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ANNUAL SUSTAINABILITY REPORT 2021

ABOUT US

The biggest ecosystem for medical education and digital solutions for the physician.

Leader in Medical Education in the number of authorized seats and in the total students.

Only company that combines education with digital solutions for physicians.

Public company, with shares traded on Nasdaq, in the United States.

SEATS IN UNDERGRADUATE MEDICINE

517 apr.18

636 may.18

807 nov.18

1.267 dec.18

1.452 apr.19

1.572 aug.19

1.684 nov.19 

1.866 feb.20

2.143 ago.20

2.303 dec.20

2.731 ago.21

2.759 mar.22

16,017

Medical students

19,882

undergraduates in other health-related areas

25,219

students in other undergraduate areas

61,118

undergraduate students, including Medical students

3,189

Continuous Education students

8,100

professors and staff

1,000

partnerships with hospitals and clinics

248,000

active users of digital solutions, among physicians and students

"At the IPO, we promised to add 1,000 approved Medical seats in three years, and delivered 1,159 in less than two years. We consolidated our leadership in Physician Education through acquisitions and organic growth."


Virgilio Gibbon, CEO 

AFYA ECOSYSTEM

We possess a solid ecosystem, which brings together Medical Education – our main business – and Digital Solutions for the physician, a new area which complements and adds value to our menu of offerings.


UNDERGRADUATE
30 Institutions of Higher Learning, of which:

28 features Medical courses, of which five will kick off in the second half of 2022.
23 in operation: 17 in hinterland cities, and six in state capitals.
20 installed in the North and Northeast, with all the others in the South and Southeast.
1 University (Unigranrio).
8 University Centers.
9 offer courses under the aegis of the “Mais Médicos” Program.

CONTINUING EDUCATION 
More than 70 courses offered by IPEMED, with units in 11 capital cities.


10 healthtechs, organized to offer tools and solutions in two business verticals:


B2P (Business to Physician)
we have gathered the various solutions developed, in order to offer physicians alternatives for education and theoretical updating, as well as to support them in the exercise of their profession and in the management of their businesses. 

B2B (Business to Business)
Tools and solutions that can generate efficiency and assertiveness in the interaction the physicians require, with the players in the health sector, for the exercise of their profession. In this group are the pharmaceutical industries, laboratories, drugstore chains, hospitals, and health insurance operators. 


PILLARS OF AFYA DIGITAL SERVICES

B2B (BUSINESS TO BUSINESS)
Our B2B operation is divided into three fronts:

ACCESS

Innovative and efficient digital solutions, created to facilitate access to physicians by players of the healthcare sector, especially from the pharmaceutical industry.

→ Priority stage, accelerating

DEMAND

Tools aimed at facilitating the prescription of medications and the performance of tests. Through such tools, there is a greater adherence to treatment, generating demand for the sector.

→ In progress, with solutions already available

EFFICIENCY

Solutions aimed at enhancing efficiency throughout the healthcare value chain, including market intelligence, promotion of health, and prevention of diseases. 

→ Planned for development over the upcoming years

"We are very clear about the path we intend to take here at Afya. We are leaders in the field of Medical Education and we will continue to focus on building up from that position. We are leaders in the field of Medical Education and we will continue to focus on building up from that position." 


Nicolau Carvalho Esteves, Chairman of the Board of Directors  

ESG IN PRACTICE

ENVIRONMENTAL

1,058.44 MWh of energy generated via photovoltaics

33% of water consumption – 42,065 m3 – provided by artesian wells 

SOCIAL

341,286 free health consultations offered to communities surrounding our campuses

+350,000 people benefited from social responsibility actions undertaken by our operations

2.5 metric tons of foodstuffs distributed by food campaigns in communities surrounding our installations

55% of employees are women

37.8% of management positions are held by women 

GOVERNANCE

18% of Board of Directors members are women

36% of board members are independent

94% of employees take part in training programs dealing with the Code of Ethics and Conduct

91% of employees take part in training programs to Combat Corruption and Fraud 

ENVIRONMENTAL

We have systematically increased the number of our units employing photovoltaic generators. From two units in 2019, we went to five in 2020. In 2021, we began installation of solar
panels in three more IESs, obtaining a significant advance in this endeavor as of the end of the year. In 2022, another five IESs will gain photovoltaic plants, bringing the total to 13 self-sufficient teaching institutions when it comes to generation of energy supplies

EIGHT IESS SELF-SUFFICIENT IN ENERGY GENERATION
→ 2019: IESVAP (PI) and UNIDEP (PR)
→ 2020: Uninovafapi (PI), FCM (PB) and FMIT (MG)
→ 2021: UNIPTAN (MG), FACIMPA (PA) and ITPAC Palmas (TO)

SOCIAL

As the largest Medical Education group in Brazil, complemented by a unique ecosystem of digital
medical services, our social role extends beyond the educational endeavor, the training of professionals or learning technologies, nor the exercise of the profession. Our operations contribute effectively to improving the quality of life and well-being of the surrounding communities.

341,286 free healthcare consultations in 2021. Communities located around our campuses have access to free healthcare consultations, offered to clients under the auspices of our IESs and in partnership with the government’s Unified Healthcare System (SUS). Students in their senior years of undergraduate study in Medicine, as well as other healthcare careers such as Dentistry, Nursing and Physiotherapy, offer their services free of charge under the supervision of professors.

+350,000 people benefited from the social responsibility actions carried out by our operations.
Among the hundreds of initiatives developed, there is assistance provided, by FASA Itabuna (BA), to about 100 people, victims of the floods that devastated the municipality and surrounding cities, in December 2021.

WOMEN IN LEADERSHIP

We are committed to promoting gender equality in our leadership. We will work toward the goal of having women occupy half of our managerial positions by 2030. It is in line with the Public Commitment we assumed in 2021 as part of the Global Compact, an initiative led by the United Nations, to which we are a signatory.

GOVERNANCE 

→ Personnel and ESG Committee: It is a forum to support the Board of Directors in making environmental, social responsibility, and corporate governance decisions. This instance results from the expansion of the scope of the Remuneration Committee carried out in 2021.
→ Sarbanes-Oxley (SOx): The structure of internal controls was strengthened, in line with SOx requirements. Afya, a publicly-held company with shares traded on Nasdaq, a stock exchange in the United States, must comply with US law. 

Women on Board

The presence of at least two women as members of the Board of Directors has granted Afya the Women on Board (WOB) seal. Such distinction acknowledges the Company's efforts to promote diversity and value the presence of women in leadership, in line with the public commitment made by Afya under the Global Compact.

ECONOMIC AND FINANCIAL RESULTS

R$ 1,752.7 million 

in Adjusted Net Revenue (+45.1%)

R$ 754.8 million 

in Adjusted EBITDA (+34.0%)

43.1% 

Adjusted EBITDA Margin 

R$ 440.4 million  

in Adjusted Net Profits (+0.7%)

R$ 666.6 million  

in Operational Cash Flow

100.8%  

 cash flow conversion 

CONTACTS

Institutional Communication:
sustentabilidade@afya.com.br

Investor Relations:
ir@afya.com.br 

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