Concord Medical Reports Financial Results for the First Half of 2024

BEIJING, Sept. 27, 2024 /PRNewswire/ -- Concord Medical Services Holdings Limited ("Concord Medical" or the "Company") (NYSE: CCM), a healthcare provider specialized in cancer treatment, research, education and prevention in China, today announced its unaudited consolidated financial results for the six months ended June 30, 2024([1]).

2024 First Half Highlights

    --  Total net revenues were RMB218.8 million (US$30.1 million) in the first
        half of 2024, representing a 23.1% decrease from total net revenues of
        RMB284.5 million in the same period last year. Total net revenues
        included the net revenues from the hospital business of RMB137.8 million
        (US$19.0 million) and the net revenues from the network business of
        RMB81.0 million (US$11.1 million).
    --  Gross loss was RMB41.6 million (US$5.7 million) in the first half of
        2024, compared to the gross loss of RMB37.4 million in the first half of
        2023. The gross loss margin was 19.0% for the first half of 2024,
        compared to 13.2% for the same period last year.
    --  Net loss attributable to ordinary shareholders in the first half of 2024
        was RMB172.3 million (US$23.7 million), compared to RMB91.0 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 2024 were both RMB1.31 (US$0.18), compared to
        RMB0.69 in the same period last year.
    --  Non-GAAP([2]) net loss in the first half of 2024 was RMB328.7 million
        (US$45.2 million), compared to non-GAAP net loss of RMB210.3 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 2024 were both
        RMB1.31 (US$0.18), compared to RMB0.69 in the same period last year.
    --  Adjusted EBITDA([3]) (non-GAAP) was negative RMB148.0 million (US$20.4
        million) in the first half of 2024, compared to negative RMB148.4
        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 RMB7.2672 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 28, 2024.



     
     [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 loss, net, other income, net, gain on disposal of equity method investment, gain on disposal of subsidiaries, change in fair value of derivative liability, changes in fair value of short-term
         investments and gain on disposal of long-lived equipment.

Dr. Jianyu Yang, Chairman and Chief Executive Officer of Concord Medical, commented, "In the past few years, Concord Medical has been actively building a solid foundation for its business development, as well as looking to the future by profoundly enhancing its expertise in oncology care and strengthening the competitiveness of its international diagnosis and treatment services. Concurrently, Concord Medical has been continually exploring the untapped potential of its network business, striving for growth and expansion.

We are delighted to announce that, Guangzhou Concord Cancer Center ("Guangzhou Hospital"), a PRC subsidiary of our Company offering comprehensive cancer care services, has obtained the large medical equipment procurement license for its proton equipment, as announced by the National Health Commission of the PRC on September 14, 2024. Proton therapy services stand as a pivotal segment within Concord Medical's hospital business, anticipated to deliver a significant boost to our revenue base upon its successful implementation. This endeavor will concurrently elevate Guangzhou Hospital's profile and reputation. Looking ahead, we maintain a positive outlook on the growth potential of this sector, expecting continued development and expansion through 2025 and beyond."

2024 First Half Financial Results

Net Revenues

Hospital Business

Net revenues from the hospital business were RMB137.8 million (US$19.0 million) in the first half of 2024, representing a 13.2% decrease from net revenues of RMB158.7 million in the first half of 2023, mainly because (1) we downsized certain of our hospital business with lower profit margin, and (2) as we concentrated the resources in preparing our proton therapy business, the revenue from the medical institutions fluctuated in the short term.

Network Business

Net revenues from the network business were RMB81.0 million (US$11.1 million), representing a 35.6% decrease from net revenues of RMB125.8 million in the first half of 2023, mainly because of the decreased demand for medical equipment, software and the relevant management and technical support services by our customers in current economic environment.

Cost of Revenues

Hospital Business

Cost of revenues of the hospital business in the first half of 2024 was RMB174.0 million (US$23.9 million), representing a 14.9% decrease from cost of revenues of RMB204.4 million in the first half of 2023, mainly because of (1) our overall efforts to improve operation efficiency and reduce costs, especially for staff costs, and (2) the decrease of consumables and maintenance cost, lease cost and staff cost along with the fluctuation in hospital business.

Network Business

Cost of revenues of the network business was RMB86.4 million (US$11.9 million), representing a 26.4% decrease from RMB117.5 million in the first half of 2023, generally in line with the decrease in the business scale and revenue generated from sales and installation of medical equipment and software, management and technical support services.

Gross Loss and Gross Loss Margin

Hospital Business

Gross loss from the hospital business was RMB36.2 million (US$4.9 million) in the first half of 2024, compared to RMB45.7 million in the same period last year. The gross loss margin of the hospital business for the first half of 2024 was 26.3%, compared to the gross loss margin of 28.8% for the same period last year. The improvement in gross loss margin of the hospital business was primarily because of our overall efforts to improve operation efficiency and reduce costs.

Network Business

Gross loss from the network business was RMB5.4 million (US$0.8 million), compared to the gross profit of RMB8.3 million in the first half of 2023. The gross loss margin of the network business for the first half of 2024 was 6.7%, relatively stable compared to the gross profit margin of 6.6% for the same period last year.

Operating Expenses

Selling expenses were RMB25.0 million (US$3.4 million) in the first half of 2024, compared to RMB26.4 million in the first half of 2023. Selling expenses as a percentage of net revenues was 11.4% in the first half of 2024, compared to 9.3% in the first half of 2023.

General and administrative expenses were RMB131.2 million (US$18.1 million) in the first half of 2024, of which employee benefit expenses were RMB62.4 million (US$8.6 million). In the same period of last year, general and administrative expenses were RMB150.2 million. The decrease was mainly attributable to the decrease in staff cost and our overall efforts to improve operation efficiency. General and administrative expenses as a percentage of net revenues was 59.9% in the first half of 2024, compared to 52.8% in the first half of 2023.

Capital Expenditures

Comparing to RMB46.5 million in the first half of 2023, capital expenditures were RMB168.4 million (US$23.2 million) in the first half of 2024, mainly due to the increase in deposit for non-current assets and construction fees for our hospital business.

Accounts Receivable

As of June 30, 2024, accounts receivable were RMB78.2 million (US$10.8 million), representing a 6.4% increase from accounts receivable of RMB73.5 million as of December 31, 2023. The average period of sales outstanding for accounts receivable (also known as days sales outstanding) was 171 days in the first half of 2024.

Bank Loans and Other Borrowings

As of June 30, 2024, the Company had bank loans and other borrowings totaling RMB3.4 billion (US$463.6 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 loss plus interest expenses, net, income tax expenses, depreciation and amortization, share-based compensation expenses and other adjustments. Other adjustments include foreign exchange loss, net, other income, net, gain on disposal of equity method investment, gain on disposal of subsidiaries, change in fair value of derivative liability, changes in fair value of short-term investments 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,


                                                                                                                                                        2023              June 30, 2024


                                                                                                                                              RMB                RMB                    US$


                                                                                                                                           (Audited)         (Unaudited)            (Unaudited)



     
                ASSETS



     
                Current assets



     Cash and cash equivalents                                                                                                                       58,139      115,667                  15,916



     Short-term investment                                                                                                                                -     211,238                  29,067



     Restricted cash, current portion                                                                                                                32,280       10,116                   1,392



     Accounts receivable, net                                                                                                                        73,496       78,222                  10,764



     Prepayments and other current assets, net                                                                                                      412,946      574,330                  79,030



     Inventories                                                                                                                                     40,347       39,832                   5,481



     
                Total current assets                                                                                                              617,208    1,029,405                 141,650





     
                Non-current assets



     Property, plant and equipment, net                                                                                                           3,546,873    3,555,860                 489,303



     Right-of-use assets, net                                                                                                                       580,365      538,514                  74,102



     Goodwill                                                                                                                                       575,427      572,216                  78,740



     Intangible assets, net                                                                                                                         323,287      300,569                  41,360



     Deposits for non-current assets                                                                                                                  4,646      139,085                  19,139



     Long-term investments                                                                                                                          394,711      480,873                  66,170



     Other non-current assets                                                                                                                        11,426        6,171                     849



     
                Total non-current assets                                                                                                        5,436,735    5,593,288                 769,663





     
                Total assets                                                                                                                    6,053,943    6,622,693                 911,313







     
                LIABILITIES AND EQUITY



     
                Current liabilities



     Accounts payable                                                                                                                               129,236      127,334                  17,522



     Accrued expenses and other liabilities                                                                                                         731,793      740,827                 101,940



     Income tax payable                                                                                                                               1,522        1,581                     218



     Operating lease liabilities, current                                                                                                            46,492       35,700                   4,912



     Short-term bank and other borrowings                                                                                                           319,625      363,446                  50,012



     Long-term bank and other borrowings, current portion                                                                                           722,563      793,760                 109,225



     Derivative liability                                                                                                                               163      109,632                  15,086



     
                Total current liabilities                                                                                                       1,951,394    2,172,280                 298,915





     
                Non-current liabilities



     Long-term bank and other borrowings, non-current portion                                                                                     1,994,014    2,211,862                 304,362



     Deferred tax liabilities                                                                                                                        99,538       92,807                  12,771



     Operating lease liabilities, non-current                                                                                                       193,007      159,461                  21,943



     Other long-term liabilities                                                                                                                     69,003       65,397                   9,000



     
                Total non-current liabilities                                                                                                   2,355,562    2,529,527                 348,076





     
                Total liabilities                                                                                                               4,306,956    4,701,807                 646,991



     
                EQUITY



     Class A ordinary shares                                                                                                                             68           68                       9



     Class B ordinary shares                                                                                                                             37           37                       5



     Treasury stock                                                                                                                                     (7)         (7)                    (1)



     Additional paid-in capital                                                                                                                   2,007,965    2,169,695                 298,560



     Accumulated other comprehensive loss                                                                                                          (65,419)    (71,694)                (9,865)



     Accumulated deficit                                                                                                                        (4,064,589) (4,236,847)              (583,010)



     
                Total Concord Medical Services Holdings Limited shareholders' deficit                                                         (2,121,945) (2,138,748)              (294,302)



     Noncontrolling interests                                                                                                                     3,868,932    4,059,634                 558,624





     
                Total equity                                                                                                                    1,746,987    1,920,886                 264,322





     
                Total liabilities and equity                                                                                                    6,053,943    6,622,693                 911,313


                                                                          
              
                Concord Medical Services Holdings Co., Ltd.


                                                                                   
              
                Consolidated Profit & Loss


                                                                 
              
                (in thousands, except for number of shares and per share data)




                                                                                                                                                                    June 30,              June 30, 2024
                                                                                                                                                            202
                                                                                                                                                               3


                                                                                                                                                        RMB                      RMB                     US$


                                                                                                                                                            (Unaudited)      (Unaudited)             (Unaudited)



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



              Hospital                                                                                                                                              158,707      137,772                   18,958



              Network                                                                                                                                               125,806       81,038                   11,151



              
                Total net revenues                                                                                                                       284,513      218,810                   30,109



              
                Cost of revenues:



              Hospital                                                                                                                                            (204,433)   (173,963)                (23,938)



              Network                                                                                                                                             (117,503)    (86,443)                (11,895)



              
                Total cost of revenues                                                                                                                 (321,936)   (260,406)                (35,833)





              
                Gross loss                                                                                                                              (37,423)    (41,596)                 (5,724)





              
                Operating expenses:



              Selling expenses                                                                                                                                     (26,362)    (24,975)                 (3,437)



              General and administrative expenses                                                                                                                 (150,240)   (131,173)                (18,050)





              
                Operating loss                                                                                                                         (214,025)   (197,744)                (27,211)



              Interest expense                                                                                                                                     (84,374)    (68,668)                 (9,449)



              Foreign exchange loss, net                                                                                                                            (2,444)    (30,269)                 (4,165)



              Gain on disposal of long-lived equipment                                                                                                                   62



              Interest income                                                                                                                                         5,800        5,990                      824



              Change in fair value of derivative liability                                                                                                                -   (108,777)                (14,968)



              Income from equity method investments                                                                                                                  10,099        6,070                      835



              Gain on disposal of subsidiaries                                                                                                                            -      47,997                    6,605



              Other income, net                                                                                                                                      13,623        1,388                      191



              Gain on disposal of equity method investment                                                                                                           37,498



              Changes in fair value of short-term investments                                                                                                             -       6,631                      912





              
                Loss before income tax                                                                                                                 (233,761)   (337,382)                (46,426)



              Income tax expenses                                                                                                                                    23,417        8,674                    1,194



              
                Net loss                                                                                                                               (210,344)   (328,708)                (45,232)





              Net loss attributable to noncontrolling interests                                                                                                   (119,359)   (156,450)                (21,528)



              
                Net loss attributable to Concord Medical Services Holdings                                                                              (90,985)   (172,258)                (23,704)
    Limited





              
                Loss per share for Class A and Class B ordinary shares



              Basic                                                                                                                                                  (0.69)      (1.31)                  (0.18)



              Diluted                                                                                                                                                (0.69)      (1.31)                  (0.18)





              
                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 of tax of nil                                                                                                      (17,371)     (6,273)                   (863)



              
                Total other comprehensive loss, net of tax                                                                                              (17,371)     (6,273)                   (863)



              
                Comprehensive loss                                                                                                                     (227,715)   (334,981)                (46,095)



              Comprehensive loss attributable to noncontrolling interests                                                                                         (119,359)   (156,450)                (21,528)



              
                Comprehensive loss attributable to Concord Medical Services                                                                            (108,356)   (178,531)                (24,567)
    Holdings Limited's shareholders


                                               
         
            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, 2023                                                         June 30, 2024


                                                                                                                                  Non-                                              Non-


                                                       GAAP                                                                       GAAP      GAAP                                    GAAP


                                                     Measure                           Adjustment                               Measure   Measure                    Adjustment   Measure



              
          Operating loss               (214,025)                                                                  (214,025) (197,744)                               (197,744)



              
          Net loss                     (210,344)                                                                  (210,344) (328,708)                               (328,708)


                      Basic loss per share for        (0.69)                                                                     (0.69)    (1.31)                                  (1.31)
      Class A and


              
          Class B ordinary
      shares


                      Diluted loss per share          (0.69)                                                                     (0.69)    (1.31)                                  (1.31)
      for Class A and


              
          Class B ordinary
      shares


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




                                                                                                                                  For the six months ended  For the six months ended


                                                                                                                                 June 30, 202
                3       June 30, 2024



              
                Net loss                                                                                                              (210,344)                (328,708)



              Interest expenses, net                                                                                                                78,574                    62,678



              Income tax expenses                                                                                                                 (23,417)                  (8,674)



              Depreciation and amortization                                                                                                         55,537                    43,654



              Share-based compensation                                                                                                                   -



              Other adjustments                                                                                                                   (48,739)                   83,030



              
                Adjusted EBITDA                                                                                                       (148,389)                (148,020)



              
                EBITDA margin                                                                                                             -52 %                    -68 %





              (*) 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 loss, net, other income, net, gain on disposal of equity method investment, gain on disposal of subsidiaries, change in fair
    value of derivative liability, changes in fair value of short-term investments and gain on disposal of long-lived equipment.

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SOURCE Concord Medical Services Holdings Limited