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20231107_HEAL_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31506136.pdf
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Page 1
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Nomor Surat 6408/MH/XI/2023
Nama Perusahaan PT Medikaloka Hermina Tbk.
Kode Emiten HEAL
Papan Pencatatan Utama
Lampiran 0
Perihal Laporan Bulanan Registrasi Pemegang Efek
Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada 31 Oktober 2023
Sebagai Berikut :
Biro Administrasi Efek: PT. Datindo Entrycom
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Binsar Jalan Raya Direksi 867.879.500 5,8% 867.879.500 5,8%
ParasianJatinegara X
Barat No.
126Jakarta
Timur 13320
Yulisar Khiat Jalan Raya Direksi 1.752.656.000 11,71% 1.752.656.00 11,71%
Jatinegara 0 X
Barat No.
126Jakarta
Pemegang Timur 13320
Saham > 5% PT Astra MENARA 1.110.824.000 7,42% 1.110.824.00 7,42%
International ASTRA LT 58 - 0
63 JL. JEND.
SUDIRMAN
KAV. 5-6
Soerpardiman Hermina Tower, 755.556.000 5,05% 755.556.000 5,05%
Lt. 8, Kav Blok X
B/10
Kemayoran, Jl.
HBR Motik No.
4, Sahari
Selatan Jakarta
Pusat
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali Afiliasi
Sebelumnya Sebelumny
Ini Ini
a
Lydia Hermina Tower, 855.082.000 5,71% 855.082.000 5,71%
Pemegang Immanuel Lt. 8, Kav Blok X
Saham > 5% B/10
Kemayoran, Jl.
HBR Motik No.
4, Sahari
Selatan Jakarta
Pusat
385.837.000 2,58% 385.837.00 2,58%
Masyarakat - Warkat - Scrip 0
8.763.844.59 58,55% 8.763.844. 58,55%
Masyarakat - Non Warkat - Scripless 5 595
475.920.000 3,18% 475.920.000 3.18%
Saham Treasury
14.967.599.0 100% 14.967.599.0 100%
Total 95 95
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
4,593,110,666 30.69% 4,593,110,666 30.69%
Total Pengendali
10,374,488,429 69.31% 10,374,488,429 69.31%
Total Non Pengendali
Page 3
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
9.239.764.595 9.239.764.595
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
1.447.714.966 1.450.689.666
Komisaris kurang dari 5%
Jumlah saham scripless dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham scripless dimiliki oleh Afiliasi dari Pengendali 0 0
kurang dari 5%
Jumlah treasury stock scripless kurang dari 5% 475.920.000 475.920.000
Jumlah saham portofolio investasi dengan penerima manfaat
0 0
investor publik yang telah disetujui Bursa untuk diperhitungkan
sebagai Free Float
Jumlah saham Free Float 7.316.129.629 7.313.154.929
Jumlah saham tercatat di Bursa per akhir bulan 14.967.599.095 14.967.599.095
% Saham Free Float 48,88 48,86
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
3.930 3.612 318
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Nomor Nama
1 Binsar Parasian Simorangkir
2 Lydia Immanuel
3 Meijani Wibowo
4 Raden Endjun
5 Soedibjo Toeloes
6 Soerpardiman
7 Sudarsono
8 Yulisar Khiat
Demikian untuk diketahui.
Hormat Kami,
PT Medikaloka Hermina Tbk.
Yulisar Khiat
Direktur Perusahaan
PT Medikaloka Hermina Tbk.
Jalan Raya Jatinegara Barat No. 126
Telepon : 021 - 8572525, Fax : 021 - 8560601, www.herminahospitals.com
Page 5
Nama Pengirim Yulisar Khiat
Jabatan Direktur Perusahaan
Tanggal dan Waktu 10-11-2023 11:27
Dokumen ini merupakan dokumen resmi PT Medikaloka Hermina Tbk. yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Medikaloka Hermina Tbk. bertanggung jawab
penuh atas informasi yang tertera didalam dokumen ini.
Page 6
Go To Indonesian Page
Letter / Announcement No. 6408/MH/XI/2023
Issuer Name PT Medikaloka Hermina Tbk.
Issuer Code HEAL
Listing Board Main
Attachment 0
Subject Monthly Report of Securities Holders Registration
The Company hereby announce Monthly Report of Securities Holders Registration which ends in 31 October
2023 as follows:
Security Administration Bureau: PT. Datindo Entrycom
Number of Percent of Number of Percent of
Name Address Position Shares in Shares in Shares in Shares in Controller Affiliation
Previous Previous Current Current
Binsar Jalan Raya Direksi 867,879,500 5.8% 867,879,500 5.8%
Parasian Jatinegara X
Barat No.
126Jakarta
Timur 13320
Yulisar Khiat Jalan Raya Direksi 1,752,656,000 11.71% 1,752,656,00 11.71%
Jatinegara 0 X
Barat No.
126Jakarta
Share Timur 13320
Ownership > PT Astra MENARA 1,110,824,000 7.42% 1,110,824,00 7.42%
5% International ASTRA LT 58 - 0
63 JL. JEND.
SUDIRMAN
KAV. 5-6
Soerpardiman Hermina Tower, 755,556,000 5.05% 755,556,000 5.05%
Lt. 8, Kav Blok X
B/10
Kemayoran, Jl.
HBR Motik No.
4, Sahari
Selatan Jakarta
Pusat
Page 7
Number of Percent of Number of Percent of
Name Address Position Shares in Shares in Shares in Shares in Controller Affiliation
Previous Previous Current Current
Share Lydia Hermina Tower, 855,082,000 5.71% 855,082,000 5.71%
Ownership > Immanuel Lt. 8, Kav Blok X
5% B/10
Kemayoran, Jl.
HBR Motik No.
4, Sahari
Selatan Jakarta
Pusat
385.837.000 2,58% 385.837.00 2,58%
Masyarakat - Warkat - Scrip 0
8.763.844.59 58,55% 8.763.844. 58,55%
Masyarakat - Non Warkat - Scripless 5 595
475.920.000 3,18% 475.920.000 3.18%
Saham Treasury
14.967.599.0 100% 14.967.599.0 100%
Total 95 95
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
4,593,110,666 30.69% 4,593,110,666 30.69%
Total Controller
10,374,488,429 69.31% 10,374,488,429 69.31%
Total Non-Controllers
Page 8
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
9.239.764.595 9.239.764.595
than 5%
The number of scripless shares owned by the Board of Directors
1.447.714.966 1.450.689.666
and Board of Commissioners is less than 5%
The number of scripless shares owned by the Controller is less
0 0
than 5%
The number of scripless shares owned by Affiliates of the 0 0
Controller is less than 5%
The amount of scripless treasury stock is less than 5% 475.920.000 475.920.000
Number of investment portfolio shares with public investor
0 0
beneficiaries that have been approved by the Exchange to be
counted as Free Float
The amount of Free Float Share 7.316.129.629 7.313.154.929
The number of shares listed on the Exchange at the end of the
14.967.599.095 14.967.599.095
month
% Free Float Share 48,88 48,86
Number of Shareholders
Previous Month This Month Change
3.930 3.612 318
Final Beneficiaries of Share Ownership
Page 9
Number Name
1 Binsar Parasian Simorangkir
2 Lydia Immanuel
3 Meijani Wibowo
4 Raden Endjun
5 Soedibjo Toeloes
6 Soerpardiman
7 Sudarsono
8 Yulisar Khiat
Thus to be informed accordingly.
Respectfully,
PT Medikaloka Hermina Tbk.
Yulisar Khiat
Direktur Perusahaan
PT Medikaloka Hermina Tbk.
Jalan Raya Jatinegara Barat No. 126
Phone : 021 - 8572525, Fax : 021 - 8560601, www.herminahospitals.com
Page 10
Sender Name Yulisar Khiat
Function Direktur Perusahaan
Date and Time 10-11-2023 11:27
This is an official document of PT Medikaloka Hermina Tbk. that does not require a signature as it was generated
electronically by the electronic reporting system. PT Medikaloka Hermina Tbk. is fully responsible for the
information contained within this document.
Names mentioned 0 people and organisations named in the text · linked when the evidence is strong
The name pass has not read this document yet.
Extraction attempts how the parser did, and what it refused
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confidence 0.900
240 ms
12 Sep 2026 21:56
Raw output
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'treasury': {'pct': '3.18', 'shares': '475920000'},
'under5_non_warkat': {'pct': '58.55', 'shares': '8763844595'},
'under5_warkat': {'pct': '2.58', 'shares': '385837000'}},
'as_of_date': '2023-10-31',
'checksum_ok': True,
'checksum_parts': '14967599095',
'holders': [{'address': 'Jalan Raya Jatinegara Barat No.',
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'is_controller_affiliate': False,
'name': 'Binsar Parasian',
'page_no': 1,
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'seq': 0,
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{'address': '126Jakarta Timur 13320 Jalan Raya Jatinegara Barat '
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{'address': '126Jakarta Timur 13320 MENARA ASTRA LT 58 - 63 JL. '
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'is_controller': False,
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'page_no': 1,
'pct': '7.42',
'pct_prev': '7.42',
'position': '',
'seq': 2,
'shares': '1110824000',
'shares_prev': '1110824000'},
{'address': 'SUDIRMAN KAV. 5-6 Hermina Tower, Lt. 8, Kav Blok',
'category': 'FIVE_PCT',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Soerpardiman',
'page_no': 1,
'pct': '5.05',
'pct_prev': '5.05',
'position': '',
'seq': 3,
'shares': '755556000',
'shares_prev': '755556000'},
{'address': 'Hermina Tower, Lt. 8, Kav Blok',
'category': 'FIVE_PCT',
'is_controller': True,
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'page_no': 2,
'pct': '5.71',
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'position': '',
'seq': 4,
'shares': '855082000',
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'issuer_name': 'PT Medikaloka Hermina Tbk.',
'issuer_ticker': 'HEAL',
'layout': 'EREP_COVER',
'letter_number': '6408/MH/XI/2023',
'listing_board': 'Utama',
'period_label': 'Oktober 2023',
'registrar': 'PT. Datindo Entrycom',
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