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Written by KPMG and Bocconi University February 2018
Study on State asset management in the EU
Final study report for Pillar 1 – Portugal
Contract: ECFIN/187/2016/740792
EUROPEAN COMMISSION
Directorate-General for Economic and Financial Affairs Directorate Fiscal policy and policy mix and Directorate Investment, growth and structural reforms European Commission B-1049 Brussels
Portugal
1. PSHS IN THE PORTUGUESE ECONOMY
This Country fiche presents a quantitative overview of the mix of equity owned by the
Portuguese General Government.
The Portuguese Government has stakes in 541 firms1. 42% of PSHs operate as fully
state-owned enterprises, while the rest is quite evenly split across the residual
ownership clusters.
The contribution to the Portuguese Economy ranges from 1% in terms of Value added
to 2.1% of Total assets of the country. A rather marked difference is reported between
the share of total Market capitalization and Shareholders’ funds, witnessing the
economic relevance of unlisted firms in the Portuguese Government’s portfolio. With
only 27 stakes and an average contribution across impact measures of about 1%, the
impact of PSHs holdings on the Financial sector appears to be small.
Figure 1 Breakdown of PSHs by level of ownership, 2015
Source: KPMG and Bocconi University calculations on Orbis (BvD) database
1 For Portugal, the promotional bank Portuguese Development Financial Institution - Instituição Financeira de Desenvolvimento was included in the sample. See Methodological Notes for more details.
534
229
88
138
750
50
100
150
200
250
300
350
400
450
500
550
0
Minority
79(14.6%)
4
Influential
Level of ownership
88(16.3%)
n°
of PSH
s
NO DATA on shareholders
stakes
4(0.7%)
4
Fully public
229(42.3%)
Total
541(100%)
7
141(26.1%)
3
Control
Listed Unlisted
Country fiches
Portugal
4
Figure 2 Breakdown of PSHs with no ownership data by sector, 2015
Source: KPMG and Bocconi University calculations on Orbis (BvD) database
Figure 3 Breakdown of PSHs’ total assets by level of ownership, 2015, weighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database. (1) Values have been weighted by stake(s) owned by the Public sector into PSHs.
Figure 4 Non-Financial PSHs contribution to the Portuguese economy, 2015,
weighted
0.0
1.0
2.0
F-Constr. K-Financ. M-Profes. No data
Nr
331
10,000
5,000
20,000
0
15,000
1,084
2,169(11.1%)
Influential
1,597
241
Weig
hte
dassets
(Mn E
ur)
Level of ownership
Minority
3,388(17.3%)
2,866(14.6%)
1,050
1,816
Fully public
11,190(57.1%)
9,848
1,342
Total
19,612(100%)
12,522
5,765
1,325
2,277
Control
27
Non-financial unlistedFinancial unlistedNon-financial listedFinancial listed
47,354
2,367
1,943
656
97.9% 2.1%
EmployeesEmployees (% economy)
9,848
1,0501,839
1,111
98.0% 2.0%
Total assets (Mn Eur)
Total assets (% economy)
Country fiches
Portugal
5
Source: KPMG and Bocconi University calculations on Orbis (BvD) database; Eurostat (1) Values have been weighted by stake(s) owned by the Public sector into PSHs. Value added has been
scaled by GDP (GDP data retrivied from Eurostat). (2) Market capitalization is considered only for listed companies while shareholders’ funds are considered only
for unlisted companies. (3) Market capitalization is reported as of 6th March 2017.
Figure 5 PSHs contribution to the national financial sector, 2015, weighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database; Eurostat (1) Values have been weighted by stake(s) owned by the Public sector into PSHs.
3,487
153
476
1,276
98.6% 1.4%
Revenues (Mn Eur)
Revenues (% economy)
1,502
108
125
131
99.0% 1.0%
Value added (Mn Eur)
Value added (% economy)
16
88298.1% 1.9%
Market cap (Mn Eur)
Market cap (% economy)
Rest of the Economy PSHs Fully public Control Influential Minority
22
206
2
2
99.8% 0.2%
EmployeesEmployees (% economy)
1,342
1,816
331
2,277
99.2% 0.8%
Total assets (Mn Eur)
Total assets (% economy)
74
72
98
220
99.0% 1.0%
Revenues (Mn Eur)
Revenues (% economy)
1,338
419
n.a.
1,651
97.8% 2.2%
Shareholders' fund Shareholders' fund (% economy)
Rest of the Economy PSHs Fully public Control Influential Minority
Country fiches
Portugal
6
(2) Market capitalization is considered only for listed companies while shareholders’ funds are considered only for unlisted companies.
(3) Market capitalization is reported as of 6th March 2017.
1.1. Distribution of Non-financial PSHs by sector
The most relevant sectors across most measures of economic impact are Human health
and social work activities (Q) and Transportation and storage (H). PSHs operating in
these sectors are top-ranked in terms of size, although their relative share is more
modest, but certainly not negligible. With a value of 70% in terms of Assets, the impact
of PSHs in the Public administration and security sector (O) stands out.
Figure 6 Distribution of Non-financial PSHs by sector, 2015
0
10
20
30
40
50
60
70
80
0
500
1,000
1,500
2,000
2,500
3,000
3,500
% of industryMn EurTotal assets
PSHs Share of PSHs in the industry
0
10
20
30
40
50
60
70
80
90
100
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000% of industryNr Number of employees
PSHs Share of PSHs in the industry
Country fiches
Portugal
7
Source: KPMG and Bocconi University calculations on Orbis (BvD) database. (1) A - Agriculture, forestry and fishing; B - Mining and quarrying; C – Manufacturing; D - Electricity, gas,
steam and air conditioning supply; E - Water supply, sewerage, waste management and remediation activities; F – Construction; G - Wholesale and retail trade, repair of motor vehicles and motorcycles; H - Transportation and storage; I - Accommodation and food service activities; J - Information and communication; L - Real estate activities; M - Professional, scientific and technical activities; N - Administrative and support service activities; O - Public administration and defence, compulsory social security; P – Education; Q - Human health and social work activities; R - Arts, entertainment and recreation; S - Other service activities; T - Activities of households as employers, undifferentiated goods- and services-producing activities of households for own use; U - Activities of extraterritorial organisations and bodies.
(2) Some sectors are not represented in the graphs above, because of two different, mutually excluding reasons; either because no data on those particular sectors are available in our database; or because there are no PSHs operating in those particular sectors in this country.
(3) Values have been weighted by stake(s) owned by Public sector into PSHs.
2. FINANCIAL PERFORMANCE OF PSHS AND MARKET ATTRACTIVENESS
2.1. Non-financial PSHs
At a broader level, the aggregate performance of the Portuguese PSHs features a good
level of profitability measured in terms of EBITDA, but a poor performance in terms of
reported ROA. Labour costs have a great bearing on state-controlled companies,
accounting, on average, for more than 35% of revenues in 2015. By contrast, gearing
appears to be, on average, significantly lower than that of private benchmarks.
As to market attractiveness, PSHs tend to be positioned in profitable sectors but
Revenues growth rate are negative for some of them.
0
10
20
30
40
50
60
70
80
90
0
200
400
600
800
1,000
1,200
1,400
1,600
1,800
% of industryMn EurOperating revenues
PSHs Share of PSHs in the industry
0
20
40
60
80
100
0
200
400
600
800
1,000% of industryMn Eur Value added
PSHs Share of PSHs in the industry
Country fiches
Portugal
8
Across the five main sectors of PSHs activity, gross profit margins appear to be, on
average, broadly in line to private benchmarks. However, net income values embedded
in the ROA do not provide a rosy picture. The relative operating efficiency of the sector
is also poor compared to private peers, whereas leverage ratios show a quite solid
position compared to the Industry as a whole.
Figure 7 Performance indicators of Non-financial PSHs in comparison to the national
economy, 2011–2015, yearly averages
Source: KPMG and Bocconi University calculations on Orbis (BvD) database
Figure 8 National market attractiveness of Non-financial PSHs, 2015
0
4
8
12
16
20
24
28
32
2011 2012 2013 2014 2015
% EBITDA Margin (%)
-5
-4
-3
-2
-1
0
1
2
2011 2012 2013 2014 2015
% ROA (%)
0
10
20
30
40
50
60
2011 2012 2013 2014 2015
%Labour costs as % of
operating revenues (%)
0
50
100
150
200
2011 2012 2013 2014 2015
% Debt to Equity ratio (%)
Whole economyPSHs with stake ≤ 50% PSHs with stake > 50%
Country fiches
Portugal
9
Source: KPMG and Bocconi University calculations on Orbis (BvD) database, 2015 [downloaded in December 2016]. (1) The Figure shows only the top 5 markets with the largest contribution to the Gross Domestic Product in
terms of Value Added generated by PSHs. Values of Value Added have been weighted by stake of public ownership of PSHs.
(2) The right upper quadrant identifies sectors with high profitability and positive growth, whereas the sectors with low profitability and negative growth tend to be located further down in the left lower quadrant.
(3) Revenue growth rates have been calculated using the Compound Annual Growth Rate of 2011-2015 values; for Value Added and EBITDA margin the value of 2015. For Revenue growth rates estimation, only companies with turnover higher than 50 Mn Eur are considered.
Figure 9 Profitability profile of Non-financial PSHs by sector and level of ownership,
2015, unweighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database, 2015 [downloaded in December 2016]. (1) Some PSHs clusters may not be represented in the graphs above, because of two different, mutually
excluding reasons; either because no data on those particular clusters are available in our database; or because there are no PSHs belonging to those particular PSHs clusters.
-10.0-15.0-20.0 20.0
30
20
15.010.05.0
25
0
-5
-10
0.0-5.0
J - Information and communication
Q - Human health and social work activities
EBITDA margin Industry (%)
B - Mining and quarrying
CAGR Revenues 2011-2015 (%)
E - Water supply; sewerage, waste management and remediation activities
H - Transportation and storage
Positive GrowthHigh profitability
Positive GrowthLow profitability
Negative GrowthLow profitability
Negative GrowthHigh profitability
The size of the bubbles shows weighted value added generated by PSHs scaled by GDP
-20
-10
0
10
20
30
40
50
Q - Human healthand social work
activities
H - Transportationand storage
E - Water supply;sewerage, wastemanagement and
remediationactivities
B - Mining andquarrying
J - Informationand
communication
EBITDA Margin (%)
Fully public Control Influential Minority Industry
-30
-25
-20
-15
-10
-5
0
5
10
Q - Human healthand social work
activities
H -Transportationand storage
E - Water supply;sewerage, wastemanagement and
remediationactivities
B - Mining andquarrying
J - Informationand
communication
%ROA (%)
Fully public Control Influential Minority Industry
Country fiches
Portugal
10
Figure 10 Operating efficiency of Non-financial PSHs, 2015, unweighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database, 2015 [downloaded in December 2016]. (1) Some PSHs clusters may not be represented in the graphs above, because of two different, mutually
excluding reasons; either because no data on those particular clusters are available in our database; or because there are no PSHs belonging to those particular PSHs clusters.
Figure 11 The leverage of Non-financial PSHs, 2015, unweighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database, 2015 [downloaded in December 2016]. (1) Some PSHs clusters may not be represented in the graphs above, because of two different, mutually
excluding reasons; either because no data on those particular clusters are available in our database; or because there are no PSHs belonging to those particular PSHs clusters.
2.2. Financial PSHs
Our dataset reports only three PSHs operating in the banking sector and two PSHs
operating in the Insurance sector. Obviously, the limited coverage does not allow us to
provide the reader with a conclusive benchmarking with respect to the Financial and
Insurance sector as a whole. Figures suggest that banks appear slightly less profitable
and capitalized than Industry peers. The other 21 state-owned financial institutions
operating in Portugal perform better than their private counterparts in terms of EBITDA
margins.
0
10
20
30
40
50
60
70
80
90
Q - Human healthand social work
activities
H -Transportationand storage
E - Water supply;sewerage, wastemanagement and
remediationactivities
B - Mining andquarrying
J - Informationand
communication
% Labour costs as % of revenues
Fully public Control Influential Minority Industry
0
100
200
300
400
500
600
700
800
Q - Human healthand social work
activities
H - Transportationand storage
E - Water supply;sewerage, wastemanagement and
remediationactivities
B - Mining andquarrying
J - Informationand
communication
% Debt to Equity ratio (%)
Fully public Control Influential Minority Industry
Country fiches
Portugal
11
Figure 12 Relevant KPIs for PSHs in the Banking sector in Portugal, 2015, unweighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database, 2015 [downloaded in December 2016]. (1) Some PSHs clusters may not be represented in the graphs above, because of two different, mutually
excluding reasons; either because no data on those particular clusters are available in our database; or because there are no PSHs belonging to those particular PSHs clusters.
Figure 13 Relevant KPIs for PSHs in the Insurance sector, 2015, unweighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database, 2015 [downloaded in December 2016]. (1) Some PSHs clusters may not be represented in the graphs above, because of two different, mutually
excluding reasons; either because no data on those particular clusters are available in our database; or because there are no PSHs belonging to those particular PSHs clusters.
Figure 14 Relevant KPIs for Other financial PSHs, 2015, weighted
IndustryFully public Control Influential Minority
IndustryFully public Control Influential Minority
Country fiches
Portugal
12
Source: KPMG and Bocconi University calculations on Orbis (BvD) database, 2015 [downloaded in December 2016]. (1) Some PSHs clusters may not be represented in the graphs above, because of two different, mutually
excluding reasons; either because no data on those particular clusters are available in our database; or because there are no PSHs belonging to those particular PSHs clusters.
3. PUBLIC FINANCE EFFECTS OF PSHS
At the aggregate level, while a share of PSHs is profitable, losses generated by the rest
of PSHs lead the balance to the negative side. In 2015, PSHs generated a negative net
income worth 159 Mn Euro. The net financial position of PSHs is positive, with 5.7 Bn
Euro of weighted net worth. Distributed dividends account for 0.2% of GDP while
outstanding liabilities represent, on average, more than 70% of the Portuguese GDP.
Table 1 Public Finance Effects of PSHs, 2015, unweighted
Source: (a) Orbis data (values not weighted for stake of public ownership) and (c) Eurostat. Data retrieved on 19th September 2017. (b) Net Worth value has been weighted by stake(s) owned by the Public sector into PSHs. (d) Total outstanding liabilities of government controlled entities classified outside general government are
considered. (e) Figures in red represent negative numbers
IndustryFully public Control Influential Minority
Country fiches
Portugal
Appendix I Portugal
Table A Breakdown of PSHs’ total assets by level of ownership, 2015, weighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database. (1) Values have been weighted by stake(s) owned by the Public sector into PSHs.
Table B Non-Financial PSHs contribution to the Portuguese economy, 2015, weighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database. (*) Absolute value. (1) Values have been weighted by stake(s) owned by the Public sector into PSHs. Value added has been
scaled by GDP (GDP data retrivied from Eurostat). (2) Market capitalization is considered only for listed companies while shareholders’ funds are considered only
for unlisted companies. (3) Market capitalization is reported as of 6th March 2017. (4) It must be noted that the total number of PSHs (sum of Number of PSHs Table B and Table C) is lower
than the overall number of PSHs reported earlier in Figure 1, due to missing data on PSHs’ shareholders’ stakes.
Table C PSHs contribution to the national financial sector, 2015, weighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database. (*) Absolute value.
(1) Values have been weighted by stake(s) owned by the Public sector into PSHs. (2) Market capitalization is considered only for listed companies while shareholders’ funds are considered only
for unlisted companies. (3) Market capitalization is reported as of 6th March 2017. (4) It must be noted that the total number of PSHs (sum of Number of PSHs Table B and Table C) is lower
than the overall number of PSHs reported earlier in Figure 1, due to missing data on PSHs’ shareholders’ stakes.
Data in Mn Eur
Ownership cluster Unlisted Listed Total Unlisted Listed Total
Fully Public 9,848 - 9,848 1,342 - 1,342
Control 1,050 - 1,050 1,816 - 1,816
Influential 1,597 241 1,839 331 - 331
Minority 27 1,084 1,111 2,277 - 2,277
Total 12,522 1,325 13,847 5,765 0 5,765
Non-financial Financial
Non-financial PSHsNumber
of PSHs
of which
listed
Employees
(%)
Total assets
(%)
Revenues
(%)
Value added
(%)
Market cap
(%)
Fully Public 223 0 1.9 1.5 0.9 0.8 0.0
Control 83 0 0.1 0.2 0.0 0.1 0.0
Influential 132 3 0.1 0.3 0.1 0.1 0.0
Minority 72 4 0.0 0.2 0.3 0.1 1.9
PSHs' share to the total economy 510(*) 7(*) 2.1 2.0 1.4 1.0 1.9
Financial PSHsNumber
of PSHs
of which
listed
Employees
(%)
Total assets
(%)
Revenues
(%)
Market cap
(%)
Shareholders'
funds (%)
Fully Public 6 0 0.0 0.2 0.2 0.0 0.9
Control 5 0 0.1 0.3 0.2 0.0 0.3
Influential 9 0 0.0 0.0 0.2 0.0 n.a.
Minority 7 0 0.0 0.3 0.5 0.0 1.1
PSHs' share to the total economy 27(*) 0(*) 0.2 0.8 1.0 0.0 2.2
14
Table D PSHs distribution by sector, 2015, weighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database, 2015 [downloaded in December 2016]. (a) Other financial institutions category includes all PSHs which are classified within the NACE K sector other than banks and insurance. (1) NACE sectors “T - Activities of households as employers; undifferentiated goods-and services-producing activities of households for own use” and “U - Activities of
extraterritorial organisations and bodies” are not reported here, since they lack comprehensive financial data, and therefore the aggregate value reported in Figure 4 might slight differ.
(2) For Banks, the value of “total assets” corresponds to the “total earning assets”, and “Operating revenues” corresponds to “Interest and other operating revenues”. (3) For Insurance, the value of “operating revenues” corresponds to the “net premium written”. (4) For Insurance, the latest available data refers to the year 2014. (5) The total number of PSHs reported here does not match the total number reported in Figure 1, because companies for which no data on ownership level and/or financial information
were available have been excluded. (6) Values have been weighted by stake(s) owned by the Public sector into PSHs. n.a.= not available
Sector
Average
public
ownership
Total
Sector
Value
Added
Year 2015
of
which
listed
Average % Mn Eur% of
sectorNr
% of
sectorMn Eur
% of
sectorMn Eur
% of
sectorMn Eur
A - Agriculture, forestry and fishing 7 0 79.8 79 0.8 595 1.1 32 0.7 22 1.7 1,258
B - Mining and quarrying 1 1 8.0 1,023 6.8 543 3.7 1,249 7.6 119 6.3 1,886
C - Manufacturing 31 3 31.9 417 0.5 1,626 0.3 427 0.5 98 0.4 22,228
D - Electricity, gas, steam and air conditioning supply 22 1 24.8 668 0.8 44 0.2 201 0.6 80 0.8 9,760
E - Water supply; sewerage, waste management and remediation
activities45 0 62.6 1,558 20.0 5,286 24.3 381 15.7 210 18.8 1,114
F - Construction 31 0 58.9 354 0.7 385 0.2 22 0.1 12 0.2 7,087
G - Wholesale and retail trade; repair of motor vehicles and
motorcycles4 0 35.4 10 0.0 5 0.0 4 0.0 1 0.0 17,503
H - Transportation and storage 36 0 84.9 3,154 5.4 4,288 3.2 697 3.7 232 3.7 6,223
I - Accommodation and food service activities 15 0 49.4 23 0.1 116 0.1 7 0.1 3 0.1 3,272
J - Information and communication 11 1 59.9 379 1.4 2,181 2.5 261 1.9 115 2.2 5,275
L - Real estate activities 35 0 71.5 1,889 3.8 625 2.2 203 3.7 35 1.7 2,052
M - Professional, scientific and technical activities 29 0 69.3 1,179 2.1 1,136 1.0 69 0.3 17 0.2 7,938
N - Administrative and support service activities 22 0 56.6 262 2.0 361 0.1 54 0.5 42 0.8 4,911
O - Public administration and defence; compulsory social security 15 0 94.7 617 67.9 793 87.1 83 77.9 n.a. n.a. 78
P - Education 28 0 49.9 20 1.5 352 1.2 15 1.5 9 1.5 569
Q - Human health and social work activities 45 0 89.6 2,053 21.0 32,476 28.8 1,609 22.4 886 27.5 3,226
R - Arts, entertainment and recreation 40 1 78.5 127 3.9 1,479 8.1 72 4.8 38 5.8 664
S - Other service activities 5 0 51.2 9 0.1 25 0.1 1 0.0 1 0.0 2,359
NON-FINANCIAL 422 7 64.8 13,821 2.3 52,315 2.1 5,388 1.4 1,860 1.9 97,404
BANKS 3 0 54.1 3,946 0.6 180 0.1 267 0.6 n.a. n.a. n.a.
INSURANCE 2 0 20.0 38 0.0 0 0.0 50 0.1 n.a. n.a. n.a.
OTHER FINANCIAL INSTITUTIONS(a) 21 0 51.8 1,781 0.3 53 0.0 148 0.3 n.a. n.a. n.a.
Number of
PSHsTotal assets Number of employees Operating revenues Value added
15
Table E Top 20 PSHs by Total assets, 2015, weighted
Source: KPMG and Bocconi University calculations on Orbis (BvD) database (1) Values have been weighted by stake(s) owned by the Public sector into PSHs.
Company name Listed/Unlisted IndustryOwnership
stake
Total assets
(Mn EUR)
NORGARANTE - SOCIEDADE DE GARANTIA
MUTUA, S.A.Unlisted K - Financial and insurance activities 2.0 2,275
CAIXA - BANCO DE INVESTIMENTO SA Unlisted K - Financial and insurance activities 99.7 1,671
CAIXA SEGUROS E SAUDE - SGPS, S.A. Unlisted K - Financial and insurance activities 100.0 1,226
ESTAMO - PARTICIPACOES IMOBILIARIAS, S.A. Unlisted L - Real estate activities 100.0 1,169
GALP ENERGIA, S.G.P.S., S.A. Listed B - Mining and quarrying 8.0 1,023
METRO DO PORTO, S.A. Unlisted H - Transportation and storage 43.3 922
CP - COMBOIOS DE PORTUGAL, E.P.E. Unlisted H - Transportation and storage 100.0 726
EEM - EMPRESA DE ELECTRICIDADE DA
MADEIRA, S.A.Unlisted D - Electricity, gas, steam and air conditioning supply 100.0 569
PARUPS, S.A. Unlisted M - Professional, scientific and technical activities 100.0 523
CENTRO HOSPITALAR DO ALGARVE, E.P.E. Unlisted Q - Human health and social work activities 100.0 510
CENTRO HOSPITALAR DE LISBOA OCIDENTAL,
E.P.E.Unlisted Q - Human health and social work activities 100.0 444
APA - ADMINISTRACAO DO PORTO DE AVEIRO,
S.A.Unlisted H - Transportation and storage 100.0 380
RADIO E TELEVISAO DE PORTUGAL, S.A. Unlisted J - Information and communication 100.0 339
APRAM - ADMINISTRACAO DOS PORTOS DA
REGIAO AUTONOMA DA MADEIRA, S.A.Unlisted H - Transportation and storage 100.0 335
NAVEGACAO AEREA DE PORTUGAL - NAV
PORTUGAL, E.P.E.Unlisted H - Transportation and storage 100.0 272
ENMC ? ENTIDADE NACIONAL PARA O MERCADO
DE COMBUSTIVEIS, E.P.E.Unlisted
O - Public administration and defence; compulsory social
security100.0 271
A.R.M. - AGUAS E RESIDUOS DA MADEIRA, S.A. UnlistedE - Water supply; sewerage, waste management and
remediation activities99.6 266
BAIA DO TEJO, S.A. Unlisted L - Real estate activities 100.0 266
AGENCIA PARA O INVESTIMENTO E COMERCIO
EXTERNO DE PORTUGAL, E.P.E.Unlisted M - Professional, scientific and technical activities 100.0 262
CENTRO HOSPITALAR E UNIVERSITARIO DE
COIMBRA, E.P.E.Unlisted Q - Human health and social work activities 100.0 221