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CONSOLIDATED STATEMENTS OF CASH FLOWS ¥ in Thousands, $ in Thousands | 12 Months Ended
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Dec. 31, 2025 CNY (¥) | Dec. 31, 2025 USD ($) | Dec. 31, 2024 CNY (¥) | Dec. 31, 2023 CNY (¥)
CASH FLOWS FROM OPERATING ACTIVITIES |  |  |  |
Net loss | ¥ (379,420) | $ (54,256) | ¥ (652,075) | ¥ (531,021)
Adjustments to reconcile net loss to net cash generated from operating activities: |  |  |  |
Depreciation of property, plant and equipment (note 10) | 103,508 | 14,801 | 84,775 | 82,124
Amortization of intangible assets (note 13) | 36,122 | 5,165 | 36,355 | 36,705
Amortization of land lease payments (note 11) | 9,626 | 1,376 | 9,627 | 9,625
Lease expense to reduce operating lease ROU | 14,810 | 2,118 | 22,578 | 26,683
Income from equity method investments | (13,047) | (1,866) | (12,696) | (20,789)
Change in fair value of derivative liability |  |  | (166) | (5,207)
Changes in fair value of short-term investments |  |  | (7,290) |
(Gain) loss on disposal of long-lived assets | 2,097 | 300 | 13,110 | (62)
Deferred tax expense (benefit) | (7,868) | (1,125) | (15,652) | (13,039)
Allowance for doubtful accounts, net | (6,880) | (984) | 128,196 | 64,712
Impairment of long-term investments | 22,160 | 3,169 |  |
Provision of Inventory write down | 52 | 7 |  |
Interest and consultation expenses | 152,326 | 21,782 | 193,199 | 165,669
(Gain) Loss on disposal of subsidiaries (note 4) |  |  | (48,497) | 638
Gain on sale of partial interests in equity method investment | (37,471) | (5,358) | 120 | (37,498)
Changes in operating assets and liabilities net of effects of acquisition and disposals: |  |  |  |
Accounts receivable | 6,145 | 879 | 12,018 | 36,454
Prepayments and other current assets | 161,280 | 23,063 | (335,657) | (149,738)
Inventories | (12,576) | (1,798) | 6,498 | 44,489
Other non-current assets | (958) | (137) | (458) | 1,618
Accounts payable | (122,288) | (17,487) | 93,052 | 15,779
Accrued expenses and other liabilities | (165,598) | (23,680) | 97,497 | 70,838
Deferred revenue | 39,534 | 5,653 | (3,089) | (41,179)
Income tax payable | 5,946 | 850 | 101 | 705
Accrued unrecognized tax benefit | 6,594 | 943 | 35 | (15,830)
Operating lease liabilities | (15,918) | (2,276) | (19,330) | (18,147)
Net cash used in operating activities | (201,824) | (28,861) | (397,749) | (276,471)
CASH FLOWS FROM INVESTING ACTIVITIES |  |  |  |
Investment in equity investments without readily determinable fair value |  |  |  | (100)
Acquisitions of property, plant and equipment | (56,322) | (8,054) | (150,772) | (113,003)
Acquisitions of intangible assets | (30) | (4) | (10,160) | (4,211)
Deposits for the purchases of property, plant and equipment | (34,982) | (5,002) | (249,902) | (2,699)
Proceeds from disposal of property, plant and equipment | 7,501 | 1,073 |  | 310
Proceeds from disposal of subsidiaries | (10) | (1) | 9,057 |
Proceeds from dividend | 3,188 | 456 |  |
Cash distribution from equity method investments |  |  | 10,000 | 12,022
Investment in a joint venture |  |  | (102,000) |
Proceeds from disposal of other investment |  |  | 27,664 |
Purchase of short - term investment | 134,620 | 19,250 | (204,607) |
Proceeds from disposal of short - term investment |  |  | 77,276 |
Proceeds from disposal of certain percentage of an equity method investment |  |  |  | 60,000
Net cash provided by/(used in) investing activities | 53,965 | 7,718 | (593,444) | (47,681)
CASH FLOWS FROM FINANCING ACTIVITIES |  |  |  |
Proceeds from short-term bank borrowings | 359,226 | 51,369 | 654,699 | 337,695
Proceeds from long-term bank and other borrowings | 94,825 | 13,560 | 1,767,174 | 110,000
Borrowings from related parties (note 25) | 517,000 | 73,930 | 300,543 | 22,150
Repayment to related parties (note 25) | (468,410) | (66,982) | (335,359) | (61,777)
Repayment of short-term bank and other borrowings | (437,061) | (62,499) | (360,329) | (442,858)
Repayment of long-term bank and other borrowings | (433,538) | (61,995) | (1,391,219) | (7,561)
Capital injection from a noncontrolling interests in a subsidiary | 60,999 | 8,723 |  | 300,004
Proceeds from initial public offering of Concord Healthcare Group Co., Ltd. | 504,191 | 72,098 | 510,522 | 0
Net cash generated from financing activities | 197,232 | 28,204 | 1,146,031 | 257,653
Effect of foreign exchange rate changes on cash and cash equivalent and restricted cash | 12,353 | 1,766 | (8,275) | (2,425)
Net increase (decrease) in cash | 61,726 | 8,827 | 146,563 | (68,924)
Cash and cash equivalents and restricted cash at beginning of the year | 236,982 | 33,888 | 90,419 | 159,343
Cash and cash equivalents and restricted cash at end of the year | 298,708 | 42,715 | 236,982 | 90,419
Reconciliation of cash and cash equivalents and restricted cash to the consolidated balance sheets: |  |  |  |
Cash and cash equivalents | 297,787 | 42,583 | 216,224 | 58,139
Restricted cash, current portion | 921 | 132 | 20,758 | 32,280
Restricted cash, noncurrent portion |  |  |  | 0
Total cash and cash equivalents and restricted cash | 298,708 |  | 236,982 | 90,419
Supplemental schedule of major cash flows information: |  |  |  |
Income tax paid | (109) | (16) | (148) | (898)
Interest paid | (182,986) | (26,167) | (188,304) | (152,359)
Supplemental schedule of major non-cash activities: |  |  |  |
Acquisition of property, plant and equipment, construction in progress and other intangible assets through utilization of deposits | 757 | 108 | ¥ 79,644 | 5,812
Acquisition of property, plant and equipment, construction in progress and other intangible assets included in accrued expense and other liabilities |  |  |  | 285,358
Acquisition of property, plant and equipment, construction in progress and other intangible assets included in other long-term liabilities | ¥ 10,350 | $ 1,480 |  | ¥ 0

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