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CONSOLIDATED STATEMENTS OF CASH FLOWS
¥ in Thousands, $ in Thousands
 12 Months Ended
Dec. 31, 2017
CNY (¥)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
CNY (¥)
Dec. 31, 2015
CNY (¥)
CASH FLOWS FROM OPERATING ACTIVITIES        
Net loss ¥ (285,684) $ (43,909) ¥ (265,084) ¥ (79,279)
Adjustments to reconcile net income to net cash generated from (used in) operating activities:        
Share-based compensation (note 24) 11,641 1,789 8,400 8,084
Depreciation of property, plant and equipment (note 9) 83,224 12,791 117,051 138,075
Amortization of intangible assets (note 11) 6,229 957 10,760 19,176
Amortization of prepaid land lease payments (note 10) 5,256 808 1,195 1,090
(Income)loss from equity method investments (1,454) (223) (616) 5,572
Loss on disposal of long-lived assets 31,437 4,832 7,619 4,220
Deferred tax benefits 12,703 1,952 22,115 (432)
Allowance for doubtful accounts, net 14,840 2,281 23,446 9,932
Impairment of long-lived assets 28,600 4,396 61,124 23,125
Changes in fair value of derivatives 0 0 (713) (33,731)
Interest and consultation expenses 125,290 19,257 0 0
Loss on debt extinguishment 0 0 0 36,648
Gains on disposal of subsidiaries (note 4) (58,913) (9,055) 0 (16,381)
Gains from bargain purchase (note 4) 0 0 0 (12,830)
Changes in operating assets and liabilities net of effects of acquisition and disposals:        
Accounts receivable 43,406 6,671 9,922 43,276
Prepayments and other current assets (4,205) (646) (36,545) 14,743
Inventories (554) (85) (1,923) 315
Other non-current assets 7,057 1,085 14,249 11,902
Deposits for land use rights (11,379) (1,749) (13,225) (379,340)
Accounts payable 5,057 777 6,967 (725)
Accrued expenses and other liabilities 11,234 1,727 (12,758) (1,968)
Deferred revenue 3,022 464 1,791 (945)
Income tax payable (6,504) (1,000) (34,991) 9,692
Accrued unrecognized tax benefit 6,429 988 3,138 24,643
Net cash (used in) generated from operating activities 26,732 4,108 (78,078) (175,138)
CASH FLOWS FROM INVESTING ACTIVITIES        
Purchase of short-term investment 0 0 0 (60,000)
Prepayment for operating license (6,705) (1,031) (3,025) 0
Disposal of short-term investment 0 0 60,000 0
Investments in equity method investees (97,799) (15,031) 0 (30,063)
Prepayments in long-term investments 0 0 (181,500) 0
Acquisitions of business, net of cash acquired (note 4) 0 0 26,198 (250,142)
Disposals of subsidiaries, net of cash disposed (note 4) (17,528) (2,694) 0 78,798
Acquisitions of property, plant and equipment (91,260) (14,026) (78,920) (47,783)
Acquisitions of intangible assets (749) (115) (960) 0
Deposits for the purchases of property, plant and equipment (197,843) (30,408) (39,068) (134,189)
Refund from deposits for the purchases of property, plant and equipment 42,640 6,554 0 0
Advance from disposal of associate company 0 0 12,999 0
Proceeds from disposal of property, plant and equipment 38,103 5,856 11,951 1,070
Proceeds from principal portion of direct financing leases 61,904 9,514 108,121 97,910
Net investment in direct financing leases (50,000) (7,685) 0 0
Cash distribution from equity method investment 6,227 957 9,357 24,316
Prepayment for investment (note 4) 0 0 0 (71,000)
Net cash used in investing activities (313,010) (48,109) (74,847) (391,083)
CASH FLOWS FROM FINANCING ACTIVITIES        
Proceeds from short-term bank borrowings 292,847 45,010 497,577 233,201
Proceeds from long-term bank and other borrowings 280,459 43,106 16,500 343,301
Proceeds from private offerings of subsidiary shares (note 1) 0 0 139,972 0
Proceeds from long-term investment advance (note 1) 0 0 528,896 0
Proceeds from related parties (note 24) 350,969 53,943 0 0
Proceeds from secured borrowings (note 19) 0 0 0 396,494
Repayment of secured borrowings (81,000) (12,449) (86,000) 0
Refund of deposit for marketable securities 2,156 331 3,661 0
Deposit for marketable securities (note 19) (22,557) (3,467) 0 0
Repayment of short-term bank and other borrowings (317,867) (48,855) (691,261) (2,858)
Repayment of long-term bank and other borrowings (87,387) (13,431) (201,048) (347,965)
Redemption of mandatorily redeemable noncontrolling interests (note 1) (97,106) (14,925) 0 0
Payment for interest and consultation expenses (143,415) (22,042) 0 0
(Increase) decrease in restricted cash 4,506 693 (13,448) (52,780)
Dividends paid to ordinary shareholders 0 0 (285,829) 0
Repurchase of ordinary shares 0 0 (30,402) (19,723)
Purchase of subsidiary shares from noncontrolling interests 0 0 (12,130) 0
Proceeds from sales of subsidiary shares to noncontrolling interests 0 0 2,142 0
Capital injection from noncontrolling interests shareholder 12,800 1,967 0 40,728
Net cash generated from (used in) financing activities 194,405 29,881 (131,370) 590,398
Exchange rate effect on cash 159 24 (11,240) (17,419)
Net increase (decrease) in cash (91,714) (14,096) (295,535) 6,758
Cash at beginning of year 189,905 29,188 485,440 478,682
Cash at end of year 98,191 15,092 189,905 485,440
Supplemental schedule of cash flows information:        
Income tax paid (21,581) (3,317) (60,639) (48,712)
Interest paid (89,959) (13,826) (81,486) (54,039)
Supplemental schedule of non-cash activities:        
Acquisition of Beijing Century Friendship and BPMC through utilization of prepayment for investment (note 4) 0 0 100,600 0
Acquisition of investment in Guofu Huimei through utilization of prepayment of long-term investment (note 1) 174,000 26,743 0 0
Acquisition of investment in ProMed included in accrued expense and other liabilities 116,939 17,973 0 0
Acquisition of property, plant and equipment and other intangible assets through utilization of deposits 4,914 755 19,424 12,251
Acquisition of property, plant and equipment included in accrued expense and other liability 42,067 6,466 0 23,769
Mandatorily redeemable noncontrolling interest from advance from long-term investment 521,396 80,137 0 0
Acquisition of net investment in financing lease through utilization of deposits 0 0 0 36,499
Equity investment through disposal of a subsidiary (note 4) ¥ 0 $ 0 ¥ 0 ¥ 22,160