Abstract
This teaching case reflects the strategic choices of the Fleury Group in the face of the Brazilian economic scenario and the particularities of the private health services sector in Brazil. The teaching case invites the reader to reflect on challenges related to a strategic orientation for profitability, growth, or both. The Fleury Group serves as a rich source of information for academic analysis, especially about business strategy and organizational ambidexterity. Thus, this teaching case can be used in executive programs and graduate programs (specialization or leading to a Ph.D.), in themes related to strategy and innovation.
Keywords:
Health services; Strategy; Profit; Growth
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Note: Other brands may have been acquired by the groups since 2018. Source: Elaborated by the authors based on information from the 
Notes: The number of patient service units in each group may have changed since the information was retrieved. The numbers indicate the number of patient service units in each state of the federation in which each group has operations: BA = Bahia; CE = Ceará; DF = Distrito Federal; ES = Espírito Santo; GO = Goiás; MA = Maranhão; MT = Mato Grosso; MS = Mato Grosso do Sul; MG = Minas Gerais; PA = Pará; PB = Paraíba; PR = Paraná; PE = Pernambuco; RJ = Rio de Janeiro; RN = Rio Grande do Norte; RS = Rio Grande do Sul; SC = Santa Catarina; SP = São Paulo. Source: Elaborated by the authors and based on information from 
Source: Adapted from the 
Source: Elaborated by the authors.
Source: Elaborated by the authors.
Source: Elaborated by the authors based on 
Source: Adapted from