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      Concord Medical Reports Financial Results for the First Half of 2023


      News provided by

      Concord Medical Services Holdings Limited

      Sep 22, 2023, 17:00 ET

      Share this article

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      BEIJING, Sept. 22, 2023 /PRNewswire/ -- Concord Medical Services Holdings Limited ("Concord Medical" or the "Company") (NYSE: CCM), a healthcare provider specialized in cancer treatment, research, education and prevention by establishing proton centers and cancer hospitals and operating an extensive network of radiotherapy and diagnostic imaging centers in China, today announced its unaudited consolidated financial results for the six months ended June 30, 2023[1].

      2023 First Half Highlights

      • Total net revenues were RMB284.5 million (US$39.2 million) in the first half of 2023, representing a 97.2% increase from total net revenues of RMB144.3 million in the same period last year. Total net revenues included the net revenues from the hospital business of RMB158.7 million (US$21.9 million) and the net revenues from the network business of RMB125.8 million (US$17.3 million).
      • Gross loss was RMB37.4 million (US$5.2 million) in the first half of 2023, compared to the gross loss of RMB88.7 million in the first half of 2022. The gross loss margin was 13.2% for the first half of 2023, compared to 61.5% for the same period last year.
      • Net loss attributable to ordinary shareholders in the first half of 2023 was RMB91.0 million (US$12.5 million), compared to RMB114.7 million in the same period last year.
      • Basic and diluted loss per share for Class A and Class B ordinary shares in the first half of 2023 were both RMB0.69 (US$0.10), compared to RMB0.87 in the same period last year.
      • Non-GAAP[2] net loss in the first half of 2023 was RMB210.3 million (US$29.0 million), compared to non-GAAP net loss of RMB270.0 million in the same period last year. Non-GAAP basic and diluted loss per share for Class A and Class B ordinary shares in the first half of 2023 were both RMB0.69 (US$0.10), compared to RMB0.93 in the same period last year.
      • Adjusted EBITDA[3] (non-GAAP) was negative RMB148.4 million (US$20.5 million) in the first half of 2023, compared to negative RMB194.3 million in the same period last year.

      [1] This announcement contains translations of certain RMB amounts into U.S. dollars at specified rates solely for the convenience of the reader. Unless otherwise noted, all translations of RMB into U.S. dollars are made at a rate of RMB7.2513 to US$1.00, the noon buying rate in New York City for cable transfers payable in RMB, as certified for customs purposes by the Federal Reserve Bank of New York on June 30, 2023.

      [2] Non-GAAP net loss and non-GAAP basic and diluted loss per share for Class A and Class B ordinary shares are defined as their most directly comparable GAAP measures excluding the impact of share-based compensation expenses.

      [3] Adjusted EBITDA is defined as net income/(loss) plus interest expenses, net, income tax expenses, depreciation and amortization, share-based compensation expenses and other adjustments. Other adjustments include foreign exchange gain/(loss), net, other (expense)/income, net, gain on disposal of equity method investment and gain on disposal of long-lived equipment.

      Dr. Jianyu Yang, Chairman and Chief Executive Officer of Concord Medical, commented, "Concord Medical has delivered an outstanding performance in the first half of 2023, with both its hospital business and network business achieving nearly 100% growth in terms of revenue. Although the hospital business is still in its ramp-up period, its profitability is expected to improve as revenue gradually increases. On the other hand, Concord Medical's flagship hospital, Guangzhou Concord Cancer Center ("Guangzhou Hospital"), has completed the patient treatment clinical trials for its proton therapy equipment for the upcoming official launch of the proton center. Our network business is currently on track, and we will expedite the completion of existing orders while executing our market expansion plan as scheduled. We are confident that Concord Medical will continue to deliver great performance throughout 2023."

      2023 First Half Financial Results

      Net Revenues

      Hospital Business

      Net revenues from the hospital business were RMB158.7 million (US$21.9 million) in the first half of 2023, representing a 91.5% increase from net revenues of RMB82.9 million in the first half of 2022, mainly due to (1) gradually development and ramping up of Guangzhou Hospital and (2) business recovery of our three medical institutions located in Shanghai, which were negatively affected by COVID-19 pandemic in the first half of 2022.

      Network Business

      Net revenues from the network business were RMB125.8 million (US$17.3 million), representing a 104.9% increase from net revenues of RMB61.4 million in the first half of 2022, mainly because the business recovery of medical solutions since the relief of restrictive policies during the COVID-19 outbreaks.

      Cost of Revenues

      Hospital Business

      Cost of revenues of the hospital business in the first half of 2023 was RMB204.4 million (US$28.2 million), representing a 13.8% increase from cost of revenues of RMB179.7 million in the first half of 2022, mainly because the increase of consumables and maintenance cost, lease cost and staff cost along with the development of hospital business.

      Network Business

      Cost of revenues of the network business was RMB117.5 million (US$16.2 million), representing a 120.4% increase from RMB53.3 million in the first half of 2022, generally in line with the increase in the net revenues from medical solutions.

      Gross (Loss)/Profit and Gross Margin

      Hospital Business

      Gross loss from the hospital business was RMB45.7 million (US$6.3 million) in the first half of 2023, compared to RMB96.8 million in the same period last year. The gross loss margin of the hospital business for the first half of 2023 was 28.8%, compared to the gross loss margin of 116.8% for the same period last year. The improvement in gross loss margin of the hospital business was primarily because the increase in revenue generated from our hospital business outpaced the increase in corresponding costs along with the ramping up of our medical institutions and their business recovery from the impact of COVID-19 outbreaks.

      Network Business

      Gross profit from the network business was RMB8.3 million (US$1.1 million), compared to the gross profit of RMB8.1 million in the first half of 2022. The gross profit margin of the network business for the first half of 2023 was 6.6%, compared to the gross profit margin of 13.2% for the same period last year. The decrease in gross profit margin of the network business was primarily due to (1) the expiration of agreements with certain management and technical support customers and less ongoing software development projects for our software development services, which resulted in the decrease in our revenue generated from management and technical support, while we still incurred relatively stable fixed costs, and (2) the cooperation with new customers at the initial stage with higher cost.

      Operating Expenses 

      Selling expenses were RMB26.4 million (US$3.6 million) in the first half of 2023, compared to RMB26.4 million in the first half of 2022. Selling expenses as a percentage of net revenues was 9.3% in the first half of 2023, compared to 18.3% in the first half of 2022.

      General and administrative expenses were RMB150.2 million (US$20.7 million) in the first half of 2023, of which employee benefit expenses were RMB69.7 million (US$9.6 million). In the same period of last year, general and administrative expenses were RMB130.5 million. The increase was mainly attributable to the increase in provisions for allowance for doubtful accounts of accounts receivable and other receivables included in prepayments and other current assets. General and administrative expenses as a percentage of net revenues was 52.8% in the first half of 2023, compared to 90.4% in the first half of 2022.

      Capital Expenditures

      Comparing to RMB184.0 million in the first half of 2022, capital expenditures were RMB46.5 million (US$6.4 million) in the first half of 2023, mainly due to the decrease in construction fees and medical equipment payment for our hospital business.

      Accounts Receivable

      As of June 30, 2023, accounts receivable was RMB98.1 million (US$13.5 million), representing a 24.7% decrease from accounts receivable of RMB130.3 million as of December 31, 2022. The average period of sales outstanding for accounts receivable (also known as days sales outstanding) was 158 days in the first half of 2023.

      Bank Loans and Other Borrowings

      As of June 30, 2023, the Company had bank loans and other borrowings totaling RMB3.0 billion (US$415.2 million).

      About Non-GAAP Financial Measures

      To supplement the consolidated financial statements presented in accordance with United States Generally Accepted Accounting Principles ("GAAP"), Concord Medical uses certain non-GAAP measures. The Company presents certain of its financial information that is adjusted from results based on GAAP to exclude the impact of share-based compensation expenses, such as non-GAAP net loss and non-GAAP basic and diluted loss per share for Class A and Class B ordinary shares. The Company believes excluding share-based compensation expenses from its GAAP financial measures is useful for its management and investors to assess and analyze the Company's core operating results, as such expense is not directly attributable to the underlying performance of the Company's business operations and do not impact its current cash earnings. Concord Medical also believes these non-GAAP measures excluding share-based compensation expenses are important in helping investors to understand the Company's current financial performance and future prospects and to compare business trends among different reporting periods on a consistent basis. In addition, Concord Medical also presents the non-GAAP measure of adjusted EBITDA, which is defined in this announcement as net income/(loss) plus interest expenses, net, income tax expenses, depreciation and amortization, share-based compensation expenses and other adjustments. Other adjustments include foreign exchange gain/(loss), net, other (expense)/income, net, gain on disposal of equity method investment and gain on disposal of long-lived equipment. Furthermore, adjusted EBITDA eliminates the impact of items that the Company does not consider to be indicative of the performance of the network business and hospital business. The Company believes investors will similarly use adjusted EBITDA as one of the key metrics to evaluate its financial performance and to compare its current operating results with corresponding historical periods and with other companies in the healthcare services industry. The presentation of these additional measures should not be considered a substitute for or superior to GAAP results or as being comparable to results reported or forecasted by other companies. The non-GAAP measures have been reconciled to GAAP measures in the attached financial information.

      About Concord Medical

      Concord Medical Services Holdings Limited is a healthcare provider featuring a full cycle of premium oncology services including cancer diagnosis, treatment, education and prevention. The Company focuses on providing multidisciplinary cancer care in all aspects of oncology healthcare services in its cancer hospitals and equipping them with technologically advanced equipment such as the state-of-the-art proton therapy system. The Company is striving to improve the quality and accessibility of cancer care through its network of self-owned cancer hospitals and clinics as well as partnered hospitals across China. For more information, please see http://ir.ccm.cn.

      Safe Harbor Statement

      This announcement contains forward-looking statements. These forward-looking statements can be identified by words or phrases such as "will," "expects," "anticipates," "future," "intends," "plans," "believes," "estimates" and similar expressions. Forward-looking statements are inherently subject to uncertainties and contingencies beyond the Company's control and based upon premises with respect to future business decisions, which are subject to change. A number of important factors could cause actual results to differ materially from those contained in any forward-looking statement. The Company does not undertake any obligation to update any forward-looking statement, except as required under applicable law.

      Concord Medical Services Holdings Co., Ltd.
      Consolidated Balance Sheets

       (in thousands)



      December 31,




      2022


      June 30, 2023


      RMB


      RMB


      US$


      (Audited)


      (Unaudited)


      (Unaudited)

      ASSETS






      Current assets






      Cash and cash equivalents

      158,283


      243,382


      33,564

      Restricted cash, current portion

      1,060


      21,203


      2,924

      Accounts receivable, net

      130,271


      98,109


      13,530

      Prepayments and other current assets, net

      385,351


      445,453


      61,431

      Inventories

      84,835


      42,691


      5,887

      Total current assets

      759,800


      850,838


      117,336

      Non-current assets






      Property, plant and equipment, net

      3,259,145


      3,262,114


      449,866

      Right-of-use assets, net

      594,897


      593,014


      81,780

      Goodwill

      575,427


      575,427


      79,355

      Intangible assets, net

      353,766


      340,121


      46,905

      Deposits for non-current assets

      8,932


      4,645


      641

      Long-term investments

      437,874


      423,059


      58,343

      Other non-current assets

      15,093


      20,852


      2,876

      Total non-current assets

      5,245,134


      5,219,232


      719,766







      Total assets

      6,004,934


      6,070,070


      837,102

       

      LIABILITIES AND EQUITY






      Current liabilities






      Accounts payable

      146,748


      131,587


      18,147

      Accrued expenses and other liabilities

      419,881


      414,746


      57,195

      Income tax payable

      818


      1,696


      234

      Operating lease liabilities, current

      35,916


      42,606


      5,876

      Short-term bank and other borrowings

      168,601


      213,186


      29,400

      Long-term bank and other borrowings, current portion

      343,982


      526,528


      72,612

      Derivative liability

      5,290


      5,562


      767

      Total current liabilities

      1,121,236


      1,335,911


      184,231

      Non-current liabilities






      Long-term bank and other borrowings, non-current portion

      2,471,427


      2,271,445


      313,247

      Deferred tax liabilities

      112,577


      105,647


      14,569

      Operating lease liabilities, non-current

      199,953


      201,145


      27,739

      Other long-term liabilities

      84,084


      67,980


      9,375

      Total non-current liabilities

      2,868,041


      2,646,217


      364,930

      Total liabilities

      3,989,277


      3,982,128


      549,161

      EQUITY






      Class A ordinary shares

      68


      68


      10

      Class B ordinary shares

      37


      37


      5

      Treasury stock

      (7)


      (7)


      (1)

      Additional paid-in capital

      1,930,633


      2,026,075


      279,409

      Accumulated other comprehensive loss

      (27,766)


      (45,137)


      (6,225)

      Accumulated deficit

      (3,766,931)


      (3,857,916)


      (532,031)

      Total Concord Medical Services Holdings Limited shareholders' deficit

      (1,863,966)


      (1,876,880)


      (258,833)

      Noncontrolling interests

      3,879,623


      3,964,822


      546,774







      Total equity

      2,015,657


      2,087,942


      287,941







      Total liabilities and equity

      6,004,934


      6,070,070


      837,102

      Concord Medical Services Holdings Co., Ltd.
      Consolidated Profit & Loss
      (in thousands, except for number of shares and per share data)








      June 30,

      2022


      June 30, 2023


      RMB


      RMB


      US$


      (Unaudited)


      (Unaudited)


      (Unaudited)

      Revenues, net of business tax, value-added tax and related

      surcharges






      Hospital

      82,865


      158,707


      21,887

      Network

      61,397


      125,806


      17,349

      Total net revenues

      144,262


      284,513


      39,236

      Cost of revenues:






      Hospital

      (179,686)


      (204,433)


      (28,193)

      Network

      (53,311)


      (117,503)


      (16,204)

      Total cost of revenues

      (232,997)


      (321,936)


      (44,397)







      Gross loss

      (88,735)


      (37,423)


      (5,161)







      Operating expenses:






      Selling expenses

      (26,416)


      (26,362)


      (3,635)

      General and administrative expenses

      (130,466)


      (150,240)


      (20,719)







      Operating loss

      (245,617)


      (214,025)


      (29,515)

      Interest expense

      (68,325)


      (84,374)


      (11,636)

      Foreign exchange gain/(loss), net

      33,881


      (2,444)


      (337)

      Gain on disposal of long-lived equipment

      -


      62


      9

      Interest income

      3,562


      5,800


      800

      Income from equity method investments

      5,488


      10,099


      1,393

      Other (expense)/income, net

      (850)


      13,623


      1,879

      Gain on disposal of equity method investment

      -


      37,498


      5,171







      Loss before income tax

      (271,861)


      (233,761)


      (32,236)

      Income tax expenses

      9,677


      23,417


      3,229

      Net loss

      (262,184)


      (210,344)


      (29,007)







      Net loss attributable to noncontrolling interests

      (147,532)


      (119,359)


      (16,460)

      Net loss attributable to Concord Medical Services Holdings

      Limited

      (114,652)


      (90,985)


      (12,547)







      Loss per share for Class A and Class B ordinary shares






      Basic

      (0.87)


      (0.69)


      (0.10)

      Diluted

      (0.87)


      (0.69)


      (0.10)







      Weighted average number of class A and class B ordinary shares

      outstanding:






      Basic

      131,053,858


      131,053,858


      131,053,858

      Diluted

      131,053,858


      131,053,858


      131,053,858

      Other comprehensive loss, net of tax of nil






      Foreign currency translation, net tax of nil

      (41,890)


      (17,371)


      (2,396)

      Total other comprehensive loss, net of tax

      (41,890)


      (17,371)


      (2,396)

      Comprehensive loss

      (304,074)


      (227,715)


      (31,403)

      Comprehensive loss attributable to noncontrolling interests

      (147,532)


      (119,359)


      (16,460)

      Comprehensive loss attributable to Concord Medical Services

      Holdings Limited's shareholders

      (156,542)


      (108,356)


      (14,943)

      Reconciliations of non-GAAP results of operations measures to the

      nearest comparable GAAP measures (*)

      (in RMB thousands, except per share data unaudited)








      For the six months ended


      For the six months ended



      June 30, 2022


      June 30, 2023







      Non-






      Non-



      GAAP




      GAAP


      GAAP




      GAAP



      Measure


      Adjustment


      Measure


      Measure


      Adjustment


      Measure

      Operating loss


      (245,617)


      (7,861)


      (253,478)


      (214,025)


      -


      (214,025)

      Net loss


      (262,184)


      (7,861)


      (270,045)


      (210,344)


      -


      (210,344)

      Basic loss per share for

         Class A and

      Class B ordinary

         shares


      (0.87)


      (0.06)


      (0.93)


      (0.69)


      -


      (0.69)

      Diluted loss per share

         for Class A and

      Class B ordinary

         shares


      (0.87)


      (0.06)


      (0.93)


      (0.69)


      -


      (0.69)














      (*) The only adjustment

        is share-based

      compensation.













      Reconciliation from net income to adjusted EBITDA(*) (in RMB

      thousands, unaudited)



      For the six months ended


      For the six months ended


      June 30, 2022


      June 30, 2023

      Net loss

      (262,184)


      (210,344)

      Interest expenses, net

      64,763


      78,574

      Income tax expenses

      (9,677)


      (23,417)

      Depreciation and amortization

      53,732


      55,537

      Share-based compensation

      (7,861)


      -

      Other adjustments

      (33,031)


      (48,739)

      Adjusted EBITDA

      (194,258)


      (148,389)

      EBITDA margin

      -135 %


      -52 %





      (*) Definition of adjusted EBITDA: Adjusted EBITDA is defined as net loss plus interest expenses, net, income tax expenses,

      depreciation and amortization, share-based compensation expenses and other adjustments. Other adjustments include foreign

      exchange gain/(loss), net, other (expense)/income, net, gain on disposal of equity method investment and gain on disposal of long-

      lived equipment.

      SOURCE Concord Medical Services Holdings Limited

      Modal title

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