Segment and corporate information (Details) - EUR (€)
€ in Thousands |
3 Months Ended |
9 Months Ended |
|
Sep. 30, 2025 |
Sep. 30, 2024 |
Sep. 30, 2025 |
Sep. 30, 2024 |
Dec. 31, 2024 |
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
€ 4,296,863
|
€ 4,314,510
|
€ 12,936,065
|
€ 12,987,628
|
|
| Revenue from insurance contracts |
567,578
|
429,946
|
1,559,217
|
1,205,997
|
|
| Revenue from lease contracts |
20,409
|
15,706
|
62,735
|
57,497
|
|
| Revenue |
4,884,850
|
4,760,162
|
14,558,017
|
14,251,122
|
|
| Costs of revenue |
(3,642,632)
|
(3,614,078)
|
(10,917,460)
|
(10,764,898)
|
|
| Research and development |
(37,748)
|
(40,047)
|
(119,346)
|
(133,433)
|
|
| Operating income (loss) |
476,505
|
462,696
|
1,233,178
|
1,133,498
|
|
| Interest |
(73,937)
|
(82,170)
|
(229,403)
|
(255,688)
|
|
| Income before income taxes |
402,568
|
380,526
|
1,003,775
|
877,810
|
|
| Depreciation and amortization |
(358,214)
|
(372,093)
|
(1,102,842)
|
(1,143,590)
|
|
| Impairment loss |
957
|
6,299
|
(24,013)
|
(121,666)
|
|
| Income (loss) from equity method investees |
46,672
|
41,248
|
139,680
|
102,730
|
|
| Total assets |
30,887,005
|
32,510,801
|
30,887,005
|
32,510,801
|
€ 33,566,579
|
| thereof investment in equity method investees |
751,181
|
690,794
|
751,181
|
690,794
|
€ 620,831
|
| Additions of property, plant and equipment, intangible assets and right-of-use assets |
279,452
|
331,332
|
884,154
|
916,982
|
|
| Healthcare services |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
3,219,669
|
3,292,628
|
9,721,334
|
9,986,979
|
|
| Revenue |
3,219,669
|
3,292,628
|
9,721,334
|
9,986,979
|
|
| Healthcare products |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
1,077,194
|
1,021,882
|
3,214,731
|
3,000,649
|
|
| Revenue from lease contracts |
20,409
|
15,706
|
62,735
|
57,497
|
|
| Revenue |
1,097,603
|
1,037,588
|
3,277,466
|
3,058,146
|
|
| Total Segment |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
4,296,863
|
4,314,510
|
12,936,065
|
12,987,628
|
|
| Revenue from insurance contracts |
567,578
|
429,946
|
1,559,217
|
1,205,997
|
|
| Revenue from lease contracts |
20,409
|
15,706
|
62,735
|
57,497
|
|
| Revenue |
4,884,850
|
4,760,162
|
14,558,017
|
14,251,122
|
|
| Total Segment | Healthcare services |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
3,219,669
|
3,292,628
|
9,721,334
|
9,986,979
|
|
| Total Segment | Healthcare products |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
1,077,194
|
1,021,882
|
3,214,731
|
3,000,649
|
|
| Care Delivery |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
3,273,241
|
3,339,833
|
9,863,792
|
10,061,186
|
|
| Revenue |
3,273,241
|
3,339,833
|
9,863,792
|
10,061,186
|
|
| Care Delivery | Healthcare services |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
3,211,730
|
3,291,969
|
9,669,848
|
9,924,270
|
|
| Care Delivery | Healthcare products |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
61,511
|
47,864
|
193,944
|
136,916
|
|
| Value-Based Care |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
7,939
|
659
|
51,486
|
62,709
|
|
| Revenue from insurance contracts |
567,578
|
429,946
|
1,559,217
|
1,205,997
|
|
| Revenue |
575,517
|
430,605
|
1,610,703
|
1,268,706
|
|
| Value-Based Care | Healthcare services |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
7,939
|
659
|
51,486
|
62,709
|
|
| Care Enablement |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
1,015,683
|
974,018
|
3,020,787
|
2,863,733
|
|
| Revenue from lease contracts |
20,409
|
15,706
|
62,735
|
57,497
|
|
| Revenue |
1,036,092
|
989,724
|
3,083,522
|
2,921,230
|
|
| Care Enablement | Healthcare products |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue from contracts with customers |
1,015,683
|
974,018
|
3,020,787
|
2,863,733
|
|
| Operating Segments | Total Segment |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue |
5,337,883
|
5,260,873
|
15,915,355
|
15,721,064
|
|
| Costs of revenue |
(4,086,886)
|
(4,110,019)
|
(12,254,410)
|
(12,214,132)
|
|
| Research and development |
(37,954)
|
(39,977)
|
(119,552)
|
(133,363)
|
|
| Operating income (loss) |
484,166
|
480,249
|
1,328,296
|
1,133,075
|
|
| Depreciation and amortization |
(352,003)
|
(365,319)
|
(1,082,875)
|
(1,122,294)
|
|
| Impairment loss |
941
|
6,299
|
(24,029)
|
(121,666)
|
|
| Income (loss) from equity method investees |
46,672
|
41,248
|
139,680
|
102,730
|
|
| Total assets |
55,535,068
|
58,798,600
|
55,535,068
|
58,798,600
|
|
| thereof investment in equity method investees |
751,181
|
690,794
|
751,181
|
690,794
|
|
| Additions of property, plant and equipment, intangible assets and right-of-use assets |
275,252
|
334,262
|
888,758
|
921,234
|
|
| Operating Segments | Care Delivery |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue |
3,401,706
|
3,470,861
|
10,229,217
|
10,432,522
|
|
| Costs of revenue |
(2,564,750)
|
(2,695,842)
|
(7,907,680)
|
(8,159,146)
|
|
| Research and development |
|
41
|
|
19
|
|
| Operating income (loss) |
419,474
|
456,012
|
1,085,873
|
958,104
|
|
| Depreciation and amortization |
(235,080)
|
(253,222)
|
(739,402)
|
(778,222)
|
|
| Impairment loss |
(257)
|
7,712
|
(17,336)
|
(104,537)
|
|
| Income (loss) from equity method investees |
46,672
|
41,248
|
139,680
|
102,730
|
|
| Total assets |
40,572,794
|
42,680,707
|
40,572,794
|
42,680,707
|
|
| thereof investment in equity method investees |
751,181
|
690,794
|
751,181
|
690,794
|
|
| Additions of property, plant and equipment, intangible assets and right-of-use assets |
143,797
|
215,899
|
531,282
|
621,880
|
|
| Operating Segments | Value-Based Care |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue |
575,517
|
430,605
|
1,610,703
|
1,268,706
|
|
| Costs of revenue |
(579,371)
|
(449,134)
|
(1,558,685)
|
(1,221,716)
|
|
| Operating income (loss) |
(21,960)
|
(36,565)
|
(27,553)
|
(21,325)
|
|
| Depreciation and amortization |
(1,354)
|
(1,082)
|
(4,030)
|
(3,336)
|
|
| Impairment loss |
21
|
|
(2,171)
|
|
|
| Total assets |
584,495
|
616,068
|
584,495
|
616,068
|
|
| Additions of property, plant and equipment, intangible assets and right-of-use assets |
117
|
97
|
315
|
451
|
|
| Operating Segments | Care Enablement |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue |
1,360,660
|
1,359,407
|
4,075,435
|
4,019,836
|
|
| Costs of revenue |
(942,765)
|
(965,043)
|
(2,788,045)
|
(2,833,270)
|
|
| Research and development |
(37,954)
|
(40,018)
|
(119,552)
|
(133,382)
|
|
| Operating income (loss) |
86,652
|
60,802
|
269,976
|
196,296
|
|
| Depreciation and amortization |
(115,569)
|
(111,015)
|
(339,443)
|
(340,736)
|
|
| Impairment loss |
1,177
|
(1,413)
|
(4,522)
|
(17,129)
|
|
| Total assets |
14,377,779
|
15,501,825
|
14,377,779
|
15,501,825
|
|
| Additions of property, plant and equipment, intangible assets and right-of-use assets |
131,338
|
118,266
|
357,161
|
298,903
|
|
| Operating Segments | Corporate |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Costs of revenue |
(4,333)
|
23
|
(2,243)
|
(4,898)
|
|
| Research and development |
206
|
(70)
|
206
|
(70)
|
|
| Operating income (loss) |
(4,207)
|
(13,348)
|
(77,965)
|
9,103
|
|
| Depreciation and amortization |
(16,569)
|
(17,561)
|
(50,567)
|
(53,582)
|
|
| Impairment loss |
16
|
|
16
|
|
|
| Total assets |
11,344,082
|
11,027,934
|
11,344,082
|
11,027,934
|
|
| Additions of property, plant and equipment, intangible assets and right-of-use assets |
14,763
|
9,133
|
26,738
|
35,260
|
|
| Inter-segment |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue |
(453,033)
|
(500,711)
|
(1,357,338)
|
(1,469,942)
|
|
| Costs of revenue |
448,587
|
495,918
|
1,339,193
|
1,454,132
|
|
| Operating income (loss) |
(3,454)
|
(4,205)
|
(17,153)
|
(8,680)
|
|
| Depreciation and amortization |
10,358
|
10,787
|
30,600
|
32,286
|
|
| Total assets |
(35,992,145)
|
(37,315,733)
|
(35,992,145)
|
(37,315,733)
|
|
| Additions of property, plant and equipment, intangible assets and right-of-use assets |
(10,563)
|
(12,063)
|
(31,342)
|
(39,512)
|
|
| Inter-segment | Total Segment |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue |
(453,033)
|
(500,711)
|
(1,357,338)
|
(1,469,942)
|
|
| Inter-segment | Care Delivery |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue |
(128,465)
|
(131,028)
|
(365,425)
|
(371,336)
|
|
| Inter-segment | Care Enablement |
|
|
|
|
|
| Segment and corporate information |
|
|
|
|
|
| Revenue |
€ (324,568)
|
€ (369,683)
|
€ (991,913)
|
€ (1,098,606)
|
|