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12 Months Ended
Dec. 31, 2023
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10.LEASE

A. Leases of medical equipment as lessor

The following table presents the lease receivables derive from the Group’s operating, sales-type and direct financing leases:

As at December 31,

    

2022

2023

2023

RMB

RMB

US$

Current

    

  

    

  

    

  

Account receivable - Operating lease

 

14,230

14,683

2,068

Account receivable - Sales-type lease

 

906

1,515

213

Total

 

15,136

16,198

2,281

Lease receivables for operating and sales-type leases are presented in accounts receivable on the consolidated balance sheets. Lease receivables for direct financing leases are presented as net investment in direct financing leases. As of December 31, 2022 and 2023, the allowance of lease receivables was RMB2,175 and RMB2,175 (US$306), respectively. Accordingly, risk of default with respect to these receivables is remote.

Lease receivables with carrying value of RMB340 and RMB1,759 (US$248) (note 18) were pledged as collaterals for bank and other borrowings of RMB47,409 and RMB40,066 (US$5,643) as of December 31, 2022 and 2023, respectively.

The following table presents the lease income recognized relating to the Group’s operating, sales-type and direct financing leases:

For the Year Ended December 31, 2023

Direct financing 

Sales-type leases

leases

Operating leases

    

RMB

    

US$

    

RMB

    

US$

    

RMB

    

US$

Selling loss recognized at the commencement date

Interest income on net investment in the lease

3,366

474

Including: Income relating to variable lease payments not included in the measurement of the net investment in a lease

3,366

474

Lease income relating to lease payments

13,371

1,883

Including: Income relating to variable lease payments not included in the measurement of lease receivable

13,371

1,883

For the Year Ended December 31, 2022

Direct financing

Sales-type leases

 leases

Operating leases

    

RMB

    

US$

    

RMB

    

US$

    

RMB

    

US$

Selling loss recognized at the commencement date

 

Interest income on net investment in the lease

 

3,326

482

414

60

Including: Income relating to variable lease payments not included in the measurement of the net investment in a lease

 

3,326

482

Lease income relating to lease payments

18,226

2,643

Including: Income relating to variable lease payments not included in the measurement of lease receivable

 

18,226

2,643

The Group’s lease assets do not contain material residual value by the end of the lease term. In order to mitigate the risks associated with the residual value of its leased assets, the Group usually enters into arrangements where the lease terms are approximate to the economic useful life of the leased assets so as to minimize their residual value.

The future minimum lease payments to be received from such non-cancelable operating leases are as follows:

Future minimum 

operating lease payments

    

RMB

    

US$

2024

 

1,396

197

2025

 

1,396

 

197

2026

 

931

 

131

2027

 

 

2028

 

 

Above 5 years

 

 

Lease payments for the Group’s sales-type lease payments are all variable based on the profit or revenue generated from the underlying assets thus the Group does not recognize any net investment in the lease at commencement.

B. Failed sales-leaseback transactions as seller-lessee

The Group has failed sales-leaseback transactions in which the Group acts as seller-lessee but does not effectively transfer control of the underlying asset to the buyer-lessor. The Group accounts for failed sales-leaseback transactions as financings. The Group recorded RMB301,681 (US$42,491) and RMB202,178 (US$28,476) under “Long-term bank and other borrowings, current portion” and “Long-term bank and other borrowings, non-current portion”, respectively as of December 31, 2023. The effective interest rate used in the computation of interest expense ranged from 2.08% to 11.70%. Interest expenses recorded in the Group’s consolidated statement of comprehensive loss amounted to RMB39,876, RMB47,049, and RMB74,024 (US$10,426) for the years ended December 31, 2021, 2022 and 2023, respectively.

C. Operating leases as lessee

The components of lease cost were as follows:

For the year ended December 31, 2023

    

RMB

    

US$

Operating lease cost

    

41,158

5,797

Short term lease cost

 

41

6

Total

 

41,199

5,803

For the year ended December 31, 2023, total operating and short-term lease costs of RMB19,834 (US$2,794) and RMB21,365 (US$3,009) were recorded in cost of revenue and general and administrative expenses, respectively.

Other information

For the year

 

ended December 31, 2023

 

    

RMB

    

US$

 

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash flows from operating leases

18,147

2,556

ROU assets obtained in exchange for operating lease liabilities*

 

15,060

2,121

Weighted-average remaining lease terms (in years)

3

3

Weighted-average discount rate

 

5.87

%

5.87

%

*     Includes new leases entered into during the year ended December 31, 2023. Changes in the ROU asset and liability are presented net within operating activities.

Future minimum lease payments for operating leases as of December 31, 2023 are as follows:

Minimum Lease Payments

    

RMB

    

US$

Year ending December 31,

 

  

 

  

2024

 

57,992

8,168

2025

 

29,134

4,103

2026

 

24,046

3,387

2027

 

21,723

3,060

2028

 

22,097

3,112

Thereafter

 

167,181

23,547

Total future lease payments

 

322,173

45,377

Less: Imputed interest

 

82,674

11,645

Total lease liability balance

 

239,499

33,732

The Group did not have any leasing transactions with related parties.

Land use rights

The following table presents the original cost payment, accumulated amortization and net carrying value of the Group’s land use rights for the periods presented:

As at December 31,

2022

2023

2023

RMB

RMB

US$

Right-of-use 

Right-of-use 

Right-of-use 

    

Asset

    

asset

    

asset

Land use rights

    

464,209

464,209

65,382

Less: accumulated amortization

 

(56,723)

(66,350)

(9,345)

Net carrying value

 

407,486

397,859

56,037

As of December 31, 2022 and 2023, the Group recorded land lease payment under “Right-of-use assets, net” of RMB407,486 and RMB397,859 (US$56,037), respectively. Amortization expenses for the years ended December 31, 2021, 2022 and 2023 were RMB9,621, RMB9,627 and RMB9,627 (US$1,356), respectively.

The net book value of the Group’s land use right payments pledged to secure bank and other borrowings was RMB395,973 and RMB386,614 (US$ 54,453) (note 18) as of December 31, 2022 and 2023, respectively.

The estimated annual amortization expenses for the land leases payment for each of the five succeeding years are as follows:

    

Amortization

    

RMB

    

US$

2024

9,627

1,356

2025

9,627

1,356

2026

9,627

1,356

2027

9,627

1,356

2028

9,627

1,356