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v3.23.1

CONSOLIDATED STATEMENTS OF CASH FLOWS ¥ in Thousands, $ in Thousands | 12 Months Ended
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Dec. 31, 2022 CNY (¥) | Dec. 31, 2022 USD ($) | Dec. 31, 2021 CNY (¥) | Dec. 31, 2020 CNY (¥)
CASH FLOWS FROM OPERATING ACTIVITIES |  |  |  |
Net loss | ¥ (768,990) | $ (111,492) | ¥ (522,672) | ¥ (404,029)
Adjustments to reconcile net loss to net cash generated from operating activities: |  |  |  |
Share-based compensation (note 23) | (5,919) | (858) | 14,680 | 20,621
Depreciation of property, plant and equipment (note 9) | 88,692 | 12,859 | 64,288 | 55,030
Amortization of intangible assets (note 12) | 34,495 | 5,001 | 30,171 | 15,756
Amortization of land lease payments (note 10) | 9,627 | 1,396 | 9,621 | 9,513
Lease expense to reduce operating lease ROU | 19,322 | 2,801 | 21,720 | 23,030
(Income) loss from equity method investments | (17,647) | (2,559) | (18,163) | (6,021)
Change in fair value of derivative liability (note 21) | (1,015) | (147) | 39 | 0
(Gain) loss on disposal of long-lived assets | 3 |  | 0 | (677)
Deferred tax expense (benefit) | (71,848) | (10,417) | 11,257 | (13,347)
Allowance for doubtful accounts, net | 5,400 | 783 | 2,555 | 6,058
Impairment of long-lived assets | 0 |  | 0 | 8,500
Interest and consultation expenses | 120,357 | 17,450 | 73,789 | 81,359
Loss on disposal of subsidiary (note 4) | 61,546 | 8,923 | 0 | 14,894
Gain from disposal of an equity method investment (note 14) |  |  | 0 | (7,837)
Loss from agreements termination with a cooperative hospital | 204,250 | 29,613 | 0 | 0
Changes in operating assets and liabilities net of effects of acquisition and disposals: |  |  |  |
Accounts receivable | 644 | 93 | (64,450) | (6,167)
Prepayments and other current assets | (130,156) | (18,871) | (30,908) | (82,497)
Inventories | (46,750) | (6,778) | (4,352) | (14,446)
Other non-current assets | (15) | (2) | (175) | 392
Accounts payable | 113,743 | 16,491 | 262,842 | 11,119
Accrued expenses and other liabilities | 119,055 | 17,261 | (2,515) | 15,171
Deferred revenue | 57,168 | 8,289 | (193,464) | 84,543
Income tax payable | 818 | 119 | (858) | 105
Accrued unrecognized tax benefit | (6,539) | (948) | 621 | (28,012)
Operating lease liabilities | (2,935) | (426) | (13,339) | (12,824)
Net cash used in operating activities | (216,694) | (31,419) | (359,313) | (229,766)
CASH FLOWS FROM INVESTING ACTIVITIES |  |  |  |
Purchase of land use right | (215) | (31) | 0 | (7,170)
Investment in equity method investees | (2,300) | (333) | (61,159) | (163,844)
Prepayments for long-term investments |  |  | 0 | (28,490)
Investment in equity investments without readily determinable fair value |  |  | (6,439) | 0
Acquisitions of business, net of cash acquired |  |  | 1,569 | (8,336)
Acquisitions of property, plant and equipment | (222,980) | (32,329) | (278,977) | (168,023)
Acquisitions of intangible assets | (818) | (119) | (19,712) | (1,028)
Deposits for the purchases of property, plant and equipment | (160,793) | (23,313) | (481,604) | (336,681)
Proceeds from disposal of equity method investment |  |  | 0 | 33,020
Proceeds from disposal of property, plant and equipment | 5,635 | 817 | 212,975 | 271
Proceed from agreements termination with a cooperative hospital | 238,093 | 34,520 | 0 | 0
Proceeds from principal portion of direct financing leases | 7,536 | 1,093 | 31,525 | 24,842
Proceeds from disposal of a subsidiary |  |  | 0 | 201,554
Cash distribution from equity method investments | 5,101 | 740 | 15,863 | 0
Purchase of available-for-sale debt securities |  |  | 0 | (80,000)
Redemption of available-for-sale debt securities | 11,949 | 1,732 | 19,978 | 0
Net cash used in investing activities | (118,792) | (17,223) | (565,981) | (533,885)
CASH FLOWS FROM FINANCING ACTIVITIES |  |  |  |
Proceeds from short-term bank borrowings | 217,470 | 31,530 | 126,112 | 740,434
Proceeds from long-term bank and other borrowings | 422,765 | 61,295 | 386,635 | 857,110
Proceeds from convertible note (note 22) |  |  | 20,000 | 0
Borrowings from related parties (note 25) | 220,369 | 31,951 | 24,432 | 26,560
Repayment to related parties (note 25) | (82,915) | (12,022) | (80,886) | 0
Repayment of short-term bank and other borrowings | (197,598) | (28,649) | (24,706) | (1,029,176)
Repayment of long-term bank and other borrowings | (197,003) | (28,563) | (206,057) | (241,825)
Purchase of subsidiary shares from noncontrolling interests |  |  | (4,581) | (25,653)
Capital injection from a noncontrolling interests in a subsidiary |  | 0 | 1,500 | 110,852
Proceeds from issuance of contingently redeemable noncontrolling interests of a subsidiary |  |  | 400,000 | 700,000
Net cash generated from financing activities | 383,088 | 55,542 | 642,449 | 1,138,302
Effect of foreign exchange rate changes on cash and cash equivalent and restricted cash | (47,170) | (6,837) | (4,639) | (2,563)
Net increase (decrease) in cash | 432 | 63 | (287,484) | 372,088
Cash and cash equivalents and restricted cash at beginning of the year | 158,911 | 23,040 | 446,395 | 74,307
Cash and cash equivalents and restricted cash at end of the year | 159,343 | 23,103 | 158,911 | 446,395
Reconciliation of cash and cash equivalents and restricted cash to the consolidated balance sheets |  |  |  |
Cash and cash equivalents | 158,283 | 22,949 | 157,386 | 334,264
Restricted cash, current portion | 1,060 | 154 | 1,387 | 4,661
Restricted cash, noncurrent portion |  |  | 138 | 107,470
Total cash and cash equivalents and restricted cash | 159,343 |  | 158,911 | 446,395
Supplemental schedule of major cash flows information: |  |  |  |
Income tax paid | (3,013) | (437) |  | (3,259)
Interest paid | (145,257) | (21,060) | (134,180) | (73,848)
Supplemental schedule of major non-cash activities: |  |  |  |
Acquisition of investment through effective settlement in other receivables, advance to suppliers and other payables (note 4) |  |  |  | 602
Acquisition of property, plant and equipment, construction in progress and other intangible assets through utilization of deposits | 257,440 | 37,325 | 460,078 | 704,312
Acquisition of property, plant and equipment, construction in progress and other intangible assets included in accrued expense and other liabilities | ¥ 2,181 | $ 316 | ¥ 99,406 | ¥ 50,736

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