Concord Medical Services Holdings Ltd

Annual Trend FY 2016 FY 2017 FY 2018 FY 2019 FY 2020 FY 2021 FY 2022 FY 2023 FY 2024 FY 2025 TTM
Cash flows from operating activities:
Adjustments to reconcile net income to net cash provided by operating activities:
Net loss ($265.1m) ($43.9m) ($259.3m) ($352.1m) ($404.0m) ($522.7m) ($769.0m) ($531.0m) ($652.1m) ($379.4m)
Net Income (Loss) Attributable to Parent ($37.7m)
($43.7m) -15.86%
($34.2m) +21.82%
($44.1m) -29.11%
($47.5m) -7.72%
($42.6m) +10.35%
($71.0m) -66.67%
($41.9m) +40.94%
($42.2m) -0.72%
($13.3m) +68.57%
Net Income (Loss) Available to Common Stockholders, Basic ($52.2m)
($79.4m) -51.90%
($102.7m) -29.36%
($128.8m) -25.43%
($71.0m) +44.87%
($41.9m) +40.94%
($42.2m) -0.72%
($13.3m) +68.57%
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest ($38.2m) ($285.7m) ($37.7m) ($50.6m) ($61.9m) ($82.0m) ($111.5m) ($74.8m) ($89.3m) ($54.3m)
Net Income (Loss) Attributable to Noncontrolling Interest ($463k) ($210k) ($3.6m) ($6.5m) ($14.4m) ($39.4m) ($40.5m) ($32.9m) ($47.1m) ($41.0m)
Depreciation $16.9m $12.8m $5.9m $6.4m $8.4m $10.1m $12.9m $11.6m $11.6m $14.8m $103.5m
Amortization $172k $808k $1.4m $45.7m
Amortization of Debt Issuance Costs $914k $914k
Amortization of Intangible Assets $1.6m $957k $605k $1.7m $2.4m $4.7m $5.0m $5.2m $5.0m $5.2m
Depreciation of property, plant and equipment (note 10) $117.1m $83.2m $40.9m $44.4m $55.0m $64.3m $88.7m $82.1m $84.8m $103.5m $149.3m
Amortization of intangible assets (note 13) $10.8m $6.2m $4.2m $12.0m $15.8m $30.2m $34.5m $36.7m $36.4m $36.1m
Amortization of land lease payments (note 11) $5.3m $9.6m $0 $9.5m $9.6m $9.6m $9.6m $9.6m $9.6m
Deferred Income Tax Expense (Benefit) $5.0m $4.1m ($1.3m) ($3.2m) ($2.1m) ($1.7m) ($9.0m) ($2.5m) ($2.1m) ($1.1m) ($7.9m)
Deferred tax expense (benefit) $22.1m $12.7m $7.5m ($22.5m) ($13.3m) $11.3m ($71.8m) ($13.0m) ($15.7m) ($7.9m)
Share-based Payment Arrangement, Noncash Expense $1.2m $1.8m $1.6m $3.0m $3.2m $2.3m ($858k) $0
Share-based Payment Arrangement, Expense $1.2m $1.8m $1.6m $3.0m $3.2m $2.3m ($858k) $0
Goodwill, Impairment Loss $0 $0 $0 $0 $0 $22.2m
Impairment of Intangible Assets, Finite-lived $9.8m $598k $2.9m
Equity Method Investment, Realized Gain (Loss) on Disposal $7.0m $0 $1.2m $0 $5.3m ($16k) $5.4m
Income (Loss) from Equity Method Investments $89k $223k ($3.0m) ($729k) $923k $2.9m $2.6m $2.9m $1.7m $1.9m
Other Nonoperating Income (Expense) $2.6m $444k $5.0m $5.3m $967k ($192k) ($31.4m) ($1.5m) ($1.3m) ($1.1m)
Income from equity method investments ($616k) ($1.5m) $20.7m $5.1m ($6.0m) ($18.2m) ($17.6m) ($20.8m) ($12.7m) ($13.0m)
Gain on sale of partial interests in equity method investment $0 $0 ($48.0m) $0 ($7.8m) $0 $0 ($37.5m) $120k ($37.5m)
Investment in equity investments without readily determinable fair value $0 $0 ($6.4m) $0 ($100k)
Cash distribution from equity method investments $9.4m $6.2m $11.6m $0 $0 $15.9m $5.1m $12.0m $10.0m
Proceeds from disposal of certain percentage of an equity method investment $0 $0 $60.0m
Changes in operating assets and liabilities:
Increase (Decrease) in Accounts Receivable ($1.4m) ($6.7m) ($7.0m) ($513k) $945k $10.1m ($93k) ($5.1m) ($1.6m) ($879k) $6.1m
Accounts receivable $9.9m $43.4m $48.4m $3.6m ($6.2m) ($64.5m) $644k $36.5m $12.0m $6.1m $6.1m
Increase (Decrease) in Inventories $277k $85k ($262k) $262k $2.2m $683k $6.8m ($6.3m) ($890k) $1.8m ($12.6m)
Inventory Write-down $248k $128k $7k
Provision of Inventory write down $0 $0 $1.7m $890k $52k
Inventories ($1.9m) ($554k) $1.8m ($1.8m) ($14.4m) ($4.4m) ($46.8m) $44.5m $6.5m ($12.6m) ($12.6m)
Increase (Decrease) in Accounts Payable $1.0m $777k $77k $408k $1.7m $41.2m $16.5m $2.2m $12.7m ($17.5m) ($122.3m)
Accounts payable $7.0m $5.1m $530k $2.8m $11.1m $262.8m $113.7m $15.8m $93.1m ($122.3m) ($122.3m)
Accrued expenses and other liabilities ($12.8m) $11.2m $51.9m ($60.9m) $15.2m ($2.5m) $119.1m $70.8m $97.5m ($165.6m)
Deferred revenue $1.8m $3.0m $13.3m $953k $84.5m ($193.5m) $57.2m ($41.2m) ($3.1m) $39.5m
Accrued unrecognized tax benefit $3.1m $6.4m $46.3m ($16.2m) ($28.0m) $621k ($6.5m) ($15.8m) $35k $6.6m
Acquisition of property, plant and equipment, construction in progress and other intangible assets included in accrued expense and other liabilities $0 $42.1m $29.6m $50.7m $99.4m $2.2m $285.4m
Prepayments and other current assets ($36.5m) ($4.2m) ($9.9m) $11.0m ($82.5m) ($30.9m) ($130.2m) ($149.7m) ($335.7m) $161.3m
Net Cash Provided by (Used in) Operating Activities ($78.1m)
$4.1m +105.26%
($5.6m) -236.66%
($28.1m) -399.79%
($35.2m) -25.50%
($56.4m) -60.14%
($31.4m) +44.28%
($38.9m) -23.95%
($54.5m) -39.92%
($28.9m) +47.04%
($201.8m) -599.30%
Cash flows from investing activities:
Payments to Acquire Property, Plant, and Equipment $11.4m $14.0m $24.1m $33.4m $25.8m $43.8m $32.3m $15.9m $20.7m $8.1m ($91.3m)
Gain (Loss) on Disposition of Property Plant Equipment ($1.1m) $4.9m $685k ($187k) $104k $0 ($3k) $9k $79.6m $10.3m ($48.4m)
Gain (Loss) on Investments $999k $0 ($166k)
Changes in fair value of short-term investments $0 $0 ($7.3m)
Payments to Acquire Businesses, Net of Cash Acquired $0 $76.9m $60.4m $1.3m ($246k) ($10k)
Acquisitions of intangible assets ($960k) ($749k) ($1.8m) ($576k) ($1.0m) ($19.7m) ($818k) ($4.2m) ($10.2m) ($30k)
Net Cash Provided by (Used in) Investing Activities ($74.8m) ($48.1m) ($145.5m) ($153.9m) ($81.8m) ($88.8m) ($17.2m) ($6.7m) ($81.3m) $7.7m $54.0m
Cash flows from financing activities:
Repayments of Long-term Debt $29.0m $13.4m $73.4m $36.5m $37.1m $32.3m $28.6m $1.1m $190.6m $62.0m ($433.5m)
Gain (Loss) on Extinguishment of Debt $0
Proceeds from Issuance of Long-term Debt $2.4m $43.1m $68.7m $134.2m $131.4m $60.7m $61.3m $15.5m $262.7m $13.6m $611.8m
Proceeds from short-term bank borrowings $497.6m $292.8m $726.7m $285.5m $740.4m $126.1m $217.5m $337.7m $504.7m $359.2m
Proceeds from long-term bank and other borrowings $16.5m $280.5m $472.6m $934.4m $857.1m $386.6m $422.8m $110.0m $1.9b $94.8m
Borrowings from related parties (note 25) $0 $351.0m $174.3m $0 $26.6m $24.4m $220.4m $22.1m $300.5m $517.0m
Repayment of short-term bank and other borrowings ($691.3m) ($317.9m) ($864.3m) ($442.8m) ($1.0b) ($24.7m) ($197.6m) ($442.9m) ($360.3m) ($437.1m)
Repayment of long-term bank and other borrowings ($201.0m) ($87.4m) ($504.8m) ($253.8m) ($241.8m) ($206.1m) ($197.0m) ($7.6m) ($1.4b) ($433.5m)
Payments for Repurchase of Common Stock $4.4m $0 $0
Payments of Ordinary Dividends, Common Stock $41.2m $0 $0
Proceeds from Issuance of Common Stock $20.2m $0 $0 $510.5m
Dividends Payable, Current $359k $359k $359k $0
Proceeds from dividend $10.0m $3.2m
Net cash generated from financing activities ($131.4m)
$194.4m +247.98%
$1.2b +518.83%
$513.3m -57.34%
$1.1b +121.78%
$642.4m -43.56%
$383.1m -40.37%
$257.7m -32.74%
$1.1b +344.80%
$197.2m -82.79%
Net Cash Provided by (Used in) Financing Activities $29.9m
$175.0m +485.58%
$73.7m -57.87%
$174.5m +136.62%
$100.8m -42.21%
$55.5m -44.91%
$36.3m -34.66%
$157.0m +332.64%
$28.2m -82.04%
$197.2m +599.31%
Net increase (decrease) in cash ($295.5m) ($91.7m) $164.6m ($752.4m) $372.1m ($287.5m) $432k ($68.9m) $146.6m $61.7m
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect ($108.1m) $57.0m ($45.1m) $63k ($9.7m) $20.1m $8.8m $298.7m
Cash and cash equivalents and restricted cash at beginning of the year $758.4m $662.2m $826.7m $74.3m $446.4m $158.9m $159.3m $90.4m $237.0m $298.7m
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents $120.2m $10.7m $68.4m $24.9m $23.1m $12.7m $32.5m $42.7m $298.7m
Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents $166k ($394k) ($723k) $12.4m
Effect of foreign exchange rate changes on cash and cash equivalent and restricted cash ($11.2m) $157k $459k $1.2m ($2.6m) ($4.6m) ($47.2m) ($2.4m) ($8.3m) $12.4m
Restricted cash, current portion $518.5m $564.0m $422.0m $0 $4.7m $1.4m $1.1m $32.3m $20.8m $921k
Restricted cash, noncurrent portion $50.0m $0 $0 $0 $107.5m $138k $0 $0
Additional Supplementary Disclosures
Additional Supplementary Disclosures
Supplemental disclosure of cash flow information:
Interest Paid, Excluding Capitalized Interest, Operating Activities ($81.5m) $13.8m $8.7m $9.2m $11.3m $21.1m $21.1m $21.5m $25.8m $26.2m
Additional Financial Items
Derivative, Gain (Loss) on Derivative, Net $103k $0 $0 ($6k) $147k $733k $23k
Discontinued Operation, Gain (Loss) on Disposal of Discontinued Operation, Net of Tax $9.1m
Foreign Currency Transaction Gain (Loss), before Tax $1.9m $618k $5.3m $5.0m ($9.0m) ($3.1m) $8.0m $1.4m ($2.4m) ($1.7m)
General and Administrative Expense $29.7m $36.5m $42.4m $45.3m $45.2m $54.6m $45.1m $46.5m $55.4m $30.5m
Goodwill $24.0m $30.2m $32.7m $91.3m $83.4m $81.0m $78.4m $81.8m $22.2m
Income (Loss) from Continuing Operations, Net of Tax, Attributable to Parent ($37.7m)
Income (Loss) from Continuing Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest ($38.2m) ($43.9m) ($37.7m) ($50.6m) ($61.9m) ($82.0m) ($111.5m) ($74.8m) ($89.3m) ($54.3m)
Income Tax Expense (Benefit) $8.7m $4.9m $5.0m ($5.6m) ($5.8m) ($1.0m) ($10.3m) ($3.5m) ($2.4m) $867k
Interest Expense Nonoperating $26.5m $21.8m
Investment Income, Interest $4.0m $1.9m $2.1m $1.3m $1.3m $925k $1.5m $1.5m $1.9m $1.4m
Operating Lease, Lease Income $7.7m $7.0m $5.6m $2.6m $1.9m $920k $452k
Proceeds from Contributed Capital $3.0m
Proceeds from Noncontrolling Interests $218.2m $0 $107.3m $62.8m
Proceeds from (Payments to) Noncontrolling Interests $309k $0 $0
Lease expense to reduce operating lease ROU $0 $16.7m $23.0m $21.7m $19.3m $26.7m $22.6m $14.8m
Change in fair value of derivative liability ($713k) $0 $0 $0 $0 $39k ($1.0m) ($5.2m) ($166k)
(Gain) loss on disposal of long-lived assets $7.6m $31.4m ($4.7m) $1.3m ($677k) $0 $3k ($62k) $13.1m $2.1m
Allowance for doubtful accounts, net $23.4m $14.8m $10.6m $24.5m $6.1m $2.6m $5.4m $64.7m $128.2m ($6.9m)
Interest and consultation expenses $0 $125.3m $46.2m $53.2m $81.4m $73.8m $120.4m $165.7m $193.2m $152.3m
(Gain) Loss on disposal of subsidiaries (note 4) $0 ($58.9m) ($3.3m) $0 $14.9m $0 $61.5m $638k ($48.5m)
Other non-current assets $14.2m $7.1m $41.1m $1.9m $392k ($175k) ($15k) $1.6m ($458k) ($958k)
Income tax payable ($35.0m) ($6.5m) ($45.7m) $3.0m $105k ($858k) $818k $705k $101k $5.9m
Operating lease liabilities $0 $0 ($12.6m) ($12.8m) ($13.3m) ($2.9m) ($18.1m) ($19.3m) ($15.9m)
Proceeds from disposal of subsidiaries $0 $0 $9.1m ($10k)
Investment in a joint venture $0 $0 ($102.0m)
Proceeds from disposal of other investment $0 $0 $27.7m
Purchase of short - term investment $0 $0 ($204.6m) $134.6m
Proceeds from disposal of short - term investment $0 $0 $77.3m
Repayment to related parties (note 25) ($81.0m) ($243.3m) $0 $0 ($80.9m) ($82.9m) ($61.8m) ($335.4m) ($468.4m)
Capital injection from a noncontrolling interests in a subsidiary $0 $12.8m $0 $0 $110.9m $1.5m $0 $300.0m $0 $61.0m
Proceeds from initial public offering of Concord Healthcare Group Co., Ltd. $0 $0 $510.5m $504.2m
Cash and cash equivalents $189.9m $98.2m $404.7m $74.3m $334.3m $157.4m $158.3m $58.1m $216.2m $297.8m $237.0m
Income tax paid ($60.6m) ($21.6m) ($36.6m) ($17.3m) ($3.3m) $0 ($3.0m) ($898k) ($148k) ($109k) $109k

Values abbreviated: b = billions, m = millions, k = thousands. Per share data in USD.