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Notes to the consolidated statements of income - (Gain) loss related to divestitures of Care Coordination activities (Details) - 9 months ended Sep. 30, 2019
€ in Thousands, $ in Thousands
USD ($)
EUR (€)
Notes to the consolidated statements of income    
Process from the sale of an investment $ 1,770,516 € 1,531,109
Expected Pre Tax Loss On Sale of Investment   € 829,860