$CCM
Concord Medical Services Holdings Ltd Stock $ccm

$ccm Overview Financials Valuation SEC Filings Company Website

2022 Q4 Form 20-F Financial Statement

#000141057823000729 Filed on April 19, 2023

Income Statement

Concept	2022 Q4	2022	2021 Q4
Revenue	$327.8M	$68.45M	$292.7M
YoY Change	11.98%	-85.9%	109.1%
Cost Of Revenue	$391.5M	$90.54M	$352.0M
YoY Change	11.21%	-83.31%	185.17%
Gross Profit	-$63.67M	-$22.10M	-$59.28M
YoY Change	7.42%	-61.17%	-458.06%
Gross Profit Margin	-19.42%	-32.28%	-20.25%
Selling, General & Admin	$215.8M	$54.03M	$215.1M
YoY Change	0.29%	-86.54%	31.11%
% of Gross Profit
Research & Development
YoY Change
% of Gross Profit
Depreciation & Amortization		$12.86M
YoY Change		-87.65%
% of Gross Profit
Operating Expenses	$215.8M	$54.03M	$215.1M
YoY Change	0.29%	-86.54%	31.11%
Operating Profit	-$279.4M	-$76.13M	-$274.4M
YoY Change	1.83%	-83.39%	85.99%
Interest Expense	-$11.30M	$17.45M	-$73.92M
YoY Change	-84.72%	-125.04%	-31.95%
% of Operating Profit
Other Income/Expense, Net	-$215.8M	-$31.41M	-$3.885M
YoY Change	5453.59%	2517.08%	-386.93%
Pretax Income	-$568.0M	$121.8M	-$352.2M
YoY Change	61.28%	-123.01%	26.91%
Income Tax	-$61.23M	-$10.28M	-$1.234M
% Of Pretax Income		-8.44%
Net Earnings	-$375.0M	-$70.99M	-$181.1M
YoY Change	107.08%	-73.84%	-0.05%
Net Earnings / Revenue	-114.39%	-103.72%	-61.86%
Basic Earnings Per Share		-$0.54
Diluted Earnings Per Share	-$2.86	-$0.54	-$1.382M
COMMON SHARES
Basic Shares Outstanding		131.1M
Diluted Shares Outstanding		131.1M

Balance Sheet

Concept	2022 Q4	2022	2021 Q4
SHORT-TERM ASSETS
Cash & Short-Term Investments	$158.3M	$158.3M	$160.1M
YoY Change	-1.13%	-1.13%	-55.45%
Cash & Equivalents	$22.95M	$158.3M	$157.4M
Short-Term Investments	$0.00	$0.00	$2.699M
Other Short-Term Assets	$386.4M	$399.7M	$258.4M
YoY Change	49.54%	48.38%	18.7%
Inventory	$12.30M	$84.84M	$38.09M
Prepaid Expenses
Receivables	$18.89M	$130.3M	$127.9M
Other Receivables	$0.00	-$13.32M	$0.00
Total Short-Term Assets	$110.2M	$759.8M	$584.5M
YoY Change	-81.15%	29.99%	-13.54%
LONG-TERM ASSETS
Property, Plant & Equipment	$472.5M	$3.854B	$3.765B
YoY Change	-87.45%	2.38%	17.67%
Goodwill	$83.43M		$581.9M
YoY Change	-85.66%		172.34%
Intangibles	$51.29M		$657.8M
YoY Change	-92.2%
Long-Term Investments	$48.75M	$437.9M	$395.4M
YoY Change	-87.67%	10.74%	21.02%
Other Assets	$2.188M	$24.03M	$245.8M
YoY Change	-99.11%	-90.23%	-37.96%
Total Long-Term Assets	$760.5M	$5.245B	$5.645B
YoY Change	-86.53%	-7.09%	21.19%
TOTAL ASSETS
Total Short-Term Assets	$110.2M	$759.8M	$584.5M
Total Long-Term Assets	$760.5M	$5.245B	$5.645B
Total Assets	$870.6M	$6.005B	$6.230B
YoY Change	-86.03%	-3.61%	16.79%
SHORT-TERM LIABILITIES
YoY Change
Accounts Payable	$21.28M	$146.7M	$102.5M
YoY Change	-79.24%	43.17%	450.17%
Accrued Expenses	$10.88M	$355.0M	$402.7M
YoY Change	-97.3%	10.38%	17.14%
Deferred Revenue
YoY Change
Short-Term Debt	$24.45M	$168.6M	$136.5M
YoY Change	-82.09%	23.52%	457.62%
Long-Term Debt Due	$49.87M	$344.0M	$162.8M
YoY Change	-69.37%	111.29%	30.91%
Total Short-Term Liabilities	$162.6M	$1.121B	$804.5M
YoY Change	-79.79%	39.37%	57.1%
LONG-TERM LIABILITIES
Long-Term Debt	$358.3M	$2.471B	$2.179B
YoY Change	-83.55%	13.44%	10.7%
Other Long-Term Liabilities	$12.19M	$284.0M	$318.7M
YoY Change	-96.17%	-10.88%	6.16%
Total Long-Term Liabilities	$415.8M	$2.755B	$2.497B
YoY Change	-83.35%	10.34%	10.1%
TOTAL LIABILITIES
Total Short-Term Liabilities	$162.6M	$1.121B	$804.5M
Total Long-Term Liabilities	$415.8M	$2.755B	$2.497B
Total Liabilities	$578.4M	$7.869B	$7.600B
YoY Change	-92.39%	3.54%	26.72%
SHAREHOLDERS EQUITY
Retained Earnings	-$546.2M		-$3.277B
YoY Change	-83.34%
Common Stock	$279.9M		$1.937B
YoY Change	-85.55%
Preferred Stock
YoY Change
Treasury Stock (at cost)
YoY Change
Treasury Stock Shares
Shareholders Equity	-$270.3M	-$1.864B	-$1.370B
YoY Change
Total Liabilities & Shareholders Equity	$870.6M	$6.005B	$6.230B
YoY Change	-86.03%	-3.61%	16.79%

Cashflow Statement

Concept	2022 Q4	2022	2021 Q4
OPERATING ACTIVITIES
Net Income	-$375.0M	-$70.99M	-$181.1M
YoY Change	107.08%	-73.84%	-0.05%
Depreciation, Depletion And Amortization		$12.86M
YoY Change		-87.65%
Cash From Operating Activities		-$31.42M
YoY Change		-91.26%
INVESTING ACTIVITIES
Capital Expenditures		$32.33M
YoY Change		-110.82%
Acquisitions		$0.00
YoY Change		-100.0%
Other Investing Activities		$105.0M
YoY Change		-139.28%
Cash From Investing Activities		-$17.22M
YoY Change		-96.96%
FINANCING ACTIVITIES
Cash Dividend Paid
YoY Change
Common Stock Issuance & Retirement, Net
YoY Change
Debt Paid & Issued, Net		$28.56M
YoY Change		-86.14%
Cash From Financing Activities		55.54M
YoY Change		-91.35%
NET CHANGE
Cash From Operating Activities		-31.42M
Cash From Investing Activities		-17.22M
Cash From Financing Activities		55.54M
Net Change In Cash		63.00K
YoY Change		-100.02%
FREE CASH FLOW
Cash From Operating Activities		-$31.42M
Capital Expenditures		$32.33M
Free Cash Flow		-$63.75M
YoY Change		5.19%

Facts In Submission

Frame	Concept Type	Concept / XBRL Key	Value
CY2022	dei	Entity Address Country EntityAddressCountry	CN
CY2022	dei	Entity Well Known Seasoned Issuer EntityWellKnownSeasonedIssuer	No
CY2022	dei	Entity Voluntary Filers EntityVoluntaryFilers	No
CY2022	dei	Entity Current Reporting Status EntityCurrentReportingStatus	Yes
CY2022	dei	Entity Interactive Data Current EntityInteractiveDataCurrent	Yes
CY2022	dei	Entity Emerging Growth Company EntityEmergingGrowthCompany	false
CY2022	dei	Icfr Auditor Attestation Flag IcfrAuditorAttestationFlag	false
CY2020	ccm	Income Loss From Equity Method Investment IncomeLossFromEquityMethodInvestment	6021000
CY2022	ccm	Net Gain Loss On Sale Of Property Plant Equipment NetGainLossOnSaleOfPropertyPlantEquipment	-3000
CY2020	us-gaap	Proceeds From Sale Of Property Plant And Equipment ProceedsFromSaleOfPropertyPlantAndEquipment	271000
CY2022	us-gaap	Income Taxes Paid IncomeTaxesPaid	437000
CY2020	us-gaap	Allowance For Doubtful Accounts Receivable Write Offs AllowanceForDoubtfulAccountsReceivableWriteOffs	1675000
CY2021	us-gaap	Allowance For Doubtful Accounts Receivable Write Offs AllowanceForDoubtfulAccountsReceivableWriteOffs	2021000
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
CY2022	dei	Entity Filer Category EntityFilerCategory	Non-accelerated Filer
CY2020	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-5.11
CY2021	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-6.26
CY2022	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-3.74
CY2022	us-gaap	Earnings Per Share Diluted EarningsPerShareDiluted	-0.54
CY2020	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	131053858
CY2021	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	131053858
CY2022	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	131053858
CY2022	us-gaap	Weighted Average Number Of Diluted Shares Outstanding WeightedAverageNumberOfDilutedSharesOutstanding	131053858
CY2022	us-gaap	Impairment Long Lived Asset Held For Use Statement Of Income Or Comprehensive Income Extensible Enumeration ImpairmentLongLivedAssetHeldForUseStatementOfIncomeOrComprehensiveIncomeExtensibleEnumeration	http://fasb.org/us-gaap/2022#AssetImpairmentCharges
CY2022	dei	Entity Central Index Key EntityCentralIndexKey	0001472072
CY2022	dei	Current Fiscal Year End Date CurrentFiscalYearEndDate	--12-31
CY2022	dei	Document Fiscal Year Focus DocumentFiscalYearFocus	2022
CY2022	dei	Document Fiscal Period Focus DocumentFiscalPeriodFocus	FY
CY2022	dei	Amendment Flag AmendmentFlag	false
CY2021	us-gaap	Operating Lease Income Comprehensive Income Extensible List OperatingLeaseIncomeComprehensiveIncomeExtensibleList	http://fasb.org/us-gaap/2022#Revenues
CY2022	us-gaap	Operating Lease Income Comprehensive Income Extensible List OperatingLeaseIncomeComprehensiveIncomeExtensibleList	http://fasb.org/us-gaap/2022#Revenues
CY2022	dei	Entity Registrant Name EntityRegistrantName	Concord Medical Services Holdings Ltd
CY2020	us-gaap	Discontinued Operation Gain Loss On Disposal Statement Of Income Or Comprehensive Income Extensible Enumeration DiscontinuedOperationGainLossOnDisposalStatementOfIncomeOrComprehensiveIncomeExtensibleEnumeration	http://fasb.org/us-gaap/2022#GainOrLossOnSaleOfStockInSubsidiary
CY2021	us-gaap	Impairment Long Lived Asset Held For Use Statement Of Income Or Comprehensive Income Extensible Enumeration ImpairmentLongLivedAssetHeldForUseStatementOfIncomeOrComprehensiveIncomeExtensibleEnumeration	http://fasb.org/us-gaap/2022#AssetImpairmentCharges
CY2022	ccm	Sharebased Compensation Arrangement By Sharebased Payment Award Options Forfeited Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsForfeitedWeightedAverageRemainingContractualTerm2	P0Y
CY2022	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Outstanding Weighted Average Remaining Contractual Term2 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsOutstandingWeightedAverageRemainingContractualTerm2	P0Y
CY2022	us-gaap	Sharebased Compensation Arrangement By Sharebased Payment Award Options Exercisable Weighted Average Remaining Contractual Term1 SharebasedCompensationArrangementBySharebasedPaymentAwardOptionsExercisableWeightedAverageRemainingContractualTerm1	P0Y
CY2020	us-gaap	Operating Lease Income Comprehensive Income Extensible List OperatingLeaseIncomeComprehensiveIncomeExtensibleList	http://fasb.org/us-gaap/2022#Revenues
CY2022	us-gaap	Interest Income Related Party InterestIncomeRelatedParty	6946000
CY2022	dei	Document Type DocumentType	20-F
CY2022	dei	Document Registration Statement DocumentRegistrationStatement	false
CY2022	dei	Document Annual Report DocumentAnnualReport	true
CY2022	dei	Document Period End Date DocumentPeriodEndDate	2022-12-31
CY2022	dei	Document Transition Report DocumentTransitionReport	false
CY2022	dei	Document Shell Company Report DocumentShellCompanyReport	false
CY2022	dei	Entity File Number EntityFileNumber	001-34563
CY2022	dei	Entity Incorporation State Country Code EntityIncorporationStateCountryCode	E9
CY2022	dei	Entity Address Address Line1 EntityAddressAddressLine1	Room 2701-05, Tower A, Global Trade Center
CY2022	dei	Entity Address Address Line2 EntityAddressAddressLine2	36 North Third Ring Road, Dongcheng District
CY2022	dei	Entity Address City Or Town EntityAddressCityOrTown	Beijing
CY2022	dei	Entity Address Postal Zip Code EntityAddressPostalZipCode	100013
CY2022	dei	Document Accounting Standard DocumentAccountingStandard	U.S. GAAP
CY2022	dei	Entity Shell Company EntityShellCompany	false
CY2022	dei	Auditor Firm AuditorFirmId	5035
CY2022	dei	Auditor Name AuditorName	Shandong Haoxin Certified Public Accountants Co., Ltd.
CY2022	dei	Auditor Location AuditorLocation	Weifang, People’s Republic of China
CY2021Q4	us-gaap	Cash Cash	157386000
CY2022Q4	us-gaap	Cash Cash	158283000
CY2022Q4	us-gaap	Cash Cash	22949000
CY2021Q4	us-gaap	Restricted Cash Current RestrictedCashCurrent	1387000
CY2022Q4	us-gaap	Restricted Cash Current RestrictedCashCurrent	1060000
CY2022Q4	us-gaap	Restricted Cash Current RestrictedCashCurrent	154000
CY2021Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	4932000
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	7764000
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	1126000
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CY2021Q4	ccm	Reserve For Unrecoverable Deposits Current ReserveForUnrecoverableDepositsCurrent	14853000
CY2022Q4	ccm	Reserve For Unrecoverable Deposits Current ReserveForUnrecoverableDepositsCurrent	17290000
CY2022Q4	ccm	Reserve For Unrecoverable Deposits Current ReserveForUnrecoverableDepositsCurrent	2507000
CY2021Q4	ccm	Due From Related Parties Prepaid Expense And Other Assets Current DueFromRelatedPartiesPrepaidExpenseAndOtherAssetsCurrent	145692000
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CY2021Q4	us-gaap	Inventory Net InventoryNet	38085000
CY2022Q4	us-gaap	Inventory Net InventoryNet	84835000
CY2022Q4	us-gaap	Inventory Net InventoryNet	12300000
CY2021Q4	ccm	Sales Type And Direct Financing Leases Lease Receivable Current SalesTypeAndDirectFinancingLeasesLeaseReceivableCurrent	2699000
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CY2022Q4	us-gaap	Assets Current AssetsCurrent	110162000
CY2021Q4	us-gaap	Restricted Cash Noncurrent RestrictedCashNoncurrent	138000
CY2021Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	3145025000
CY2022Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	3259145000
CY2022Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	472532000
CY2021Q4	us-gaap	Operating Lease Right Of Use Asset OperatingLeaseRightOfUseAsset	619536000
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CY2022Q4	us-gaap	Goodwill Goodwill	575427000
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CY2022Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	343982000
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CY2022Q4	us-gaap	Liabilities Current LiabilitiesCurrent	162566000
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CY2021Q4	us-gaap	Liabilities Liabilities	3486230000
CY2022Q4	us-gaap	Liabilities Liabilities	3989277000
CY2022Q4	us-gaap	Liabilities Liabilities	578393000
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CY2022Q4	us-gaap	Treasury Stock Common Value TreasuryStockCommonValue	1000
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CY2022Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-546154000
CY2021Q4	us-gaap	Stockholders Equity StockholdersEquity	-1370116000
CY2022Q4	us-gaap	Stockholders Equity StockholdersEquity	-1863966000
CY2022Q4	us-gaap	Stockholders Equity StockholdersEquity	-270251000
CY2021Q4	us-gaap	Minority Interest MinorityInterest	433055000
CY2022Q4	us-gaap	Minority Interest MinorityInterest	3879623000
CY2022Q4	us-gaap	Minority Interest MinorityInterest	562492000
CY2021Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	-937061000
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	292241000
CY2021Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	6229951000
CY2022Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	6004934000
CY2022Q4	us-gaap	Liabilities And Stockholders Equity LiabilitiesAndStockholdersEquity	870634000
CY2020	us-gaap	Revenues Revenues	223011000
CY2021	us-gaap	Revenues Revenues	485633000
CY2022	us-gaap	Revenues Revenues	472085000
CY2022	us-gaap	Revenues Revenues	68446000
CY2020	us-gaap	Cost Of Revenue CostOfRevenue	209928000
CY2021	us-gaap	Cost Of Revenue CostOfRevenue	542530000
CY2022	us-gaap	Cost Of Revenue CostOfRevenue	624494000
CY2022	us-gaap	Cost Of Revenue CostOfRevenue	90543000
CY2020	us-gaap	Gross Profit GrossProfit	13083000
CY2021	us-gaap	Gross Profit GrossProfit	-56897000
CY2022	us-gaap	Gross Profit GrossProfit	-152409000
CY2022	us-gaap	Gross Profit GrossProfit	-22097000
CY2020	us-gaap	Selling Expense SellingExpense	25761000
CY2021	us-gaap	Selling Expense SellingExpense	53675000
CY2022	us-gaap	Selling Expense SellingExpense	61479000
CY2022	us-gaap	Selling Expense SellingExpense	8914000
CY2020	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	294823000
CY2021	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	347746000
CY2022	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	311160000
CY2022	us-gaap	General And Administrative Expense GeneralAndAdministrativeExpense	45114000
CY2020	us-gaap	Asset Impairment Charges AssetImpairmentCharges	8500000
CY2020	us-gaap	Operating Income Loss OperatingIncomeLoss	-316001000
CY2021	us-gaap	Operating Income Loss OperatingIncomeLoss	-458318000
CY2022	us-gaap	Operating Income Loss OperatingIncomeLoss	-525048000
CY2022	us-gaap	Operating Income Loss OperatingIncomeLoss	-76125000
CY2020	us-gaap	Interest Expense Related Party InterestExpenseRelatedParty	41918000
CY2021	us-gaap	Interest Expense Related Party InterestExpenseRelatedParty	13532000
CY2022	us-gaap	Interest Expense Related Party InterestExpenseRelatedParty	16790000
CY2022	us-gaap	Interest Expense Related Party InterestExpenseRelatedParty	2434000
CY2020	us-gaap	Interest Expense InterestExpense	81359000
CY2021	us-gaap	Interest Expense InterestExpense	73789000
CY2022	us-gaap	Interest Expense InterestExpense	120357000
CY2022	us-gaap	Interest Expense InterestExpense	17450000
CY2020	us-gaap	Foreign Currency Transaction Gain Loss Before Tax ForeignCurrencyTransactionGainLossBeforeTax	-58686000
CY2021	us-gaap	Foreign Currency Transaction Gain Loss Before Tax ForeignCurrencyTransactionGainLossBeforeTax	-19925000
CY2022	us-gaap	Foreign Currency Transaction Gain Loss Before Tax ForeignCurrencyTransactionGainLossBeforeTax	54982000
CY2022	us-gaap	Foreign Currency Transaction Gain Loss Before Tax ForeignCurrencyTransactionGainLossBeforeTax	7972000
CY2020	us-gaap	Gain Loss On Sale Of Property Plant Equipment GainLossOnSaleOfPropertyPlantEquipment	677000
CY2022	us-gaap	Gain Loss On Sale Of Property Plant Equipment GainLossOnSaleOfPropertyPlantEquipment	-3000
CY2020	us-gaap	Interest Income Related Party InterestIncomeRelatedParty	127000
CY2021	us-gaap	Interest Income Related Party InterestIncomeRelatedParty	3447000
CY2022	us-gaap	Interest Income Related Party InterestIncomeRelatedParty	6946000
CY2022	us-gaap	Interest Income Related Party InterestIncomeRelatedParty	1007000
CY2020	us-gaap	Investment Income Interest InvestmentIncomeInterest	8440000
CY2021	us-gaap	Investment Income Interest InvestmentIncomeInterest	5894000
CY2022	us-gaap	Investment Income Interest InvestmentIncomeInterest	10021000
CY2022	us-gaap	Investment Income Interest InvestmentIncomeInterest	1453000
CY2021	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	-39000
CY2022	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	1015000
CY2022	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	147000
CY2021	ccm	Income Loss From Equity Method Investment IncomeLossFromEquityMethodInvestment	18163000
CY2022	ccm	Income Loss From Equity Method Investment IncomeLossFromEquityMethodInvestment	17647000
CY2022	ccm	Income Loss From Equity Method Investment IncomeLossFromEquityMethodInvestment	2559000
CY2020	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-14894000
CY2022	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-61546000
CY2022	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-8923000
CY2020	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	6312000
CY2021	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-1223000
CY2022	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-216607000
CY2022	us-gaap	Other Nonoperating Income Expense OtherNonoperatingIncomeExpense	-31405000
CY2020	us-gaap	Equity Method Investment Realized Gain Loss On Disposal EquityMethodInvestmentRealizedGainLossOnDisposal	7837000
CY2020	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-441653000
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
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-121772000
CY2020	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-37624000
CY2021	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-6565000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-70906000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-10280000
CY2020	us-gaap	Profit Loss ProfitLoss	-404029000
CY2021	us-gaap	Profit Loss ProfitLoss	-522672000
CY2022	us-gaap	Profit Loss ProfitLoss	-768990000
CY2022	us-gaap	Profit Loss ProfitLoss	-111492000
CY2020	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-94040000
CY2021	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-251245000
CY2022	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-279329000
CY2022	us-gaap	Net Income Loss Attributable To Noncontrolling Interest NetIncomeLossAttributableToNoncontrollingInterest	-40499000
CY2020	us-gaap	Net Income Loss NetIncomeLoss	-309989000
CY2021	us-gaap	Net Income Loss NetIncomeLoss	-271427000
CY2022	us-gaap	Net Income Loss NetIncomeLoss	-489661000
CY2022	us-gaap	Net Income Loss NetIncomeLoss	-70993000
CY2020	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-5.11
CY2021	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-6.26
CY2022	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-3.74
CY2022	us-gaap	Earnings Per Share Basic EarningsPerShareBasic	-0.54
CY2020	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	131053858
CY2021	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	131053858
CY2022	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	131053858
CY2022	us-gaap	Weighted Average Number Of Shares Outstanding Basic WeightedAverageNumberOfSharesOutstandingBasic	131053858
CY2020	us-gaap	Other Comprehensive Income Foreign Currency Transaction And Translation Gain Loss Arising During Period Net Of Tax OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationGainLossArisingDuringPeriodNetOfTax	0
CY2021	us-gaap	Other Comprehensive Income Foreign Currency Transaction And Translation Gain Loss Arising During Period Net Of Tax OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationGainLossArisingDuringPeriodNetOfTax	0
CY2022	us-gaap	Other Comprehensive Income Foreign Currency Transaction And Translation Gain Loss Arising During Period Net Of Tax OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationGainLossArisingDuringPeriodNetOfTax	0
CY2020	us-gaap	Other Comprehensive Income Loss Foreign Currency Translation Adjustment Tax OtherComprehensiveIncomeLossForeignCurrencyTranslationAdjustmentTax	-50856000
CY2021	us-gaap	Other Comprehensive Income Loss Foreign Currency Translation Adjustment Tax OtherComprehensiveIncomeLossForeignCurrencyTranslationAdjustmentTax	-14821000
CY2022	us-gaap	Other Comprehensive Income Loss Foreign Currency Translation Adjustment Tax OtherComprehensiveIncomeLossForeignCurrencyTranslationAdjustmentTax	53964000
CY2022	us-gaap	Other Comprehensive Income Loss Foreign Currency Translation Adjustment Tax OtherComprehensiveIncomeLossForeignCurrencyTranslationAdjustmentTax	7824000
CY2020	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	50856000
CY2021	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	14821000
CY2022	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	-53964000
CY2022	us-gaap	Other Comprehensive Income Loss Net Of Tax OtherComprehensiveIncomeLossNetOfTax	-7824000
CY2020	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	-353173000
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
CY2022	us-gaap	Comprehensive Income Net Of Tax Including Portion Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest	-119316000
CY2020	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	-94040000
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
CY2022	us-gaap	Comprehensive Income Net Of Tax Attributable To Noncontrolling Interest ComprehensiveIncomeNetOfTaxAttributableToNoncontrollingInterest	-40499000
CY2020	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-259133000
CY2021	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-256606000
CY2022	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-543625000
CY2022	us-gaap	Comprehensive Income Net Of Tax ComprehensiveIncomeNetOfTax	-78817000
CY2020	us-gaap	Profit Loss ProfitLoss	-404029000
CY2021	us-gaap	Profit Loss ProfitLoss	-522672000
CY2022	us-gaap	Profit Loss ProfitLoss	-768990000
CY2022	us-gaap	Profit Loss ProfitLoss	-111492000
CY2020	us-gaap	Share Based Compensation ShareBasedCompensation	20621000
CY2021	us-gaap	Share Based Compensation ShareBasedCompensation	14680000
CY2022	us-gaap	Share Based Compensation ShareBasedCompensation	-5919000
CY2022	us-gaap	Share Based Compensation ShareBasedCompensation	-858000
CY2020	us-gaap	Depreciation Depreciation	55030000
CY2021	us-gaap	Depreciation Depreciation	64288000
CY2022	us-gaap	Depreciation Depreciation	88692000
CY2022	us-gaap	Depreciation Depreciation	12859000
CY2020	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	15756000
CY2021	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	30171000
CY2022	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	34495000
CY2022	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	5001000
CY2020	us-gaap	Finance Lease Right Of Use Asset Amortization FinanceLeaseRightOfUseAssetAmortization	9513000
CY2021	us-gaap	Finance Lease Right Of Use Asset Amortization FinanceLeaseRightOfUseAssetAmortization	9621000
CY2022	us-gaap	Finance Lease Right Of Use Asset Amortization FinanceLeaseRightOfUseAssetAmortization	9627000
CY2022	us-gaap	Finance Lease Right Of Use Asset Amortization FinanceLeaseRightOfUseAssetAmortization	1396000
CY2020	us-gaap	Operating Lease Right Of Use Asset Amortization Expense OperatingLeaseRightOfUseAssetAmortizationExpense	23030000
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
CY2022	us-gaap	Operating Lease Right Of Use Asset Amortization Expense OperatingLeaseRightOfUseAssetAmortizationExpense	2801000
CY2020	us-gaap	Income Loss From Equity Method Investments IncomeLossFromEquityMethodInvestments	6021000
CY2021	us-gaap	Income Loss From Equity Method Investments IncomeLossFromEquityMethodInvestments	18163000
CY2022	us-gaap	Income Loss From Equity Method Investments IncomeLossFromEquityMethodInvestments	17647000
CY2022	us-gaap	Income Loss From Equity Method Investments IncomeLossFromEquityMethodInvestments	2559000
CY2020	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	0
CY2021	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	-39000
CY2022	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	1015000
CY2022	us-gaap	Derivative Gain Loss On Derivative Net DerivativeGainLossOnDerivativeNet	147000
CY2020	ccm	Net Gain Loss On Sale Of Property Plant Equipment NetGainLossOnSaleOfPropertyPlantEquipment	677000
CY2021	ccm	Net Gain Loss On Sale Of Property Plant Equipment NetGainLossOnSaleOfPropertyPlantEquipment	0
CY2020	us-gaap	Deferred Income Taxes And Tax Credits DeferredIncomeTaxesAndTaxCredits	-13347000
CY2021	us-gaap	Deferred Income Taxes And Tax Credits DeferredIncomeTaxesAndTaxCredits	11257000
CY2022	us-gaap	Deferred Income Taxes And Tax Credits DeferredIncomeTaxesAndTaxCredits	-71848000
CY2022	us-gaap	Deferred Income Taxes And Tax Credits DeferredIncomeTaxesAndTaxCredits	-10417000
CY2020	ccm	Provision For Reduction Of Doubtful Accounts ProvisionForReductionOfDoubtfulAccounts	-6058000
CY2021	ccm	Provision For Reduction Of Doubtful Accounts ProvisionForReductionOfDoubtfulAccounts	-2555000
CY2022	ccm	Provision For Reduction Of Doubtful Accounts ProvisionForReductionOfDoubtfulAccounts	-5400000
CY2022	ccm	Provision For Reduction Of Doubtful Accounts ProvisionForReductionOfDoubtfulAccounts	-783000
CY2020	us-gaap	Asset Impairment Charges AssetImpairmentCharges	8500000
CY2021	us-gaap	Asset Impairment Charges AssetImpairmentCharges	0
CY2020	us-gaap	Interest Expense Debt InterestExpenseDebt	81359000
CY2021	us-gaap	Interest Expense Debt InterestExpenseDebt	73789000
CY2022	us-gaap	Interest Expense Debt InterestExpenseDebt	120357000
CY2022	us-gaap	Interest Expense Debt InterestExpenseDebt	17450000
CY2020	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-14894000
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
CY2022	us-gaap	Gain Or Loss On Sale Of Stock In Subsidiary GainOrLossOnSaleOfStockInSubsidiary	-8923000
CY2020	us-gaap	Equity Method Investment Realized Gain Loss On Disposal EquityMethodInvestmentRealizedGainLossOnDisposal	7837000
CY2021	us-gaap	Equity Method Investment Realized Gain Loss On Disposal EquityMethodInvestmentRealizedGainLossOnDisposal	0
CY2020	us-gaap	Gain Loss On Contract Termination GainLossOnContractTermination	0
CY2021	us-gaap	Gain Loss On Contract Termination GainLossOnContractTermination	0
CY2022	us-gaap	Gain Loss On Contract Termination GainLossOnContractTermination	-204250000
CY2022	us-gaap	Gain Loss On Contract Termination GainLossOnContractTermination	-29613000
CY2020	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	6167000
CY2021	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	64450000
CY2022	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	-644000
CY2022	us-gaap	Increase Decrease In Accounts Receivable IncreaseDecreaseInAccountsReceivable	-93000
CY2020	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	82497000
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
CY2022	us-gaap	Increase Decrease In Prepaid Deferred Expense And Other Assets IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets	18871000
CY2020	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	14446000
CY2021	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	4352000
CY2022	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	46750000
CY2022	us-gaap	Increase Decrease In Inventories IncreaseDecreaseInInventories	6778000
CY2020	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	-392000
CY2021	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	175000
CY2022	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	15000
CY2022	us-gaap	Increase Decrease In Other Noncurrent Assets IncreaseDecreaseInOtherNoncurrentAssets	2000
CY2020	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	11119000
CY2021	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	262842000
CY2022	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	113743000
CY2022	us-gaap	Increase Decrease In Accounts Payable IncreaseDecreaseInAccountsPayable	16491000
CY2020	us-gaap	Increase Decrease In Accrued Liabilities And Other Operating Liabilities IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities	15171000
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
CY2022	us-gaap	Increase Decrease In Accrued Liabilities And Other Operating Liabilities IncreaseDecreaseInAccruedLiabilitiesAndOtherOperatingLiabilities	17261000
CY2020	us-gaap	Increase Decrease In Contract With Customer Liability IncreaseDecreaseInContractWithCustomerLiability	84543000
CY2021	us-gaap	Increase Decrease In Contract With Customer Liability IncreaseDecreaseInContractWithCustomerLiability	-193464000
CY2022	us-gaap	Increase Decrease In Contract With Customer Liability IncreaseDecreaseInContractWithCustomerLiability	57168000
CY2022	us-gaap	Increase Decrease In Contract With Customer Liability IncreaseDecreaseInContractWithCustomerLiability	8289000
CY2020	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	105000
CY2021	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	-858000
CY2022	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	818000
CY2022	us-gaap	Increase Decrease In Accrued Income Taxes Payable IncreaseDecreaseInAccruedIncomeTaxesPayable	119000
CY2020	ccm	Increase Decrease In Accrued Unrecognized Tax Benefit IncreaseDecreaseInAccruedUnrecognizedTaxBenefit	28012000
CY2021	ccm	Increase Decrease In Accrued Unrecognized Tax Benefit IncreaseDecreaseInAccruedUnrecognizedTaxBenefit	-621000
CY2022	ccm	Increase Decrease In Accrued Unrecognized Tax Benefit IncreaseDecreaseInAccruedUnrecognizedTaxBenefit	6539000
CY2022	ccm	Increase Decrease In Accrued Unrecognized Tax Benefit IncreaseDecreaseInAccruedUnrecognizedTaxBenefit	948000
CY2020	ccm	Increase Decrease In Operating Lease Liabilities IncreaseDecreaseInOperatingLeaseLiabilities	-12824000
CY2021	ccm	Increase Decrease In Operating Lease Liabilities IncreaseDecreaseInOperatingLeaseLiabilities	-13339000
CY2022	ccm	Increase Decrease In Operating Lease Liabilities IncreaseDecreaseInOperatingLeaseLiabilities	-2935000
CY2022	ccm	Increase Decrease In Operating Lease Liabilities IncreaseDecreaseInOperatingLeaseLiabilities	-426000
CY2020	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-229766000
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
CY2022	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-31419000
CY2020	ccm	Payments To Acquire Land Held For Use1 PaymentsToAcquireLandHeldForUse1	7170000
CY2021	ccm	Payments To Acquire Land Held For Use1 PaymentsToAcquireLandHeldForUse1	0
CY2022	ccm	Payments To Acquire Land Held For Use1 PaymentsToAcquireLandHeldForUse1	215000
CY2022	ccm	Payments To Acquire Land Held For Use1 PaymentsToAcquireLandHeldForUse1	31000
CY2020	us-gaap	Payments To Acquire Equity Method Investments PaymentsToAcquireEquityMethodInvestments	163844000
CY2021	us-gaap	Payments To Acquire Equity Method Investments PaymentsToAcquireEquityMethodInvestments	61159000
CY2022	us-gaap	Payments To Acquire Equity Method Investments PaymentsToAcquireEquityMethodInvestments	2300000
CY2022	us-gaap	Payments To Acquire Equity Method Investments PaymentsToAcquireEquityMethodInvestments	333000
CY2020	us-gaap	Payments To Acquire Longterm Investments PaymentsToAcquireLongtermInvestments	28490000
CY2021	us-gaap	Payments To Acquire Longterm Investments PaymentsToAcquireLongtermInvestments	0
CY2020	us-gaap	Payments To Acquire Equity Securities Fv Ni PaymentsToAcquireEquitySecuritiesFvNi	0
CY2021	us-gaap	Payments To Acquire Equity Securities Fv Ni PaymentsToAcquireEquitySecuritiesFvNi	6439000
CY2020	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	8336000
CY2021	us-gaap	Payments To Acquire Businesses Net Of Cash Acquired PaymentsToAcquireBusinessesNetOfCashAcquired	-1569000
CY2020	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	168023000
CY2021	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	278977000
CY2022	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	222980000
CY2022	us-gaap	Payments To Acquire Property Plant And Equipment PaymentsToAcquirePropertyPlantAndEquipment	32329000
CY2020	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	1028000
CY2021	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	19712000
CY2022	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	818000
CY2022	us-gaap	Payments To Acquire Intangible Assets PaymentsToAcquireIntangibleAssets	119000
CY2020	ccm	Payments For Deposits For Purchases Of Property Plant And Equipment PaymentsForDepositsForPurchasesOfPropertyPlantAndEquipment	336681000
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
CY2022	ccm	Payments For Deposits For Purchases Of Property Plant And Equipment PaymentsForDepositsForPurchasesOfPropertyPlantAndEquipment	23313000
CY2020	us-gaap	Proceeds From Sale Of Equity Method Investments ProceedsFromSaleOfEquityMethodInvestments	33020000
CY2021	us-gaap	Proceeds From Sale Of Equity Method Investments ProceedsFromSaleOfEquityMethodInvestments	0
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
CY2022	us-gaap	Proceeds From Sale Of Property Plant And Equipment ProceedsFromSaleOfPropertyPlantAndEquipment	817000
CY2020	ccm	Proceeds From Agreements Termination With Cooperative Hospital ProceedsFromAgreementsTerminationWithCooperativeHospital	0
CY2021	ccm	Proceeds From Agreements Termination With Cooperative Hospital ProceedsFromAgreementsTerminationWithCooperativeHospital	0
CY2022	ccm	Proceeds From Agreements Termination With Cooperative Hospital ProceedsFromAgreementsTerminationWithCooperativeHospital	238093000
CY2022	ccm	Proceeds From Agreements Termination With Cooperative Hospital ProceedsFromAgreementsTerminationWithCooperativeHospital	34520000
CY2020	us-gaap	Proceeds From Collection Of Lease Receivables ProceedsFromCollectionOfLeaseReceivables	24842000
CY2021	us-gaap	Proceeds From Collection Of Lease Receivables ProceedsFromCollectionOfLeaseReceivables	31525000
CY2022	us-gaap	Proceeds From Collection Of Lease Receivables ProceedsFromCollectionOfLeaseReceivables	7536000
CY2022	us-gaap	Proceeds From Collection Of Lease Receivables ProceedsFromCollectionOfLeaseReceivables	1093000
CY2020	us-gaap	Proceeds From Divestiture Of Interest In Consolidated Subsidiaries ProceedsFromDivestitureOfInterestInConsolidatedSubsidiaries	201554000
CY2021	us-gaap	Proceeds From Divestiture Of Interest In Consolidated Subsidiaries ProceedsFromDivestitureOfInterestInConsolidatedSubsidiaries	0
CY2020	us-gaap	Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital	0
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
CY2022	us-gaap	Proceeds From Equity Method Investment Dividends Or Distributions Return Of Capital ProceedsFromEquityMethodInvestmentDividendsOrDistributionsReturnOfCapital	740000
CY2020	ccm	Purchase Of Available For Sale Debt Securities PurchaseOfAvailableForSaleDebtSecurities	80000000
CY2021	ccm	Purchase Of Available For Sale Debt Securities PurchaseOfAvailableForSaleDebtSecurities	0
CY2020	us-gaap	Proceeds From Sale And Maturity Of Available For Sale Securities ProceedsFromSaleAndMaturityOfAvailableForSaleSecurities	0
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
CY2022	us-gaap	Proceeds From Sale And Maturity Of Available For Sale Securities ProceedsFromSaleAndMaturityOfAvailableForSaleSecurities	1732000
CY2020	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-533885000
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
CY2022	us-gaap	Net Cash Provided By Used In Investing Activities NetCashProvidedByUsedInInvestingActivities	-17223000
CY2020	us-gaap	Proceeds From Short Term Debt ProceedsFromShortTermDebt	740434000
CY2021	us-gaap	Proceeds From Short Term Debt ProceedsFromShortTermDebt	126112000
CY2022	us-gaap	Proceeds From Short Term Debt ProceedsFromShortTermDebt	217470000
CY2022	us-gaap	Proceeds From Short Term Debt ProceedsFromShortTermDebt	31530000
CY2020	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	857110000
CY2021	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	386635000
CY2022	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	422765000
CY2022	us-gaap	Proceeds From Issuance Of Long Term Debt ProceedsFromIssuanceOfLongTermDebt	61295000
CY2020	ccm	Proceed From Convertible Debt ProceedFromConvertibleDebt	0
CY2021	ccm	Proceed From Convertible Debt ProceedFromConvertibleDebt	20000000
CY2020	ccm	Proceeds From Short Term Borrowings From Others ProceedsFromShortTermBorrowingsFromOthers	26560000
CY2021	ccm	Proceeds From Short Term Borrowings From Others ProceedsFromShortTermBorrowingsFromOthers	24432000
CY2022	ccm	Proceeds From Short Term Borrowings From Others ProceedsFromShortTermBorrowingsFromOthers	220369000
CY2022	ccm	Proceeds From Short Term Borrowings From Others ProceedsFromShortTermBorrowingsFromOthers	31951000
CY2020	ccm	Repayments Of Secured Borrowings RepaymentsOfSecuredBorrowings	0
CY2021	ccm	Repayments Of Secured Borrowings RepaymentsOfSecuredBorrowings	80886000
CY2022	ccm	Repayments Of Secured Borrowings RepaymentsOfSecuredBorrowings	82915000
CY2022	ccm	Repayments Of Secured Borrowings RepaymentsOfSecuredBorrowings	12022000
CY2020	us-gaap	Repayments Of Short Term Debt RepaymentsOfShortTermDebt	1029176000
CY2021	us-gaap	Repayments Of Short Term Debt RepaymentsOfShortTermDebt	24706000
CY2022	us-gaap	Repayments Of Short Term Debt RepaymentsOfShortTermDebt	197598000
CY2022	us-gaap	Repayments Of Short Term Debt RepaymentsOfShortTermDebt	28649000
CY2020	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	241825000
CY2021	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	206057000
CY2022	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	197003000
CY2022	us-gaap	Repayments Of Long Term Debt RepaymentsOfLongTermDebt	28563000
CY2020	ccm	Payments To Subsidiary Noncontrolling Interests PaymentsToSubsidiaryNoncontrollingInterests	25653000
CY2021	ccm	Payments To Subsidiary Noncontrolling Interests PaymentsToSubsidiaryNoncontrollingInterests	4581000
CY2020	ccm	Proceeds From Related Party Debt Two ProceedsFromRelatedPartyDebtTwo	110852000
CY2021	ccm	Proceeds From Related Party Debt Two ProceedsFromRelatedPartyDebtTwo	1500000
CY2022	ccm	Proceeds From Related Party Debt Two ProceedsFromRelatedPartyDebtTwo	0
CY2020	us-gaap	Proceeds From Minority Shareholders ProceedsFromMinorityShareholders	700000000
CY2021	us-gaap	Proceeds From Minority Shareholders ProceedsFromMinorityShareholders	400000000
CY2020	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	1138302000
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
CY2022	us-gaap	Net Cash Provided By Used In Financing Activities NetCashProvidedByUsedInFinancingActivities	55542000
CY2020	us-gaap	Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	-2563000
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
CY2022	us-gaap	Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations EffectOfExchangeRateOnCashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsIncludingDisposalGroupAndDiscontinuedOperations	-6837000
CY2020	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	372088000
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
CY2022	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Period Increase Decrease Including Exchange Rate Effect CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalentsPeriodIncreaseDecreaseIncludingExchangeRateEffect	63000
CY2019Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	74307000
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
CY2021Q4	us-gaap	Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents	23040000
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	23103000
CY2020Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	334264000
CY2021Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	157386000
CY2022Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	158283000
CY2022Q4	us-gaap	Cash And Cash Equivalents At Carrying Value CashAndCashEquivalentsAtCarryingValue	22949000
CY2020Q4	us-gaap	Restricted Cash And Cash Equivalents At Carrying Value RestrictedCashAndCashEquivalentsAtCarryingValue	4661000
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
CY2022Q4	us-gaap	Restricted Cash And Cash Equivalents At Carrying Value RestrictedCashAndCashEquivalentsAtCarryingValue	154000
CY2020Q4	us-gaap	Restricted Cash And Cash Equivalents Noncurrent RestrictedCashAndCashEquivalentsNoncurrent	107470000
CY2021Q4	us-gaap	Restricted Cash And Cash Equivalents Noncurrent RestrictedCashAndCashEquivalentsNoncurrent	138000
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	23103000
CY2020	us-gaap	Income Taxes Paid IncomeTaxesPaid	3259000
CY2022	us-gaap	Income Taxes Paid IncomeTaxesPaid	3013000
CY2020	us-gaap	Interest Paid Net InterestPaidNet	73848000
CY2021	us-gaap	Interest Paid Net InterestPaidNet	134180000
CY2022	us-gaap	Interest Paid Net InterestPaidNet	145257000
CY2022	us-gaap	Interest Paid Net InterestPaidNet	21060000
CY2020	ccm	Noncash Or Part Noncash Acquisition Business Acquired Through Effective Settlement In Other Receivables Advance To Suppliers And Other Payables NoncashOrPartNoncashAcquisitionBusinessAcquiredThroughEffectiveSettlementInOtherReceivablesAdvanceToSuppliersAndOtherPayables	602000
CY2020	us-gaap	Escrow Deposit Disbursements Related To Property Acquisition1 EscrowDepositDisbursementsRelatedToPropertyAcquisition1	704312000
CY2021	us-gaap	Escrow Deposit Disbursements Related To Property Acquisition1 EscrowDepositDisbursementsRelatedToPropertyAcquisition1	460078000
CY2022	us-gaap	Escrow Deposit Disbursements Related To Property Acquisition1 EscrowDepositDisbursementsRelatedToPropertyAcquisition1	257440000
CY2022	us-gaap	Escrow Deposit Disbursements Related To Property Acquisition1 EscrowDepositDisbursementsRelatedToPropertyAcquisition1	37325000
CY2020	us-gaap	Fair Value Of Assets Acquired FairValueOfAssetsAcquired	50736000
CY2021	us-gaap	Fair Value Of Assets Acquired FairValueOfAssetsAcquired	99406000
CY2022	us-gaap	Fair Value Of Assets Acquired FairValueOfAssetsAcquired	2181000
CY2022	us-gaap	Fair Value Of Assets Acquired FairValueOfAssetsAcquired	316000
CY2019Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	-20368000
CY2020	us-gaap	Profit Loss ProfitLoss	-404029000
CY2020	ccm	Other Comprehensive Income Net Of Tax OtherComprehensiveIncomeNetOfTax	50856000
CY2020	ccm	Adjustments To Additional Paid In Capital Accretion Of Contingently Redeemable Noncontrolling Interests AdjustmentsToAdditionalPaidInCapitalAccretionOfContingentlyRedeemableNoncontrollingInterests	272654000
CY2020	us-gaap	Adjustments To Additional Paid In Capital Sharebased Compensation Requisite Service Period Recognition Value AdjustmentsToAdditionalPaidInCapitalSharebasedCompensationRequisiteServicePeriodRecognitionValue	20621000
CY2020	us-gaap	Noncontrolling Interest Increase From Sale Of Parent Equity Interest NoncontrollingInterestIncreaseFromSaleOfParentEquityInterest	110874000
CY2020	us-gaap	Minority Interest Decrease From Redemptions MinorityInterestDecreaseFromRedemptions	-3078000
CY2020Q4	us-gaap	Stockholders Equity Including Portion Attributable To Noncontrolling Interest StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest	-512845000
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	292241000
CY2016Q1	ccm	Common Unit Value Authorized CommonUnitValueAuthorized	1009000000
CY2020	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	404029000
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
CY2022	us-gaap	Income Loss From Continuing Operations Including Portion Attributable To Noncontrolling Interest IncomeLossFromContinuingOperationsIncludingPortionAttributableToNoncontrollingInterest	-111492000
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
CY2022	us-gaap	Net Cash Provided By Used In Operating Activities NetCashProvidedByUsedInOperatingActivities	-31419000
CY2022Q4	us-gaap	Cash Cash	158283000
CY2022Q4	us-gaap	Cash Cash	22949000
CY2022Q4	ccm	Working Capital WorkingCapital	361436000
CY2022Q4	ccm	Working Capital WorkingCapital	52404000
CY2022Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-3766931000
CY2022Q4	us-gaap	Retained Earnings Accumulated Deficit RetainedEarningsAccumulatedDeficit	-546154000
CY2022	ccm	Number Of Loan Contracts Entered NumberOfLoanContractsEntered	2
CY2022	ccm	Amount Of Loan Contract Received AmountOfLoanContractReceived	68500000
CY2022	ccm	Amount Of Loan Contract Received AmountOfLoanContractReceived	9900000
CY2022	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, fair value measurement of retained noncontrolling interest after losing control of subsidiary, measurement of available for sale debt securities, unrecognized tax benefits, realization of deferred tax assets, share-based compensation expenses, 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>
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	1126000
CY2021Q4	ccm	Due From Suppliers Current DueFromSuppliersCurrent	25622000
CY2022Q4	us-gaap	Foreign Currency Exchange Rate Translation1 ForeignCurrencyExchangeRateTranslation1	6.8972
CY2022	ccm	Foreign Currency Exchange Rate Translation Per Share ForeignCurrencyExchangeRateTranslationPerShare	1.00
CY2022	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
CY2022Q4	ccm	Due From Suppliers Current DueFromSuppliersCurrent	31660000
CY2022Q4	ccm	Due From Suppliers Current DueFromSuppliersCurrent	4590000
CY2020	us-gaap	Interest Costs Incurred InterestCostsIncurred	148642000
CY2021	us-gaap	Interest Costs Incurred InterestCostsIncurred	139873000
CY2022	us-gaap	Interest Costs Incurred InterestCostsIncurred	180847000
CY2022	us-gaap	Interest Costs Incurred InterestCostsIncurred	26220000
CY2020	us-gaap	Interest Costs Incurred Capitalized InterestCostsIncurredCapitalized	67283000
CY2021	us-gaap	Interest Costs Incurred Capitalized InterestCostsIncurredCapitalized	66084000
CY2022	us-gaap	Interest Costs Incurred Capitalized InterestCostsIncurredCapitalized	60490000
CY2022	us-gaap	Interest Costs Incurred Capitalized InterestCostsIncurredCapitalized	8770000
CY2020	us-gaap	Asset Impairment Charges AssetImpairmentCharges	8500000
CY2021	us-gaap	Asset Impairment Charges AssetImpairmentCharges	0
CY2022	us-gaap	Asset Impairment Charges AssetImpairmentCharges	0
CY2020Q4	ccm	Percent Appreciation And Depreciation Of Rmb Against Us Dollar PercentAppreciationAndDepreciationOfRmbAgainstUsDollar	-0.063
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
CY2020	ccm	Impairment Write Off ImpairmentWriteOff	0
CY2022	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	2832000
CY2022	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	411000
CY2022	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	411000
CY2020	us-gaap	Allowance For Doubtful Accounts Receivable Recoveries AllowanceForDoubtfulAccountsReceivableRecoveries	1415000
CY2021	us-gaap	Allowance For Doubtful Accounts Receivable Recoveries AllowanceForDoubtfulAccountsReceivableRecoveries	983000
CY2021Q1	us-gaap	Goodwill Goodwill	368221000
CY2021Q1	us-gaap	Goodwill Goodwill	57782000
CY2021Q4	us-gaap	Restricted Cash Current RestrictedCashCurrent	1387000
CY2022Q4	us-gaap	Restricted Cash Current RestrictedCashCurrent	1060000
CY2022Q4	us-gaap	Restricted Cash Current RestrictedCashCurrent	154000
CY2021Q4	us-gaap	Restricted Cash Noncurrent RestrictedCashNoncurrent	138000
CY2022Q4	us-gaap	Restricted Cash Noncurrent RestrictedCashNoncurrent	0
CY2021Q4	us-gaap	Accounts Receivable Gross Current AccountsReceivableGrossCurrent	132831000
CY2022Q4	us-gaap	Accounts Receivable Gross Current AccountsReceivableGrossCurrent	138035000
CY2022Q4	us-gaap	Accounts Receivable Gross Current AccountsReceivableGrossCurrent	20014000
CY2021Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	4932000
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	7764000
CY2022Q4	us-gaap	Allowance For Doubtful Accounts Receivable Current AllowanceForDoubtfulAccountsReceivableCurrent	1126000
CY2021Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	127899000
CY2022Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	130271000
CY2022Q4	us-gaap	Accounts Receivable Net Current AccountsReceivableNetCurrent	18888000
CY2019Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	7147000
CY2020Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	6473000
CY2021Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	4932000
CY2021Q4	us-gaap	Allowance For Doubtful Accounts Receivable AllowanceForDoubtfulAccountsReceivable	715000
CY2020	ccm	Accounts Receivable Allowance Effect Of Adoption Of Asc326 AccountsReceivableAllowanceEffectOfAdoptionOfAsc326	597000
CY2020	ccm	Allowance For Doubtful Accounts Receivable Disposal Of Subsidiary AllowanceForDoubtfulAccountsReceivableDisposalOfSubsidiary	-60000
CY2020	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	1879000
CY2021	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	1463000
CY2022	us-gaap	Provision For Doubtful Accounts ProvisionForDoubtfulAccounts	2832000
CY2021Q4	us-gaap	Loans And Leases Receivable Net Reported Amount LoansAndLeasesReceivableNetReportedAmount	169272000
CY2022Q4	us-gaap	Loans And Leases Receivable Net Reported Amount LoansAndLeasesReceivableNetReportedAmount	294130000
CY2022Q4	us-gaap	Loans And Leases Receivable Net Reported Amount LoansAndLeasesReceivableNetReportedAmount	42645000
CY2021Q4	us-gaap	Due From Employees Current DueFromEmployeesCurrent	2708000
CY2022Q4	us-gaap	Due From Employees Current DueFromEmployeesCurrent	2601000
CY2022Q4	us-gaap	Due From Employees Current DueFromEmployeesCurrent	377000
CY2022Q4	us-gaap	Dividends Receivable DividendsReceivable	1643000
CY2022Q4	us-gaap	Dividends Receivable DividendsReceivable	238000
CY2021Q4	us-gaap	Value Added Tax Receivable Current ValueAddedTaxReceivableCurrent	45031000
CY2022Q4	us-gaap	Value Added Tax Receivable Current ValueAddedTaxReceivableCurrent	44268000
CY2022Q4	us-gaap	Value Added Tax Receivable Current ValueAddedTaxReceivableCurrent	6418000
CY2021Q4	us-gaap	Income Taxes Receivable IncomeTaxesReceivable	216000
CY2022Q4	us-gaap	Income Taxes Receivable IncomeTaxesReceivable	234000
CY2022Q4	us-gaap	Income Taxes Receivable IncomeTaxesReceivable	34000
CY2021Q4	us-gaap	Receivables Long Term Contracts Or Programs ReceivablesLongTermContractsOrPrograms	978000
CY2022Q4	us-gaap	Receivables Long Term Contracts Or Programs ReceivablesLongTermContractsOrPrograms	1138000
CY2022Q4	us-gaap	Receivables Long Term Contracts Or Programs ReceivablesLongTermContractsOrPrograms	165000
CY2021Q4	us-gaap	Other Deferred Costs Net OtherDeferredCostsNet	1868000
CY2022Q4	us-gaap	Other Deferred Costs Net OtherDeferredCostsNet	200000
CY2022Q4	us-gaap	Other Deferred Costs Net OtherDeferredCostsNet	29000
CY2021Q4	us-gaap	Other Assets Miscellaneous OtherAssetsMiscellaneous	26177000
CY2022Q4	us-gaap	Other Assets Miscellaneous OtherAssetsMiscellaneous	26767000
CY2022Q4	us-gaap	Other Assets Miscellaneous OtherAssetsMiscellaneous	3882000
CY2021Q4	ccm	Prepaid Expense And Other Assets Gross Of Reserve Current PrepaidExpenseAndOtherAssetsGrossOfReserveCurrent	271872000
CY2022Q4	ccm	Prepaid Expense And Other Assets Gross Of Reserve Current PrepaidExpenseAndOtherAssetsGrossOfReserveCurrent	402641000
CY2022Q4	ccm	Prepaid Expense And Other Assets Gross Of Reserve Current PrepaidExpenseAndOtherAssetsGrossOfReserveCurrent	58378000
CY2021Q4	ccm	Reserve For Unrecoverable Deposits Current ReserveForUnrecoverableDepositsCurrent	14853000
CY2022Q4	ccm	Reserve For Unrecoverable Deposits Current ReserveForUnrecoverableDepositsCurrent	17290000
CY2022Q4	ccm	Reserve For Unrecoverable Deposits Current ReserveForUnrecoverableDepositsCurrent	2507000
CY2021Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	257019000
CY2022Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	385351000
CY2022Q4	us-gaap	Prepaid Expense And Other Assets Current PrepaidExpenseAndOtherAssetsCurrent	55871000
CY2021Q4	us-gaap	Financing Receivable Allowance For Credit Losses FinancingReceivableAllowanceForCreditLosses	3001000
CY2022Q4	us-gaap	Financing Receivable Allowance For Credit Losses FinancingReceivableAllowanceForCreditLosses	3011000
CY2022Q4	us-gaap	Financing Receivable Allowance For Credit Losses FinancingReceivableAllowanceForCreditLosses	437000
CY2021	ccm	Impairment Write Off ImpairmentWriteOff	2645000
CY2022	ccm	Impairment Write Off ImpairmentWriteOff	0
CY2021Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Before Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesBeforeAccumulatedDepreciation	105980000
CY2022Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Before Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesBeforeAccumulatedDepreciation	128486000
CY2021Q4	us-gaap	Inventory Gross InventoryGross	38705000
CY2022Q4	us-gaap	Inventory Gross InventoryGross	85442000
CY2022Q4	us-gaap	Inventory Gross InventoryGross	12388000
CY2021Q4	us-gaap	Inventory Valuation Reserves InventoryValuationReserves	620000
CY2022Q4	us-gaap	Inventory Valuation Reserves InventoryValuationReserves	607000
CY2022Q4	us-gaap	Inventory Valuation Reserves InventoryValuationReserves	88000
CY2021Q4	us-gaap	Inventory Net InventoryNet	38085000
CY2022Q4	us-gaap	Inventory Net InventoryNet	84835000
CY2022Q4	us-gaap	Inventory Net InventoryNet	12300000
CY2021Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	3386050000
CY2022Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	3583503000
CY2022Q4	us-gaap	Property Plant And Equipment Gross PropertyPlantAndEquipmentGross	519559000
CY2021Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	224877000
CY2022Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	308210000
CY2022Q4	us-gaap	Accumulated Depreciation Depletion And Amortization Property Plant And Equipment AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment	44686000
CY2021	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	16148000
CY2022	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	16148000
CY2022	us-gaap	Impairment Of Long Lived Assets Held For Use ImpairmentOfLongLivedAssetsHeldForUse	2341000
CY2021Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	3145025000
CY2022Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	3259145000
CY2022Q4	us-gaap	Property Plant And Equipment Net PropertyPlantAndEquipmentNet	472532000
CY2020	us-gaap	Depreciation Depreciation	55030000
CY2021	us-gaap	Depreciation Depreciation	64288000
CY2022	us-gaap	Depreciation Depreciation	88692000
CY2022	us-gaap	Depreciation Depreciation	12859000
CY2020	us-gaap	Tangible Asset Impairment Charges TangibleAssetImpairmentCharges	0
CY2021	us-gaap	Tangible Asset Impairment Charges TangibleAssetImpairmentCharges	0
CY2022	us-gaap	Tangible Asset Impairment Charges TangibleAssetImpairmentCharges	0
CY2022Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Before Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesBeforeAccumulatedDepreciation	18629000
CY2021Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesAccumulatedDepreciation	78247000
CY2022Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesAccumulatedDepreciation	100681000
CY2022Q4	ccm	Property Plant And Equipment Lessor Asset Under Operating Leases Accumulated Depreciation PropertyPlantAndEquipmentLessorAssetUnderOperatingLeasesAccumulatedDepreciation	14597000
CY2021Q4	ccm	Property And Equipment Pledged As Collateral For Other Borrowings PropertyAndEquipmentPledgedAsCollateralForOtherBorrowings	361806000
CY2022Q4	ccm	Property And Equipment Pledged As Collateral For Other Borrowings PropertyAndEquipmentPledgedAsCollateralForOtherBorrowings	412683000
CY2022Q4	ccm	Property And Equipment Pledged As Collateral For Other Borrowings PropertyAndEquipmentPledgedAsCollateralForOtherBorrowings	59833000
CY2021Q4	ccm	Property And Equipment Pledged To Secure Bank And Other Borrowings PropertyAndEquipmentPledgedToSecureBankAndOtherBorrowings	1709761000
CY2022Q4	ccm	Property And Equipment Pledged To Secure Bank And Other Borrowings PropertyAndEquipmentPledgedToSecureBankAndOtherBorrowings	1754217000
CY2022Q4	ccm	Property And Equipment Pledged To Secure Bank And Other Borrowings PropertyAndEquipmentPledgedToSecureBankAndOtherBorrowings	254338000
CY2021Q4	ccm	Operating Lease Receivables Current OperatingLeaseReceivablesCurrent	13318000
CY2022Q4	ccm	Operating Lease Receivables Current OperatingLeaseReceivablesCurrent	93883000
CY2022Q4	ccm	Operating Lease Receivables Current OperatingLeaseReceivablesCurrent	13612000
CY2021Q4	ccm	Sale Type Lease Receivables Current SaleTypeLeaseReceivablesCurrent	1010000
CY2022Q4	ccm	Sale Type Lease Receivables Current SaleTypeLeaseReceivablesCurrent	906000
CY2022Q4	ccm	Sale Type Lease Receivables Current SaleTypeLeaseReceivablesCurrent	131000
CY2021Q4	ccm	Sales Type And Direct Financing Leases Lease Receivable Current SalesTypeAndDirectFinancingLeasesLeaseReceivableCurrent	2699000
CY2021Q4	ccm	Sales Type And Direct Financing Leases Lease Receivable Non Current SalesTypeAndDirectFinancingLeasesLeaseReceivableNonCurrent	4796000
CY2021Q4	us-gaap	Net Investment In Lease NetInvestmentInLease	21823000
CY2022Q4	us-gaap	Net Investment In Lease NetInvestmentInLease	94789000
CY2022Q4	us-gaap	Net Investment In Lease NetInvestmentInLease	13743000
CY2021Q4	ccm	Lease Receivables LeaseReceivables	2637000
CY2022Q4	ccm	Lease Receivables LeaseReceivables	2595000
CY2022Q4	ccm	Lease Receivables LeaseReceivables	376000
CY2021Q4	us-gaap	Notes Receivable Net NotesReceivableNet	10056000
CY2022Q4	us-gaap	Notes Receivable Net NotesReceivableNet	340000
CY2022Q4	us-gaap	Notes Receivable Net NotesReceivableNet	49000
CY2021	ccm	Derecognition Of Underlying Assets DerecognitionOfUnderlyingAssets	58058000
CY2022	ccm	Derecognition Of Underlying Assets DerecognitionOfUnderlyingAssets	47409000
CY2022	ccm	Derecognition Of Underlying Assets DerecognitionOfUnderlyingAssets	6874000
CY2022	us-gaap	Operating Lease Cost OperatingLeaseCost	37587000
CY2022	us-gaap	Operating Lease Cost OperatingLeaseCost	5450000
CY2022	us-gaap	Short Term Lease Cost ShortTermLeaseCost	326000
CY2022	us-gaap	Short Term Lease Cost ShortTermLeaseCost	47000
CY2022	us-gaap	Lease Cost LeaseCost	37913000
CY2022	us-gaap	Lease Cost LeaseCost	5497000
CY2021Q4	ccm	Sales Type And Direct Financing Leases Lease Receivable Excluding Initial Direct Cost SalesTypeAndDirectFinancingLeasesLeaseReceivableExcludingInitialDirectCost	8384000
CY2021Q4	ccm	Sales Type And Direct Financing Leases Lease Receivable Initial Direct Cost SalesTypeAndDirectFinancingLeasesLeaseReceivableInitialDirectCost	-889000
CY2021Q4	us-gaap	Sales Type And Direct Financing Leases Lease Receivable SalesTypeAndDirectFinancingLeasesLeaseReceivable	7495000
CY2021Q4	ccm	Sales Type And Direct Financing Leases Lease Receivable Current SalesTypeAndDirectFinancingLeasesLeaseReceivableCurrent	2699000
CY2021Q4	ccm	Sales Type And Direct Financing Leases Lease Receivable Non Current SalesTypeAndDirectFinancingLeasesLeaseReceivableNonCurrent	4796000
CY2021Q4	ccm	Sales Type And Direct Financing Leases Lease Receivable Total SalesTypeAndDirectFinancingLeasesLeaseReceivableTotal	7495000
CY2022Q4	ccm	Sales Type And Direct Financing Leases Lease Receivable Total SalesTypeAndDirectFinancingLeasesLeaseReceivableTotal	0
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Next Twelve Months LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths	1796000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Next Twelve Months LessorOperatingLeasePaymentsToBeReceivedNextTwelveMonths	260000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Two Years LessorOperatingLeasePaymentsToBeReceivedTwoYears	1796000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Two Years LessorOperatingLeasePaymentsToBeReceivedTwoYears	260000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Three Years LessorOperatingLeasePaymentsToBeReceivedThreeYears	96000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Three Years LessorOperatingLeasePaymentsToBeReceivedThreeYears	14000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Four Years LessorOperatingLeasePaymentsToBeReceivedFourYears	96000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Four Years LessorOperatingLeasePaymentsToBeReceivedFourYears	14000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Five Years LessorOperatingLeasePaymentsToBeReceivedFiveYears	96000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Five Years LessorOperatingLeasePaymentsToBeReceivedFiveYears	14000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Thereafter LessorOperatingLeasePaymentsToBeReceivedThereafter	16000
CY2022Q4	us-gaap	Lessor Operating Lease Payments To Be Received Thereafter LessorOperatingLeasePaymentsToBeReceivedThereafter	2000
CY2022Q4	ccm	Lessee Sale And Leaseback Liability Current LesseeSaleAndLeasebackLiabilityCurrent	203366000
CY2022Q4	ccm	Lessee Sale And Leaseback Liability Current LesseeSaleAndLeasebackLiabilityCurrent	29485000
CY2022Q4	ccm	Lessee Sale And Leaseback Liability Noncurrent LesseeSaleAndLeasebackLiabilityNoncurrent	346533000
CY2022Q4	ccm	Lessee Sale And Leaseback Liability Noncurrent LesseeSaleAndLeasebackLiabilityNoncurrent	50243000
CY2020	ccm	Interest Expense On Sale Lease Back Transaction InterestExpenseOnSaleLeaseBackTransaction	44880000
CY2021	ccm	Interest Expense On Sale Lease Back Transaction InterestExpenseOnSaleLeaseBackTransaction	39876000
CY2022	ccm	Interest Expense On Sale Lease Back Transaction InterestExpenseOnSaleLeaseBackTransaction	47049000
CY2022	ccm	Interest Expense On Sale Lease Back Transaction InterestExpenseOnSaleLeaseBackTransaction	6821000
CY2022	us-gaap	Operating Lease Payments OperatingLeasePayments	12887000
CY2022	us-gaap	Operating Lease Payments OperatingLeasePayments	1868000
CY2022	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	105200000
CY2022	us-gaap	Right Of Use Asset Obtained In Exchange For Operating Lease Liability RightOfUseAssetObtainedInExchangeForOperatingLeaseLiability	15253000
CY2022Q4	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P4Y
CY2022Q4	us-gaap	Operating Lease Weighted Average Remaining Lease Term1 OperatingLeaseWeightedAverageRemainingLeaseTerm1	P4Y
CY2022Q4	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.0575
CY2022Q4	us-gaap	Operating Lease Weighted Average Discount Rate Percent OperatingLeaseWeightedAverageDiscountRatePercent	0.0575
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Next Twelve Months LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths	48512000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Next Twelve Months LesseeOperatingLeaseLiabilityPaymentsDueNextTwelveMonths	7034000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	23719000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Two LesseeOperatingLeaseLiabilityPaymentsDueYearTwo	3439000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	23702000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Three LesseeOperatingLeaseLiabilityPaymentsDueYearThree	3436000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	23302000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Four LesseeOperatingLeaseLiabilityPaymentsDueYearFour	3378000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	21723000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due Year Five LesseeOperatingLeaseLiabilityPaymentsDueYearFive	3150000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due After Year Five LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive	189280000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due After Year Five LesseeOperatingLeaseLiabilityPaymentsDueAfterYearFive	27443000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	330238000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Payments Due LesseeOperatingLeaseLiabilityPaymentsDue	47880000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	94369000
CY2022Q4	us-gaap	Lessee Operating Lease Liability Undiscounted Excess Amount LesseeOperatingLeaseLiabilityUndiscountedExcessAmount	13683000
CY2022Q4	us-gaap	Operating Lease Liability OperatingLeaseLiability	235869000
CY2022Q4	us-gaap	Operating Lease Liability OperatingLeaseLiability	34197000
CY2020Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	522821000
CY2021Q4	us-gaap	Prepaid Expense Other Noncurrent PrepaidExpenseOtherNoncurrent	463992000
CY2022Q4	us-gaap	Prepaid Expense Other Noncurrent PrepaidExpenseOtherNoncurrent	464209000
CY2022Q4	us-gaap	Prepaid Expense Other Noncurrent PrepaidExpenseOtherNoncurrent	67304000
CY2021Q4	ccm	Prepaid Land Lease Payments Noncurrent Accumulated Amortization PrepaidLandLeasePaymentsNoncurrentAccumulatedAmortization	47096000
CY2022Q4	ccm	Prepaid Land Lease Payments Noncurrent Accumulated Amortization PrepaidLandLeasePaymentsNoncurrentAccumulatedAmortization	56723000
CY2022Q4	ccm	Prepaid Land Lease Payments Noncurrent Accumulated Amortization PrepaidLandLeasePaymentsNoncurrentAccumulatedAmortization	8224000
CY2021Q4	us-gaap	Prepaid Expense Noncurrent PrepaidExpenseNoncurrent	416896000
CY2022Q4	us-gaap	Prepaid Expense Noncurrent PrepaidExpenseNoncurrent	407486000
CY2022Q4	us-gaap	Prepaid Expense Noncurrent PrepaidExpenseNoncurrent	59080000
CY2021	ccm	Prepaid Land Lease Amortization Expense PrepaidLandLeaseAmortizationExpense	416896000
CY2022	ccm	Prepaid Land Lease Amortization Expense PrepaidLandLeaseAmortizationExpense	407486000
CY2022	ccm	Prepaid Land Lease Amortization Expense PrepaidLandLeaseAmortizationExpense	59080000
CY2020	ccm	Finance Lease Amortization Expenses FinanceLeaseAmortizationExpenses	9513000
CY2021	ccm	Finance Lease Amortization Expenses FinanceLeaseAmortizationExpenses	9621000
CY2022	ccm	Finance Lease Amortization Expenses FinanceLeaseAmortizationExpenses	9627000
CY2022	ccm	Finance Lease Amortization Expenses FinanceLeaseAmortizationExpenses	1396000
CY2021Q4	us-gaap	Secured Debt Other SecuredDebtOther	405117000
CY2022Q4	us-gaap	Secured Debt Other SecuredDebtOther	395973000
CY2022Q4	us-gaap	Secured Debt Other SecuredDebtOther	57411000
CY2022Q4	ccm	Prepaid Land Lease Amortization Expense Next Twelve Months PrepaidLandLeaseAmortizationExpenseNextTwelveMonths	9627000
CY2022Q4	ccm	Prepaid Land Lease Amortization Expense Next Twelve Months PrepaidLandLeaseAmortizationExpenseNextTwelveMonths	1396000
CY2022Q4	ccm	Prepaid Land Lease Amortization Expense Year Two PrepaidLandLeaseAmortizationExpenseYearTwo	9627000
CY2022Q4	ccm	Prepaid Land Lease Amortization Expense Year Two PrepaidLandLeaseAmortizationExpenseYearTwo	1396000
CY2022Q4	ccm	Prepaid Land Lease Amortization Expense Year Three PrepaidLandLeaseAmortizationExpenseYearThree	9627000
CY2022Q4	ccm	Prepaid Land Lease Amortization Expense Year Three PrepaidLandLeaseAmortizationExpenseYearThree	1396000
CY2022Q4	ccm	Prepaid Land Lease Amortization Expense Year Four PrepaidLandLeaseAmortizationExpenseYearFour	9627000
CY2022Q4	ccm	Prepaid Land Lease Amortization Expense Year Four PrepaidLandLeaseAmortizationExpenseYearFour	1396000
CY2022Q4	ccm	Prepaid Land Lease Amortization Expense Year Five PrepaidLandLeaseAmortizationExpenseYearFive	9627000
CY2022Q4	ccm	Prepaid Land Lease Amortization Expense Year Five PrepaidLandLeaseAmortizationExpenseYearFive	1396000
CY2021	ccm	Additions Of License AdditionsOfLicense	133376000
CY2021	us-gaap	Capitalized Computer Software Additions CapitalizedComputerSoftwareAdditions	31811000
CY2021	us-gaap	Amortization Of Intangible Assets AmortizationOfIntangibleAssets	30171000
CY2021Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	657837000
CY2022	us-gaap	Capitalized Computer Software Additions CapitalizedComputerSoftwareAdditions	3334000
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
CY2022	ccm	Disposal Of Goodwill During Period DisposalOfGoodwillDuringPeriod	935000
CY2019Q4	us-gaap	Goodwill Goodwill	210443000
CY2020Q4	us-gaap	Goodwill Goodwill	213656000
CY2021Q4	us-gaap	Goodwill Goodwill	581877000
CY2021Q4	us-gaap	Goodwill Goodwill	84364000
CY2020	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	3213000
CY2021	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	368221000
CY2022	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	0
CY2022	us-gaap	Goodwill Acquired During Period GoodwillAcquiredDuringPeriod	0
CY2022	ccm	Disposal Of Goodwill During Period DisposalOfGoodwillDuringPeriod	6450000
CY2022	ccm	Disposal Of Goodwill During Period DisposalOfGoodwillDuringPeriod	935000
CY2020	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2021	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2022	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2022	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2020Q4	us-gaap	Goodwill Goodwill	213656000
CY2021Q4	us-gaap	Goodwill Goodwill	581877000
CY2022Q4	us-gaap	Goodwill Goodwill	575427000
CY2022Q4	us-gaap	Goodwill Goodwill	83429000
CY2020	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2021	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
CY2022	us-gaap	Goodwill Impairment Loss GoodwillImpairmentLoss	0
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
CY2022Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	51291000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Gross FiniteLivedIntangibleAssetsGross	486841000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Accumulated Amortization FiniteLivedIntangibleAssetsAccumulatedAmortization	132112000
CY2022Q4	ccm	Finitelived Intangible Assets Accumulated Impairment FinitelivedIntangibleAssetsAccumulatedImpairment	963000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Net FiniteLivedIntangibleAssetsNet	353766000
CY2022	ccm	Finite Lived Intangible Assets Decrease From Termiantion Agreement FiniteLivedIntangibleAssetsDecreaseFromTermiantionAgreement	272910000
CY2022	ccm	Finite Lived Intangible Assets Decrease From Termiantion Agreement FiniteLivedIntangibleAssetsDecreaseFromTermiantionAgreement	39568000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	35070000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Next Twelve Months FiniteLivedIntangibleAssetsAmortizationExpenseNextTwelveMonths	5085000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	35020000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Two FiniteLivedIntangibleAssetsAmortizationExpenseYearTwo	5077000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	34427000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Three FiniteLivedIntangibleAssetsAmortizationExpenseYearThree	4991000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	33329000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Four FiniteLivedIntangibleAssetsAmortizationExpenseYearFour	4832000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	215920000
CY2022Q4	us-gaap	Finite Lived Intangible Assets Amortization Expense Year Five FiniteLivedIntangibleAssetsAmortizationExpenseYearFive	31306000
CY2021Q4	us-gaap	Retainage Deposit RetainageDeposit	224866000
CY2022Q4	us-gaap	Retainage Deposit RetainageDeposit	8932000
CY2022Q4	us-gaap	Retainage Deposit RetainageDeposit	1295000
CY2021Q4	us-gaap	Deposits Assets Noncurrent DepositsAssetsNoncurrent	224866000
CY2022Q4	us-gaap	Deposits Assets Noncurrent DepositsAssetsNoncurrent	8932000
CY2022Q4	us-gaap	Deposits Assets Noncurrent DepositsAssetsNoncurrent	1295000
CY2021	us-gaap	Dividends Common Stock Cash DividendsCommonStockCash	0
CY2022	us-gaap	Dividends Common Stock Cash DividendsCommonStockCash	0
CY2022	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:67.92%;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:2.03%;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:2.03%;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:8.35%;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:67.92%;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:2.04%;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:30.02%;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:67.92%;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:2.04%;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;">2021</b></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:2.03%;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:8.35%;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></tr><tr><td style="vertical-align:bottom;width:67.92%;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:2.04%;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:2.03%;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:2.03%;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:8.35%;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:67.92%;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:2.04%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> </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:2.03%;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:2.03%;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:8.35%;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;"> 7,470</p></td></tr><tr><td style="vertical-align:bottom;width:67.92%;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:2.04%;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;"> 277,056</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:2.03%;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:8.35%;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;"> 48,752</p></td></tr><tr><td style="vertical-align:bottom;width:67.92%;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:2.04%;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;"> 62,045</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:2.03%;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:8.35%;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;"> 7,263</p></td></tr><tr><td style="vertical-align:bottom;width:67.92%;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:2.04%;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:2.03%;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:2.03%;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:8.35%;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:67.92%;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:2.04%;background:#cceeff;margin:0pt;padding:0pt;"><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;margin:0pt 0pt 0.05pt 0pt;"> </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;"> 390,625</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:2.03%;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:8.35%;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;"> 63,485</p></td></tr></table><p style="font-family:'Times New Roman','Times','serif';font-size:10pt;text-align:justify;text-indent:36pt;margin:0pt;"><span style="margin-bottom:12pt;visibility:hidden;"></span></p>
CY2021Q4	us-gaap	Equity Securities Without Readily Determinable Fair Value Amount EquitySecuritiesWithoutReadilyDeterminableFairValueAmount	51524000
CY2022Q4	us-gaap	Equity Securities Without Readily Determinable Fair Value Amount EquitySecuritiesWithoutReadilyDeterminableFairValueAmount	51524000
CY2022Q4	us-gaap	Equity Securities Without Readily Determinable Fair Value Amount EquitySecuritiesWithoutReadilyDeterminableFairValueAmount	7470000
CY2021Q4	us-gaap	Equity Method Investments EquityMethodInvestments	277056000
CY2022Q4	us-gaap	Equity Method Investments EquityMethodInvestments	336254000
CY2022Q4	us-gaap	Equity Method Investments EquityMethodInvestments	48752000
CY2021Q4	us-gaap	Available For Sale Securities Debt Securities AvailableForSaleSecuritiesDebtSecurities	62045000
CY2022Q4	us-gaap	Available For Sale Securities Debt Securities AvailableForSaleSecuritiesDebtSecurities	50096000
CY2022Q4	us-gaap	Available For Sale Securities Debt Securities AvailableForSaleSecuritiesDebtSecurities	7263000
CY2021Q4	us-gaap	Long Term Investments LongTermInvestments	390625000
CY2022Q4	us-gaap	Long Term Investments LongTermInvestments	437874000
CY2022Q4	us-gaap	Long Term Investments LongTermInvestments	63485000
CY2021Q4	us-gaap	Equity Method Investments Fair Value Disclosure EquityMethodInvestmentsFairValueDisclosure	51524000
CY2022Q4	us-gaap	Equity Method Investments Fair Value Disclosure EquityMethodInvestmentsFairValueDisclosure	51524000
CY2020Q4	ccm	Pledged Asset Separately Reported Non Securitized Investments Pledged As Collateral At Fair Value PledgedAssetSeparatelyReportedNonSecuritizedInvestmentsPledgedAsCollateralAtFairValue	166870000
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
CY2022Q4	ccm	Pledged Asset Separately Reported Non Securitized Investments Pledged As Collateral At Fair Value PledgedAssetSeparatelyReportedNonSecuritizedInvestmentsPledgedAsCollateralAtFairValue	26986000
CY2021Q2	us-gaap	Equity Method Investment Sold Carrying Amount EquityMethodInvestmentSoldCarryingAmount	19978000
CY2022Q1	us-gaap	Equity Method Investment Sold Carrying Amount EquityMethodInvestmentSoldCarryingAmount	11949000
CY2022Q1	us-gaap	Equity Method Investment Sold Carrying Amount EquityMethodInvestmentSoldCarryingAmount	1732000
CY2022	us-gaap	Current Federal State And Local Tax Expense Benefit CurrentFederalStateAndLocalTaxExpenseBenefit	196000
CY2022	us-gaap	Current Federal State And Local Tax Expense Benefit CurrentFederalStateAndLocalTaxExpenseBenefit	28000
CY2022	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.25
CY2022	ccm	Withholding Tax Rate WithholdingTaxRate	10
CY2020	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	-110413000
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
CY2021Q4	us-gaap	Security Deposit SecurityDeposit	6232000
CY2022Q4	us-gaap	Security Deposit SecurityDeposit	6249000
CY2022Q4	us-gaap	Security Deposit SecurityDeposit	906000
CY2021Q4	ccm	Advances To Hospitals Noncurrent AdvancesToHospitalsNoncurrent	1104000
CY2022Q4	ccm	Advances To Hospitals Noncurrent AdvancesToHospitalsNoncurrent	1002000
CY2022Q4	ccm	Advances To Hospitals Noncurrent AdvancesToHospitalsNoncurrent	145000
CY2021Q4	us-gaap	Other Assets Miscellaneous Noncurrent OtherAssetsMiscellaneousNoncurrent	13440000
CY2022Q4	us-gaap	Other Assets Miscellaneous Noncurrent OtherAssetsMiscellaneousNoncurrent	7842000
CY2022Q4	us-gaap	Other Assets Miscellaneous Noncurrent OtherAssetsMiscellaneousNoncurrent	1137000
CY2021Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	20776000
CY2022Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	15093000
CY2022Q4	us-gaap	Other Assets Noncurrent OtherAssetsNoncurrent	2188000
CY2022	ccm	Long Term Deposits Impairment Loss LongTermDepositsImpairmentLoss	19000
CY2022	ccm	Long Term Deposits Impairment Loss LongTermDepositsImpairmentLoss	-2000
CY2021	ccm	Advances To Hospitals Impairment Loss AdvancesToHospitalsImpairmentLoss	0
CY2022	ccm	Advances To Hospitals Impairment Loss AdvancesToHospitalsImpairmentLoss	102000
CY2022	ccm	Advances To Hospitals Impairment Loss AdvancesToHospitalsImpairmentLoss	15000
CY2021	us-gaap	Other Asset Impairment Charges OtherAssetImpairmentCharges	361000
CY2022	us-gaap	Other Asset Impairment Charges OtherAssetImpairmentCharges	797000
CY2022	us-gaap	Other Asset Impairment Charges OtherAssetImpairmentCharges	116000
CY2022	ccm	Minimum Percentage Of After Tax Profit For General Reserve MinimumPercentageOfAfterTaxProfitForGeneralReserve	0.10
CY2022Q4	us-gaap	Retained Earnings Appropriated RetainedEarningsAppropriated	3991644000
CY2022Q4	us-gaap	Retained Earnings Appropriated RetainedEarningsAppropriated	578734000
CY2020	us-gaap	Current Federal State And Local Tax Expense Benefit CurrentFederalStateAndLocalTaxExpenseBenefit	1672000
CY2021	us-gaap	Current Federal State And Local Tax Expense Benefit CurrentFederalStateAndLocalTaxExpenseBenefit	362000
CY2021Q4	us-gaap	Accrued Liabilities Current AccruedLiabilitiesCurrent	121149000
CY2022Q4	us-gaap	Accrued Liabilities Current AccruedLiabilitiesCurrent	75010000
CY2022Q4	us-gaap	Accrued Liabilities Current AccruedLiabilitiesCurrent	10875000
CY2021Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	42628000
CY2022Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	73803000
CY2022Q4	us-gaap	Employee Related Liabilities Current EmployeeRelatedLiabilitiesCurrent	10700000
CY2021Q4	us-gaap	Taxes Payable Current TaxesPayableCurrent	20954000
CY2022Q4	us-gaap	Taxes Payable Current TaxesPayableCurrent	27961000
CY2022Q4	us-gaap	Taxes Payable Current TaxesPayableCurrent	4054000
CY2021Q4	us-gaap	Contractual Obligation ContractualObligation	81032000
CY2022Q4	us-gaap	Contractual Obligation ContractualObligation	100802000
CY2022Q4	us-gaap	Contractual Obligation ContractualObligation	14615000
CY2021Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	116414000
CY2022Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	142305000
CY2022Q4	us-gaap	Other Liabilities Current OtherLiabilitiesCurrent	20635000
CY2021Q4	us-gaap	Accrued Liabilities And Other Liabilities AccruedLiabilitiesAndOtherLiabilities	382177000
CY2022Q4	us-gaap	Accrued Liabilities And Other Liabilities AccruedLiabilitiesAndOtherLiabilities	419881000
CY2022Q4	us-gaap	Accrued Liabilities And Other Liabilities AccruedLiabilitiesAndOtherLiabilities	60879000
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
CY2020	us-gaap	Dividends Common Stock Cash DividendsCommonStockCash	0
CY2021Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	2477948000
CY2022Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	2984010000
CY2022Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	432641000
CY2021Q4	us-gaap	Short Term Borrowings ShortTermBorrowings	136510000
CY2022Q4	us-gaap	Short Term Borrowings ShortTermBorrowings	168601000
CY2022Q4	us-gaap	Short Term Borrowings ShortTermBorrowings	24445000
CY2021Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	162842000
CY2022Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	343982000
CY2022Q4	us-gaap	Long Term Debt Current LongTermDebtCurrent	49873000
CY2021Q4	us-gaap	Debt Current DebtCurrent	299352000
CY2022Q4	us-gaap	Debt Current DebtCurrent	512583000
CY2022Q4	us-gaap	Debt Current DebtCurrent	74318000
CY2021Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	2178596000
CY2022Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	2471427000
CY2022Q4	us-gaap	Long Term Debt Noncurrent LongTermDebtNoncurrent	358323000
CY2021Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	2477948000
CY2022Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	2984010000
CY2022Q4	us-gaap	Debt Longterm And Shortterm Combined Amount DebtLongtermAndShorttermCombinedAmount	432641000
CY2021Q4	us-gaap	Direct Financing Lease Net Investment In Lease DirectFinancingLeaseNetInvestmentInLease	10056000
CY2022Q4	us-gaap	Direct Financing Lease Net Investment In Lease DirectFinancingLeaseNetInvestmentInLease	340000
CY2022Q4	us-gaap	Direct Financing Lease Net Investment In Lease DirectFinancingLeaseNetInvestmentInLease	49000
CY2021Q4	us-gaap	Short Term Debt Weighted Average Interest Rate ShortTermDebtWeightedAverageInterestRate	0.0586
CY2022Q4	us-gaap	Short Term Debt Weighted Average Interest Rate ShortTermDebtWeightedAverageInterestRate	0.0660
CY2022Q4	srt	Bank Loans BankLoans	156555000
CY2022Q4	srt	Bank Loans BankLoans	22698000
CY2021Q4	srt	Bank Loans BankLoans	126362000
CY2022Q4	us-gaap	Other Borrowings OtherBorrowings	2827455000
CY2022Q4	us-gaap	Other Borrowings OtherBorrowings	409943000
CY2021Q4	us-gaap	Other Borrowings OtherBorrowings	2351586000
CY2020	us-gaap	Income Loss From Continuing Operations Before Income Taxes Foreign IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign	-142750000
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
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Foreign IncomeLossFromContinuingOperationsBeforeIncomeTaxesForeign	6555000
CY2020	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-298903000
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
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Domestic IncomeLossFromContinuingOperationsBeforeIncomeTaxesDomestic	-128327000
CY2020	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-441653000
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
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Minority Interest And Income Loss From Equity Method Investments IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments	-121772000
CY2020	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	-24047000
CY2021	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	4115000
CY2022	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	-8765000
CY2022	us-gaap	Current Income Tax Expense Benefit CurrentIncomeTaxExpenseBenefit	-1271000
CY2020	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-13577000
CY2021	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-10680000
CY2022	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-62141000
CY2022	us-gaap	Deferred Income Tax Expense Benefit DeferredIncomeTaxExpenseBenefit	-9009000
CY2020	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-37624000
CY2021	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-6565000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-70906000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-10280000
CY2020	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	441653000
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
CY2022	us-gaap	Income Loss From Continuing Operations Before Income Taxes Extraordinary Items Noncontrolling Interest IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest	121772000
CY2020	us-gaap	Effective Income Tax Rate Reconciliation At Federal Statutory Income Tax Rate EffectiveIncomeTaxRateReconciliationAtFederalStatutoryIncomeTaxRate	0.25
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
CY2022	us-gaap	Income Tax Reconciliation Income Tax Expense Benefit At Federal Statutory Income Tax Rate IncomeTaxReconciliationIncomeTaxExpenseBenefitAtFederalStatutoryIncomeTaxRate	-30443000
CY2020	us-gaap	Income Tax Reconciliation Foreign Income Tax Rate Differential IncomeTaxReconciliationForeignIncomeTaxRateDifferential	10715000
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
CY2022	us-gaap	Income Tax Reconciliation Foreign Income Tax Rate Differential IncomeTaxReconciliationForeignIncomeTaxRateDifferential	-2983000
CY2020	us-gaap	Income Tax Reconciliation Nondeductible Expense IncomeTaxReconciliationNondeductibleExpense	74225000
CY2021	us-gaap	Income Tax Reconciliation Nondeductible Expense IncomeTaxReconciliationNondeductibleExpense	-10502000
CY2022	us-gaap	Income Tax Reconciliation Nondeductible Expense IncomeTaxReconciliationNondeductibleExpense	21543000
CY2022	us-gaap	Income Tax Reconciliation Nondeductible Expense IncomeTaxReconciliationNondeductibleExpense	3123000
CY2020	us-gaap	Income Tax Reconciliation Tax Exempt Income IncomeTaxReconciliationTaxExemptIncome	78447000
CY2021	us-gaap	Income Tax Reconciliation Tax Exempt Income IncomeTaxReconciliationTaxExemptIncome	-9183000
CY2022	us-gaap	Income Tax Reconciliation Tax Exempt Income IncomeTaxReconciliationTaxExemptIncome	55705000
CY2022	us-gaap	Income Tax Reconciliation Tax Exempt Income IncomeTaxReconciliationTaxExemptIncome	8076000
CY2020	ccm	Effective Income Tax Rate Reconciliation Statutory Income Expense Amount EffectiveIncomeTaxRateReconciliationStatutoryIncomeExpenseAmount	-2544000
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
CY2022	ccm	Effective Income Tax Rate Reconciliation Statutory Income Expense Amount EffectiveIncomeTaxRateReconciliationStatutoryIncomeExpenseAmount	3685000
CY2020	ccm	Effective Income Tax Rate Reconciliation Interest And Penalty EffectiveIncomeTaxRateReconciliationInterestAndPenalty	-465000
CY2021	ccm	Effective Income Tax Rate Reconciliation Interest And Penalty EffectiveIncomeTaxRateReconciliationInterestAndPenalty	-12918000
CY2022	ccm	Effective Income Tax Rate Reconciliation Interest And Penalty EffectiveIncomeTaxRateReconciliationInterestAndPenalty	-7254000
CY2022	ccm	Effective Income Tax Rate Reconciliation Interest And Penalty EffectiveIncomeTaxRateReconciliationInterestAndPenalty	-1052000
CY2020	ccm	Effective Income Tax Rate Reconciliation Deferred Tax Expense EffectiveIncomeTaxRateReconciliationDeferredTaxExpense	-2314000
CY2021	ccm	Effective Income Tax Rate Reconciliation Deferred Tax Expense EffectiveIncomeTaxRateReconciliationDeferredTaxExpense	-13953000
CY2022	ccm	Effective Income Tax Rate Reconciliation Deferred Tax Expense EffectiveIncomeTaxRateReconciliationDeferredTaxExpense	7056000
CY2022	ccm	Effective Income Tax Rate Reconciliation Deferred Tax Expense EffectiveIncomeTaxRateReconciliationDeferredTaxExpense	1023000
CY2020	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	71545000
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
CY2022	us-gaap	Income Tax Reconciliation Change In Deferred Tax Assets Valuation Allowance IncomeTaxReconciliationChangeInDeferredTaxAssetsValuationAllowance	24372000
CY2020	ccm	Withholding Taxes WithholdingTaxes	-74000
CY2021	ccm	Withholding Taxes WithholdingTaxes	-4336000
CY2022	ccm	Withholding Taxes WithholdingTaxes	-491000
CY2022	ccm	Withholding Taxes WithholdingTaxes	-71000
CY2020	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-37624000
CY2021	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-6565000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-70906000
CY2022	us-gaap	Income Tax Expense Benefit IncomeTaxExpenseBenefit	-10280000
CY2021Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	216902000
CY2022Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	357483000
CY2022Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards DeferredTaxAssetsOperatingLossCarryforwards	51830000
CY2021Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards Foreign DeferredTaxAssetsOperatingLossCarryforwardsForeign	7679000
CY2022Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards Foreign DeferredTaxAssetsOperatingLossCarryforwardsForeign	1330000
CY2022Q4	us-gaap	Deferred Tax Assets Operating Loss Carryforwards Foreign DeferredTaxAssetsOperatingLossCarryforwardsForeign	193000
CY2021Q4	ccm	Deferred Tax Assets Depreciation And Amortization DeferredTaxAssetsDepreciationAndAmortization	10479000
CY2022Q4	ccm	Deferred Tax Assets Depreciation And Amortization DeferredTaxAssetsDepreciationAndAmortization	22535000
CY2022Q4	ccm	Deferred Tax Assets Depreciation And Amortization DeferredTaxAssetsDepreciationAndAmortization	3267000
CY2021Q4	ccm	Deferred Tax Assets Property Plant And Equipment Impairment DeferredTaxAssetsPropertyPlantAndEquipmentImpairment	6997000
CY2022Q4	ccm	Deferred Tax Assets Property Plant And Equipment Impairment DeferredTaxAssetsPropertyPlantAndEquipmentImpairment	6997000
CY2022Q4	ccm	Deferred Tax Assets Property Plant And Equipment Impairment DeferredTaxAssetsPropertyPlantAndEquipmentImpairment	1014000
CY2021Q4	ccm	Deferred Tax Assets Deposits DeferredTaxAssetsDeposits	18475000
CY2022Q4	ccm	Deferred Tax Assets Deposits DeferredTaxAssetsDeposits	18475000
CY2022Q4	ccm	Deferred Tax Assets Deposits DeferredTaxAssetsDeposits	2679000
CY2021Q4	ccm	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Net Investment In Financing Lease DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForNetInvestmentInFinancingLease	5137000
CY2022Q4	ccm	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Net Investment In Financing Lease DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForNetInvestmentInFinancingLease	5137000
CY2022Q4	ccm	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Net Investment In Financing Lease DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForNetInvestmentInFinancingLease	745000
CY2021Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	14013000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	14746000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Allowance For Doubtful Accounts DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsAllowanceForDoubtfulAccounts	2138000
CY2021Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Provision For Loan Losses DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses	56673000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Provision For Loan Losses DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses	58901000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Provision For Loan Losses DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsProvisionForLoanLosses	8540000
CY2021Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Other DeferredTaxAssetsTaxDeferredExpenseOther	92261000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Other DeferredTaxAssetsTaxDeferredExpenseOther	104912000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Other DeferredTaxAssetsTaxDeferredExpenseOther	15211000
CY2021Q4	ccm	Deferred Tax Assets Equity Investment DeferredTaxAssetsEquityInvestment	7574000
CY2022Q4	ccm	Deferred Tax Assets Equity Investment DeferredTaxAssetsEquityInvestment	7553000
CY2022Q4	ccm	Deferred Tax Assets Equity Investment DeferredTaxAssetsEquityInvestment	1095000
CY2021Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Other DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsOther	7971000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Other DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsOther	13728000
CY2022Q4	us-gaap	Deferred Tax Assets Tax Deferred Expense Reserves And Accruals Other DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsOther	1990000
CY2021Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	444161000
CY2022Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	611797000
CY2022Q4	us-gaap	Deferred Tax Assets Gross DeferredTaxAssetsGross	88702000
CY2021Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	396919000
CY2022Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	565022000
CY2022Q4	us-gaap	Deferred Tax Assets Valuation Allowance DeferredTaxAssetsValuationAllowance	81920000
CY2021Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	47242000
CY2022Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	46775000
CY2022Q4	us-gaap	Deferred Tax Assets Net DeferredTaxAssetsNet	6782000
CY2021Q4	us-gaap	Deferred Tax Liabilities Investments DeferredTaxLiabilitiesInvestments	287000
CY2022Q4	us-gaap	Deferred Tax Liabilities Investments DeferredTaxLiabilitiesInvestments	1170000
CY2022Q4	us-gaap	Deferred Tax Liabilities Investments DeferredTaxLiabilitiesInvestments	170000
CY2021Q4	us-gaap	Deferred Tax Liabilities Property Plant And Equipment DeferredTaxLiabilitiesPropertyPlantAndEquipment	1428000
CY2022Q4	us-gaap	Deferred Tax Liabilities Property Plant And Equipment DeferredTaxLiabilitiesPropertyPlantAndEquipment	1682000
CY2022Q4	us-gaap	Deferred Tax Liabilities Property Plant And Equipment DeferredTaxLiabilitiesPropertyPlantAndEquipment	244000
CY2021Q4	us-gaap	Deferred Tax Liabilities Parents Basis In Discontinued Operation DeferredTaxLiabilitiesParentsBasisInDiscontinuedOperation	3126000
CY2022Q4	us-gaap	Deferred Tax Liabilities Parents Basis In Discontinued Operation DeferredTaxLiabilitiesParentsBasisInDiscontinuedOperation	3126000
CY2022Q4	us-gaap	Deferred Tax Liabilities Parents Basis In Discontinued Operation DeferredTaxLiabilitiesParentsBasisInDiscontinuedOperation	453000
CY2021Q4	us-gaap	Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets	156189000
CY2022Q4	us-gaap	Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets	81336000
CY2022Q4	us-gaap	Deferred Tax Liabilities Goodwill And Intangible Assets Intangible Assets DeferredTaxLiabilitiesGoodwillAndIntangibleAssetsIntangibleAssets	11793000
CY2021Q4	us-gaap	Deferred Tax Liabilities Leasing Arrangements DeferredTaxLiabilitiesLeasingArrangements	48259000
CY2022Q4	us-gaap	Deferred Tax Liabilities Leasing Arrangements DeferredTaxLiabilitiesLeasingArrangements	46873000
CY2022Q4	us-gaap	Deferred Tax Liabilities Leasing Arrangements DeferredTaxLiabilitiesLeasingArrangements	6796000
CY2021Q4	us-gaap	Deferred Tax Liabilities Tax Deferred Income DeferredTaxLiabilitiesTaxDeferredIncome	19179000
CY2022Q4	us-gaap	Deferred Tax Liabilities Tax Deferred Income DeferredTaxLiabilitiesTaxDeferredIncome	19179000
CY2022Q4	us-gaap	Deferred Tax Liabilities Tax Deferred Income DeferredTaxLiabilitiesTaxDeferredIncome	2781000
CY2021Q4	us-gaap	Deferred Tax Liabilities Deferred Expense Capitalized Interest DeferredTaxLiabilitiesDeferredExpenseCapitalizedInterest	3198000
CY2022Q4	us-gaap	Deferred Tax Liabilities Deferred Expense Capitalized Interest DeferredTaxLiabilitiesDeferredExpenseCapitalizedInterest	5986000
CY2022Q4	us-gaap	Deferred Tax Liabilities Deferred Expense Capitalized Interest DeferredTaxLiabilitiesDeferredExpenseCapitalizedInterest	867000
CY2021Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	231666000
CY2022Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	159352000
CY2022Q4	us-gaap	Deferred Income Tax Liabilities DeferredIncomeTaxLiabilities	23104000
CY2021Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	0
CY2022Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	0
CY2022Q4	us-gaap	Deferred Tax Assets Liabilities Net DeferredTaxAssetsLiabilitiesNet	0
CY2021Q4	us-gaap	Deferred Tax Liabilities DeferredTaxLiabilities	184424000
CY2022Q4	us-gaap	Deferred Tax Liabilities DeferredTaxLiabilities	112577000
CY2022Q4	us-gaap	Deferred Tax Liabilities DeferredTaxLiabilities	16322000
CY2022Q4	us-gaap	Operating Loss Carryforwards OperatingLossCarryforwards	839896000
CY2022Q4	us-gaap	Operating Loss Carryforwards OperatingLossCarryforwards	121772000
CY2020Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	257579000
CY2021Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	396919000
CY2021Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	57548000
CY2021	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	139340000
CY2022	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	168103000
CY2022	us-gaap	Valuation Allowance Deferred Tax Asset Change In Amount ValuationAllowanceDeferredTaxAssetChangeInAmount	24372000
CY2021Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	396919000
CY2022Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	565022000
CY2022Q4	ccm	Deferred Tax Valuation Allowance DeferredTaxValuationAllowance	81920000
CY2020Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	65093000
CY2021Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	81901000
CY2021Q4	us-gaap	Unrecognized Tax Benefits UnrecognizedTaxBenefits	11875000
CY2021	ccm	Unrecognized Tax Benefit Increase Decrease Resulting From Current Period Tax Positions UnrecognizedTaxBenefitIncreaseDecreaseResultingFromCurrentPeriodTaxPositions	19766000
CY2022	ccm	Unrecognized Tax Benefit Increase Decrease Resulting From Current Period Tax Positions UnrecognizedTaxBenefitIncreaseDecreaseResultingFromCurrentPeriodTaxPositions	322000
CY2022	ccm	Unrecognized Tax Benefit Increase Decrease Resulting From Current Period Tax Positions UnrecognizedTaxBenefitIncreaseDecreaseResultingFromCurrentPeriodTaxPositions	47000
CY2021	us-gaap	Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions	8692000
CY2022	us-gaap	Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions	1072000
CY2022	us-gaap	Unrecognized Tax Benefits Increases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsIncreasesResultingFromPriorPeriodTaxPositions	155000
CY2021	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	7580000
CY2022	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	6617000
CY2022	us-gaap	Unrecognized Tax Benefits Decreases Resulting From Prior Period Tax Positions UnrecognizedTaxBenefitsDecreasesResultingFromPriorPeriodTaxPositions	959000
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CY2022	ccm	Unrecognized Tax Benefits Decreases Resulting From Disposal Of Group UnrecognizedTaxBenefitsDecreasesResultingFromDisposalOfGroup	1140000
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Files In Submission

Name	View Source	Status
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$CCM
Concord Medical Services Holdings Ltd Stock $ccm

2022 Q4 Form 20-F Financial Statement

#000141057823000729 Filed on April 19, 2023

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$CCM Concord Medical Services Holdings Ltd Stock $ccm

2022 Q4 Form 20-F Financial Statement

#000141057823000729 Filed on April 19, 2023

Income Statement

Balance Sheet

Cashflow Statement

Facts In Submission

Files In Submission

$CCM
Concord Medical Services Holdings Ltd Stock $ccm