AdvanceCare – Gestão de Serviços S.A. (‘AdvanceCare’), created in 1998,is a joint health care management project set up between Tranquilidade (51.0%) and United Healthcare International, USA (49.0%). AdvanceCare manages numerous health insurance related products from some 9 insurers and in 2008 held a dominant 40.0% share of the Portuguese market. It operates a Portuguese network of 4,000 medical support points with a further 1,300 located in Spain and the United States. In 2008 AdvanceCare saw its client base increase by 5.8% to 742,000 with income before taxes up by 43.0% when compared to the previous year.