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The Company and basis of presentation (Details)
€ in Thousands
3 Months Ended
Mar. 31, 2021
EUR (€)
Mar. 31, 2020
EUR (€)
Costs of revenue previously recorded in selling, general and administrative expense    
The Company and basis of presentation    
Amount of reclassifications or changes in presentation   € 20,213
Selling, general and administrative expenses previously recorded in (gain) loss related to divestitures of Care Coordination activities    
The Company and basis of presentation    
Amount of reclassifications or changes in presentation   24,332
Cash and cash equivalents and short-term debt reclassified from gross basis to net basis    
The Company and basis of presentation    
Amount of reclassifications or changes in presentation   € 352,846
Argentina    
The Company and basis of presentation    
Index at March 31, 2021 435.9  
Calendar year increase 13.00%  
Loss on net monetary position in EUR € 7,494  
Lebanon    
The Company and basis of presentation    
Index at March 31, 2021 331.0  
Calendar year increase 17.00%  
Loss on net monetary position in EUR € 852