Founded in 2009 by Daniel Caille, Vivalto Santé is a leading French private hospital group that has expanded into a major European healthcare provider operating around 91 hospitals and clinics across France, Portugal, Spain, Switzerland, the Czech Republic, and Slovakia.

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Executive Summary


Vivalto Santé, a major European private hospital group operating more than 115 healthcare facilities across seven countries, partnered with AgentifAI to transform patient communication and administrative routing. By deploying AgentifAI’s conversational AI assistant across its subsidiaries—starting with Lusíadas in Portugal and Grupo Sanitario Ribera in Spain, and expanding to France via the Espace Patient app—Vivalto Santé automated routine administrative requests 24/7.


This transformation enabled Vivalto Santé to process millions of patient interactions automatically with over 70% automation rates for routine tasks, allowing healthcare teams to dedicate more time to clinical care and complex patient needs.


The Challenge


Operating over 115 facilities across multiple European territories creates a high volume of recurring administrative inquiries—ranging from appointment booking, rescheduling, and cancellations to pre- and post-operative preparation instructions.


Vivalto Santé faced three core challenges:

  1. Access & Responsiveness: Meeting patient demand for 24/7 availability and immediate responses without overworking administrative staff.


  2. Staff Workload: Administrative teams were consumed by routine, repetitive inquiries rather than high-value, sensitive patient interactions.


  3. Multi-Region Consistency: Deploying a unified digital transformation strategy across international subsidiaries while respecting local healthcare systems and strict EU health data regulations (GDPR).


The Solution


Vivalto Santé formed a strategic pan-European partnership with AgentifAI (a Portuguese technology company founded in Braga in 2016) to integrate its conversational AI platform directly into Vivalto’s information systems and core business tools.


Core Implementation Highlights

  • 24/7 Conversational AI Assistant: Handles end-to-end interactions, including appointment management (scheduling, modifying, confirming, canceling), practical information routing, service orientation, and pre-/post-op reminder distribution.

  • Clinical Triage & Navigation: Co-built clinical orientation workflows featuring over 100 protocols to guide patients safely to the correct department or level of care.

  • Human-in-the-Loop & Safety Fallback: Systematically transfers complex, sensitive, or high-risk clinical scenarios to human staff members. The AI never operates independently on medical decision-making.

  • Responsible & Secure Design: Built within European regulatory frameworks for health data protection, featuring transparent AI identification and shared governance between Vivalto Santé and AgentifAI.


Results & Impact


1. Portugal (Lusíadas Health Group)

  • 5 Million+ Interactions: Handled by the digital assistant ("Lusi") since launch, including 1.6 million interactions in 2025 alone.


  • 70% Automation Rate: Achieved on automatable inbound calls during 2025.


  • 300,000+ Autonomous Actions: Appointment bookings, updates, or cancellations completed without human intervention in 1 year.


  • 6,000+ Clinical Orientations: Successfully routed within three months using 100+ co-developed clinical protocols.


2. Spain (Grupo Sanitario Ribera)

  • 4,000 Monthly Interactions: Average volume processed within initial months of rollout (launched November 2025).


  • >70% Automation: Sustained automation rates for scheduling workflows accompanied by high patient satisfaction scores.


3. France (Vivalto Santé Group)

  • Pilot launched in early 2026, integrating AgentifAI’s assistant into the official Espace Patient Vivalto Santé digital app for nationwide scale.



Strategic Value & Quotes

The experience conducted in Portugal demonstrated that conversational AI could naturally integrate into the patient relationship: it improves responsiveness to patient inquiries while preserving team availability for the moments that truly count.

Zakaria Manaï

International Project Manager, Vivalto Santé

We share a strong conviction with Vivalto Santé: AI in healthcare only makes sense if it improves accessibility, quality, and safety in the patient experience. Our technology was designed to deliver useful, secure, and controlled interactions.

Rui Lopes

CEO of AgentifAI

By partnering with leading technology providers like AgentifAI, we affirm our ability to deploy high-impact AI solutions across multiple geographies and consolidate Vivalto Santé as a leading private hospital operator in Europe.

Nicolas Carrié

Head of Transformation & International Coordination, Vivalto Santé Group