$CCM
Concord Medical Services Holdings Ltd Stock $ccm

$ccm Overview Financials Valuation SEC Filings Company Website

2023 Q4 Form 20-F Financial Statement

#000110465924049117 Filed on April 19, 2024

Income Statement

Concept	2023	2022
Revenue	$75.69M	$68.45M
YoY Change	10.58%	-85.9%
Cost Of Revenue	$86.48M	$90.54M
YoY Change	-4.49%	-83.31%
Gross Profit	-$10.79M	-$22.10M
YoY Change	-51.17%	-61.17%
Gross Profit Margin	-14.26%	-32.28%
Selling, General & Admin	$54.42M	$54.03M
YoY Change	0.73%	-86.54%
% of Gross Profit
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization	$11.57M	$12.86M
YoY Change	-10.05%	-87.65%
% of Gross Profit
Operating Expenses	$54.42M	$54.03M
YoY Change	0.73%	-86.54%
Operating Profit	-$65.21M	-$76.13M
YoY Change	-14.34%	-83.39%
Interest Expense	$23.33M	$17.45M
YoY Change	33.72%	-125.04%
% of Operating Profit
Other Income/Expense, Net	-$1.527M	-$31.41M
YoY Change	-95.14%	2517.08%
Pretax Income	$78.26M	$121.8M
YoY Change	-35.74%	-123.01%
Income Tax	-$3.461M	-$10.28M
% Of Pretax Income	-4.42%	-8.44%
Net Earnings	-$41.93M	-$70.99M
YoY Change	-40.94%	-73.84%
Net Earnings / Revenue	-55.39%	-103.72%
Basic Earnings Per Share	-$0.32	-$0.54
Diluted Earnings Per Share	-$0.32	-$0.54
COMMON SHARES
Basic Shares Outstanding	131.1M	131.1M
Diluted Shares Outstanding	131.1M	131.1M

Balance Sheet

Concept	2023 Q4	2022
SHORT-TERM ASSETS
Cash & Short-Term Investments		$158.3M
YoY Change		-1.13%
Cash & Equivalents	$8.189M	$158.3M
Short-Term Investments		$0.00
Other Short-Term Assets		$399.7M
YoY Change		48.38%
Inventory	$5.683M	$84.84M
Prepaid Expenses
Receivables	$10.35M	$130.3M
Other Receivables		-$13.32M
Total Short-Term Assets	$86.93M	$759.8M
YoY Change	-21.09%	29.99%
LONG-TERM ASSETS
Property, Plant & Equipment	$499.6M	$3.854B
YoY Change	5.72%	2.38%
Goodwill	$81.05M
YoY Change	-2.86%
Intangibles	$45.53M
YoY Change	-11.22%
Long-Term Investments	$45.66M	$437.9M
YoY Change	-6.35%	10.74%
Other Assets	$1.609M	$24.03M
YoY Change	-26.46%	-90.23%
Total Long-Term Assets	$765.7M	$5.245B
YoY Change	0.69%	-7.09%
TOTAL ASSETS
Total Short-Term Assets	$86.93M	$759.8M
Total Long-Term Assets	$765.7M	$5.245B
Total Assets	$852.7M	$6.005B
YoY Change	-2.06%	-3.61%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$18.20M	$146.7M
YoY Change	-14.44%	43.17%
Accrued Expenses	$54.51M	$355.0M
YoY Change	401.27%	10.38%
Deferred Revenue
YoY Change
Short-Term Debt	$45.02M	$168.6M
YoY Change	84.16%	23.52%
Long-Term Debt Due	$101.8M	$344.0M
YoY Change	104.06%	111.29%
Total Short-Term Liabilities	$274.8M	$1.121B
YoY Change	69.07%	39.37%
LONG-TERM LIABILITIES
Long-Term Debt	$280.9M	$2.471B
YoY Change	-21.62%	13.44%
Other Long-Term Liabilities	$9.719M	$284.0M
YoY Change	-20.28%	-10.88%
Total Long-Term Liabilities	$331.8M	$2.755B
YoY Change	-20.21%	10.34%
TOTAL LIABILITIES
Total Short-Term Liabilities	$274.8M	$1.121B
Total Long-Term Liabilities	$331.8M	$2.755B
Total Liabilities	$606.6M	$7.869B
YoY Change	4.88%	3.54%
SHAREHOLDERS EQUITY
Retained Earnings	-$572.5M
YoY Change	4.82%
Common Stock	$282.8M
YoY Change	1.04%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity	-$298.9M	-$1.864B
YoY Change
Total Liabilities & Shareholders Equity	$852.7M	$6.005B
YoY Change	-2.06%	-3.61%

Cashflow Statement

Concept	2023	2022
OPERATING ACTIVITIES
Net Income	-$41.93M	-$70.99M
YoY Change	-40.94%	-73.84%
Depreciation, Depletion And Amortization	$11.57M	$12.86M
YoY Change	-10.05%	-87.65%
Cash From Operating Activities	-$38.94M	-$31.42M
YoY Change	23.95%	-91.26%
INVESTING ACTIVITIES
Capital Expenditures	$15.92M	$32.33M
YoY Change	-50.77%	-110.82%
Acquisitions		$0.00
YoY Change		-100.0%
Other Investing Activities		$105.0M
YoY Change		-139.28%
Cash From Investing Activities	-$6.715M	-$17.22M
YoY Change	-61.01%	-96.96%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net	$1.065M	$28.56M
YoY Change	-96.27%	-86.14%
Cash From Financing Activities	257.7M	55.54M
YoY Change	363.89%	-91.35%
NET CHANGE
Cash From Operating Activities	-38.94M	-31.42M
Cash From Investing Activities	-6.715M	-17.22M
Cash From Financing Activities	257.7M	55.54M
Net Change In Cash	-9.707M	63.00K
YoY Change	-15507.94%	-100.02%
FREE CASH FLOW
Cash From Operating Activities	-$38.94M	-$31.42M
Capital Expenditures	$15.92M	$32.33M
Free Cash Flow	-$54.86M	-$63.75M
YoY Change	-13.94%	5.19%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value
CY2022Q4	us-gaap	Commitments And Contingencies CommitmentsAndContingencies
CY2023Q4	us-gaap	Commitments And Contingencies CommitmentsAndContingencies
CY2023Q4	us-gaap	Commitments And Contingencies CommitmentsAndContingencies
CY2021	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-6.26
CY2022	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-3.74
CY2023	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-2.27
CY2023	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-0.32
CY2021	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	131053858
CY2022	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	131053858
CY2023	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	131053858
CY2023	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	131053858
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CY2023	dei	Entity Central Index Key EntityCentralIndexKey	0001472072
CY2023	dei	Current Fiscal Year End Date CurrentFiscalYearEndDate	--12-31
CY2023	dei	Document Fiscal Year Focus DocumentFiscalYearFocus	2023
CY2023	dei	Document Fiscal Period Focus DocumentFiscalPeriodFocus	FY
CY2023	dei	Amendment Flag AmendmentFlag	false
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CY2023	dei	Entity Registrant Name EntityRegistrantName	Concord Medical Services Holdings Ltd
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CY2023	dei	Document Type DocumentType	20-F
CY2023	dei	Document Registration Statement DocumentRegistrationStatement	false
CY2023	dei	Document Annual Report DocumentAnnualReport	true
CY2023	dei	Document Period End Date DocumentPeriodEndDate	2023-12-31
CY2023	dei	Document Transition Report DocumentTransitionReport	false
CY2023	dei	Document Shell Company Report DocumentShellCompanyReport	false
CY2023	dei	Entity File Number EntityFileNumber	001-34563
CY2023	dei	Entity Incorporation State Country Code EntityIncorporationStateCountryCode	E9
CY2023	dei	Entity Address Address Line1 EntityAddressAddressLine1	Room A1-A5 26/F, East Zone, Hanwei Plaza
CY2023	dei	Entity Address Address Line2 EntityAddressAddressLine2	No. 7 Guanghua Road, Chaoyang District
CY2023	dei	Entity Address City Or Town EntityAddressCityOrTown	Beijing
CY2023	dei	Entity Address Postal Zip Code EntityAddressPostalZipCode	100020
CY2023	dei	Entity Address Country EntityAddressCountry	CN
CY2023	dei	Entity Well Known Seasoned Issuer EntityWellKnownSeasonedIssuer	No
CY2023	dei	Entity Voluntary Filers EntityVoluntaryFilers	No
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CY2023	dei	Auditor Firm AuditorFirmId	5035
CY2023	dei	Auditor Name AuditorName	Shandong Haoxin Certified Public Accountants Co., Ltd.
CY2023	dei	Auditor Location AuditorLocation	Weifang, People’s Republic of China
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CY2023Q4	us-gaap	Cash Cash	58139000
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CY2022	us-gaap	Gain Loss On Sale Of Property Plant Equipment GainLossOnSaleOfPropertyPlantEquipment	-3000
CY2023	us-gaap	Gain Loss On Sale Of Property Plant Equipment GainLossOnSaleOfPropertyPlantEquipment	62000
CY2023	us-gaap	Gain Loss On Sale Of Property Plant Equipment GainLossOnSaleOfPropertyPlantEquipment	9000
CY2021	us-gaap	Investment Income Interest InvestmentIncomeInterest	5894000
CY2022	us-gaap	Investment Income Interest InvestmentIncomeInterest	10021000
CY2023	us-gaap	Investment Income Interest InvestmentIncomeInterest	10832000
CY2023	us-gaap	Investment Income Interest InvestmentIncomeInterest	1526000
CY2021	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	-39000
CY2022	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	1015000
CY2023	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	5207000
CY2023	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	733000
CY2021	ccm	Income Loss From Equity Method Investment IncomeLossFromEquityMethodInvestment	18163000
CY2022	ccm	Income Loss From Equity Method Investment IncomeLossFromEquityMethodInvestment	17647000
CY2023	ccm	Income Loss From Equity Method Investment IncomeLossFromEquityMethodInvestment	20789000
CY2023	ccm	Income Loss From Equity Method Investment IncomeLossFromEquityMethodInvestment	2928000
CY2022	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-61546000
CY2023	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-638000
CY2023	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-90000
CY2021	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-1223000
CY2022	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-216607000
CY2023	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-10839000
CY2023	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-1527000
CY2023	us-gaap	Equity Method Investment Realized Gain Loss On Disposal EquityMethodInvestmentRealizedGainLossOnDisposal	37498000
CY2023	us-gaap	Equity Method Investment Realized Gain Loss On Disposal EquityMethodInvestmentRealizedGainLossOnDisposal	5281000
CY2021	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-529237000
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-839896000
CY2023	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-555594000
CY2023	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-78256000
CY2021	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-6565000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-70906000
CY2023	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-24573000
CY2023	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-3461000
CY2021	us-gaap	Profit Loss ProfitLoss	-522672000
CY2022	us-gaap	Profit Loss ProfitLoss	-768990000
CY2023	us-gaap	Profit Loss ProfitLoss	-531021000
CY2023	us-gaap	Profit Loss ProfitLoss	-74795000
CY2021	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-251245000
CY2022	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-279329000
CY2023	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-233363000
CY2023	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-32868000
CY2021	us-gaap	Net Income Loss NetIncomeLoss	-271427000
CY2022	us-gaap	Net Income Loss NetIncomeLoss	-489661000
CY2023	us-gaap	Net Income Loss NetIncomeLoss	-297658000
CY2023	us-gaap	Net Income Loss NetIncomeLoss	-41927000
CY2021	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-6.26
CY2022	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-3.74
CY2023	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-2.27
CY2023	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-0.32
CY2021	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	131053858
CY2022	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	131053858
CY2023	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	131053858
CY2023	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	131053858
CY2021	us-gaap	Other Comprehensive Income Foreign Currency Transaction And Translation Gain Loss Arising During Period Net Of Tax OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationGainLossArisingDuringPeriodNetOfTax	0
CY2023	us-gaap	Other Comprehensive Income Loss Foreign Currency Translation Adjustment Tax OtherComprehensiveIncomeLossForeignCurrencyTranslationAdjustmentTax	6480000
CY2023	us-gaap	Other Comprehensive Income Loss Foreign Currency Translation Adjustment Tax OtherComprehensiveIncomeLossForeignCurrencyTranslationAdjustmentTax	913000
CY2023	us-gaap	Debt Securities Available For Sale Unrealized Gain Loss DebtSecuritiesAvailableForSaleUnrealizedGainLoss	-31173000
CY2023	us-gaap	Debt Securities Available For Sale Unrealized Gain Loss DebtSecuritiesAvailableForSaleUnrealizedGainLoss	-4391000
CY2021	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	14821000
CY2022	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	-53964000
CY2023	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	-37653000
CY2023	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	-5304000
CY2021	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	-507851000
CY2022	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	-822954000
CY2023	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	-568674000
CY2023	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	-80099000
CY2021	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	-251245000
CY2022	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	-279329000
CY2023	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	-233363000
CY2023	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	-32868000
CY2021	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-256606000
CY2022	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-543625000
CY2023	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-335311000
CY2023	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-47231000
CY2021	us-gaap	Profit Loss ProfitLoss	-522672000
CY2022	us-gaap	Profit Loss ProfitLoss	-768990000
CY2023	us-gaap	Profit Loss ProfitLoss	-531021000
CY2023	us-gaap	Profit Loss ProfitLoss	-74795000
CY2021	us-gaap	Share Based Compensation ShareBasedCompensation	14680000
CY2022	us-gaap	Share Based Compensation ShareBasedCompensation	-5919000
CY2021	us-gaap	Depreciation Depreciation	64288000
CY2022	us-gaap	Depreciation Depreciation	88692000
CY2023	us-gaap	Depreciation Depreciation	82124000
CY2023	us-gaap	Depreciation Depreciation	11567000
CY2021	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	30171000
CY2022	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	34495000
CY2023	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	36705000
CY2023	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	5170000
CY2021	us-gaap	Finance Lease Right Of Use Asset Amortization FinanceLeaseRightOfUseAssetAmortization	9621000
CY2022	us-gaap	Finance Lease Right Of Use Asset Amortization FinanceLeaseRightOfUseAssetAmortization	9627000
CY2023	us-gaap	Finance Lease Right Of Use Asset Amortization FinanceLeaseRightOfUseAssetAmortization	9625000
CY2023	us-gaap	Finance Lease Right Of Use Asset Amortization FinanceLeaseRightOfUseAssetAmortization	1356000
CY2021	us-gaap	Operating Lease Right Of Use Asset Amortization Expense OperatingLeaseRightOfUseAssetAmortizationExpense	21720000
CY2022	us-gaap	Operating Lease Right Of Use Asset Amortization Expense OperatingLeaseRightOfUseAssetAmortizationExpense	19322000
CY2023	us-gaap	Operating Lease Right Of Use Asset Amortization Expense OperatingLeaseRightOfUseAssetAmortizationExpense	26683000
CY2023	us-gaap	Operating Lease Right Of Use Asset Amortization Expense OperatingLeaseRightOfUseAssetAmortizationExpense	3758000
CY2021	us-gaap	Income Loss From Equity Method Investments IncomeLossFromEquityMethodInvestments	18163000
CY2022	us-gaap	Income Loss From Equity Method Investments IncomeLossFromEquityMethodInvestments	17647000
CY2023	us-gaap	Income Loss From Equity Method Investments IncomeLossFromEquityMethodInvestments	20789000
CY2023	us-gaap	Income Loss From Equity Method Investments IncomeLossFromEquityMethodInvestments	2928000
CY2021	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	-39000
CY2022	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	1015000
CY2023	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	5207000
CY2023	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	733000
CY2021	ccm	Net Gain Loss On Sale Of Property Plant Equipment NetGainLossOnSaleOfPropertyPlantEquipment	0
CY2022	ccm	Net Gain Loss On Sale Of Property Plant Equipment NetGainLossOnSaleOfPropertyPlantEquipment	-3000
CY2023	ccm	Net Gain Loss On Sale Of Property Plant Equipment NetGainLossOnSaleOfPropertyPlantEquipment	62000
CY2023	ccm	Net Gain Loss On Sale Of Property Plant Equipment NetGainLossOnSaleOfPropertyPlantEquipment	9000
CY2021	us-gaap	Deferred Income Taxes And Tax Credits DeferredIncomeTaxesAndTaxCredits	11257000
CY2022	us-gaap	Deferred Income Taxes And Tax Credits DeferredIncomeTaxesAndTaxCredits	-71848000
CY2023	us-gaap	Deferred Income Taxes And Tax Credits DeferredIncomeTaxesAndTaxCredits	-13039000
CY2023	us-gaap	Deferred Income Taxes And Tax Credits DeferredIncomeTaxesAndTaxCredits	-1837000
CY2021	ccm	Provision For Reduction Of Doubtful Accounts ProvisionForReductionOfDoubtfulAccounts	-2555000
CY2022	ccm	Provision For Reduction Of Doubtful Accounts ProvisionForReductionOfDoubtfulAccounts	-5400000
CY2023	ccm	Provision For Reduction Of Doubtful Accounts ProvisionForReductionOfDoubtfulAccounts	-64712000
CY2023	ccm	Provision For Reduction Of Doubtful Accounts ProvisionForReductionOfDoubtfulAccounts	-9114000
CY2021	us-gaap	Interest Expense Debt InterestExpenseDebt	73789000
CY2022	us-gaap	Interest Expense Debt InterestExpenseDebt	120357000
CY2023	us-gaap	Interest Expense Debt InterestExpenseDebt	165669000
CY2023	us-gaap	Interest Expense Debt InterestExpenseDebt	23334000
CY2021	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	0
CY2022	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-61546000
CY2023	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-638000
CY2023	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-90000
CY2021	us-gaap	Equity Method Investment Realized Gain Loss On Disposal EquityMethodInvestmentRealizedGainLossOnDisposal	0
CY2022	us-gaap	Equity Method Investment Realized Gain Loss On Disposal EquityMethodInvestmentRealizedGainLossOnDisposal	0
CY2023	us-gaap	Equity Method Investment Realized Gain Loss On Disposal EquityMethodInvestmentRealizedGainLossOnDisposal	37498000
CY2023	us-gaap	Equity Method Investment Realized Gain Loss On Disposal EquityMethodInvestmentRealizedGainLossOnDisposal	5281000
CY2021	us-gaap	Gain Loss On Contract Termination GainLossOnContractTermination	0
CY2022	us-gaap	Gain Loss On Contract Termination GainLossOnContractTermination	-204250000
CY2021	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	64450000
CY2022	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	-644000
CY2023	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	-36454000
CY2023	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	-5134000
CY2021	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	30908000
CY2022	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	130156000
CY2023	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	149738000
CY2023	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	21090000
CY2021	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	4352000
CY2022	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	46750000
CY2023	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	-44489000
CY2023	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	-6266000
CY2021	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	175000
CY2022	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	15000
CY2023	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	-1618000
CY2023	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	-228000
CY2021	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	262842000
CY2022	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	113743000
CY2023	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	15779000
CY2023	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	2222000
CY2021	us-gaap	Increase Decrease In Accrued Liabilities And Other Operating Liabilities IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities	-2515000
CY2022	us-gaap	Increase Decrease In Accrued Liabilities And Other Operating Liabilities IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities	119055000
CY2023	us-gaap	Increase Decrease In Accrued Liabilities And Other Operating Liabilities IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities	70838000
CY2023	us-gaap	Increase Decrease In Accrued Liabilities And Other Operating Liabilities IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities	9977000
CY2021	us-gaap	Increase Decrease In Contract With Customer Liability IncreaseDecreaseInContractWithCustomerLiability	-193464000
CY2022	us-gaap	Increase Decrease In Contract With Customer Liability IncreaseDecreaseInContractWithCustomerLiability	57168000
CY2023	us-gaap	Increase Decrease In Contract With Customer Liability IncreaseDecreaseInContractWithCustomerLiability	-41179000
CY2023	us-gaap	Increase Decrease In Contract With Customer Liability IncreaseDecreaseInContractWithCustomerLiability	-5800000
CY2021	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	-858000
CY2022	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	818000
CY2023	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	705000
CY2023	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	99000
CY2021	ccm	Increase Decrease In Accrued Unrecognized Tax Benefit IncreaseDecreaseInAccruedUnrecognizedTaxBenefit	-621000
CY2022	ccm	Increase Decrease In Accrued Unrecognized Tax Benefit IncreaseDecreaseInAccruedUnrecognizedTaxBenefit	6539000
CY2023	ccm	Increase Decrease In Accrued Unrecognized Tax Benefit IncreaseDecreaseInAccruedUnrecognizedTaxBenefit	15830000
CY2023	ccm	Increase Decrease In Accrued Unrecognized Tax Benefit IncreaseDecreaseInAccruedUnrecognizedTaxBenefit	2230000
CY2021	ccm	Increase Decrease In Operating Lease Liabilities IncreaseDecreaseInOperatingLeaseLiabilities	-13339000
CY2022	ccm	Increase Decrease In Operating Lease Liabilities IncreaseDecreaseInOperatingLeaseLiabilities	-2935000
CY2023	ccm	Increase Decrease In Operating Lease Liabilities IncreaseDecreaseInOperatingLeaseLiabilities	-18147000
CY2023	ccm	Increase Decrease In Operating Lease Liabilities IncreaseDecreaseInOperatingLeaseLiabilities	-2556000
CY2021	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-359313000
CY2022	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-216694000
CY2023	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-276471000
CY2023	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-38944000
CY2021	ccm	Payments To Acquire Land Held For Use1 PaymentsToAcquireLandHeldForUse1	0
CY2022	ccm	Payments To Acquire Land Held For Use1 PaymentsToAcquireLandHeldForUse1	215000
CY2021	us-gaap	Payments To Acquire Equity Method Investments PaymentsToAcquireEquityMethodInvestments	61159000
CY2022	us-gaap	Payments To Acquire Equity Method Investments PaymentsToAcquireEquityMethodInvestments	2300000
CY2021	us-gaap	Payments To Acquire Equity Securities Fv Ni PaymentsToAcquireEquitySecuritiesFvNi	6439000
CY2022	us-gaap	Payments To Acquire Equity Securities Fv Ni PaymentsToAcquireEquitySecuritiesFvNi	0
CY2023	us-gaap	Payments To Acquire Equity Securities Fv Ni PaymentsToAcquireEquitySecuritiesFvNi	100000
CY2023	us-gaap	Payments To Acquire Equity Securities Fv Ni PaymentsToAcquireEquitySecuritiesFvNi	14000
CY2021	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	-1569000
CY2022	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	0
CY2021	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	278977000
CY2022	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	222980000
CY2023	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	113003000
CY2023	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	15916000
CY2021	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	19712000
CY2022	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	818000
CY2023	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	4211000
CY2023	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	593000
CY2021	ccm	Payments For Deposits For Purchases Of Property Plant And Equipment PaymentsForDepositsForPurchasesOfPropertyPlantAndEquipment	481604000
CY2022	ccm	Payments For Deposits For Purchases Of Property Plant And Equipment PaymentsForDepositsForPurchasesOfPropertyPlantAndEquipment	160793000
CY2023	ccm	Payments For Deposits For Purchases Of Property Plant And Equipment PaymentsForDepositsForPurchasesOfPropertyPlantAndEquipment	2699000
CY2023	ccm	Payments For Deposits For Purchases Of Property Plant And Equipment PaymentsForDepositsForPurchasesOfPropertyPlantAndEquipment	380000
CY2021	us-gaap	Proceeds From Sale Of Property Plant And Equipment ProceedsFromSaleOfPropertyPlantAndEquipment	212975000
CY2022	us-gaap	Proceeds From Sale Of Property Plant And Equipment ProceedsFromSaleOfPropertyPlantAndEquipment	5635000
CY2023	us-gaap	Proceeds From Sale Of Property Plant And Equipment ProceedsFromSaleOfPropertyPlantAndEquipment	310000
CY2023	us-gaap	Proceeds From Sale Of Property Plant And Equipment ProceedsFromSaleOfPropertyPlantAndEquipment	44000
CY2021	ccm	Proceeds From Agreements Termination With Cooperative Hospital ProceedsFromAgreementsTerminationWithCooperativeHospital	0
CY2022	ccm	Proceeds From Agreements Termination With Cooperative Hospital ProceedsFromAgreementsTerminationWithCooperativeHospital	238093000
CY2021	us-gaap	Proceeds From Collection Of Lease Receivables ProceedsFromCollectionOfLeaseReceivables	31525000
CY2022	us-gaap	Proceeds From Collection Of Lease Receivables ProceedsFromCollectionOfLeaseReceivables	7536000
CY2023	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	36290000
CY2021	us-gaap	Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	-4639000
CY2022	us-gaap	Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	-47170000
CY2023	us-gaap	Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	-2425000
CY2023	us-gaap	Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	-338000
CY2021	us-gaap	Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital	15863000
CY2022	us-gaap	Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital	5101000
CY2023	us-gaap	Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital	12022000
CY2023	us-gaap	Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital	1693000
CY2021	ccm	Proceeds From Disposal Of Certain Percentage Of Equity Method Investment ProceedsFromDisposalOfCertainPercentageOfEquityMethodInvestment	0
CY2022	ccm	Proceeds From Disposal Of Certain Percentage Of Equity Method Investment ProceedsFromDisposalOfCertainPercentageOfEquityMethodInvestment	0
CY2023	ccm	Proceeds From Disposal Of Certain Percentage Of Equity Method Investment ProceedsFromDisposalOfCertainPercentageOfEquityMethodInvestment	60000000
CY2023	ccm	Proceeds From Disposal Of Certain Percentage Of Equity Method Investment ProceedsFromDisposalOfCertainPercentageOfEquityMethodInvestment	8451000
CY2021	us-gaap	Proceeds From Sale And Maturity Of Available For Sale Securities ProceedsFromSaleAndMaturityOfAvailableForSaleSecurities	19978000
CY2022	us-gaap	Proceeds From Sale And Maturity Of Available For Sale Securities ProceedsFromSaleAndMaturityOfAvailableForSaleSecurities	11949000
CY2021	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-565981000
CY2022	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-118792000
CY2023	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-47681000
CY2023	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-6715000
CY2021	us-gaap	Proceeds From Short Term Debt ProceedsFromShortTermDebt	126112000
CY2022	us-gaap	Proceeds From Short Term Debt ProceedsFromShortTermDebt	217470000
CY2023	us-gaap	Proceeds From Short Term Debt ProceedsFromShortTermDebt	337695000
CY2023	us-gaap	Proceeds From Short Term Debt ProceedsFromShortTermDebt	47563000
CY2021	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	386635000
CY2022	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	422765000
CY2023	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	110000000
CY2023	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	15493000
CY2021	ccm	Proceed From Convertible Debt ProceedFromConvertibleDebt	20000000
CY2021	ccm	Proceeds From Short Term Borrowings From Others ProceedsFromShortTermBorrowingsFromOthers	24432000
CY2022	ccm	Proceeds From Short Term Borrowings From Others ProceedsFromShortTermBorrowingsFromOthers	220369000
CY2023	ccm	Proceeds From Short Term Borrowings From Others ProceedsFromShortTermBorrowingsFromOthers	22150000
CY2023	ccm	Proceeds From Short Term Borrowings From Others ProceedsFromShortTermBorrowingsFromOthers	3120000
CY2021	ccm	Repayments Of Secured Borrowings RepaymentsOfSecuredBorrowings	80886000
CY2022	ccm	Repayments Of Secured Borrowings RepaymentsOfSecuredBorrowings	82915000
CY2023	ccm	Repayments Of Secured Borrowings RepaymentsOfSecuredBorrowings	61777000
CY2023	ccm	Repayments Of Secured Borrowings RepaymentsOfSecuredBorrowings	8701000
CY2021	us-gaap	Repayments Of Short Term Debt RepaymentsOfShortTermDebt	24706000
CY2022	us-gaap	Repayments Of Short Term Debt RepaymentsOfShortTermDebt	197598000
CY2023	us-gaap	Repayments Of Short Term Debt RepaymentsOfShortTermDebt	442858000
CY2023	us-gaap	Repayments Of Short Term Debt RepaymentsOfShortTermDebt	62375000
CY2021	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	206057000
CY2022	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	197003000
CY2023	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	7561000
CY2023	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	1065000
CY2021	ccm	Payments To Subsidiary Noncontrolling Interests PaymentsToSubsidiaryNoncontrollingInterests	4581000
CY2022	ccm	Payments To Subsidiary Noncontrolling Interests PaymentsToSubsidiaryNoncontrollingInterests	0
CY2021	ccm	Proceeds From Related Party Debt Two ProceedsFromRelatedPartyDebtTwo	1500000
CY2023	ccm	Proceeds From Related Party Debt Two ProceedsFromRelatedPartyDebtTwo	300004000
CY2023	ccm	Proceeds From Related Party Debt Two ProceedsFromRelatedPartyDebtTwo	42255000
CY2021	us-gaap	Proceeds From Minority Shareholders ProceedsFromMinorityShareholders	400000000
CY2021	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	642449000
CY2022	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	383088000
CY2023	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	257653000
CY2021	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	-287484000
CY2022	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	432000
CY2023	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	-68924000
CY2023	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	-9707000
CY2020Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	446395000
CY2021Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	158911000
CY2022Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	159343000
CY2022Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	22443000
CY2021Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	158911000
CY2022Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	159343000
CY2023Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	90419000
CY2023Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	12736000
CY2021Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	157386000
CY2022Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	158283000
CY2023Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	58139000
CY2023Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	8189000
CY2021Q4	us-gaap	Restricted Cash And Cash Equivalents At Carrying Value RestrictedCashAndCashEquivalentsAtCarryingValue	1387000
CY2022Q4	us-gaap	Restricted Cash And Cash Equivalents At Carrying Value RestrictedCashAndCashEquivalentsAtCarryingValue	1060000
CY2023Q4	us-gaap	Restricted Cash And Cash Equivalents At Carrying Value RestrictedCashAndCashEquivalentsAtCarryingValue	32280000
CY2023Q4	us-gaap	Restricted Cash And Cash Equivalents At Carrying Value RestrictedCashAndCashEquivalentsAtCarryingValue	4547000
CY2021Q4	us-gaap	Restricted Cash And Cash Equivalents Noncurrent RestrictedCashAndCashEquivalentsNoncurrent	138000
CY2021Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	158911000
CY2022Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	159343000
CY2023Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	90419000
CY2023Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	12736000
CY2021	us-gaap	Income Taxes Paid IncomeTaxesPaid	0
CY2022	us-gaap	Income Taxes Paid IncomeTaxesPaid	3013000
CY2023	us-gaap	Income Taxes Paid IncomeTaxesPaid	898000
CY2023	us-gaap	Income Taxes Paid IncomeTaxesPaid	126000
CY2021	us-gaap	Interest Paid Net InterestPaidNet	134180000
CY2022	us-gaap	Interest Paid Net InterestPaidNet	145257000
CY2023	us-gaap	Interest Paid Net InterestPaidNet	152359000
CY2023	us-gaap	Interest Paid Net InterestPaidNet	21459000
CY2021	us-gaap	Escrow Deposit Disbursements Related To Property Acquisition1 EscrowDepositDisbursementsRelatedToPropertyAcquisition1	460078000
CY2022	us-gaap	Escrow Deposit Disbursements Related To Property Acquisition1 EscrowDepositDisbursementsRelatedToPropertyAcquisition1	257440000
CY2023	us-gaap	Escrow Deposit Disbursements Related To Property Acquisition1 EscrowDepositDisbursementsRelatedToPropertyAcquisition1	5812000
CY2023	us-gaap	Escrow Deposit Disbursements Related To Property Acquisition1 EscrowDepositDisbursementsRelatedToPropertyAcquisition1	819000
CY2021	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	99406000
CY2022	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	2181000
CY2023	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	285358000
CY2023	us-gaap	Capital Expenditures Incurred But Not Yet Paid CapitalExpendituresIncurredButNotYetPaid	40192000
CY2020Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	-512845000
CY2021	us-gaap	Profit Loss ProfitLoss	-522672000
CY2021	ccm	Other Comprehensive Income Net Of Tax OtherComprehensiveIncomeNetOfTax	16934000
CY2021	ccm	Adjustments To Additional Paid In Capital Accretion Of Contingently Redeemable Noncontrolling Interests AdjustmentsToAdditionalPaidInCapitalAccretionOfContingentlyRedeemableNoncontrollingInterests	367107000
CY2021	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	14680000
CY2021	us-gaap	Noncontrolling Interest Increase From Sale Of Parent Equity Interest NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest	1500000
CY2021	us-gaap	Minority Interest Decrease From Redemptions MinorityInterestDecreaseFromRedemptions	-437030000
CY2021Q4	ccm	Percentage Of Equity Redeemed To Reduce Minority Shareholders Equity PercentageOfEquityRedeemedToReduceMinorityShareholdersEquity	15
CY2021	ccm	Minority Interest Decrease From Acquisition Of Additional Shares In Non Wholly Owned Subsidiary MinorityInterestDecreaseFromAcquisitionOfAdditionalSharesInNonWhollyOwnedSubsidiary	4581000
CY2021Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	-937061000
CY2021Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	-937061000
CY2022	us-gaap	Profit Loss ProfitLoss	-768990000
CY2022	ccm	Other Comprehensive Income Net Of Tax OtherComprehensiveIncomeNetOfTax	1730000
CY2022	ccm	Adjustments To Additional Paid In Capital Accretion Of Contingently Redeemable Noncontrolling Interests AdjustmentsToAdditionalPaidInCapitalAccretionOfContingentlyRedeemableNoncontrollingInterests	-3680782000
CY2022	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	-5919000
CY2022	ccm	Investment In Equity Instrument InvestmentInEquityInstrument	45115000
CY2022Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	2015657000
CY2022Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	2015657000
CY2023	us-gaap	Profit Loss ProfitLoss	-531021000
CY2023	ccm	Other Comprehensive Income Net Of Tax OtherComprehensiveIncomeNetOfTax	-37653000
CY2023	ccm	Adjustments To Additional Paid In Capital Capital Injection From Non Controlling Interests AdjustmentsToAdditionalPaidInCapitalCapitalInjectionFromNonControllingInterests	300004000
CY2023Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	1746987000
CY2023Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	246059000
CY2016Q1	ccm	Common Unit Value Authorized CommonUnitValueAuthorized	1009000000
CY2021	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	522672000
CY2022	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	768990000
CY2023	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	531021000
CY2023	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	-74795000
CY2022	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-216694000
CY2023	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-276471000
CY2023	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-38944000
CY2023Q4	us-gaap	Cash Cash	58139000
CY2023Q4	us-gaap	Cash Cash	8189000
CY2023Q4	ccm	Working Capital WorkingCapital	1334186000
CY2023Q4	ccm	Working Capital WorkingCapital	187914000
CY2023Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-4064589000
CY2023Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-572485000
CY2023	us-gaap	Proceeds From Issuance Initial Public Offering ProceedsFromIssuanceInitialPublicOffering	554914000
CY2023	us-gaap	Proceeds From Issuance Initial Public Offering ProceedsFromIssuanceInitialPublicOffering	71044000
CY2023	ccm	Number Of Loan Contracts Entered NumberOfLoanContractsEntered	5
CY2023	ccm	Amount Of Loan Contract Received AmountOfLoanContractReceived	89980000
CY2023	ccm	Amount Of Loan Contract Received AmountOfLoanContractReceived	12672000
CY2023	us-gaap	Use Of Estimates UseOfEstimates	<p style="font-family:'Times New Roman','Times','serif';font-size:10pt;font-style:italic;font-weight:bold;text-align:justify;margin:0pt 0pt 12pt 18pt;"><b style="font-style:normal;font-weight:bold;">Use of estimates</b></p><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:0pt;margin:0pt 0pt 12pt 18pt;">The preparation of consolidated financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosures of contingent assets and liabilities at the balance sheet dates and the reported amounts of revenues and expenses during the reporting periods. Significant estimates and assumptions reflected in the Company’s financial statements include, but are not limited to, impairment of long-lived assets and goodwill, expected credit losses for accounts receivable and other receivables included in prepayments and other current assets, purchase price allocation, measurement of available for sale debt securities, unrecognized tax benefits, realization of deferred tax assets, incremental borrowing rate of right-of-use assets and related lease obligation, and fair value measurement of derivative liability. Actual results could materially differ from those estimates.</p>
CY2023Q4	us-gaap	Foreign Currency Exchange Rate Translation1 ForeignCurrencyExchangeRateTranslation1	7.0999
CY2023Q4	ccm	Foreign Currency Exchange Rate Translation Per Share ForeignCurrencyExchangeRateTranslationPerShare	1.00
CY2023	ccm	Description Of Items To Be Classified As Cash Equivalents DescriptionOfItemsToBeClassifiedAsCashEquivalents	90 days
CY2022Q4	ccm	Number Of Reporting Units After Disposal Of Group NumberOfReportingUnitsAfterDisposalOfGroup	2
CY2023Q4	ccm	Number Of Reporting Units After Disposal Of Group NumberOfReportingUnitsAfterDisposalOfGroup	2
CY2021	us-gaap	Interest Costs Incurred InterestCostsIncurred	139873000
CY2022	us-gaap	Interest Costs Incurred InterestCostsIncurred	180847000
CY2023	us-gaap	Interest Costs Incurred InterestCostsIncurred	223936000
CY2023	us-gaap	Interest Costs Incurred InterestCostsIncurred	31541000
CY2021	us-gaap	Interest Costs Incurred Capitalized InterestCostsIncurredCapitalized	66084000
CY2022	us-gaap	Interest Costs Incurred Capitalized InterestCostsIncurredCapitalized	60490000
CY2023	us-gaap	Interest Costs Incurred Capitalized InterestCostsIncurredCapitalized	58267000
CY2023	us-gaap	Interest Costs Incurred Capitalized InterestCostsIncurredCapitalized	8207000
CY2021	us-gaap	Asset Impairment Charges AssetImpairmentCharges	0
CY2022	us-gaap	Asset Impairment Charges AssetImpairmentCharges	0
CY2023	us-gaap	Asset Impairment Charges AssetImpairmentCharges	0
CY2021Q4	ccm	Percent Appreciation And Depreciation Of Rmb Against Us Dollar PercentAppreciationAndDepreciationOfRmbAgainstUsDollar	-0.023
CY2022Q4	ccm	Percent Appreciation And Depreciation Of Rmb Against Us Dollar PercentAppreciationAndDepreciationOfRmbAgainstUsDollar	0.082
CY2023Q4	ccm	Percent Appreciation And Depreciation Of Rmb Against Us Dollar PercentAppreciationAndDepreciationOfRmbAgainstUsDollar	0.029
CY2021Q1	us-gaap	Goodwill Goodwill	368221000
CY2021Q1	us-gaap	Goodwill Goodwill	57782000
CY2022Q4	us-gaap	Restricted Cash Current RestrictedCashCurrent	1060000
CY2023Q4	us-gaap	Restricted Cash Current RestrictedCashCurrent	32280000
CY2023Q4	us-gaap	Restricted Cash Current RestrictedCashCurrent	4547000
CY2022Q4	us-gaap	Accounts Receivable Gross Current AccountsReceivableGrossCurrent	138035000
CY2023Q4	us-gaap	Accounts Receivable Gross Current AccountsReceivableGrossCurrent	103982000
CY2023Q4	us-gaap	Accounts Receivable Gross Current AccountsReceivableGrossCurrent	14646000
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	7764000
CY2023Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	30486000
CY2023Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	4294000
CY2022Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	130271000
CY2023Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	73496000
CY2023Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	10352000
CY2020Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	6473000
CY2021Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	4932000
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	7764000
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	1094000
CY2021	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	1463000
CY2022	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	2832000
CY2023	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	22752000
CY2023	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	3204000
CY2021	us-gaap	Allowance For Doubtful Accounts Receivable Recoveries AllowanceForDoubtfulAccountsReceivableRecoveries	983000
CY2023	us-gaap	Allowance For Doubtful Accounts Receivable Recoveries AllowanceForDoubtfulAccountsReceivableRecoveries	30000
CY2023	us-gaap	Allowance For Doubtful Accounts Receivable Recoveries AllowanceForDoubtfulAccountsReceivableRecoveries	4000
CY2021	us-gaap	Allowance For Doubtful Accounts Receivable Write Offs AllowanceForDoubtfulAccountsReceivableWriteOffs	2021000
CY2021Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	4932000
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	7764000
CY2023Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	30486000
CY2023Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	4294000
CY2022Q4	ccm	Due From Suppliers Current DueFromSuppliersCurrent	31660000
CY2023Q4	ccm	Due From Suppliers Current DueFromSuppliersCurrent	66893000
CY2023Q4	ccm	Due From Suppliers Current DueFromSuppliersCurrent	9422000
CY2022Q4	us-gaap	Notes Receivable Net NotesReceivableNet	294130000
CY2023Q4	us-gaap	Notes Receivable Net NotesReceivableNet	312036000
CY2023Q4	us-gaap	Notes Receivable Net NotesReceivableNet	43949000
CY2022Q4	ccm	Advances To Employees AdvancesToEmployees	2601000
CY2023Q4	ccm	Advances To Employees AdvancesToEmployees	2213000
CY2023Q4	ccm	Advances To Employees AdvancesToEmployees	312000
CY2022Q4	us-gaap	Dividends Receivable DividendsReceivable	1643000
CY2022Q4	us-gaap	Value Added Tax Receivable Current ValueAddedTaxReceivableCurrent	44268000
CY2023Q4	us-gaap	Value Added Tax Receivable Current ValueAddedTaxReceivableCurrent	43355000
CY2023Q4	us-gaap	Value Added Tax Receivable Current ValueAddedTaxReceivableCurrent	6106000
CY2022Q4	us-gaap	Income Taxes Receivable IncomeTaxesReceivable	234000
CY2023Q4	us-gaap	Income Taxes Receivable IncomeTaxesReceivable	241000
CY2023Q4	us-gaap	Income Taxes Receivable IncomeTaxesReceivable	34000
CY2022Q4	us-gaap	Receivables Long Term Contracts Or Programs ReceivablesLongTermContractsOrPrograms	1138000
CY2023Q4	us-gaap	Receivables Long Term Contracts Or Programs ReceivablesLongTermContractsOrPrograms	1087000
CY2023Q4	us-gaap	Receivables Long Term Contracts Or Programs ReceivablesLongTermContractsOrPrograms	153000
CY2022Q4	us-gaap	Other Deferred Costs Net OtherDeferredCostsNet	200000
CY2023Q4	us-gaap	Other Deferred Costs Net OtherDeferredCostsNet	317000
CY2023Q4	us-gaap	Other Deferred Costs Net OtherDeferredCostsNet	45000
CY2022Q4	us-gaap	Other Assets Miscellaneous OtherAssetsMiscellaneous	26767000
CY2023Q4	us-gaap	Other Assets Miscellaneous OtherAssetsMiscellaneous	46407000
CY2023Q4	us-gaap	Other Assets Miscellaneous OtherAssetsMiscellaneous	6536000
CY2022Q4	ccm	Prepaid Expense And Other Assets Gross Of Reserve Current PrepaidExpenseAndOtherAssetsGrossOfReserveCurrent	402641000
CY2023Q4	ccm	Prepaid Expense And Other Assets Gross Of Reserve Current PrepaidExpenseAndOtherAssetsGrossOfReserveCurrent	472549000
CY2023Q4	ccm	Prepaid Expense And Other Assets Gross Of Reserve Current PrepaidExpenseAndOtherAssetsGrossOfReserveCurrent	66557000
CY2022Q4	ccm	Reserve For Unrecoverable Deposits Current ReserveForUnrecoverableDepositsCurrent	17290000
CY2023Q4	ccm	Reserve For Unrecoverable Deposits Current ReserveForUnrecoverableDepositsCurrent	59603000
CY2023Q4	ccm	Reserve For Unrecoverable Deposits Current ReserveForUnrecoverableDepositsCurrent	8395000
CY2022Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	385351000
CY2023Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	412946000
CY2023Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	58162000
CY2022Q4	us-gaap	Financing Receivable Allowance For Credit Losses FinancingReceivableAllowanceForCreditLosses	3011000
CY2023Q4	us-gaap	Financing Receivable Allowance For Credit Losses FinancingReceivableAllowanceForCreditLosses	20496000
CY2023Q4	us-gaap	Financing Receivable Allowance For Credit Losses FinancingReceivableAllowanceForCreditLosses	2887000
CY2022Q4	us-gaap	Inventory Gross InventoryGross	85442000
CY2023Q4	us-gaap	Inventory Gross InventoryGross	40922000
CY2023Q4	us-gaap	Inventory Gross InventoryGross	5764000
CY2022Q4	us-gaap	Inventory Valuation Reserves InventoryValuationReserves	607000
CY2023Q4	us-gaap	Inventory Valuation Reserves InventoryValuationReserves	575000
CY2023Q4	us-gaap	Inventory Valuation Reserves InventoryValuationReserves	81000
CY2022Q4	us-gaap	Inventory Net InventoryNet	84835000
CY2023Q4	us-gaap	Inventory Net InventoryNet	40347000
CY2023Q4	us-gaap	Inventory Net InventoryNet	5683000
CY2022Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	3583503000
CY2023Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	3940925000
CY2023Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	555068000
CY2022Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	308210000
CY2023Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	385042000
CY2023Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	54232000
CY2022	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	16148000
CY2023	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	9010000
CY2023	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	1269000
CY2022Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	3259145000
CY2023Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	3546873000
CY2023Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	499567000
CY2021	us-gaap	Depreciation Depreciation	64288000
CY2022	us-gaap	Depreciation Depreciation	88692000
CY2023	us-gaap	Depreciation Depreciation	82124000
CY2023	us-gaap	Depreciation Depreciation	11567000
CY2022	us-gaap	Tangible Asset Impairment Charges TangibleAssetImpairmentCharges	0
CY2023	us-gaap	Tangible Asset Impairment Charges TangibleAssetImpairmentCharges	0
CY2021	ccm	Impairment Write Off ImpairmentWriteOff	2645000
CY2022	ccm	Impairment Write Off ImpairmentWriteOff	0
CY2023	ccm	Impairment Write Off ImpairmentWriteOff	7138000
CY2023	ccm	Impairment Write Off ImpairmentWriteOff	1005000
CY2022Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Before Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesBeforeAccumulatedDepreciation	128486000
CY2023Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Before Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesBeforeAccumulatedDepreciation	124894000
CY2023Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Before Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesBeforeAccumulatedDepreciation	17591000
CY2022Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesAccumulatedDepreciation	100681000
CY2023Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesAccumulatedDepreciation	104174000
CY2023Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesAccumulatedDepreciation	14673000
CY2022Q4	ccm	Property And Equipment Pledged As Collateral For Other Borrowings PropertyAndEquipmentPledgedAsCollateralForOtherBorrowings	412683000
CY2023Q4	ccm	Property And Equipment Pledged As Collateral For Other Borrowings PropertyAndEquipmentPledgedAsCollateralForOtherBorrowings	391056000
CY2023Q4	ccm	Property And Equipment Pledged As Collateral For Other Borrowings PropertyAndEquipmentPledgedAsCollateralForOtherBorrowings	55079000
CY2022Q4	ccm	Property And Equipment Pledged To Secure Bank And Other Borrowings PropertyAndEquipmentPledgedToSecureBankAndOtherBorrowings	1754217000
CY2023Q4	ccm	Property And Equipment Pledged To Secure Bank And Other Borrowings PropertyAndEquipmentPledgedToSecureBankAndOtherBorrowings	2027277000
CY2023Q4	ccm	Property And Equipment Pledged To Secure Bank And Other Borrowings PropertyAndEquipmentPledgedToSecureBankAndOtherBorrowings	285536000
CY2022Q4	ccm	Operating Lease Receivables Current OperatingLeaseReceivablesCurrent	14230000
CY2023Q4	ccm	Operating Lease Receivables Current OperatingLeaseReceivablesCurrent	14683000
CY2023Q4	ccm	Operating Lease Receivables Current OperatingLeaseReceivablesCurrent	2068000
CY2022Q4	ccm	Sale Type Lease Receivables Current SaleTypeLeaseReceivablesCurrent	906000
CY2023Q4	ccm	Sale Type Lease Receivables Current SaleTypeLeaseReceivablesCurrent	1515000
CY2023Q4	ccm	Sale Type Lease Receivables Current SaleTypeLeaseReceivablesCurrent	213000
CY2022Q4	us-gaap	Net Investment In Lease NetInvestmentInLease	15136000
CY2023Q4	us-gaap	Net Investment In Lease NetInvestmentInLease	16198000
CY2023Q4	us-gaap	Net Investment In Lease NetInvestmentInLease	2281000
CY2022Q4	ccm	Lease Receivables LeaseReceivables	2175000
CY2023Q4	ccm	Lease Receivables LeaseReceivables	2175000
CY2023Q4	ccm	Lease Receivables LeaseReceivables	306000
CY2022Q4	us-gaap	Direct Financing Lease Net Investment In Lease DirectFinancingLeaseNetInvestmentInLease	340000
CY2023Q4	us-gaap	Direct Financing Lease Net Investment In Lease DirectFinancingLeaseNetInvestmentInLease	1759000
CY2023Q4	us-gaap	Direct Financing Lease Net Investment In Lease DirectFinancingLeaseNetInvestmentInLease	248000
CY2022	ccm	Derecognition Of Underlying Assets DerecognitionOfUnderlyingAssets	47409000
CY2023	ccm	Derecognition Of Underlying Assets DerecognitionOfUnderlyingAssets	40066000
CY2023	ccm	Derecognition Of Underlying Assets DerecognitionOfUnderlyingAssets	5643000
CY2023Q4	us-gaap	Lessor Operating Lease Payments To Be Received Next Twelve Months LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths	1396000
CY2023Q4	us-gaap	Lessor Operating Lease Payments To Be Received Next Twelve Months LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths	197000
CY2023Q4	us-gaap	Lessor Operating Lease Payments To Be Received Two Years LessorOperatingLeasePaymentsToBeReceivedTwoYears	1396000
CY2023Q4	us-gaap	Lessor Operating Lease Payments To Be Received Two Years LessorOperatingLeasePaymentsToBeReceivedTwoYears	197000
CY2023Q4	us-gaap	Lessor Operating Lease Payments To Be Received Three Years LessorOperatingLeasePaymentsToBeReceivedThreeYears	931000
CY2023Q4	us-gaap	Lessor Operating Lease Payments To Be Received Three Years LessorOperatingLeasePaymentsToBeReceivedThreeYears	131000
CY2023Q4	ccm	Lessee Sale And Leaseback Liability Current LesseeSaleAndLeasebackLiabilityCurrent	301681000
CY2023Q4	ccm	Lessee Sale And Leaseback Liability Current LesseeSaleAndLeasebackLiabilityCurrent	42491000
CY2023Q4	ccm	Lessee Sale And Leaseback Liability Noncurrent LesseeSaleAndLeasebackLiabilityNoncurrent	202178000
CY2023Q4	ccm	Lessee Sale And Leaseback Liability Noncurrent LesseeSaleAndLeasebackLiabilityNoncurrent	28476000
CY2021	ccm	Interest Expense On Sale Lease Back Transaction InterestExpenseOnSaleLeaseBackTransaction	39876000
CY2022	ccm	Interest Expense On Sale Lease Back Transaction InterestExpenseOnSaleLeaseBackTransaction	47049000
CY2023	ccm	Interest Expense On Sale Lease Back Transaction InterestExpenseOnSaleLeaseBackTransaction	74024000
CY2023	ccm	Interest Expense On Sale Lease Back Transaction InterestExpenseOnSaleLeaseBackTransaction	10426000
CY2023	us-gaap	Operating Lease Cost OperatingLeaseCost	41158000
CY2023	us-gaap	Operating Lease Cost OperatingLeaseCost	5797000
CY2023	us-gaap	Short Term Lease Cost ShortTermLeaseCost	41000
CY2023	us-gaap	Short Term Lease Cost ShortTermLeaseCost	6000
CY2023	us-gaap	Lease Cost LeaseCost	41199000
CY2023	us-gaap	Lease Cost LeaseCost	5803000
CY2023	us-gaap	Operating Lease Payments OperatingLeasePayments	18147000
CY2023	us-gaap	Operating Lease Payments OperatingLeasePayments	2556000
CY2023	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	15060000
CY2023	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	2121000
CY2023Q4	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P3Y
CY2023Q4	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P3Y
CY2023Q4	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.0587
CY2023Q4	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.0587
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due Next Twelve Months LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths	57992000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due Next Twelve Months LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths	8168000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	29134000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	4103000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	24046000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	3387000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	21723000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	3060000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	22097000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	3112000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due After Year Five LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive	167181000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due After Year Five LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive	23547000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	322173000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	45377000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	82674000
CY2023Q4	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	11645000
CY2023Q4	us-gaap	Operating Lease Liability OperatingLeaseLiability	239499000
CY2023Q4	us-gaap	Operating Lease Liability OperatingLeaseLiability	33732000
CY2022Q4	us-gaap	Prepaid Expense Other Noncurrent PrepaidExpenseOtherNoncurrent	464209000
CY2023Q4	us-gaap	Prepaid Expense Other Noncurrent PrepaidExpenseOtherNoncurrent	464209000
CY2023Q4	us-gaap	Prepaid Expense Other Noncurrent PrepaidExpenseOtherNoncurrent	65382000
CY2022Q4	ccm	Prepaid Land Lease Payments Noncurrent Accumulated Amortization PrepaidLandLeasePaymentsNoncurrentAccumulatedAmortization	56723000
CY2023Q4	ccm	Prepaid Land Lease Payments Noncurrent Accumulated Amortization PrepaidLandLeasePaymentsNoncurrentAccumulatedAmortization	66350000
CY2023Q4	ccm	Prepaid Land Lease Payments Noncurrent Accumulated Amortization PrepaidLandLeasePaymentsNoncurrentAccumulatedAmortization	9345000
CY2022Q4	us-gaap	Prepaid Expense Noncurrent PrepaidExpenseNoncurrent	407486000
CY2023Q4	us-gaap	Prepaid Expense Noncurrent PrepaidExpenseNoncurrent	397859000
CY2023Q4	us-gaap	Prepaid Expense Noncurrent PrepaidExpenseNoncurrent	56037000
CY2022	ccm	Prepaid Land Lease Amortization Expense PrepaidLandLeaseAmortizationExpense	407486000
CY2023	ccm	Prepaid Land Lease Amortization Expense PrepaidLandLeaseAmortizationExpense	397859000
CY2023	ccm	Prepaid Land Lease Amortization Expense PrepaidLandLeaseAmortizationExpense	56037000
CY2021	ccm	Finance Lease Amortization Expenses FinanceLeaseAmortizationExpenses	9621000
CY2022	ccm	Finance Lease Amortization Expenses FinanceLeaseAmortizationExpenses	9627000
CY2023	ccm	Finance Lease Amortization Expenses FinanceLeaseAmortizationExpenses	9627000
CY2023	ccm	Finance Lease Amortization Expenses FinanceLeaseAmortizationExpenses	1356000
CY2022Q4	us-gaap	Secured Debt Other SecuredDebtOther	395973000
CY2023Q4	us-gaap	Secured Debt Other SecuredDebtOther	386614000
CY2023Q4	us-gaap	Secured Debt Other SecuredDebtOther	54453000
CY2023Q4	ccm	Prepaid Land Lease Amortization Expense Next Twelve Months PrepaidLandLeaseAmortizationExpenseNextTwelveMonths	9627000
CY2023Q4	ccm	Prepaid Land Lease Amortization Expense Next Twelve Months PrepaidLandLeaseAmortizationExpenseNextTwelveMonths	1356000
CY2023Q4	ccm	Prepaid Land Lease Amortization Expense Year Two PrepaidLandLeaseAmortizationExpenseYearTwo	9627000
CY2023Q4	ccm	Prepaid Land Lease Amortization Expense Year Two PrepaidLandLeaseAmortizationExpenseYearTwo	1356000
CY2023Q4	ccm	Prepaid Land Lease Amortization Expense Year Three PrepaidLandLeaseAmortizationExpenseYearThree	9627000
CY2023Q4	ccm	Prepaid Land Lease Amortization Expense Year Three PrepaidLandLeaseAmortizationExpenseYearThree	1356000
CY2023Q4	ccm	Prepaid Land Lease Amortization Expense Year Four PrepaidLandLeaseAmortizationExpenseYearFour	9627000
CY2023Q4	ccm	Prepaid Land Lease Amortization Expense Year Four PrepaidLandLeaseAmortizationExpenseYearFour	1356000
CY2023Q4	ccm	Prepaid Land Lease Amortization Expense Year Five PrepaidLandLeaseAmortizationExpenseYearFive	9627000
CY2023Q4	ccm	Prepaid Land Lease Amortization Expense Year Five PrepaidLandLeaseAmortizationExpenseYearFive	1356000
CY2018	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	165171000
CY2019	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	45272000
CY2020	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	3213000
CY2021	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	368221000
CY2022	ccm	Disposal Of Goodwill During Period DisposalOfGoodwillDuringPeriod	6450000
CY2021Q4	us-gaap	Goodwill Goodwill	581877000
CY2022Q4	us-gaap	Goodwill Goodwill	575427000
CY2022Q4	us-gaap	Goodwill Goodwill	81047000
CY2023	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	0
CY2023	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	0
CY2022	ccm	Disposal Of Goodwill During Period DisposalOfGoodwillDuringPeriod	6450000
CY2023	ccm	Disposal Of Goodwill During Period DisposalOfGoodwillDuringPeriod	0
CY2023	ccm	Disposal Of Goodwill During Period DisposalOfGoodwillDuringPeriod	0
CY2022	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2023	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2023	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2022Q4	us-gaap	Goodwill Goodwill	575427000
CY2023Q4	us-gaap	Goodwill Goodwill	575427000
CY2023Q4	us-gaap	Goodwill Goodwill	81047000
CY2021	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2022	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2023	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2021Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	657837000
CY2022	us-gaap	Capitalized Computer Software Additions CapitalizedComputerSoftwareAdditions	3334000
CY2022	ccm	Finite Lived Intangible Assets Decrease From Termiantion Agreement FiniteLivedIntangibleAssetsDecreaseFromTermiantionAgreement	-272910000
CY2022	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	34495000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	353766000
CY2023	us-gaap	Capitalized Computer Software Additions CapitalizedComputerSoftwareAdditions	6296000
CY2023	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	36705000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	323287000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	45534000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	493062000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	168812000
CY2023Q4	ccm	Finitelived Intangible Assets Accumulated Impairment FinitelivedIntangibleAssetsAccumulatedImpairment	963000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	323287000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	40759000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	5741000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	35767000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	5038000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	34064000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	4798000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	29142000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	4105000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	183555000
CY2023Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	25852000
CY2022Q4	us-gaap	Retainage Deposit RetainageDeposit	8932000
CY2023Q4	us-gaap	Retainage Deposit RetainageDeposit	4646000
CY2023Q4	us-gaap	Retainage Deposit RetainageDeposit	654000
CY2022Q4	us-gaap	Deposits Assets Noncurrent DepositsAssetsNoncurrent	8932000
CY2023Q4	us-gaap	Deposits Assets Noncurrent DepositsAssetsNoncurrent	4646000
CY2023Q4	us-gaap	Deposits Assets Noncurrent DepositsAssetsNoncurrent	654000
CY2023	ccm	Schedule Of Long Term Investments ScheduleOfLongTermInvestments	<p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;margin:0pt 0pt 0pt 18pt;"><span style="margin-bottom:12pt;margin-left:0pt;visibility:hidden;"></span></p><table style="border-collapse:collapse;font-size:16pt;height:max-content;margin-left:auto;margin-right:auto;padding-left:0pt;padding-right:0pt;width:80%;"><tr style="height:1pt;"><td style="vertical-align:bottom;width:67.89%;margin:0pt;padding:0pt;"><div style="height:1pt;overflow:hidden;overflow-wrap:break-word;position:relative;"><div style="bottom:0pt;position:absolute;width:100%;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:1pt;visibility:hidden;"></span></p></div></div></td><td style="vertical-align:bottom;white-space:nowrap;width:2.03%;margin:0pt;padding:0pt;"><div style="height:1pt;overflow:hidden;overflow-wrap:break-word;position:relative;"><div style="bottom:0pt;position:absolute;width:100%;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:1pt;visibility:hidden;"></span></p></div></div></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;margin:0pt;padding:0pt;"><div style="height:1pt;overflow:hidden;overflow-wrap:break-word;position:relative;"><div style="bottom:0pt;position:absolute;width:100%;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:1pt;visibility:hidden;"></span></p></div></div></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;margin:0pt;padding:0pt;"><div style="height:1pt;overflow:hidden;overflow-wrap:break-word;position:relative;"><div style="bottom:0pt;position:absolute;width:100%;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:1pt;visibility:hidden;"></span></p></div></div></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;margin:0pt;padding:0pt;"><div style="height:1pt;overflow:hidden;overflow-wrap:break-word;position:relative;"><div style="bottom:0pt;position:absolute;width:100%;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:1pt;visibility:hidden;"></span></p></div></div></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;margin:0pt;padding:0pt;"><div style="height:1pt;overflow:hidden;overflow-wrap:break-word;position:relative;"><div style="bottom:0pt;position:absolute;width:100%;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:1pt;visibility:hidden;"></span></p></div></div></td><td style="vertical-align:bottom;white-space:nowrap;width:8.37%;margin:0pt;padding:0pt;"><div style="height:1pt;overflow:hidden;overflow-wrap:break-word;position:relative;"><div style="bottom:0pt;position:absolute;width:100%;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:1pt;visibility:hidden;"></span></p></div></div></td></tr><tr><td style="vertical-align:bottom;width:67.89%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:8pt;visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.03%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:8pt;visibility:hidden;"></span></p></td><td colspan="5" style="vertical-align:bottom;white-space:nowrap;width:30.06%;border-bottom:1px solid #000000;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"><b style="font-weight:bold;">As at December 31, </b></p></td></tr><tr><td style="vertical-align:bottom;width:67.89%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:8pt;visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.03%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;margin:0pt 0pt 0.05pt 0pt;"> </p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;border-bottom:1px solid #000000;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"><b style="font-weight:bold;">2022</b></p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;margin:0pt 0pt 0.05pt 0pt;"> </p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;border-bottom:1px solid #000000;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"><b style="font-weight:bold;">2023</b></p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;margin:0pt 0pt 0.05pt 0pt;"> </p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.37%;border-bottom:1px solid #000000;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"><b style="font-weight:bold;">2023</b></p></td></tr><tr><td style="vertical-align:bottom;width:67.89%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="font-size:8pt;visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.03%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"> </p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"><b style="font-weight:bold;">RMB</b></p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"> </p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"><b style="font-weight:bold;">RMB</b></p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"> </p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.37%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:8pt;text-align:center;margin:0pt 0pt 0.05pt 0pt;"><b style="font-weight:bold;">US$</b></p></td></tr><tr><td style="vertical-align:bottom;width:67.89%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;">Equity investments without readily determinable fair value</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.03%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> </p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 51,524</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> <span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 51,624</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> <span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.37%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 7,271</p></td></tr><tr><td style="vertical-align:bottom;width:67.89%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;">Equity method investments</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.03%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> </p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 336,254</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> <span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 324,163</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> <span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.37%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 45,657</p></td></tr><tr><td style="vertical-align:bottom;width:67.89%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;">Available-for-sale debt securities</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.03%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 50,096</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 18,924</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.37%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 2,665</p></td></tr><tr><td style="vertical-align:bottom;width:67.89%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;">Less: Impairment loss</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.03%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;border-bottom:1px solid #000000;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> —</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;border-bottom:1px solid #000000;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> —</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.37%;border-bottom:1px solid #000000;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> —</p></td></tr><tr><td style="vertical-align:bottom;width:67.89%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"><b style="font-weight:bold;">Total</b></p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.03%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> </p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;background:#cceeff;border-bottom:3px double #000000;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 437,874</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> <span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.79%;background:#cceeff;border-bottom:3px double #000000;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 394,711</p></td><td style="vertical-align:bottom;white-space:nowrap;width:2.04%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> <span style="visibility:hidden;"></span></p></td><td style="vertical-align:bottom;white-space:nowrap;width:8.37%;background:#cceeff;border-bottom:3px double #000000;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:right;margin:0pt 3pt 0.05pt 0pt;"> 55,593</p></td></tr></table>
CY2022Q4	us-gaap	Equity Securities Without Readily Determinable Fair Value Amount EquitySecuritiesWithoutReadilyDeterminableFairValueAmount	51524000
CY2023Q4	us-gaap	Equity Securities Without Readily Determinable Fair Value Amount EquitySecuritiesWithoutReadilyDeterminableFairValueAmount	51624000
CY2023Q4	us-gaap	Equity Securities Without Readily Determinable Fair Value Amount EquitySecuritiesWithoutReadilyDeterminableFairValueAmount	7271000
CY2022Q4	us-gaap	Equity Method Investments EquityMethodInvestments	336254000
CY2023Q4	us-gaap	Equity Method Investments EquityMethodInvestments	324163000
CY2023Q4	us-gaap	Equity Method Investments EquityMethodInvestments	45657000
CY2022Q4	us-gaap	Available For Sale Securities Debt Securities AvailableForSaleSecuritiesDebtSecurities	50096000
CY2023Q4	us-gaap	Available For Sale Securities Debt Securities AvailableForSaleSecuritiesDebtSecurities	18924000
CY2023Q4	us-gaap	Available For Sale Securities Debt Securities AvailableForSaleSecuritiesDebtSecurities	2665000
CY2022Q4	us-gaap	Long Term Investments LongTermInvestments	437874000
CY2023Q4	us-gaap	Long Term Investments LongTermInvestments	394711000
CY2023Q4	us-gaap	Long Term Investments LongTermInvestments	55593000
CY2022Q4	us-gaap	Equity Method Investments Fair Value Disclosure EquityMethodInvestmentsFairValueDisclosure	51524000
CY2023Q4	us-gaap	Equity Method Investments Fair Value Disclosure EquityMethodInvestmentsFairValueDisclosure	51624000
CY2021Q4	ccm	Pledged Asset Separately Reported Non Securitized Investments Pledged As Collateral At Fair Value PledgedAssetSeparatelyReportedNonSecuritizedInvestmentsPledgedAsCollateralAtFairValue	167044000
CY2022Q4	ccm	Pledged Asset Separately Reported Non Securitized Investments Pledged As Collateral At Fair Value PledgedAssetSeparatelyReportedNonSecuritizedInvestmentsPledgedAsCollateralAtFairValue	179231000
CY2023Q4	ccm	Pledged Asset Separately Reported Non Securitized Investments Pledged As Collateral At Fair Value PledgedAssetSeparatelyReportedNonSecuritizedInvestmentsPledgedAsCollateralAtFairValue	189676000
CY2023Q4	ccm	Pledged Asset Separately Reported Non Securitized Investments Pledged As Collateral At Fair Value PledgedAssetSeparatelyReportedNonSecuritizedInvestmentsPledgedAsCollateralAtFairValue	26715000
CY2022Q2	us-gaap	Equity Method Investment Sold Carrying Amount EquityMethodInvestmentSoldCarryingAmount	11949000
CY2022Q4	us-gaap	Security Deposit SecurityDeposit	6249000
CY2023Q4	us-gaap	Security Deposit SecurityDeposit	3760000
CY2023Q4	us-gaap	Security Deposit SecurityDeposit	530000
CY2022Q4	ccm	Advances To Hospitals Noncurrent AdvancesToHospitalsNoncurrent	1002000
CY2023Q4	ccm	Advances To Hospitals Noncurrent AdvancesToHospitalsNoncurrent	1325000
CY2023Q4	ccm	Advances To Hospitals Noncurrent AdvancesToHospitalsNoncurrent	187000
CY2022Q4	us-gaap	Other Assets Miscellaneous Noncurrent OtherAssetsMiscellaneousNoncurrent	7842000
CY2023Q4	us-gaap	Other Assets Miscellaneous Noncurrent OtherAssetsMiscellaneousNoncurrent	6341000
CY2023Q4	us-gaap	Other Assets Miscellaneous Noncurrent OtherAssetsMiscellaneousNoncurrent	892000
CY2022Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	15093000
CY2023Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	11426000
CY2023Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	1609000
CY2022	ccm	Long Term Deposits Impairment Loss LongTermDepositsImpairmentLoss	2000
CY2023	ccm	Long Term Deposits Impairment Loss LongTermDepositsImpairmentLoss	28000
CY2023	ccm	Long Term Deposits Impairment Loss LongTermDepositsImpairmentLoss	4000
CY2022	ccm	Advances To Hospitals Impairment Loss AdvancesToHospitalsImpairmentLoss	102000
CY2023	ccm	Advances To Hospitals Impairment Loss AdvancesToHospitalsImpairmentLoss	324000
CY2023	ccm	Advances To Hospitals Impairment Loss AdvancesToHospitalsImpairmentLoss	46000
CY2022	us-gaap	Other Asset Impairment Charges OtherAssetImpairmentCharges	797000
CY2023	us-gaap	Other Asset Impairment Charges OtherAssetImpairmentCharges	0
CY2022Q4	us-gaap	Accrued Liabilities Current AccruedLiabilitiesCurrent	75010000
CY2023Q4	us-gaap	Accrued Liabilities Current AccruedLiabilitiesCurrent	387040000
CY2023Q4	us-gaap	Accrued Liabilities Current AccruedLiabilitiesCurrent	54513000
CY2022Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	73803000
CY2023Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	98599000
CY2023Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	13887000
CY2022Q4	us-gaap	Taxes Payable Current TaxesPayableCurrent	27961000
CY2023Q4	us-gaap	Taxes Payable Current TaxesPayableCurrent	15619000
CY2023Q4	us-gaap	Taxes Payable Current TaxesPayableCurrent	2200000
CY2022Q4	us-gaap	Contractual Obligation ContractualObligation	100802000
CY2023Q4	us-gaap	Contractual Obligation ContractualObligation	59408000
CY2023Q4	us-gaap	Contractual Obligation ContractualObligation	8367000
CY2022Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	142305000
CY2023Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	171127000
CY2023Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	24103000
CY2022Q4	us-gaap	Accrued Liabilities And Other Liabilities AccruedLiabilitiesAndOtherLiabilities	419881000
CY2023Q4	us-gaap	Accrued Liabilities And Other Liabilities AccruedLiabilitiesAndOtherLiabilities	731793000
CY2023Q4	us-gaap	Accrued Liabilities And Other Liabilities AccruedLiabilitiesAndOtherLiabilities	103070000
CY2015	us-gaap	Stock Repurchased During Period Shares StockRepurchasedDuringPeriodShares	614033
CY2016	us-gaap	Stock Repurchased During Period Shares StockRepurchasedDuringPeriodShares	967408
CY2015	us-gaap	Payments For Repurchase Of Equity PaymentsForRepurchaseOfEquity	3111000
CY2016	us-gaap	Payments For Repurchase Of Equity PaymentsForRepurchaseOfEquity	4542000
CY2021	us-gaap	Dividends Common Stock Cash DividendsCommonStockCash	0
CY2022	us-gaap	Dividends Common Stock Cash DividendsCommonStockCash	0
CY2023	us-gaap	Dividends Common Stock Cash DividendsCommonStockCash	0
CY2022Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	2984010000
CY2023Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	3036202000
CY2023Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	427640000
CY2022Q4	us-gaap	Short Term Borrowings ShortTermBorrowings	168601000
CY2023Q4	us-gaap	Short Term Borrowings ShortTermBorrowings	319625000
CY2023Q4	us-gaap	Short Term Borrowings ShortTermBorrowings	45018000
CY2022Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	343982000
CY2023Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	722563000
CY2023Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	101771000
CY2022Q4	us-gaap	Debt Current DebtCurrent	512583000
CY2023Q4	us-gaap	Debt Current DebtCurrent	1042188000
CY2023Q4	us-gaap	Debt Current DebtCurrent	146789000
CY2022Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	2471427000
CY2023Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	1994014000
CY2023Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	280851000
CY2022Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	2984010000
CY2023Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	3036202000
CY2023Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	427640000
CY2022Q4	us-gaap	Direct Financing Lease Net Investment In Lease DirectFinancingLeaseNetInvestmentInLease	340000
CY2023Q4	us-gaap	Direct Financing Lease Net Investment In Lease DirectFinancingLeaseNetInvestmentInLease	1759000
CY2023Q4	us-gaap	Direct Financing Lease Net Investment In Lease DirectFinancingLeaseNetInvestmentInLease	248000
CY2022Q4	us-gaap	Short Term Debt Weighted Average Interest Rate ShortTermDebtWeightedAverageInterestRate	0.0660
CY2023Q4	us-gaap	Short Term Debt Weighted Average Interest Rate ShortTermDebtWeightedAverageInterestRate	0.0819
CY2023Q4	srt	Bank Loans BankLoans	151753000
CY2023Q4	srt	Bank Loans BankLoans	21374000
CY2022Q4	srt	Bank Loans BankLoans	156555000
CY2023Q4	us-gaap	Other Borrowings OtherBorrowings	2884449000
CY2023Q4	us-gaap	Other Borrowings OtherBorrowings	406266000
CY2022Q4	us-gaap	Other Borrowings OtherBorrowings	2827455000
CY2023	ccm	Minimum Percentage Of After Tax Profit For General Reserve MinimumPercentageOfAfterTaxProfitForGeneralReserve	0.10
CY2023Q4	us-gaap	Retained Earnings Appropriated RetainedEarningsAppropriated	4015583000
CY2023Q4	us-gaap	Retained Earnings Appropriated RetainedEarningsAppropriated	565583000
CY2021	us-gaap	Current Federal State And Local Tax Expense Benefit CurrentFederalStateAndLocalTaxExpenseBenefit	362000
CY2022	us-gaap	Current Federal State And Local Tax Expense Benefit CurrentFederalStateAndLocalTaxExpenseBenefit	196000
CY2023	us-gaap	Current Federal State And Local Tax Expense Benefit CurrentFederalStateAndLocalTaxExpenseBenefit	404000
CY2023	us-gaap	Current Federal State And Local Tax Expense Benefit CurrentFederalStateAndLocalTaxExpenseBenefit	57000
CY2023	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.25
CY2023	ccm	Withholding Tax Rate WithholdingTaxRate	10
CY2021	us-gaap	Income Loss From Continuing Operations Before Income Taxes Foreign IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign	5451000
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Foreign IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign	45211000
CY2023	us-gaap	Income Loss From Continuing Operations Before Income Taxes Foreign IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign	20824000
CY2023	us-gaap	Income Loss From Continuing Operations Before Income Taxes Foreign IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign	2933000
CY2021	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-534688000
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-885107000
CY2023	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-576418000
CY2023	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-81189000
CY2021	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-529237000
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-839896000
CY2023	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-555594000
CY2023	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-78256000
CY2021	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	4115000
CY2022	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	-8765000
CY2023	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	-7014000
CY2023	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	-988000
CY2021	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-10680000
CY2022	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-62141000
CY2023	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-17559000
CY2023	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-2473000
CY2021	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-6565000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-70906000
CY2023	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-24573000
CY2023	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-3461000
CY2021	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	529237000
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	839896000
CY2023	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	555594000
CY2023	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	78256000
CY2021	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.25
CY2022	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.25
CY2023	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.25
CY2021	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	-132309000
CY2022	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	-209974000
CY2023	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	-138899000
CY2023	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	-19564000
CY2021	us-gaap	Income Tax Reconciliation Foreign Income Tax Rate Differential IncomeTaxReconciliationForeignIncomeTaxRateDifferential	2798000
CY2022	us-gaap	Income Tax Reconciliation Foreign Income Tax Rate Differential IncomeTaxReconciliationForeignIncomeTaxRateDifferential	-20584000
CY2023	us-gaap	Income Tax Reconciliation Foreign Income Tax Rate Differential IncomeTaxReconciliationForeignIncomeTaxRateDifferential	-5178000
CY2023	us-gaap	Income Tax Reconciliation Foreign Income Tax Rate Differential IncomeTaxReconciliationForeignIncomeTaxRateDifferential	-728000
CY2021	us-gaap	Income Tax Reconciliation Nondeductible Expense IncomeTaxReconciliationNondeductibleExpense	-10502000
CY2022	us-gaap	Income Tax Reconciliation Nondeductible Expense IncomeTaxReconciliationNondeductibleExpense	21543000
CY2023	us-gaap	Income Tax Reconciliation Nondeductible Expense IncomeTaxReconciliationNondeductibleExpense	18287000
CY2023	us-gaap	Income Tax Reconciliation Nondeductible Expense IncomeTaxReconciliationNondeductibleExpense	2575000
CY2021	us-gaap	Income Tax Reconciliation Tax Exempt Income IncomeTaxReconciliationTaxExemptIncome	-9183000
CY2022	us-gaap	Income Tax Reconciliation Tax Exempt Income IncomeTaxReconciliationTaxExemptIncome	55705000
CY2023	us-gaap	Income Tax Reconciliation Tax Exempt Income IncomeTaxReconciliationTaxExemptIncome	6447000
CY2023	us-gaap	Income Tax Reconciliation Tax Exempt Income IncomeTaxReconciliationTaxExemptIncome	908000
CY2021	ccm	Effective Income Tax Rate Reconciliation Statutory Income Expense Amount EffectiveIncomeTaxRateReconciliationStatutoryIncomeExpenseAmount	3994000
CY2022	ccm	Effective Income Tax Rate Reconciliation Statutory Income Expense Amount EffectiveIncomeTaxRateReconciliationStatutoryIncomeExpenseAmount	25419000
CY2023	ccm	Effective Income Tax Rate Reconciliation Statutory Income Expense Amount EffectiveIncomeTaxRateReconciliationStatutoryIncomeExpenseAmount	51631000
CY2023	ccm	Effective Income Tax Rate Reconciliation Statutory Income Expense Amount EffectiveIncomeTaxRateReconciliationStatutoryIncomeExpenseAmount	7272000
CY2021	ccm	Effective Income Tax Rate Reconciliation Interest And Penalty EffectiveIncomeTaxRateReconciliationInterestAndPenalty	-12918000
CY2022	ccm	Effective Income Tax Rate Reconciliation Interest And Penalty EffectiveIncomeTaxRateReconciliationInterestAndPenalty	-7254000
CY2023	ccm	Effective Income Tax Rate Reconciliation Interest And Penalty EffectiveIncomeTaxRateReconciliationInterestAndPenalty	-6121000
CY2023	ccm	Effective Income Tax Rate Reconciliation Interest And Penalty EffectiveIncomeTaxRateReconciliationInterestAndPenalty	-862000
CY2021	ccm	Effective Income Tax Rate Reconciliation Deferred Tax Expense EffectiveIncomeTaxRateReconciliationDeferredTaxExpense	-13953000
CY2022	ccm	Effective Income Tax Rate Reconciliation Deferred Tax Expense EffectiveIncomeTaxRateReconciliationDeferredTaxExpense	7056000
CY2023	ccm	Effective Income Tax Rate Reconciliation Deferred Tax Expense EffectiveIncomeTaxRateReconciliationDeferredTaxExpense	3357000
CY2023	ccm	Effective Income Tax Rate Reconciliation Deferred Tax Expense EffectiveIncomeTaxRateReconciliationDeferredTaxExpense	473000
CY2021	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	142806000
CY2022	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	168102000
CY2023	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	58030000
CY2023	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	8173000
CY2021	ccm	Withholding Taxes WithholdingTaxes	-4336000
CY2022	ccm	Withholding Taxes WithholdingTaxes	-491000
CY2023	ccm	Withholding Taxes WithholdingTaxes	-767000
CY2023	ccm	Withholding Taxes WithholdingTaxes	-108000
CY2021	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-6565000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-70906000
CY2023	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-24573000
CY2023	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-3461000
CY2022Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	357483000
CY2023Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	425390000
CY2023Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	59915000
CY2022Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards Foreign DeferredTaxAssetsOperatingLossCarryforwardsForeign	1330000
CY2023Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards Foreign DeferredTaxAssetsOperatingLossCarryforwardsForeign	2755000
CY2023Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards Foreign DeferredTaxAssetsOperatingLossCarryforwardsForeign	388000
CY2022Q4	ccm	Deferred Tax Assets Depreciation And Amortization DeferredTaxAssetsDepreciationAndAmortization	22535000
CY2023Q4	ccm	Deferred Tax Assets Depreciation And Amortization DeferredTaxAssetsDepreciationAndAmortization	17647000
CY2023Q4	ccm	Deferred Tax Assets Depreciation And Amortization DeferredTaxAssetsDepreciationAndAmortization	2485000
CY2022Q4	ccm	Deferred Tax Assets Property Plant And Equipment Impairment DeferredTaxAssetsPropertyPlantAndEquipmentImpairment	6997000
CY2023Q4	ccm	Deferred Tax Assets Property Plant And Equipment Impairment DeferredTaxAssetsPropertyPlantAndEquipmentImpairment	2340000
CY2023Q4	ccm	Deferred Tax Assets Property Plant And Equipment Impairment DeferredTaxAssetsPropertyPlantAndEquipmentImpairment	330000
CY2022Q4	ccm	Deferred Tax Assets Deposits DeferredTaxAssetsDeposits	18475000
CY2023Q4	ccm	Deferred Tax Assets Deposits DeferredTaxAssetsDeposits	17725000
CY2023Q4	ccm	Deferred Tax Assets Deposits DeferredTaxAssetsDeposits	2496000
CY2022Q4	ccm	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Net Investment In Financing Lease DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForNetInvestmentInFinancingLease	5137000
CY2023Q4	ccm	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Net Investment In Financing Lease DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForNetInvestmentInFinancingLease	0
CY2023Q4	ccm	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Net Investment In Financing Lease DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForNetInvestmentInFinancingLease	0
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	14746000
CY2023Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	29299000
CY2023Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	4127000
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CY2023Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Provision For Loan Losses DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses	59875000
CY2023Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Provision For Loan Losses DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses	8433000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Other DeferredTaxAssetsTaxDeferredExpenseOther	104912000
CY2023Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Other DeferredTaxAssetsTaxDeferredExpenseOther	94791000
CY2023Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Other DeferredTaxAssetsTaxDeferredExpenseOther	13351000
CY2022Q4	ccm	Deferred Tax Assets Equity Investment DeferredTaxAssetsEquityInvestment	7553000
CY2023Q4	ccm	Deferred Tax Assets Equity Investment DeferredTaxAssetsEquityInvestment	7005000
CY2023Q4	ccm	Deferred Tax Assets Equity Investment DeferredTaxAssetsEquityInvestment	987000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Other DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsOther	13728000
CY2023Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Other DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsOther	11770000
CY2023Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Other DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsOther	1658000
CY2022Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	611797000
CY2023Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	668597000
CY2023Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	94170000
CY2022Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	565022000
CY2023Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	623044000
CY2023Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	87754000
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CY2023Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	45553000
CY2023Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	6416000
CY2022Q4	us-gaap	Deferred Tax Liabilities Investments DeferredTaxLiabilitiesInvestments	1170000
CY2023Q4	us-gaap	Deferred Tax Liabilities Investments DeferredTaxLiabilitiesInvestments	1091000
CY2023Q4	us-gaap	Deferred Tax Liabilities Investments DeferredTaxLiabilitiesInvestments	154000
CY2022Q4	us-gaap	Deferred Tax Liabilities Property Plant And Equipment DeferredTaxLiabilitiesPropertyPlantAndEquipment	1682000
CY2023Q4	us-gaap	Deferred Tax Liabilities Property Plant And Equipment DeferredTaxLiabilitiesPropertyPlantAndEquipment	2368000
CY2023Q4	us-gaap	Deferred Tax Liabilities Property Plant And Equipment DeferredTaxLiabilitiesPropertyPlantAndEquipment	334000
CY2022Q4	us-gaap	Deferred Tax Liabilities Parents Basis In Discontinued Operation DeferredTaxLiabilitiesParentsBasisInDiscontinuedOperation	3126000
CY2023Q4	us-gaap	Deferred Tax Liabilities Parents Basis In Discontinued Operation DeferredTaxLiabilitiesParentsBasisInDiscontinuedOperation	3126000
CY2023Q4	us-gaap	Deferred Tax Liabilities Parents Basis In Discontinued Operation DeferredTaxLiabilitiesParentsBasisInDiscontinuedOperation	440000
CY2022Q4	us-gaap	Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets	81336000
CY2023Q4	us-gaap	Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets	71825000
CY2023Q4	us-gaap	Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets	10116000
CY2022Q4	us-gaap	Deferred Tax Liabilities Leasing Arrangements DeferredTaxLiabilitiesLeasingArrangements	46873000
CY2023Q4	us-gaap	Deferred Tax Liabilities Leasing Arrangements DeferredTaxLiabilitiesLeasingArrangements	45626000
CY2023Q4	us-gaap	Deferred Tax Liabilities Leasing Arrangements DeferredTaxLiabilitiesLeasingArrangements	6426000
CY2022Q4	us-gaap	Deferred Tax Liabilities Tax Deferred Income DeferredTaxLiabilitiesTaxDeferredIncome	19179000
CY2023Q4	us-gaap	Deferred Tax Liabilities Tax Deferred Income DeferredTaxLiabilitiesTaxDeferredIncome	18993000
CY2023Q4	us-gaap	Deferred Tax Liabilities Tax Deferred Income DeferredTaxLiabilitiesTaxDeferredIncome	2675000
CY2022Q4	us-gaap	Deferred Tax Liabilities Deferred Expense Capitalized Interest DeferredTaxLiabilitiesDeferredExpenseCapitalizedInterest	5986000
CY2023Q4	us-gaap	Deferred Tax Liabilities Deferred Expense Capitalized Interest DeferredTaxLiabilitiesDeferredExpenseCapitalizedInterest	2062000
CY2023Q4	us-gaap	Deferred Tax Liabilities Deferred Expense Capitalized Interest DeferredTaxLiabilitiesDeferredExpenseCapitalizedInterest	291000
CY2022Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	159352000
CY2023Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	145091000
CY2023Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	20436000
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CY2023Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	0
CY2022Q4	us-gaap	Deferred Tax Liabilities DeferredTaxLiabilities	112577000
CY2023Q4	us-gaap	Deferred Tax Liabilities DeferredTaxLiabilities	99538000
CY2023Q4	us-gaap	Deferred Tax Liabilities DeferredTaxLiabilities	14020000
CY2023Q4	us-gaap	Operating Loss Carryforwards OperatingLossCarryforwards	1703345000
CY2023Q4	us-gaap	Operating Loss Carryforwards OperatingLossCarryforwards	239911000
CY2021Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	396919000
CY2022Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	565022000
CY2022Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	79582000
CY2022	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	168103000
CY2023	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	58022000
CY2023	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	8172000
CY2022Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	565022000
CY2023Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	623044000
CY2023Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	87754000
CY2021Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	81901000
CY2022Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	67172000
CY2022Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	9461000
CY2022	ccm	Unrecognized Tax Benefit Increase Decrease Resulting From Current Period Tax Positions UnrecognizedTaxBenefitIncreaseDecreaseResultingFromCurrentPeriodTaxPositions	322000
CY2023	ccm	Unrecognized Tax Benefit Increase Decrease Resulting From Current Period Tax Positions UnrecognizedTaxBenefitIncreaseDecreaseResultingFromCurrentPeriodTaxPositions	0
CY2023	ccm	Unrecognized Tax Benefit Increase Decrease Resulting From Current Period Tax Positions UnrecognizedTaxBenefitIncreaseDecreaseResultingFromCurrentPeriodTaxPositions	0
CY2022	us-gaap	Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions	1072000
CY2023	us-gaap	Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions	12084000
CY2023	us-gaap	Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions	1702000
CY2022	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	6617000
CY2023	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	14104000
CY2023	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	1987000
CY2022	ccm	Unrecognized Tax Benefits Decreases Resulting From Disposal Of Group UnrecognizedTaxBenefitsDecreasesResultingFromDisposalOfGroup	7861000
CY2023	ccm	Unrecognized Tax Benefits Decreases Resulting From Disposal Of Group UnrecognizedTaxBenefitsDecreasesResultingFromDisposalOfGroup	7861000
CY2023	ccm	Unrecognized Tax Benefits Decreases Resulting From Disposal Of Group UnrecognizedTaxBenefitsDecreasesResultingFromDisposalOfGroup	1107000
CY2022	us-gaap	Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations	3572000
CY2023	us-gaap	Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations	1997000
CY2023	us-gaap	Unrecognized Tax Benefits Reductions Resulting From Lapse Of Applicable Statute Of Limitations UnrecognizedTaxBenefitsReductionsResultingFromLapseOfApplicableStatuteOfLimitations	281000
CY2022	ccm	Unrecognized Tax Benefits Increase Decrease Resulting From Foreign Currency Translation UnrecognizedTaxBenefitsIncreaseDecreaseResultingFromForeignCurrencyTranslation	1927000
CY2023	ccm	Unrecognized Tax Benefits Increase Decrease Resulting From Foreign Currency Translation UnrecognizedTaxBenefitsIncreaseDecreaseResultingFromForeignCurrencyTranslation	8605000
CY2023	ccm	Unrecognized Tax Benefits Increase Decrease Resulting From Foreign Currency Translation UnrecognizedTaxBenefitsIncreaseDecreaseResultingFromForeignCurrencyTranslation	1212000
CY2022Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	67172000
CY2023Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	63899000
CY2023Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	9000000
CY2022Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	67172000
CY2023Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	63899000
CY2023Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	9000000
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CY2023Q4	ccm	Unrecognized Tax Benefits Deferred Tax Assets Net Tax Loss Carryforwards UnrecognizedTaxBenefitsDeferredTaxAssetsNetTaxLossCarryforwards	28712000
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CY2022Q4	us-gaap	Unrecognized Tax Benefits That Would Impact Effective Tax Rate UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate	39412000
CY2023Q4	us-gaap	Unrecognized Tax Benefits That Would Impact Effective Tax Rate UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate	35421000
CY2023Q4	us-gaap	Unrecognized Tax Benefits That Would Impact Effective Tax Rate UnrecognizedTaxBenefitsThatWouldImpactEffectiveTaxRate	4989000
CY2021	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Expense UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestExpense	12918000
CY2022	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Expense UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestExpense	7254000
CY2023	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Expense UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestExpense	6121000
CY2023	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Expense UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestExpense	862000
CY2022Q4	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued	13091000
CY2023Q4	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued	9283000
CY2023Q4	us-gaap	Unrecognized Tax Benefits Income Tax Penalties And Interest Accrued UnrecognizedTaxBenefitsIncomeTaxPenaltiesAndInterestAccrued	1307000
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CY2022Q4	ccm	Accrued Unrecognized Tax Benefits And Surcharge AccruedUnrecognizedTaxBenefitsAndSurcharge	60299000
CY2023Q4	ccm	Accrued Unrecognized Tax Benefits And Surcharge AccruedUnrecognizedTaxBenefitsAndSurcharge	44470000
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CY2022Q4	us-gaap	Lease Deposit Liability LeaseDepositLiability	2000000
CY2023Q4	us-gaap	Lease Deposit Liability LeaseDepositLiability	2000000
CY2023Q4	us-gaap	Lease Deposit Liability LeaseDepositLiability	282000
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CY2023Q4	us-gaap	Convertible Long Term Notes Payable ConvertibleLongTermNotesPayable	20000000
CY2023Q4	us-gaap	Convertible Long Term Notes Payable ConvertibleLongTermNotesPayable	2818000
CY2022Q4	us-gaap	Other Long Term Debt Noncurrent OtherLongTermDebtNoncurrent	1785000
CY2023Q4	us-gaap	Other Long Term Debt Noncurrent OtherLongTermDebtNoncurrent	2533000
CY2023Q4	us-gaap	Other Long Term Debt Noncurrent OtherLongTermDebtNoncurrent	357000
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CY2023Q4	us-gaap	Other Liabilities Noncurrent OtherLiabilitiesNoncurrent	9719000
CY2022Q4	ccm	Accrued Unrecognized Tax Benefits And Surcharge AccruedUnrecognizedTaxBenefitsAndSurcharge	60299000
CY2023Q4	ccm	Accrued Unrecognized Tax Benefits And Surcharge AccruedUnrecognizedTaxBenefitsAndSurcharge	44470000
CY2023Q4	ccm	Accrued Unrecognized Tax Benefits And Surcharge AccruedUnrecognizedTaxBenefitsAndSurcharge	6263000
CY2023Q4	ccm	Accrued Unrecognized Tax Benefits And Surcharge AccruedUnrecognizedTaxBenefitsAndSurcharge	6263000
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CY2023Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Number Of Shares Authorized ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAuthorized	13218000
CY2014Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	3479604
CY2014Q1	us-gaap	Share Based Compensation Arrangements By Share Based Payment Award Options Grants In Period Weighted Average Exercise Price ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice	2.04
CY2014Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Risk Free Interest Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate	0.0233
CY2014Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Dividend Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate	0.05
CY2014Q1	ccm	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Exercise Multiple ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExerciseMultiple	0.025
CY2014Q1	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Fair Value Assumptions Expected Volatility Rate ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate	0.3903
CY2021	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	0
CY2022	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	0
CY2023	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Gross ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross	0
CY2021Q4	us-gaap	Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized	0
CY2022Q4	us-gaap	Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized	0
CY2023Q4	us-gaap	Employee Service Share Based Compensation Nonvested Awards Total Compensation Cost Not Yet Recognized EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized	0
CY2022Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber	0
CY2023Q4	us-gaap	Share Based Compensation Arrangement By Share Based Payment Award Options Exercisable Number ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExercisableNumber	0
CY2021	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	14680000
CY2022	us-gaap	Allocated Share Based Compensation Expense AllocatedShareBasedCompensationExpense	-5919000
CY2021	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	443149000
CY2022	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	450119000
CY2023	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	520665000
CY2023	us-gaap	Revenue From Contract With Customer Excluding Assessed Tax RevenueFromContractWithCustomerExcludingAssessedTax	73334000
CY2021	us-gaap	Operating Lease Lease Income OperatingLeaseLeaseIncome	35913000
CY2022	us-gaap	Operating Lease Lease Income OperatingLeaseLeaseIncome	18226000
CY2023	us-gaap	Operating Lease Lease Income OperatingLeaseLeaseIncome	13371000
CY2023	us-gaap	Operating Lease Lease Income OperatingLeaseLeaseIncome	1883000
CY2021	us-gaap	Sales Type Lease Revenue SalesTypeLeaseRevenue	5210000
CY2022	us-gaap	Sales Type Lease Revenue SalesTypeLeaseRevenue	3326000
CY2023	us-gaap	Sales Type Lease Revenue SalesTypeLeaseRevenue	3366000
CY2023	us-gaap	Sales Type Lease Revenue SalesTypeLeaseRevenue	474000
CY2021	us-gaap	Direct Financing Lease Revenue DirectFinancingLeaseRevenue	1361000
CY2022	us-gaap	Direct Financing Lease Revenue DirectFinancingLeaseRevenue	414000
CY2021	us-gaap	Revenue Not From Contract With Customer RevenueNotFromContractWithCustomer	42484000
CY2022	us-gaap	Revenue Not From Contract With Customer RevenueNotFromContractWithCustomer	21966000
CY2023	us-gaap	Revenue Not From Contract With Customer RevenueNotFromContractWithCustomer	16737000
CY2023	us-gaap	Revenue Not From Contract With Customer RevenueNotFromContractWithCustomer	2357000
CY2021	us-gaap	Revenues Revenues	485633000
CY2022	us-gaap	Revenues Revenues	472085000
CY2023	us-gaap	Revenues Revenues	537402000
CY2023	us-gaap	Revenues Revenues	75691000
CY2023Q4	us-gaap	Liability For Uncertain Tax Positions Current LiabilityForUncertainTaxPositionsCurrent	44470000
CY2023Q4	us-gaap	Liability For Uncertain Tax Positions Current LiabilityForUncertainTaxPositionsCurrent	6263000
CY2021	us-gaap	Number Of Operating Segments NumberOfOperatingSegments	2
CY2022	us-gaap	Number Of Operating Segments NumberOfOperatingSegments	2
CY2023	us-gaap	Number Of Operating Segments NumberOfOperatingSegments	2
CY2023	us-gaap	Revenues Revenues	537402000
CY2023	us-gaap	Revenues Revenues	75691000
CY2023	us-gaap	Cost Of Revenue CostOfRevenue	614010000
CY2023	us-gaap	Cost Of Revenue CostOfRevenue	86481000
CY2023	us-gaap	Gross Profit GrossProfit	-76608000
CY2023	us-gaap	Gross Profit GrossProfit	-10790000
CY2022	us-gaap	Revenues Revenues	472085000
CY2022	us-gaap	Cost Of Revenue CostOfRevenue	624494000
CY2022	us-gaap	Gross Profit GrossProfit	-152409000
CY2021	us-gaap	Revenues Revenues	485633000
CY2021	us-gaap	Cost Of Revenue CostOfRevenue	542530000
CY2021	us-gaap	Gross Profit GrossProfit	-56897000
CY2022Q4	us-gaap	Noncurrent Assets NoncurrentAssets	3862975000
CY2023Q4	us-gaap	Noncurrent Assets NoncurrentAssets	4132784000
CY2023Q4	us-gaap	Noncurrent Assets NoncurrentAssets	582090000
CY2021	us-gaap	Net Income Loss NetIncomeLoss	-271427000
CY2022	us-gaap	Net Income Loss NetIncomeLoss	-489661000
CY2023	us-gaap	Net Income Loss NetIncomeLoss	-297658000
CY2023	us-gaap	Net Income Loss NetIncomeLoss	-41927000
CY2021	ccm	Increase In Contingently Redeemable Non Controlling Interest IncreaseInContingentlyRedeemableNonControllingInterest	-549194000
CY2022	ccm	Increase In Contingently Redeemable Non Controlling Interest IncreaseInContingentlyRedeemableNonControllingInterest	0
CY2023	ccm	Increase In Contingently Redeemable Non Controlling Interest IncreaseInContingentlyRedeemableNonControllingInterest	0
CY2023	ccm	Increase In Contingently Redeemable Non Controlling Interest IncreaseInContingentlyRedeemableNonControllingInterest	0
CY2021	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-820621000
CY2022	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-489661000
CY2023	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-297658000
CY2023	us-gaap	Net Income Loss Available To Common Stockholders Basic NetIncomeLossAvailableToCommonStockholdersBasic	-41927000
CY2023Q4	us-gaap	Derivative Liabilities Current DerivativeLiabilitiesCurrent	163000

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$CCM
Concord Medical Services Holdings Ltd Stock $ccm

2023 Q4 Form 20-F Financial Statement

#000110465924049117 Filed on April 19, 2024

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$CCM Concord Medical Services Holdings Ltd Stock $ccm

2023 Q4 Form 20-F Financial Statement

#000110465924049117 Filed on April 19, 2024

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$CCM
Concord Medical Services Holdings Ltd Stock $ccm