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PROPERTY, PLANT AND EQUIPMENT, NET
12 Months Ended
Dec. 31, 2021
PROPERTY, PLANT AND EQUIPMENT, NET.  
PROPERTY, PLANT AND EQUIPMENT, NET

9.   PROPERTY, PLANT AND EQUIPMENT, NET

Property, plant and equipment consist of the following:

As at December 31, 

2020

2021

2021

    

RMB

    

RMB

    

US$

Buildings

 

16,801

 

775,708

 

121,726

Medical equipment

 

368,609

 

484,653

 

76,053

Electronic and office equipment

 

16,409

 

57,215

 

8,978

Motor vehicles

 

3,713

 

3,718

 

583

Leasehold improvement and building improvements

 

76,114

 

78,724

 

12,354

Construction in progress

 

2,320,686

 

1,986,032

311,651

Total

 

2,802,332

 

3,386,050

531,345

Less: accumulated depreciation

 

(224,348)

 

(224,877)

 

(35,288)

Impairment charges

 

(18,793)

 

(16,148)

 

(2,534)

 

2,559,191

 

3,145,025

493,523

Depreciation expenses were RMB44,358, RMB55,030 and RMB64,288 (US$10,088) for the years ended December 31, 2019, 2020 and 2021, respectively. Impairment loss of RMB6,453, nil and nil were recognized for network operating segment and impairment loss of nil, nil and nil for hospital operating segment for the years ended December 31, 2019, 2020 and 2021 respectively. Impairment charges mainly include impairment provided for medical equipment in several low performance network centers as well as idle assets.

For the years ended December 31, 2019, 2020 and 2021, impairment of RMB10,968, nil and RMB 2,645 (US$415) was written off for network operating segment upon the disposal of medical equipment and construction project. Impairment of RMB353, nil and nil was written off for hospital operating segment upon the termination of construction project.

The Group held equipment under operating lease contracts with customers with an original cost of RMB168,876 and RMB105,980 (US$16,631) and accumulated depreciation of RMB127,558 and RMB78,247 (US$12,279), as of December 31, 2020 and 2021, respectively.

The total net book value of the Group’s property, plant and equipment pledged as collateral for other borrowings as of December 31, 2020 and 2021 was RMB414,326 and RMB361,806 (US$56,775) (note 18), respectively.

The total net book value of the Group’s construction in progress pledged to secure bank and other borrowings as of December 31, 2020 and 2021 was RMB 1,150,018 and RMB 1,709,761 (US$ 268,299) (note 18), respectively.