In 2022, Alsa entered the healthcare transport sector through Vitalia, an operator in this sector in all its forms (individual and collective ambulances, basic life support -SVB-, advanced life support -SVA-, rapid intervention vehicles -VIR-, etc.), based in Madrid and with branches in Toledo, Alicante and Tenerife. This company is responsible for all types of medical transfers and coverage of large events; and has a fleet of more than 150 vehicles and a staff of 280 professionals. The company provides its services to the public health sector (SUMMA Madrid) and the private sector, with clients including Sanitas, Adeslas, Mapfre and Quirón.