Hospital e Maternidade Sepaco

What Hospital e Maternidade Sepaco does

Hospital e Maternidade Sepaco (Sepaco Autogestão) is a self-managed (autogestão) Brazilian healthcare system, founded in 1957, operating exclusively for the paper industry sector. The company combines ANS-regulated health plan administration with vertically integrated care delivery through owned facilities spanning three Brazilian states: Hospital Sepaco in São Paulo (242 beds, 82 ICU), Hospital e Maternidade Sepaco Mogi das Cruzes, Ambulatório Vila Mariana, Hospital Paineiras in Bahia, and Clínica Paineiras units across Bahia and Maranhão. The portfolio includes nine ANS-registered health plan products (Empresarial 1/2, Essencial, Exato, Exato Plus, Regional I/II, Master, Exato CS Porto) supplemented by a credenciado network, occupational health on-site services, a mobile application, telemedicine, and a Núcleo de Promoção à Saúde offering preventive programs (NAI, NAA, NAG).

The revenue model rests on three primary streams: post-established (pós-estabelecido) health plan premiums from paper-industry employer associations, fee-for-service revenue from external payers (particularly at Mogi das Cruzes, which serves non-autogestão patients), and professional-services revenue from outsourced on-site ambulatory clinics deployed within paper companies. The integration of financing and delivery — premiums collected by Sepaco, then care delivered at Sepaco-owned facilities — gives the organization direct control over cost experience and care quality. Technology infrastructure includes Siemens Somatom Perspective 128-channel CT, Konica Minolta digital X-ray, Carl Zeiss OPMI Pentero 800 surgical microscope, TISS-compliant claims processing, an electronic medical record system engaged with HIMSS Emram maturity benchmarks, and a mobile app providing virtual card, appointment scheduling, authorization, and telemedicine chat.

Customer concentration is structurally high: Sepaco operates exclusively for Brazilian paper industry companies (empresas papeleiras) and their employees and dependents under the autogestão model. Regulatory positioning is anchored by ANS operating licenses and ONA Acreditado com Excelência Level 3 certification, with the Parto Adequado program (partnered with IHI) demonstrating measurable clinical outcomes, including reduction in neonatal ICU admissions. CEO Rafael Parri leads the organization, with David Oliveira as Gerente de TI and president of ABCIS (Associação Brasileira CIO Saúde). The Mogi das Cruzes 2021 opening to non-paper-industry payers represents the first explicit diversification beyond the vertical focus.

Name

Hospital e Maternidade Sepaco

Legal name

Sepaco Autogestão

Website

https://sepacoautogestao.org.br

Company type

Private

Founded year

1957

Operating status

Operating

Headcount range

11–50 employees

Short description

Sepaco Autogestão is a Brazilian self-managed health system founded in 1957 that operates ANS-regulated health plans and owns hospitals, maternities, and outpatient clinics exclusively serving paper industry companies and their employees and dependents across São Paulo, Bahia, and Maranhão.

Ownership category

akta.pro rank

Product category

Self-Managed Healthcare (Autogestão)

NAICS

Direct Health and Medical Insurance Carriers (524114), Insurance Carriers and Related Activities (524)

SIC

Hospital & Medical Service Plans (6324), Accident & Health Insurance (6321)

akta.pro primary industry

Self-Funded (ASO) Group Health Plans & Stop-Loss (FSAIAFAB)

akta.pro secondary industries

Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises) (HLAEALAJ), Individual Health Insurance Administration (TPA/ASO) (FSAIAEAK)

Keywords

• Self-managed health plans
• Corporate health insurance
• Hospital and maternity services
• Occupational health outsourcing
• Health promotion programs

Headquarters

HQ city

São Paulo

HQ country

Brazil

HQ region

Latin America

Offices8 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Health Plan Premiums (Autogestão Contributions): Sepaco operates as an autogestão health plan operator, where paper industry companies pay periodic contributions to fund healthcare coverage for their employees and dependents. Pricing is pós-estabelecido (post-established), meaning costs are determined based on historical utilization of the specific collective. Revenue is recurring and tied to the number of active beneficiaries and the cost experience of each employer group.
2. Occupational Health Services (Ambulatory in Companies): Sepaco offers companies the outsourcing of ambulatory health services, providing complete web-based management of medical services and absenteeism management. Additional revenue comes from placing health professionals inside employer organizations.
3. Hospital and Maternity Services (External Payers): The Hospital Sepaco and Hospital e Maternidade Sepaco Mogi das Cruzes also serve patients from other health operators beyond the autogestão members, generating fee-for-service revenue for medical procedures, hospitalizations, exams, and consultations.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels5 records

Core offering

Sepaco operates an integrated self-managed (autogestão) health system that provides corporate collective health plans and direct medical-hospital care exclusively to paper industry companies and their employees and dependents in Brazil. The organization delivers this through owned hospitals, maternities, and outpatient clinics, supplemented by a credenciado network, and adds health promotion programs, occupational health outsourcing, telemedicine, and a mobile beneficiary application. It is regulated by ANS and holds ONA Level 3 (Acreditado com Excelência) accreditation.

Product overview

Hospital e Maternidade Sepaco operates a vertically integrated healthcare system serving the paper industry sector in Brazil. The portfolio comprises owned hospital facilities (Hospital Sepaco São Paulo, Hospital e Maternidade Sepaco Mogi das Cruzes, Hospital Paineiras Bahia), outpatient clinics (Ambulatório Vila Mariana, Clínica Paineiras network), and health insurance plans (Empresarial, Essencial, Exato, Exato Plus, Regional, Master). Supplementary services include a mobile app for beneficiary self-service, corporate clinic outsourcing, telemedicine consultations, and a Health Promotion Center (Núcleo de Promoção à Saúde) with specialized programs for elderly, adults, and expectant mothers.

Differentiator

Problem solved

Functional benefit

Brands

• Empresarial 1: Health insurance plan with corporate collective contracting, group of municipalities geographic coverage, outpatient and hospital with obstetrics segmentation, post-established pricing.
• Empresarial 2
• Essencial
• Exato
• Exato Plus
• Master

Products and services

• Hospital Sepaco (São Paulo) Main hospital facility in São Paulo specializing in high-complexity procedures including cardiac, neurological, and surgical procedures with implants, prostheses, and synthesis materials. Features a hemodynamics area and dedicated oncology center. Operates as the flagship owned facility of the Sepaco system with 242 beds (82 ICU: 40 adult, 25 neonatal, 17 pediatric).
• Hospital e Maternidade Sepaco Mogi das Cruzes Hospital and maternity facility in Mogi das Cruzes offering maternal and child care, 24-hour emergency care, neonatal ICU with 6 beds, outpatient medical center, and diagnostic center. Also serves patients from other health operators beyond the autogestão members.
• Ambulatório Sepaco Vila Mariana Outpatient clinic near Hospital Sepaco offering cardiology, internal medicine, pediatrics, endocrinology, physiotherapy, acupuncture, speech therapy, gynecology, orthopedics, pneumology, psychology, nephrology, rheumatology, occupational therapy, urology, general surgery, and vascular surgery.
• Hospital Paineiras General hospital in Mucuri, Bahia providing maternity, emergency care, X-ray, laboratory, and outpatient clinic with specialties including allergology, anesthesiology, angiology/vascular, cardiology, general surgery, internal medicine, dermatology, endocrinology, gastroenterology, gynecology/obstetrics, neurology, ophthalmology, orthopedics, otolaryngology, pediatrics, psychology, ultrasonography, and urology.
• Clínica Paineiras (Multi-location network) Multi-location outpatient clinic network in Bahia and Maranhão with units in Teixeira de Freitas, Posto da Mata, Mucuri, and Imperatriz providing laboratory collection and outpatient medical specialties.
• Aplicativo Sepaco Autogestão Mobile application for beneficiaries enabling access to virtual health ID cards, provider directory search, authorization requests, appointment scheduling and cancellation, chat-based telemedicine, usage statements, and medication reminders. Available on iOS and Android.
• Empresarial 1 and Empresarial 2 Health Plans Corporate collective health insurance plans with ANS registration (numbers 477681170 and 477683176), municipal or group-of-municipalities geographic coverage, outpatient and hospital with obstetrics segmentation, and post-established (pós-estabelecido) pricing. Empresarial 2 includes individual accommodation standard.
• Master Health Plan Premium health plan with ANS registration (483084199) offering outpatient and hospital coverage including obstetrics with post-established pricing for paper industry sponsor companies and beneficiaries.
• Essencial Health Plan Collective adhesion health plan (ANS registration 477682178) for members without employment relationship, providing an alternative adhesion-based offering within the Sepaco autogestão portfolio.
• Exato and Exato Plus Health Plans Corporate collective health plans with municipal geographic coverage and active employment link requirement. Exato Plus (ANS registration 475844167) adds co-participation requirement; Exato (475843169) is the base variant.
• Regional I and Regional II Health Plans Regional health plans with ANS registrations 480273180 and 480274188, providing geographic coverage in specific municipality groups with co-participation requirements.
• Ambulatório nas Empresas (On-site Corporate Clinics) Outsourced on-site corporate ambulatory clinic service placing health professionals inside employer organizations, with web-based management of medical services and absenteeism management for sponsor companies.
• Núcleo de Promoção à Saúde (Health Promotion Center) Health promotion center offering disease prevention and wellness programs including NAI (Elderly Support Center), NAA (Adult Support Center), NAG (Expectant Mother Support Center), and additional wellness activities based on World Health Organization criteria.
• Telemedicina / Atendimento Virtual Virtual medical consultation service enabling beneficiaries to receive medical guidance remotely, including a platform dedicated to COVID-19-related guidance from home, and chat-based telemedicine accessible via the Sepaco mobile application.

Quantifiable outcome

• ONA Accredited with Excellence Level 3 certification achieved after IBES evaluation, demonstrating compliance with patient safety criteria and integrated process management.
• +2 more outcomes

Named customers1 record

Segments2 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Three partnerships are on record, tiered core and minor.

• IHI – Institute for Healthcare ImprovementcoreStrategic or Co-development PartnerSepaco participates in the Ministry of Health's 'Programa Parto Adequado' (Proper Birth Program) in partnership with IHI, promoting natural birth practices including freedom of movement during labor, non-pharmacological pain relief methods, light feeding during labor, and early skin-to-skin contact between mother and newborn. This partnership contributed to significant reduction in neonatal ICU admissions and increased volume of normal births.
• ANS – Agência Nacional de Saúde SuplementarcoreOthersSepaco is regulated by ANS as a health plan operator. All products are registered with ANS under specific registration numbers. Sepaco publishes ANS-required documents and operates in compliance with ANS regulations including RN 259 (service timelines).
• IBES (Brazilian Healthcare Evaluation Institute)minorOthersIBES conducted the ONA accreditation evaluation of Hospital Sepaco over three days of assessments, resulting in the Accredited with Excellence Level 3 certification.

Scale indicators4 records

Recent moves11 records

Expansion highlights6 records

Direct peers

• Cassi (Caixa de Assistência dos Funcionários do Banco do Brasil): Brazil's largest autogestão operator, providing self-managed health plans exclusively to Banco do Brasil employees and dependents. Closest structural analogue to Sepaco: vertical-specific employer-sponsored self-funded health plan with owned provider network, regulated by ANS.
• Geap Saúde: Autogestão operator focused on federal public servants and statutory bodies. Comparable to Sepaco as a self-managed, ANS-regulated health plan with employer-association sponsorship and a defined beneficiary cohort.
• Postal Saúde: Autogestão operator for Correios (Brazilian postal service) employees. Matches Sepaco's model of a single-employer-vertical self-funded health plan with its own provider network and ANS-regulated product portfolio.
• AMS Petrobras: Petrobras' in-house supplementary health plan (Assistência Multidisciplinar de Saúde), one of Brazil's largest autogestões by beneficiary count. Comparable industry-vertical self-funded model to Sepaco, though at much larger scale within the oil sector.
• Saúde Itaú (Itaú Unibanco): In-house self-managed health plan for Itaú Unibanco employees. Another vertical-locked autogestão comparator with similar regulatory, operational, and pós-estabelecido pricing characteristics to Sepaco.

Broad incumbents

• Bradesco Saúde: Large Brazilian group health insurer with corporate employer focus. Analogous to Sepaco in administering employer-sponsored health plans under ANS regulation, but as a commercial carrier with multi-industry customer base rather than a single-vertical autogestão.
• Hapvida NotreDame Intermédica: Brazil's largest vertically integrated health plan operator with owned hospitals, clinics, and diagnostics. Not autogestão, but its integrated payer-provider model is structurally analogous to Sepaco's owned-facility + health plan combination.
• SulAmérica Saúde: Established Brazilian insurer with significant group health plan business. Comparable to Sepaco in administering ANS-regulated employer health plans, though it operates as a commercial insurer rather than a self-managed autogestão.
• Unimed (Sistema Unimed): Brazilian cooperative medical system with regional Unimed operators offering health plans, hospitals, and provider networks. Comparable to Sepaco at the system-of-operators level, though it spans multiple industries rather than a single vertical.
• Amil (UnitedHealth Group): Major Brazilian health plan operator with vertically integrated provider assets. Comparable to Sepaco in operating both insurance and provider businesses under ANS regulation, but serves open-market employer and individual customers across industries.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/hospital-e-maternidade-sepaco

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries5 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Hospital e Maternidade Sepaco