CCM
Concord Medical Services Holdings Limited
Price Chart
Latest Quote
$5.32
| Previous Close | $5.47 |
| Open | $5.64 |
| Day High | $5.96 |
| Day Low | $5.21 |
| Volume | 23,856 |
Stock Information
| Shares Outstanding | 2.82M |
| Total Debt | $537.08M |
| Cash Equivalents | $44.00M |
| Revenue | $68.04M |
| Net Income | $-13.71M |
| Sector | Healthcare |
| Industry | Medical Care Facilities |
| Market Cap | $23.10M |
| EPS (TTM) | $-3.14 |
| Exchange | NYQ |
đ Comprehensive Analysis
Company Data
| Enterprise Value | $7.31B |
| Sales | $68.04M |
| Income | $-13.71M |
| Book/sh | $-71.61 |
| Cash/sh | $105.77 |
| Employees | 610 |
Financial Ratios
| Quick Ratio | 0.17 |
| Current Ratio | 0.48 |
| Debt/Eq | 196.47 |
Returns & Margins
| ROA | -2.25% |
| ROE | -21.88% |
| Gross Margin | 5.61% |
| Operating Margin | -36.43% |
| Profit Margin | -20.15% |
Ownership
| Insider Ownership | 18.00% |
| Institutional Ownership | 0.44% |
| Insider & Institutional transactions data not available | |
Valuation Ratios
| Forward P/E | -35.47 |
| PEG | 0.56 |
| P/S | 0.05 |
| P/B | -0.07 |
Analyst Data
| Recommendation | none |
Technical Indicators
| SMA20 | $4.82 |
| SMA50 | $4.59 |
| SMA200 | $4.57 |
| RSI | 56.39 |
| ATR | 0.4514 |
| Shares Float | 1.40M |
| Short Float | 0.58% |
| Short Ratio | 0.14 |
| Volatility | -0.98 |
| Rel Volume | 0.52 |
Performance History
| Week | +17.18% |
| Month | +7.69% |
| Quarter | +45.75% |
| 6 Months | +22.86% |
| YTD | +24.59% |
| Year | -5.00% |
| 3 Years | -59.39% |
| 5 Years | -82.27% |
| 10 Years | -86.15% |
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Recent Price History
| Date | Close | Volume |
|---|---|---|
| 2026-06-18 | $5.32 | 24,600 |
| 2026-06-17 | $5.47 | 130,600 |
| 2026-06-16 | $4.70 | 43,800 |
| 2026-06-15 | $4.37 | 24,500 |
| 2026-06-12 | $4.41 | 5,600 |
| 2026-06-11 | $4.54 | 14,300 |
| 2026-06-10 | $4.63 | 2,200 |
| 2026-06-09 | $4.71 | 7,100 |
| 2026-06-08 | $4.78 | 5,600 |
| 2026-06-05 | $4.78 | 65,400 |
| 2026-06-04 | $5.06 | 91,300 |
| 2026-06-03 | $4.51 | 31,100 |
| 2026-06-02 | $4.83 | 124,700 |
| 2026-06-01 | $5.00 | 76,700 |
| 2026-05-29 | $4.93 | 7,800 |
| 2026-05-28 | $4.90 | 13,000 |
| 2026-05-27 | $4.87 | 62,900 |
| 2026-05-26 | $4.89 | 95,500 |
| 2026-05-22 | $4.91 | 65,300 |
| 2026-05-21 | $4.75 | 51,200 |
| 2026-05-20 | $4.75 | 12,600 |
| 2026-05-19 | $4.94 | 1,000 |
About Concord Medical Services Holdings Limited
Concord Medical Services Holdings Limited, through its subsidiaries, operates a network of radiotherapy and diagnostic imaging centers in the People's Republic of China. It operates in two segments, Network and Hospital. The company's services include linear accelerators and external beam radiotherapy, proton therapy system, gamma knife radiosurgery, and diagnostic imaging services. Its other treatments and diagnostic services comprise positron emission tomography-computed tomography and magnetic resonance imaging scanners. In addition, the company provides clinical support services, such as developing treatment protocols for doctors, and organizing joint diagnosis between doctors in its network and clinical research, and helps to recruit and determine the compensation of doctors and other medical personnel. Further, it offers radiotherapy and diagnostic equipment leasing, management services, and premium cancer and proton treatment services to hospitals, as well as teleconsultation and medical information technology services; and sells medical equipment. Additionally, the company operates specialty cancer hospitals, which offers radiation, imaging, test laboratory, inpatient, and nursing services. Concord Medical Services Holdings Limited was founded in 1997 and is headquartered in Beijing, China.
đ° Latest News
Asian Equities Traded in the US as American Depositary Receipts Open Week Higher in Monday Trading
MT Newswires âĸ 2026-06-08T14:43:23ZAsian Equities Traded in the US as American Depositary Receipts Decline in Friday Trading; Up for Week
MT Newswires âĸ 2026-05-29T14:40:32ZAsian Equities Traded in the US as American Depositary Receipts Open Week Lower in Monday Trading
MT Newswires âĸ 2026-05-11T14:37:30ZAsian Equities Traded in the US as American Depositary Receipts Edge Higher Friday
MT Newswires âĸ 2026-05-08T14:45:03ZAsian Equities Traded in the US as American Depositary Receipts Track Lower in Thursday Trading
MT Newswires âĸ 2026-05-07T14:40:31ZAsian Equities Traded in the US as American Depositary Receipts Soar in Wednesday Trading
MT Newswires âĸ 2026-05-06T14:33:41ZAsian Equities Traded in the US as American Depositary Receipts Rise in Tuesday Trading
MT Newswires âĸ 2026-05-05T14:51:04ZAsian Equities Traded in the US as American Depositary Receipts Decline in Tuesday Trading
MT Newswires âĸ 2026-04-07T14:44:46ZAsian Equities Traded in the US as American Depositary Receipts Fall Again in Friday Trading; Down Nearly 6% for Week
MT Newswires âĸ 2026-03-06T15:44:40ZAsian Equities Traded in the US as American Depositary Receipts Rise Modestly in Wednesday Trading
MT Newswires âĸ 2026-03-04T15:38:30ZIncome Statement (Annual)
| Metric | 2025-12-31 | 2024-12-31 | 2023-12-31 | 2022-12-31 |
|---|---|---|---|---|
| Revenue | ||||
| Reconciled Cost Of Revenue | $64,283,870 | $68,487,298 | $90,801,665 | $92,352,071 |
| Cost Of Revenue | $64,283,870 | $68,487,298 | $90,801,665 | $92,352,071 |
| Total Revenue | $68,102,062 | $56,780,581 | $79,472,641 | $69,813,365 |
| Operating Revenue | $68,102,062 | $56,780,581 | $79,472,641 | $69,813,365 |
| Expenses | ||||
| Interest Expense | $22,526,432 | $28,570,855 | $24,499,635 | $17,798,759 |
| Total Expenses | $103,495,206 | $135,478,019 | $147,940,271 | $147,459,059 |
| Other Income Expense | $1,274,456 | $6,181,067 | $9,202,466 | $-30,243,856 |
| Other Non Operating Income Expenses | $-1,138,847 | $-1,369,988 | $-1,593,736 | $-32,032,945 |
| Net Non Operating Interest Income Expense | $-21,094,333 | $-26,503,155 | $-22,897,766 | $-16,316,823 |
| Interest Expense Non Operating | $22,526,432 | $28,570,855 | $24,499,635 | $17,798,759 |
| Operating Expense | $39,211,336 | $66,990,721 | $57,138,605 | $55,106,988 |
| Selling And Marketing Expense | $7,717,129 | $7,190,961 | $8,325,667 | $9,091,701 |
| General And Administrative Expense | $31,494,207 | $59,799,761 | $48,812,938 | $46,015,287 |
| Income & Earnings | ||||
| Net Income From Continuing Operation Net Minority Interest | $-13,725,173 | $-45,583,912 | $-44,018,570 | $-72,412,557 |
| Net Interest Income | $-21,094,333 | $-26,503,155 | $-22,897,766 | $-16,316,823 |
| Interest Income | $1,432,099 | $2,067,701 | $1,601,869 | $1,481,936 |
| Normalized Income | $-14,088,078 | $-51,109,120 | $-51,398,906 | $-71,661,231 |
| Net Income From Continuing And Discontinued Operation | $-13,725,173 | $-45,583,912 | $-44,018,570 | $-72,412,557 |
| Total Operating Income As Reported | $-38,670,232 | $-78,697,439 | $-68,467,629 | $-77,645,694 |
| Net Income Common Stockholders | $-13,725,173 | $-45,583,912 | $-44,018,570 | $-72,412,557 |
| Net Income | $-13,725,173 | $-45,583,912 | $-44,018,570 | $-72,412,557 |
| Net Income Including Noncontrolling Interests | $-56,109,783 | $-96,430,833 | $-78,529,000 | $-113,720,579 |
| Net Income Continuous Operations | $-56,109,783 | $-96,430,833 | $-78,529,000 | $-113,720,579 |
| Pretax Income | $-55,213,020 | $-99,019,526 | $-82,162,930 | $-124,206,374 |
| Special Income Charges | $2,264,237 | $7,154,138 | $5,450,969 | $-9,101,610 |
| Earnings From Equity Interest | $1,929,430 | $1,877,523 | $3,074,341 | $2,609,692 |
| Interest Income Non Operating | $1,432,099 | $2,067,701 | $1,601,869 | $1,481,936 |
| Operating Income | $-35,393,144 | $-78,697,439 | $-68,467,629 | $-77,645,694 |
| Gross Profit | $3,818,192 | $-11,706,717 | $-11,329,024 | $-22,538,706 |
| Per Share | ||||
| Diluted EPS | - | $-10.43 | $-10.07 | $-16.59 |
| Basic EPS | - | $-10.43 | $-10.07 | $-16.59 |
| Other | ||||
| Tax Effect Of Unusual Items | $120,968 | $148,325 | $341,525 | $-69,277 |
| Tax Rate For Calcs | $0 | $0 | $0 | $0 |
| Normalized EBITDA (Bullshit earnings) | $-11,098,031 | $-56,785,461 | $-46,388,987 | $-85,946,074 |
| Total Unusual Items | $483,873 | $5,673,533 | $7,721,861 | $-820,603 |
| Total Unusual Items Excluding Goodwill | $483,873 | $5,673,533 | $7,721,861 | $-820,603 |
| Reconciled Depreciation | $22,072,431 | $19,336,743 | $18,996,168 | $19,640,938 |
| EBITDA (Bullshit earnings) | $-10,614,157 | $-51,111,928 | $-38,667,126 | $-86,766,677 |
| EBIT | $-32,686,588 | $-70,448,670 | $-57,663,294 | $-106,407,615 |
| Diluted NI Availto Com Stockholders | $-13,725,173 | $-45,583,912 | $-44,018,570 | $-72,412,557 |
| Otherunder Preferred Stock Dividend | $0 | $0 | $0 | $0 |
| Minority Interests | $42,384,610 | $50,846,921 | $34,510,430 | $41,308,022 |
| Tax Provision | $896,763 | $-2,588,693 | $-3,633,930 | $-10,485,795 |
| Gain On Sale Of Business | $5,541,325 | $7,154,138 | $5,450,969 | $-9,101,610 |
| Impairment Of Capital Assets | $3,277,088 | $0 | $0 | $0 |
| Gain On Sale Of Security | $-1,780,364 | $-1,480,605 | $2,270,892 | $8,281,007 |
| Selling General And Administration | $39,211,336 | $66,990,721 | $57,138,605 | $55,106,988 |
| Other Gand A | $31,494,207 | $59,799,761 | $48,812,938 | $46,015,287 |
| Diluted Average Shares | - | $646,021 | $646,021 | $646,021 |
| Basic Average Shares | - | $646,021 | $646,021 | $646,021 |
| Gain On Sale Of Ppe | - | - | $9,169 | $-444 |
Balance Sheet (Annual)
| Metric | 2025-12-31 | 2024-12-31 | 2023-12-31 | 2022-12-31 |
|---|---|---|---|---|
| Assets | ||||
| Net Tangible Assets | $-489,469,349 | $-522,467,823 | $-505,540,834 | $-473,321,113 |
| Total Assets | $968,243,797 | $994,718,706 | $895,275,495 | $888,027,895 |
| Total Non Current Assets | $828,950,839 | $849,205,935 | $804,000,899 | $775,666,361 |
| Other Non Current Assets | $488,162 | $471,007 | $937,726 | $1,159,699 |
| Non Current Prepaid Assets | $203,931 | $396,622 | $751,985 | $1,072,300 |
| Goodwill And Other Intangible Assets | $178,455,049 | $185,236,817 | $191,741,157 | $197,672,154 |
| Other Intangible Assets | $93,834,007 | $100,615,775 | $106,645,263 | $112,576,260 |
| Current Assets | $139,292,958 | $145,512,771 | $91,274,595 | $112,361,534 |
| Other Current Assets | $81,807,419 | $78,046,753 | $61,067,710 | $56,986,877 |
| Restricted Cash | $136,200 | $3,069,756 | $4,773,665 | $156,756 |
| Inventory | $6,797,444 | $4,945,357 | $5,966,637 | $12,545,658 |
| Receivables | $6,514,100 | $7,566,879 | $10,868,812 | $19,264,872 |
| Accounts Receivable | $6,514,100 | $7,566,879 | $10,868,812 | $19,264,872 |
| Allowance For Doubtful Accounts Receivable | $-6,825,690 | $-6,341,816 | $-4,508,362 | $-1,148,164 |
| Gross Accounts Receivable | $13,339,790 | $13,908,696 | $15,377,174 | $20,413,035 |
| Cash Cash Equivalents And Short Term Investments | $44,037,795 | $51,884,025 | $8,597,772 | $23,407,371 |
| Cash And Cash Equivalents | $44,037,647 | $31,975,862 | $8,597,772 | $23,407,371 |
| Investmentin Financial Assets | - | - | $2,798,539 | $7,408,349 |
| Current Deferred Assets | - | - | - | $29,577 |
| Prepaid Assets | - | - | - | $384,644 |
| Receivables Adjustments Allowances | - | - | - | $-2,556,898 |
| Other Receivables | - | - | - | $9,051,625 |
| Taxes Receivable | - | - | - | $6,581,091 |
| Loans Receivable | - | - | - | $43,496,839 |
| Non Current Accounts Receivable | - | - | - | - |
| Accrued Interest Receivable | - | - | - | - |
| Debt | ||||
| Net Debt | $468,609,115 | $522,051,532 | $443,362,671 | $420,834,760 |
| Total Debt | $537,553,815 | $581,288,450 | $487,378,283 | $479,123,156 |
| Long Term Debt And Capital Lease Obligation | $386,271,092 | $421,849,237 | $326,380,975 | $398,009,456 |
| Long Term Debt | $367,564,035 | $401,309,170 | $297,838,513 | $368,439,799 |
| Current Debt And Capital Lease Obligation | $151,282,723 | $159,439,212 | $160,997,308 | $81,113,700 |
| Current Debt | $145,082,727 | $152,718,224 | $154,121,930 | $75,802,332 |
| Other Current Borrowings | $99,243,717 | $73,750,603 | $108,009,780 | $52,807,111 |
| Liabilities | ||||
| Total Liabilities Net Minority Interest | $694,643,018 | $755,481,066 | $636,925,746 | $589,946,410 |
| Total Non Current Liabilities Net Minority Interest | $405,618,926 | $441,177,107 | $348,347,669 | $424,134,622 |
| Other Non Current Liabilities | $611,348 | $491,415 | $670,354 | $559,737 |
| Non Current Deferred Liabilities | $11,091,524 | $12,255,068 | $14,719,982 | $16,648,229 |
| Non Current Deferred Taxes Liabilities | $11,091,524 | $12,255,068 | $14,719,982 | $16,648,229 |
| Current Liabilities | $289,024,092 | $314,303,958 | $288,578,077 | $165,811,788 |
| Current Deferred Liabilities | $14,152,111 | $6,824,950 | $8,785,436 | $14,906,906 |
| Payables And Accrued Expenses | $123,589,258 | $148,039,796 | $118,771,228 | $69,008,881 |
| Payables | $55,383,825 | $67,055,198 | $61,534,577 | $57,916,174 |
| Other Payable | $32,146,372 | $32,491,235 | $39,887,901 | $31,958,708 |
| Total Tax Payable | $5,596,782 | $5,076,973 | $2,534,863 | $4,255,926 |
| Income Tax Payable | $1,119,327 | $240,014 | $225,078 | $120,968 |
| Accounts Payable | $17,640,672 | $29,486,991 | $19,111,813 | $21,701,540 |
| Other Current Liabilities | - | - | $24,105 | $782,301 |
| Derivative Product Liabilities | - | - | - | $0 |
| Equity | ||||
| Common Stock Equity | $-311,014,300 | $-337,231,006 | $-313,799,677 | $-275,648,959 |
| Total Equity Gross Minority Interest | $273,600,778 | $239,237,640 | $258,349,748 | $298,081,485 |
| Stockholders Equity | $-311,014,300 | $-337,231,006 | $-313,799,677 | $-275,648,959 |
| Gains Losses Not Affecting Retained Earnings | $-11,174,782 | $-11,438,605 | $-9,674,361 | $-4,106,120 |
| Other Equity Adjustments | $-11,174,782 | $-11,438,605 | $-9,674,361 | $-4,106,120 |
| Retained Earnings | $-660,392,862 | $-646,667,690 | $-601,083,778 | $-557,065,208 |
| Long Term Equity Investment | $62,406,939 | $69,825,343 | $58,371,063 | $57,345,789 |
| Preferred Securities Outside Stock Equity | - | - | - | - |
| Other | ||||
| Treasury Shares Number | $1,789,658 | $1,789,658 | $1,789,658 | $1,789,658 |
| Ordinary Shares Number | $19,262,015 | $19,262,015 | $19,262,015 | $19,262,015 |
| Share Issued | $21,051,673 | $21,051,673 | $21,051,673 | $21,051,673 |
| Tangible Book Value | $-489,469,349 | $-522,467,823 | $-505,540,834 | $-473,321,113 |
| Invested Capital | $201,632,462 | $216,796,389 | $138,160,765 | $168,593,172 |
| Working Capital | $-149,731,134 | $-168,791,188 | $-197,303,482 | $-53,450,254 |
| Capital Lease Obligations | $24,907,053 | $27,261,055 | $35,417,840 | $34,881,025 |
| Total Capitalization | $56,549,735 | $64,078,165 | $-15,961,164 | $92,790,840 |
| Minority Interest | $584,615,079 | $576,468,646 | $572,149,426 | $573,730,443 |
| Treasury Stock | $1,035 | $1,035 | $1,035 | $1,035 |
| Additional Paid In Capital | $360,538,852 | $320,860,797 | $296,943,968 | $285,507,877 |
| Capital Stock | $15,528 | $15,528 | $15,528 | $15,528 |
| Common Stock | $15,528 | $15,528 | $15,528 | $15,528 |
| Non Current Accrued Expenses | $7,644,962 | $6,581,387 | $6,576,359 | $8,917,199 |
| Long Term Capital Lease Obligation | $18,707,057 | $20,540,067 | $28,542,462 | $29,569,657 |
| Current Deferred Revenue | $14,152,111 | $6,824,950 | $8,785,436 | $14,906,906 |
| Current Capital Lease Obligation | $6,199,996 | $6,720,988 | $6,875,378 | $5,311,367 |
| Line Of Credit | $45,839,010 | $78,967,621 | $46,112,150 | $22,995,221 |
| Current Accrued Expenses | $68,205,433 | $80,984,598 | $57,236,652 | $11,092,707 |
| Investments And Advances | $62,406,939 | $69,825,343 | $58,371,063 | $64,754,138 |
| Goodwill | $84,621,042 | $84,621,042 | $85,095,894 | $85,095,894 |
| Net PPE | $587,396,759 | $593,276,145 | $552,198,968 | $511,008,070 |
| Accumulated Depreciation | $-73,715,111 | $-59,457,559 | $-58,273,608 | $-47,967,047 |
| Gross PPE | $661,111,870 | $652,733,704 | $610,472,576 | $558,975,117 |
| Leases | $11,519,202 | $11,487,998 | $12,091,805 | $11,095,960 |
| Construction In Progress | $372,941,063 | $367,078,092 | $365,413,964 | $316,606,202 |
| Other Properties | $147,235,460 | $147,587,422 | $104,241,424 | $106,413,086 |
| Machinery Furniture Equipment | $7,672,468 | $8,555,182 | $9,274,781 | $9,132,517 |
| Buildings And Improvements | $121,743,677 | $118,025,011 | $119,450,603 | $115,727,352 |
| Properties | $0 | $0 | $0 | $0 |
| Inventories Adjustments Allowances | $-79,857 | $-87,399 | $-85,033 | $-89,765 |
| Finished Goods | $1,083,687 | $405,200 | $596,856 | $1,463,451 |
| Raw Materials | $5,793,614 | $4,627,556 | $5,454,814 | $11,171,972 |
| Other Short Term Investments | $148 | $19,908,163 | $0 | - |
| Available For Sale Securities | - | - | $2,798,539 | $7,408,349 |
Cash Flow Statement (Annual)
| Metric | 2025-12-31 | 2024-12-31 | 2023-12-31 | 2022-12-31 |
|---|---|---|---|---|
| Free Cash Flow | ||||
| Free Cash Flow | $-43,353,096 | $-119,575,712 | $-58,618,471 | $-88,951,649 |
| Operating Activities | ||||
| Operating Cash Flow | $-29,846,347 | $-58,820,331 | $-40,885,372 | $-32,045,367 |
| Cash Flow From Continuing Operating Activities | $-29,846,347 | $-58,820,331 | $-40,885,372 | $-32,045,367 |
| Operating Gains Losses | $-7,160,645 | $-7,117,463 | $-9,304,505 | $6,342,260 |
| Investing Activities | ||||
| Capital Expenditure | $-13,506,750 | $-60,755,381 | $-17,733,099 | $-56,906,281 |
| Investing Cash Flow | $7,980,508 | $-87,760,303 | $-7,051,211 | $-17,567,322 |
| Cash Flow From Continuing Investing Activities | $7,980,508 | $-87,760,303 | $-7,051,211 | $-17,567,322 |
| Net Other Investing Changes | - | - | - | $36,324,363 |
| Financing Activities | ||||
| Financing Cash Flow | $29,167,268 | $169,478,548 | $38,102,509 | $56,652,218 |
| Cash Flow From Continuing Financing Activities | $29,167,268 | $169,478,548 | $38,102,509 | $56,652,218 |
| Net Other Financing Charges | $14,312,121 | $25,903,637 | $35,229,733 | $-12,261,722 |
| Dividends Received Cfi | $471,451 | $1,478,830 | $1,777,850 | $754,351 |
| Issuance Of Capital Stock | - | $75,497,545 | $0 | $0 |
| Net Common Stock Issuance | - | $75,497,545 | $0 | $0 |
| Common Stock Issuance | - | $75,497,545 | $0 | $0 |
| Other | ||||
| Repayment Of Debt | $-128,746,827 | $-259,024,243 | $-66,609,331 | $-58,354,795 |
| Issuance Of Debt | $143,601,974 | $402,599,154 | $69,482,107 | $127,268,736 |
| Interest Paid Supplemental Data | $27,060,526 | $27,846,968 | $22,531,312 | $21,481,047 |
| Income Tax Paid Supplemental Data | $16,119 | $21,887 | $132,799 | $445,572 |
| End Cash Position | $44,173,847 | $35,045,619 | $13,371,437 | $23,564,127 |
| Beginning Cash Position | $35,045,619 | $13,371,437 | $23,564,127 | $23,500,242 |
| Effect Of Exchange Rate Changes | $1,826,799 | $-1,223,732 | $-358,616 | $-6,975,643 |
| Changes In Cash | $7,301,429 | $22,897,914 | $-9,834,074 | $7,039,528 |
| Net Issuance Payments Of Debt | $14,855,147 | $143,574,911 | $2,872,776 | $68,913,940 |
| Net Short Term Debt Issuance | $-11,510,476 | $43,532,330 | $-15,551,824 | $2,938,732 |
| Short Term Debt Payments | $-64,633,909 | $-53,286,548 | $-65,491,187 | $-29,221,393 |
| Short Term Debt Issuance | $53,123,433 | $96,818,878 | $49,939,363 | $32,160,125 |
| Net Long Term Debt Issuance | $26,365,624 | $100,042,581 | $18,424,600 | $65,975,209 |
| Long Term Debt Payments | $-64,112,917 | $-205,737,695 | $-1,118,144 | $-29,133,403 |
| Long Term Debt Issuance | $90,478,541 | $305,780,276 | $19,542,744 | $95,108,611 |
| Net Investment Purchase And Sale | $19,908,015 | $-14,739,059 | $0 | $1,767,054 |
| Sale Of Investment | $19,908,015 | $15,518,846 | $0 | $1,767,054 |
| Net Business Purchase And Sale | $-1,479 | $-13,744,693 | $8,858,194 | $-340,131 |
| Sale Of Business | $0 | $1,339,377 | $8,872,982 | $0 |
| Purchase Of Business | $-1,479 | $-15,084,070 | $-14,788 | $-340,131 |
| Net Intangibles Purchase And Sale | $-4,436 | $-1,502,492 | $-622,735 | $-152,763 |
| Purchase Of Intangibles | $-4,436 | $-1,502,492 | $-622,735 | $-152,763 |
| Net PPE Purchase And Sale | $-12,393,042 | $-59,252,889 | $-17,064,520 | $-55,920,197 |
| Sale Of PPE | $1,109,271 | $0 | $45,844 | $833,321 |
| Purchase Of PPE | $-13,502,313 | $-59,252,889 | $-17,110,363 | $-56,753,518 |
| Change In Working Capital | $-14,468,729 | $-22,083,818 | $-8,135,194 | $15,532,599 |
| Change In Other Working Capital | $5,846,408 | $-456,811 | $-6,089,676 | $8,454,178 |
| Change In Other Current Liabilities | $-2,354,002 | $-2,858,579 | $-2,683,634 | $-434,037 |
| Change In Other Current Assets | $-141,672 | $-67,730 | $239,275 | $-2,218 |
| Change In Payables And Accrued Expense | $-40,719,004 | $28,199,077 | $10,572,454 | $33,580,837 |
| Change In Accrued Expense | $-23,513,995 | $14,423,329 | $8,134,750 | $16,639,208 |
| Change In Payable | $-17,205,009 | $13,775,749 | $2,437,704 | $16,941,629 |
| Change In Account Payable | $-18,084,321 | $13,760,813 | $2,333,446 | $16,820,661 |
| Change In Tax Payable | $879,313 | $14,936 | $104,258 | $120,968 |
| Change In Income Tax Payable | $879,313 | $14,936 | $104,258 | $120,968 |
| Change In Prepaid Assets | $23,850,577 | $-49,637,978 | $-22,143,711 | $-19,247,865 |
| Change In Inventory | $-1,859,777 | $960,944 | $6,579,169 | $-6,913,532 |
| Change In Receivables | $908,741 | $1,777,258 | $5,390,928 | $95,237 |
| Changes In Account Receivables | $908,741 | $1,777,258 | $5,390,928 | $95,237 |
| Other Non Cash Items | $24,716,580 | $31,909,759 | $28,445,599 | $50,861,266 |
| Stock Based Compensation | $0 | $0 | $0 | $-875,320 |
| Unrealized Gain Loss On Investment Securities | $0 | $-1,078,067 | $0 | $0 |
| Provisionand Write Offof Assets | $-1,009,745 | $18,958,014 | $9,569,807 | $798,568 |
| Asset Impairment Charge | $3,277,088 | $0 | $0 | $0 |
| Deferred Tax | $-1,163,544 | $-2,314,665 | $-1,928,247 | $-10,625,101 |
| Deferred Income Tax | $-1,163,544 | $-2,314,665 | $-1,928,247 | $-10,625,101 |
| Depreciation Amortization Depletion | $22,072,431 | $19,336,743 | $18,996,168 | $19,640,938 |
| Depreciation And Amortization | $22,072,431 | $19,336,743 | $18,996,168 | $19,640,938 |
| Amortization Cash Flow | $6,765,353 | $6,799,958 | $6,851,421 | $6,524,895 |
| Amortization Of Intangibles | $6,765,353 | $6,799,958 | $6,851,421 | $6,524,895 |
| Depreciation | $15,307,078 | $12,536,785 | $12,144,747 | $13,116,043 |
| Earnings Losses From Equity Investments | $-7,470,755 | $-1,859,777 | $-8,619,659 | $-2,609,692 |
| Gain Loss On Sale Of PPE | $310,111 | $1,938,747 | $-9,169 | $444 |
| Gain Loss On Sale Of Business | $0 | $-7,171,884 | $94,349 | $9,101,610 |
| Net Income From Continuing Operations | $-56,109,783 | $-96,430,833 | $-78,529,000 | $-113,720,579 |
| Purchase Of Investment | - | $-30,257,905 | $0 | $0 |
| Gain Loss On Investment Securities | - | $-24,549 | $-770,027 | $-150,101 |