| Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 |
|---|---|---|---|---|---|---|
CASH FLOWS FROM OPERATING ACTIVITIES | ||||||
Net loss | ||||||
-43,909 | -38,180 | -12,238 | 15,279 | - | - | - |
Net income from discontinued operations | ||||||
- | 0 | 0 | 4,106 | - | - | - |
Net (loss) income | ||||||
- | - | - | - | 15,066 | 21,586 | - |
Adjustments to reconcile net income to net cash generated from (used in) operating activities: | ||||||
Net income (loss) | ||||||
- | - | - | - | - | - | 33,580 |
Share-based compensation (note 24) | ||||||
1,789 | 1,210 | 1,248 | 1,185 | 1,454 | 1,458 | 1,467 |
Depreciation of property, plant and equipment (note 9) | ||||||
12,791 | 16,859 | 21,315 | 28,206 | 24,774 | 19,248 | 15,068 |
Amortization of intangible assets (note 11) | ||||||
957 | 1,550 | 2,960 | 3,717 | 4,901 | 4,600 | 3,981 |
Amortization of prepaid land lease payments (note 10) | ||||||
808 | 172 | 168 | 582 | 463 | 263 | 118 |
(Income)loss from equity method investments | ||||||
223 | 89 | -860 | 2,242 | 2,564 | 287 | - |
Other noncash income | ||||||
- | - | - | - | - | 430 | - |
Loss on disposal of long-lived assets | ||||||
-4,832 | -1,097 | -651 | -582 | - | - | - |
Loss from disposal of property, plant and equipment | ||||||
- | - | - | - | -204 | -172 | - |
Amortization of acquired executory contracts | ||||||
- | - | 0 | - | 136 | - | - |
Change in fair value of acquired executory contracts | ||||||
- | - | - | - | - | 66 | - |
Deferred tax benefits | ||||||
1,952 | 3,185 | -67 | 3,756 | 555 | 300 | - |
Deferred tax benefits | ||||||
- | - | - | - | - | - | -1,856 |
Allowance for doubtful accounts, net | ||||||
-2,281 | -3,377 | -1,533 | 1,452 | - | 2,081 | -2,324 |
Impairment of long-lived assets | ||||||
4,396 | 8,804 | 3,570 | - | - | 539 | 53,057 |
Changes in fair value of derivatives | ||||||
0 | 103 | 5,207 | 420 | - | - | - |
Interest and consultation expenses | ||||||
19,257 | - | - | - | - | - | - |
Loss on debt extinguishment | ||||||
0 | 0 | -5,657 | - | - | - | - |
Gains on disposal of subsidiaries (note 4) | ||||||
9,055 | 0 | 2,529 | - | - | - | - |
Gains from bargain purchase (note 4) | ||||||
0 | 0 | 1,981 | - | - | - | - |
Gain on disposal of CAH and WHT (note 4) | ||||||
- | - | - | 6,203 | - | - | - |
Changes in operating assets and liabilities net of effects of acquisition and disposals: | ||||||
Change in fair value of contingent business acquisition consideration | ||||||
- | - | - | - | - | 0 | - |
Change in fair value of contingent business acquisition consideration | ||||||
- | - | - | - | - | - | -37 |
Notes receivable | ||||||
- | - | - | - | - | 0 | -143 |
Accounts receivable | ||||||
-6,671 | -1,429 | -6,683 | -726 | 16,880 | -1,584 | 15,050 |
Prepayments and other current assets | ||||||
646 | 5,264 | -2,276 | 811 | -1,928 | 2,026 | -1,274 |
Inventories | ||||||
85 | 277 | -49 | -38 | 1,823 | 58 | - |
Amounts due from related parties | ||||||
- | 0 | 0 | 545 | 1,496 | 104 | - |
Amounts due to related parties | ||||||
- | 0 | 0 | -53 | -445 | 820 | - |
Other non-current assets | ||||||
-1,085 | -2,053 | -1,837 | -5,840 | -1,160 | - | - |
Deposits for land use rights | ||||||
1,749 | 1,905 | - | - | 14,115 | 35,125 | 38,013 |
Accounts payable | ||||||
777 | 1,003 | -112 | 5,043 | 8,036 | -1,118 | -1,297 |
Accrued expenses and other liabilities | ||||||
1,727 | -1,837 | -304 | 5,720 | 6,106 | -317 | 1,456 |
Deferred revenue | ||||||
464 | 258 | -146 | 1,796 | -721 | -456 | -103 |
Lease deposits | ||||||
- | - | - | - | - | 0 | 1,049 |
Income tax payable | ||||||
-1,000 | -5,040 | 1,496 | 3,610 | 3,803 | 258 | -709 |
Accrued unrecognized tax benefit | ||||||
-988 | -452 | -3,804 | -9,736 | - | - | - |
Net cash generated from (used in) operating activities | ||||||
- | -11,246 | - | - | - | - | - |
Prepaid land lease payments | ||||||
- | - | - | - | - | 0 | - |
Unrecognized tax benefits | ||||||
- | - | - | - | 2,934 | 1,392 | - |
Net cash (used in) generated from operating activities | ||||||
4,108 | - | -27,038 | 79,036 | 42,788 | 41,656 | 21,785 |
CASH FLOWS FROM INVESTING ACTIVITIES | ||||||
Purchase of short-term investment | ||||||
0 | 0 | 9,262 | - | - | - | - |
Prepayment for operating license | ||||||
1,031 | 436 | - | - | - | - | - |
Disposal of short-term investment | ||||||
0 | 8,642 | - | - | - | - | - |
Purchase of held-to-maturity securities | ||||||
- | - | 0 | - | 4,956 | -16,126 | 15,962 |
Maturity of held-to-maturity securities | ||||||
- | - | 0 | - | 4,956 | - | - |
Maturity of the time deposit | ||||||
- | - | - | - | - | -8,085 | 8,003 |
Receipts under arrangements with CAH | ||||||
- | - | - | - | - | 0 | - |
Payments under arrangements with Beijing proton center | ||||||
- | - | - | - | - | 0 | 477 |
Investments in equity method investees | ||||||
15,031 | 0 | 4,641 | 1,053 | 436 | 36,708 | - |
Prepayments in long-term investments | ||||||
0 | 26,141 | - | - | - | - | - |
Investment in equity investees | ||||||
- | - | - | - | - | - | 86 |
Acquisitions of business, net of cash acquired (note 4) | ||||||
0 | 0 | 38,615 | - | - | 35,856 | 3,226 |
Cash arising from the consolidation of Beijing Century Friendship and BPMC (note 4) | ||||||
- | 3,773 | - | - | - | - | - |
Disposals of subsidiaries, net of cash disposed (note 4) | ||||||
-2,694 | 0 | 12,164 | 45,151 | - | - | - |
Purchase of subsidiary shares from noncontrolling interests | ||||||
- | - | 0 | - | 248 | - | - |
Acquisitions of property, plant and equipment | ||||||
14,026 | 11,367 | 7,376 | 8,297 | 12,315 | 10,578 | 2,911 |
Deposits for non-current assets | ||||||
- | - | - | - | - | -464 | 5,594 |
Acquisitions of intangible assets | ||||||
115 | 138 | 58,560 | - | 4,531 | 4,085 | - |
Deposits for the purchases of property, plant and equipment | ||||||
30,408 | - | - | - | - | - | - |
Refund from deposits for the purchases of property, plant and equipment | ||||||
6,554 | - | - | - | - | - | - |
Deposits for the purchases of property, plant and equipment | ||||||
- | -5,627 | -20,715 | -9,408 | - | - | - |
Advance from disposal of associate company | ||||||
0 | 1,872 | - | - | - | - | - |
Refund of deposits for the purchase of property, plant and equipment | ||||||
- | - | 0 | - | - | - | - |
Refund of deposits for the purchase of property, plant and equipment | ||||||
- | - | - | - | -1,876 | - | - |
Proceeds from disposal of property, plant and equipment | ||||||
5,856 | 1,721 | 165 | 4,477 | 1,074 | 756 | - |
Proceeds from principal portion of direct financing leases | ||||||
9,514 | 15,573 | 15,115 | 18,910 | 7,817 | 6,007 | - |
Net investment in direct financing leases | ||||||
7,685 | 0 | 0 | 7,058 | 9,794 | 18,527 | - |
Cash distribution from equity method investment | ||||||
957 | 1,348 | 3,754 | 3,543 | 4,082 | - | - |
Prepayment for investment (note 4) | ||||||
0 | 0 | 10,961 | - | - | - | - |
Net cash generated from (used in) investing activities | ||||||
- | -10,780 | - | - | - | - | - |
Net investment in direct financing leases | ||||||
- | - | - | - | - | - | 11,775 |
Proceeds from principal portion of direct financing leases | ||||||
- | - | - | - | - | - | 1,826 |
Net cash used in investing activities | ||||||
-48,109 | - | -60,372 | 46,265 | -22,059 | -105,823 | -78,627 |
CASH FLOWS FROM FINANCING ACTIVITIES | ||||||
Proceeds from short-term bank borrowings | ||||||
45,010 | 71,666 | 36,000 | 1,451 | 31,500 | 41,425 | 7,150 |
Proceeds from long-term bank and other borrowings | ||||||
43,106 | 2,376 | 52,997 | 47,044 | 67,392 | 83,265 | 22,641 |
Proceeds from private offerings of subsidiary shares (note 1) | ||||||
0 | 20,160 | - | - | - | - | - |
Proceeds from long-term investment advance (note 1) | ||||||
0 | 76,177 | - | - | - | - | - |
Proceeds from related parties (note 24) | ||||||
53,943 | - | - | - | - | - | - |
Proceeds from secured borrowings (note 19) | ||||||
0 | 0 | 61,208 | - | - | - | - |
Repayment of secured borrowings | ||||||
12,449 | 12,387 | - | - | - | - | - |
Refund of deposit for marketable securities | ||||||
331 | 527 | - | - | - | - | - |
Deposit for marketable securities (note 19) | ||||||
3,467 | - | - | - | - | - | - |
Repayment of obligations under capital leases | ||||||
- | 0 | 0 | -1,381 | - | - | - |
Repayment of short-term bank and other borrowings | ||||||
48,855 | 99,562 | 441 | 17,820 | 13,091 | 321 | 17,954 |
Repayment of obligations under capital leases | ||||||
- | - | - | - | 350 | 538 | 482 |
Repayment of long-term bank and other borrowings | ||||||
13,431 | 28,957 | 53,717 | 44,050 | 49,896 | 18,066 | 9,901 |
Redemption of mandatorily redeemable noncontrolling interests (note 1) | ||||||
14,925 | - | - | - | - | - | - |
Payment for interest and consultation expenses | ||||||
22,042 | - | - | - | - | - | - |
(Increase) decrease in restricted cash | ||||||
693 | -1,937 | -8,148 | -12,898 | -22,811 | -41,656 | 14,538 |
Dividends paid to ordinary shareholders | ||||||
0 | 41,168 | 0 | 73,101 | - | 0 | 8,763 |
Proceeds received from sales lease back | ||||||
- | 0 | 0 | 7,414 | - | - | - |
Repurchase of ordinary shares | ||||||
0 | 4,378 | 3,045 | - | 994 | 6,977 | 1,098 |
Repayment of loan from a noncontrolling shareholder of a subsidiary | ||||||
- | - | 0 | - | - | - | - |
Capital injection from noncontrolling shareholder (note 1) | ||||||
- | 0 | 6,287 | - | - | 0 | 509 |
Purchase of subsidiary shares from noncontrolling interests | ||||||
0 | 1,747 | - | - | - | - | - |
Proceeds from sales of subsidiary shares to noncontrolling interests | ||||||
0 | 309 | - | - | - | - | - |
Capital injection from noncontrolling interests shareholder | ||||||
1,967 | - | - | - | - | - | - |
Net cash generated from (used in) financing activities | ||||||
- | -18,921 | - | - | - | - | - |
Increase in loan to a noncontrolling interest of a subsidiary | ||||||
- | - | - | - | - | -16,051 | - |
Repayment of loan from a noncontrolling shareholder of a subsidiary | ||||||
- | - | - | - | 1,089 | 0 | - |
Net cash generated from (used in) financing activities | ||||||
29,881 | - | 91,141 | -93,341 | 12,839 | 41,081 | 6,640 |
Exchange rate effect on cash | ||||||
24 | -1,619 | -2,689 | -427 | 734 | 22 | -117 |
Net increase (decrease) in cash | ||||||
-14,096 | -42,566 | 1,042 | 31,533 | 34,302 | -23,064 | -50,319 |
Supplemental schedule of cash flows information: | ||||||
Income tax paid | ||||||
3,317 | 8,734 | 7,520 | 5,553 | 1,044 | 8,102 | 9,219 |
Interest paid | ||||||
13,826 | - | - | - | - | - | - |
Interest paid | ||||||
- | 11,736 | 8,342 | - | 6,199 | 2,609 | 1,025 |
Interest paid (net of amounts capitalized) | ||||||
- | - | - | 8,618 | - | - | - |
Supplemental schedule of non-cash activities: | ||||||
Acquisition of Beijing Century Friendship and BPMC through utilization of prepayment for investment (note 4) | ||||||
0 | - | - | - | - | - | - |
Acquisition of investment in Guofu Huimei through utilization of prepayment of long-term investment (note 1) | ||||||
26,743 | - | - | - | - | - | - |
Acquisition of investment in ProMed included in accrued expense and other liabilities | ||||||
17,973 | - | - | - | - | - | - |
Acquisition of Beijing Century Friendship and BPMC through utilization of prepayment for investment (note 13) | ||||||
- | 14,489 | - | - | - | - | - |
Acquisition of property, plant and equipment and other intangible assets through utilization of deposits | ||||||
755 | 2,798 | 3,669 | 4,431 | 12,268 | 35,520 | - |
Acquisition of property, plant and equipment included in accrued expense and other liability | ||||||
6,466 | 0 | 1,891 | 245 | 1,495 | 0 | - |
Mandatorily redeemable noncontrolling interest from advance from long-term investment | ||||||
80,137 | - | - | - | - | - | - |
Acquisition of net investment in financing lease through utilization of deposits | ||||||
0 | 0 | 5,634 | - | 4,615 | 8,488 | - |
Equity investment through disposal of a subsidiary (note 4) | ||||||
0 | 0 | 3,574 | - | - | - | - |
Consideration of acquisition of CAH due to effective settlement of preexisting balance as the result of the business combination | ||||||
- | - | - | - | - | 20,637 | - |
Deposit for land use right transfer to land use right | ||||||
- | - | - | - | 4,204 | - | - |
Acquisition of property, plant and equipment and other intangible assets through utilization of deposits | ||||||
- | - | - | - | - | - | 37,574 |
Acquisition of property, plant and equipment included in accrual for purchase of property, plant and equipment | ||||||
- | - | - | - | - | - | 459 |