tumor and Heart Markers, Cytopathology Geographic coverage: Acre, Alagoas, Amapá, Amazonas, Bahia, Ceará, Federal District, Espíri- to Santo, Goiás, Maranhão, Mato Grosso, Mato Grosso do Sul, Minas Gerais, Pará, Paraíba, Paraná, Pernambuco, Piauí, Rio de Janeiro, Rio Grande do Norte, Rio Grande do Sul, Roraima, Rondônia, San- ta Catarina, São Paulo, Sergipe, Tocantins Number of Units: 5 processing units and more than 40 regional support units (IVR). Number of Employees: More than 1,300 Number of patients treated/year: 7 million tests performed per month Number of brands it operates: 4

225 DB DIAGNÓSTICOS DO BRASIL Since its inauguration, Diagnósticos do Brasil has remained firm in its initial purpose: to be an exclusive support laboratory, without offering any competitive relationship to its customers. Recognized throughout the national territory for the a complete structure for sample registration and quality of services provided, DB has a large and screening. modern structure, with more than 26 thousand square meters of built area and capacity to perform The exclusivity in support, the constant search for 15 million exams per month. the best professionals in the market, investments in technology and, above all, the involvement and At DB, quality and agility go together. Through dedication of the entire team were the ingredients strategic planning focused on customer needs, over that made DB a reference in laboratory medicine. 4,000 laboratories are served. Daily samples are collected by adapted vehicles, which arrive at the In 2018, two new headquarters were inaugurated units within 24 hours. only in the state of São Paulo, the DB Molecular, The group has five technical units, three focused on clinical analysis, the Mega Unit of Curitiba (Paraná), dedicated exclusively to molecular, genetic and Sorocaba (São Paulo) and Recife (Pernambuco), and two specialized, with national coverage, the DB cytogenetic diagnosis, and DB Pathology, which Molecular, located in São Paulo, and DB Pathology, in Sorocaba (São Paulo). It also has more than specializes in pathological, cytopathological and 40 regional support units, the URAs, which offer immunohistochemical analysis. And another unit in Recife, a modern center dedicated to the processing of clinical analysis in general. <

226 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1982 Practice Areas: Clinical Analysis Geographic Coverage: São Paulo Number of Units: 14 Number of Employees: 215 Number of patients treated/year: 350,977 Number of brands it operates: 1

227 DMS BURNIER DMS-Burnier began its activities in January 1982 in the municipality of Valinhos, São Paulo. The name DMS comes from the initials of the 3 founders’ surnames and Burnier comes from the 1995 acquisition. Present in seven cities in the Campinas Metropolitan The laboratory, in addition to the technical team, has Region, DMS-Burnier has become a reference in trained managers in various departments, such as customer service, customer satisfaction and quality Quality, HR, Marketing, customer service, among of analysis. others, and which constitute close relationships with one of the best management schools in the country. They have an NTO (Operational Technical Center), where the analisys are performed; and a technical DMS-Burnier started its quality management system staff of physicians, biomedics, biochemists, 20 years ago through ISO 9000, and is today pharmacists, among many others, who are in constant learning and scientific updating. The accredited Full National Accreditation Organization < equipment is the same used by the best laboratories in Brazil and abroad, all new and state-of-the art (ONA). technology.

228 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1926 Practice Areas: Clinical Analysis, Radiology and Diagnostic Imaging, Pathological Anatomy, other diagnostic methods Geographic coverage: Rio Grande do Norte, Rio Grande do Sul, Paraná, Sao Paulo, Rio de Janeiro, Bahia, Pernam- buco and the Federal District Number of Units: 170 Number of Employees: 8,900 and 2,000 Doctors Number of patients attended/year: not informed Number of brands it operates: 9

229 GRUPO FLEURY Founded in 1926, Grupo Fleury is one of the largest and most respected medical and health companies in the country, referenced by the medical community and the public opinion for its excellence in customer service, innovation and technical quality. It offers around 3,500 tests in 37 different medical specialties. Among the recent innovations offered by the com- The company has more than 170 service units in pany to the Brazilian diagnostic market is the Fleury the states of São Paulo, Rio de Janeiro, Rio Grande Genomics platform, a channel dedicated to assisting do Sul, Rio Grande do Norte, Pernambuco, Bahia clients and doctors, enabling genetic testing of sali- and Paraná, as well as the Federal District, providing va, blood and biopsy samples, entirely online, upon diagnostic medicine services focused on premium medical request to clients located in any region of the and intermediate-high segments. country or the world. Additionally, the company has advanced strongly in the field of personalized and In addition to these units, the company also has precision medicine with the application of artificial diagnostic operations in 23 hospitals and provides intelligence, such as the Oncofoco product, which lab-to-lab services, focusing on highly complex assists medical decision making in the personalized exams. care of patients with complex cancer cases. It is the result of a pioneering partnership between Grupo One of the most traditional medical and health Fleury and the IBM Watson Health unit in Latin Ame- rica. organizations in the country, the Fleury Group is The Group is also a pioneer in the concept of an recognized for its quality, proven by ISO 9.001, ISO Integrated Center for Diagnostic Medicine, which offers a complete diagnostic solution, medical 14.001, PALC, CAP, American College of Radiology advice and unique services such as Vila da Saúde for child care; Gestar Fleury, dedicated to fetal certifications. < medicine; Imagem Osteomuscular, dedicated to musculoskeletal diseases; among others.

230 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1976 Practice Areas: Clinical Analysis, Radiology and Diag- nostic Imaging, Graphic Methods, Pathological Anato- my, Rehabilitation Geographic coverage: São Paulo Number of Units: 2 Number of Employees: 2,533 Number of patients attended/year: not informed Number of brands it operates: 1

231 HCOR It all started with a group of ladies from the Arab community who founded the Syrian Sanatorium Association in 1918 to assist World War I orphans. Over the years, the association shifted its attention to tuberculosis patients, founding a unit in 1947. In the 1960s, the organization turned to the creation of a hospital dedicated to thoracic surgery, which would later become the Hospital do Coração - which held its first call in 1976. In 2006, HCor won its first Joint Commission International - JCI accreditation. In 2007, they got an office building, Research philanthropic projects linked to Proadi-SUS. Institute and administrative area all together. In 2008, the hospital signed a partnership with the Ministry of In 2009 the hospital incorporates another building Health for several projects supporting SUS. In 2009, with Day Hospital, Physiotherapy Unit, Knee Institute another building with day hospital, physiotherapy and Heart Arrhythmia Center. unit, Knee Institute and the Cardiac Arrhythmia Center is incorporated. In 2012, it inaugurated an In 2012, it inaugurated an external unit, HCor external unit, HCor Diagnostic Cidade Jardim and, in Diagnóstico Cidade Jardim and, in 2013, 2013, incorporated a Radiotherapy Unit. In 2014, the incorporated a Radiotherapy Unit. Adib Jatene Building was inaugurated with inpatient units, hybrid operating/intervention rooms, outpatient In 2014, the Adib Jatene Building was inaugurated oncology and radiosurgery with Gamma Knife. with inpatient units, hybrid operating/intervention rooms, outpatient oncology and radiosurgery with The history of HCor begins with a group of Arab Gamma Knife. community ladies who founded the Syrian Charitable Association in 1918 to assist World War I orphans. 2007 was a year of important movements for HCor. Over the years, the Association turned its attention Starting with the certification of the JCI Total Knee to tuberculosis patients, founding a unit in 1947. and Hip Arthroplasty Clinical Care Program (ATQ and ATJ), being the first hospital in the country to achieve In the 1960s, the organization turned to the creation such certification. Also, the HCor Research Institute, of a hospital dedicated to thoracic surgery that would in celebration of its 10th anniversary, has obtained become the Hospital do Coração, which performed great international prominence by publishing studies its first call in 1976. in renowned international scientific journals. Finally, they have developed the Strategic Planning for In 2006, HCor won its first accreditation by the Joint the years 2018 to 2020, with content that helped Commission International (JCI). In 2007, they got an to structure and align the main movements of the office building, Research Institute and administrative hospital in the short, medium and long term, aiming area all together. at strengthening its differentiation in the market and its perpetuation in the health sector. In 2008, the hospital signed a partnership with the Ministry of Health, actively participating in the <

232 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1959 Practice Areas: Clinical Analysis, Personalized Medicine, Genetics, Toxicology, Radiology and Imaging Diagnosis, Pathological Anatomy, Vaccines, Telemedicine, Other Diag- nostic Methods. Geographic coverage: All over the country in B2B; Minas Gerais, Goiás, São Paulo and Rio de Janeiro, in B2C Number of Units: 120 Number of Employees: More than 5.5 thousand Number of patients attended/year: 92.8 million tests performed Number of brands it operates: 10

233 HERMES PARDINI Grupo Pardini celebrates its 60th anniversary in 2019 and it is among the largest Diagnostic Medicine companies in the country. With a portfolio of over 8,000 exams, Grupo Pardini features pioneering spirit and access to Brazilians for specialized exams anywhere in the country. The Group has the following brands: Hermes In 2018, the company began implementing the Pardini, Standard, Diagnostics, Progenetics, Biocod, Guanabara Nuclear Medicine Center (CNMG), Ecoar, Enterprise Project, an automated digital platform that Humberto Abrão, DLE and Pardini Toxicology. It also has four sales channels: Lab-to-Lab; Personalized connects the Operational Technical Center (NTO) in Medicine; Toxicology; and Patient Service Center (PSC), which processed more than 92.8 million Vespasiano, to the four Advanced Technical Centers exams in 2018. (NTAs) in Belo Horizonte, São Paulo, Rio de Janeiro Currently the brand operates with 120 own service units in Belo Horizonte (Minas Gerais), Goiás (Goiás), and Goiânia. In the same year, it expanded its Rio de Janeiro (Rio de Janeiro) and São Paulo (São Paulo). activities with the acquisition of the companies DLE - Specialized Laboratory Diagnosis, focused on Rare Diseases and Personalized Medicine; and Labfar and Psychmedics Brazil, focused on toxicological tests. In addition, the Group has initiated the Enterprise Project which, when ready, will enable the < processing of 160 million exams per year. In 2009, the Group was a pioneer in Brazil in setting up a large automated park.

234 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1921 Practice Areas: Clinical Analysis, Diagnostic Imaging, Pathological Anatomy, other diagnostic methods Geographic coverage: São Paulo and Federal District Number of Units: 7 Number of Employees: Over 10,000 Number of patients attended/year: not informed Number of brands it operates: 4

235 HOSPITAL SÍRIO-LIBANÊS Sociedade Beneficente de Senhoras Hospital Sírio-Libanês, a philanthropic institution founded in 1921, works daily to provide excellent medical and hospital care, always with a humanized and individualized look, in over 60 specialties. In a constant search, Sírio-Libanês develops teaching Sírio-Libanês Responsabilidade Social, through activities, integrated to the work of social commitment. partnerships with state and municipal governments, is responsible for the management of public units. As part of health care, the Sírio-Libanês has There are more than 500 public beds attended by important centers of activity, such as its Oncology the institution. Soon, more than 140 hospital beds Center, which offers its patients access to the most will be inaugurated in Brasilia, which will be the stage advanced technologies and an excellent clinical staff. and cradle of the newest Sírio-Libanês hospital, the first outside São Paulo. Oncology has strategic partnerships with leading world organizations such as Memorial Sloan This inauguration will expand operations in the Kettering Cancer Center and Ludwig Institute. Federal Capital, which already has two centers of Another important initiative was the pioneering launch Oncology and one Diagnostic Medicine of Sírio- in 2016 of the Sírio-Libanês Saúde Corporativa Libanês for over seven years. program, which transforms current parameters of hospital management and supplementary health. The institution also develops projects integrated This is an assistance initiative based on primary care with the Ministry of Health in support to SUS and for care in different companies and sectors of the contributes to the dissemination of knowledge country. and good practices to more than 8,000 health managers throughout the country, as part of Proadi- With an eye always on technology and innovation SUS. Projects such as “Lean in Emergencies”, a in health care, the Sírio-Libanês Ensino e Pesquisa methodology contributing to the organization and promotes studies and shares knowledge. With translational research, knowledge of the lab bench agility of patient flows and resource optimization in < is brought into clinical practice, fostering new discoveries every day. public health units in various states of the country.

236 ABRAMED ABRAMED PANEL PANEL Year of foundation: 2000 Practice Areas: Clinical Analysis Geographic coverage: Minas Gerais, Espírito Santo, Rio de Janeiro, São Paulo, Goiás, Federal District, Rio Grande do Sul Number of Units: 1 Number of Employees: 72 Number of patients attended / year: 9,344,507 exams Number of brands it operates: 1

237 LAB REDE Lab Rede - Laboratório de Referência em Diagnósticos Especializados - was founded almost 2 decades ago by pioneering entrepreneurs who sought, through the workforce and the competence of excellent professionals, to perform specialized exams with high quality standards and compatible costs. Today, with more than 200 laboratories between In 2018, Lab Rede maintained its commitment to shareholders and customers, Lab Rede offers exclusivity in laboratory support, prioritizing the the constant search for new ways and solutions, commitment to quality through differentiated service, based on values such as ethics, transparency, participating in national and international congresses, sustainability, differentiated relationship, responsibility and recognition. always supported by the identification of customers’ < needs. Lab Rede seeks the best solutions and accuracy of results. Constantly investing in laboratory activity processes on a highly automated production line and very consistent data traceability capabilities. The result of this work is recognized by the certifying entities: PALC, ONA, DICQ.

238 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1999 Practice Areas: Radiology and Diagnostic Imaging Geographic Coverage: Ceará Number of Units: 4 Number of Employees: 65 Number of patients attended/year: No information Number of brands it operates: 1

239 OMNIMAGEM Omnimagem was inaugurated in 1992, aiming to meet the need of every society in Ceará for more accurate and safe radiodiagnostic exams, with state-of-the-art technology available until then only in major centers of the country. With all the new equipment purchased from over the years, has become a reference in imaging world-renowned and respected General Electric diagnostics throughout the state. Its structure - GE, a leading healthcare technology company, has state-of-the-art equipment, highly qualified Omnimagem surpassed expectations and rewarded professionals, as well as personalized and everyone with a modern, fast and comfortable facility humanized service. and equipment. It currently has four units located in Fortaleza and Omnimagem’s main dream is to be the largest and Maracanaú (Ceará). best imaging diagnostic service center in Ceará. Omnimagem was the first center for high complexity Committing to customer and employee satisfaction. < imaging diagnostics in the state of Ceará and,

240 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1984 Practice Areas: Clinical analysis, imaging diagnosis, immunization, executive check-up and primary health care. Geographic coverage: Federal District, Goiás, Minas Gerais, São Paulo, Mato Grosso do Sul, Santa Catarina, Paraná, Bahía, Tocantins, Pará, Amazonas, Roraima Number of Units: 280 Number of Employees: 5,200 Number of patients treated / year: 4.8 million Number of brands it operates: 12

241 SABIN MEDICINA DIAGNÓSTICA Sabin was founded in Brasilia by biochemists Janete Vaz and Sandra Soares Costa and has 35 years of dedication to diagnostic medicine, with activities characterized by the provision of services of technical and scientific excellence, humanized care, sustainability, innovation and social responsibility. In 2012 Sabin decided to bet on a bold project - entering the primary health care sector. The objective taking its clinical analysis service to other regions of was to expand the health management services Brazil. Initially, it expanded its service to other districts platform by investing in Amparo Saúde, as well as of the Federal District and Entorno, Barreiras (Bahia) reinforcing Sabin’s value proposition for companies and Anápolis (Goiás). and operators in caring for their beneficiaries, contributing to the sustainability of the sector and In 2014, the company reached a level of maturity strengthening the culture of primary care. where the partners decided to focus on the most strategic issues of the organization and appointed When we talk about innovation, Sabin started people with high business knowledge to lead the an international technical-scientific cooperation day to day business. As a result, Sabin Group was with Grupo Fleury. The two companies started led by CEO Lidia Abdalla. to jointly invest in Que - venture capital, a health startup incubator, as well as being part of the Israeli In the implementation of their corporate governance investment fund Ourcrowd. model, Sandra and Janete became Chairwoman and Vice-Chairwoman of the Sabin Group. The Group has also received more than 35 awards and honors in various areas such as sustainability, The new corporate structure allowed it to grow innovation and people management. and in 2018, 35 service units were inaugurated in Brazil, including the Sabin Group’s first diagnostic < imaging unit in the Federal District. In the same year, the Group reached a new strategic milestone by

242 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1985 Practice Areas: Clinical Analysis Geographic coverage: São Paulo Number of Units: 2 Number of Employees: 46 Number of patients treated/year: 26,617 Number of brands it operates: 1

243 SENNE LIQUOR DIAGNÓSTICO Senne Liquor Diagnóstico is a specialized cerebrospinal fluid collection and analysis service that has assisted doctors and health institutions in the diagnosis and treatment of neurological, infectious and neoplastic diseases, among others. The company has in its DNA a commitment and In 2018, Senne Liquor was the center that responsibility to evidence-based medicine, always performed the meningitis and encephalitis test on seeking to anticipate solutions, balancing tradition the first diagnostic equipment to use a platform and innovation with a focus on the best outcome. capable of identifying 14 of the main agents related This motivated the institution to achieve ONA 3 to meningitis and encephalitis. The test allows an accreditation, level of excellence, in both São Paulo accurate diagnosis in approximately one hour, which and Campinas units. could take up to 1 to 5 days before. With 45 years of experience, Senne Liquor works Senne was the first to use the equipment, which in modernization and automation, acquiring new is now available on the market today. This type of technologies and equipment. The company also testing is important, not only for patient care, but has partnerships with international laboratories and also for optimizing healthcare costs, which shows has specialized doctors to ensure patient safety and Senne’s partnership with operators. provide excellent service. Its differential is the fast, personalized and humanized service to support the Senne Liquor Diagnóstico is a service specializing in requesting doctors and patients. cerebrospinal fluid collection and analysis. <

244 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1987 Practice Areas: Radiology and Diagnostic Imaging Geographic coverage: Rio Grande do Sul Number of Units: 20 Number of Employees: 375 Number of patients attended/year: no information Number of brands it operates: 1

245 SIDI With 32 years of history, SIDI - Medicina por Imagem, has been synonymous with pioneering and competence in imaging diagnosis since the beginning of its activities. The company strives to structure itself with the best equipment in the market, and the most qualified professionals to offer high standard services to its customers. There are currently 21 units installed in São Paulo, in in one place. The advantages of this possibility go the capital and metropolitan region; state countryside far beyond the convenience of the patient, as the and coast. In addition to operating in the state of Rio exams can be evaluated and discussed immediately Grande do Sul, capital and municipalities of Novo by SIDI’s specialized medical team, which interact in Hamburgo, São Leopoldo, Guaíba, Esteio, Viamão, systematic scientific meetings and in the daily routine Gravataí, Camaquã, São Jerônimo and São Gabriel; of the clinic, increasing the quality and accuracy of and coast, with units in Tramandaí and Capão da the procedures in medical diagnostics. Canoa facilitating the service of their customers even when on vacation in the north coast of the state. Sensitive to the needs of its public, SIDI has devised a unit in the Menino Deus neighborhood, with the Another important differentiator is the integrated mission of welcoming especially the female public. logistics service, where patients can perform and The unit was a pioneer in three-dimensional (3D) retrieve test results at the unit of their choice. SIDI ultrasound and is equipped with the only digital stands out for its investment in state-of-the-art mammography device in Rio Grande do Sul. technology, one of its differentials, for example, is the Importantly, this equipment is unique in the state and Revolution HD Tomograph, this equipment produces distinguished from those of digitized mammography images with a great degree of loyalty and extremely that scan the film image. low radiation levels. SIDI has a significant volume of imaging-guided In addition, the units are equipped with X-ray, holter, interventional procedures, such as biopsies and electrocardiography, ultrasound, echocardiography, punctures of thyroid, breast, prostate, lung, liver, mammography, densitometry, nuclear medicine, kidney, pancreas and lymph nodes; the needles of and the largest equipment park in the State with CT breast lesions and the drains of liquid collections. Scan and resonance imaging (MRI), offering eight CT Scans, five closed MRIs and on open MRI in their In 2018, the headquarters of the Sidi Medicina por units. Imagem (SIDI - CENTER) Clinic achieved Grade 1 in To offer even more complete services, SIDI Cardiovascular was created, enabling doctors and ONA Accreditation and prepares to, in 2019, expand their patients to perform all imaging examinations accreditation to other units. <

246 ABRAMED ABRAMED PANEL PANEL Year of foundation: 1997 Practice Areas: Radiology and Diagnostic Imaging Geographic Coverage: Rio Grande do Sul Number of Units: 6 Number of Employees: 410 Number of patients treated / year: 1,065,000 Number of brands it operates: 6

247 SIR RADIOLOGIA Founded 23 years ago in Porto Alegre by radiologist Dr. Armando Abreu - former president of the Colégio Brasileiro de Radiologia, SIR began its activities with the Instituição Hospital Mãe de Deus and, over the years, has grown significantly in the Diagnostic Imaging field. With approximately 160 specialist physicians, the The company works with technological innovation company serves both public and private radiology as one of the pillars of its performance. For that, hospitals, where it has earned major accreditations, it constantly invests in startups, and research/ with operations by the Joint Commission Int., ONA partnerships with artificial intelligence companies in 3 and American College of Radiology, performing the area of MRI and Breast. nearly 1,000,000 annual exams in a park with 12 MRIs, 9 CTs, 45 Ultrasounds, 2 PET/CTs. SIR provides DI and Teleradiology services to 9 SIR provides DI and Teleradiology services to 9 hospitals and various clinics. < hospitals and various clinics. In addition, it has a residency and specialization program with CBR certification (Colégio Brasileiro de Radiologia). The courses in the areas of radiology and DI; ultrasound; R4 and Fellows, trained more than 150 doctors, including 32 radiologists from Portugal, Angola, Uruguay, Colombia among others.

248 ABRAMED ABRAMED PANEL PANEL Associados Abramed