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20250623_DKHH_Laporan Penggunaan Dana Hasil Penawaran Umum_31907809.pdf
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Page 1
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Nomor Surat 001/Lap.Fin/CSM/VII/2025
Nama Perusahaan PT Cipta Sarana Medika Tbk
Kode Emiten DKHH
Lampiran 2
Perihal Laporan Penggunaan Dana Hasil Penawaran Umum
Dana yang diperoleh dari Penawaran Umum IDR
Rencana Realisasi
Jumlah
Biaya Hasil Penggunaa Penggunaa
Hasil
Jenis Penawaran Realisasi n Dana n Dana Sisa Dana
Tanggal Penawaran
Penawaran Nama Emisi Umum Bersih Menurut Menurut (satuan
Efektif Umum
Umum (satuan mata (satuan Prospektus Prospektus mata uang)
(satuan
uang) mata uang) (satuan (satuan
mata uang)
mata uang) mata uang)
69.960.000.0 4.340.637.25 65.619.362.7 65.619.362.7 25.795.200.0 39.824.162.
IPO Saham DKHH 30 April 2025
00 0 50 50 00 750
Penempatan Sisa Dana
Jenis
Kode Nama
Penawaran Penempatan List
Efek
Umum
Sisa Dana Hubungan
Tingkat Bunga/ Jangka Waktu
(satuan mata Penempatan dengan
Bagi Hasil Penyimpanan
IPO Saham DKHH uang) Perusahaan
Rekening Giro
39.824.162.750 1,75 % 1 Bulan pihak Tiga
BRI
Rincian Rencana Penawaran Umum
Jenis
Kode Nama
Penawaran Tanggal Efektif Rencana List
Efek
Umum
Hasil
Realisasi Jumlah
Bersih Uraian (satuan mata Persentase
(satuan mata uang)
uang)
Pembangunan
IPO Saham DKHH 30 April 2025 65.619.362.750 40.760.000.000 62 %
Gedung Baru
Pembelian CT -
65.619.362.750 3.617.784.000 6 %
Scan
Renovasi
65.619.362.750 612.000.000 1 %
Gedung
65.619.362.750 Modal Kerja 20.629.578.750 31 %
Page 2
Rincian Realisasi Penawaran Umum
Jenis
Kode Nama
Penawaran Tanggal Efektif Realisasi List
Efek
Umum
Hasil
Realisasi Jumlah
Bersih Uraian (satuan mata Persentase
(satuan mata uang)
uang)
DP
69.960.000.000 Pembangunan 20.250.000.000 31 %
IPO Saham DKHH 30 April 2025 Baru PT CSM
DP Pembelian
69.960.000.000 Alkes CT - Scan 3.000.000.000 5 %
PT CSM
DP Renovasi
69.960.000.000 612.000.000 1 %
Banguna
69.960.000.000 Modal Kerja 1.933.200.000 3 %
Rincian Biaya Penawaran Umum
Jenis Jumlah Jumlah
Tanggal Persenta
Penawaran Kode Efek Hasil Uraian (Satuan Mata
Efektif se
Umum Penawaran Uang)
IPO Saham DKHH 30 April 2025 69.950.000.000a. biaya jasa penjaminan
(underwriting fee);
139.920.000 0,2 %
b. biaya jasa
penyelenggaraan
1.270.160.000 1,82 %
(management fee);
c. biaya jasa penjualan
(selling fee);
139.920.000 0,2 %
d. biaya jasa profesi
penunjang pasar modal;
2.187.000.000 3,13 %
e. biaya jasa lembaga
penunjang pasar modal;
59.980.000 0,78 %
dan
f. biaya jasa konsultasi
keuangan (financial
0 0 %
advisory fee).
g. Biaya lain-lain yang
dapat diatribusikan
543.657.250 0,12 %
langsung sebagai biaya
emisi***)
Informasi Lain
Sisa dana hasil penawaran umum perdana saham PT Cipta Sarana Medika Tbk ditempatkan pada Bank BRI KCP
Rasuna Said Kuningan Jakarta Selatan atas nama PT Cipta Sarana Medika Tbk, tidak terdapat hubungan afiliasi
antara PT Cipta Sarana Medika Tbk dengan Bank BRI.
Demikian untuk diketahui.
Page 3
Hormat Kami,
PT Cipta Sarana Medika Tbk
Octen Suhadi
Direktur
PT Cipta Sarana Medika Tbk
Jl Siliwangi No. 139, Cibadak, Kec Cibadak, Kabupaten Sukabumi, Jawa Barat
Telepon : (021) 4586 9050, Fax : , www.dkhhospitals.com
Nama Pengirim Octen Suhadi
Jabatan Direktur
Tanggal dan Waktu 12-07-2025 11:25
Lampiran 1. Keputusan Direksi - Signed.pdf
2. Laporan Realisasi Penggunaan Dana IPO.pdf
Dokumen ini merupakan dokumen resmi PT Cipta Sarana Medika Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Cipta Sarana Medika Tbk bertanggung jawab
penuh atas informasi yang tertera didalam dokumen ini.
Page 4
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Announcement Number 001/Lap.Fin/CSM/VII/2025
Issuer Name PT Cipta Sarana Medika Tbk
Issuer Code DKHH
Attachment 2
Subject Laporan Penggunaan Dana Hasil Penawaran Umum
Fund received form the public offering IDR
Amount of Plan for use Realized
Proceed Cost of of proceed Use of Fund
Type of Net Remaining
Name of from the Public according to according to
public Listing Date Realization Fund (in
Issuance Public Offering (in the the
offering (in Currency) Currency)
Offering (in Currency) Prospectus Prospectus
Currency) (in Currency) (in Currency)
69,960,000,0 4,340,637,25 65,619,362,7 65,619,362,7 25,795,200,0 39,824,162,
IPO Saham DKHH
00 0 50 50 00 750
Allocation of Remaining Fund
Type of public Name / Code of
List of allocation
offering Securities
Remaining Fund Interest/Yield Relationship with
Allocation Retention Period
(in Currency) Rate the company
IPO Saham DKHH
Rekening Giro
39,824,162,750 1.75 % 1 Bulan pihak Tiga
BRI
Details of Public Offering Plan
Type of public Name / Code of
Listing date List of plans
offering Securities
Net Realization Amount (in
Description Percentage
(in Currency) Currency)
Pembangunan
IPO Saham DKHH 65,619,362,750 40,760,000,000 62 %
Gedung Baru
Pembelian CT -
65,619,362,750 3,617,784,000 6 %
Scan
Renovasi
65,619,362,750 612,000,000 1 %
Gedung
65,619,362,750 Modal Kerja 20,629,578,750 31 %
Page 5
Details of Public Offering Realization
Type of Public Name / Code of
Listing Date Realization Plan
Offering Securities
Net Realization Amount (in
Description Percentage
(in Currency) Currency)
DP
69,960,000,000 Pembangunan 20,250,000,000 31 %
IPO Saham DKHH Baru PT CSM
DP Pembelian
69,960,000,000 Alkes CT - Scan 3,000,000,000 5 %
PT CSM
DP Renovasi
69,960,000,000 612,000,000 1 %
Banguna
69,960,000,000 Modal Kerja 1,933,200,000 3 %
Details of Cost of Public Offering
Amount of
Type of Public Amount (in Percenta
Securities Code Listing Date Proceed for the Description
Offering Currency) ge
Public Offering
IPO Saham DKHH 69,950,000,000a. Underwriting fee
139,920,000 0.2 %
b. Management fee
1,270,160,000 1.82 %
c. Selling fee
139,920,000 0.2 %
d. Capital Market
Supporting Profession
2,187,000,000 3.13 %
fee
e. Capital Market
Supporting Institution fee
59,980,000 0.78 %
f. Financial advisory fee
0 0 %
g. Other fees which can
be directly attributed as
543,657,250 0.12 %
securities issuance fees
Other Information
The remaining funds from the initial public offering of shares by PT Cipta Sarana Medika Tbk were placed at Bank
BRI KCP Rasuna Said Kuningan, South Jakarta, under the name of PT Cipta Sarana Medika Tbk. There is no
affiliate relationship between PT Cipta Sarana Medika Tbk and Bank BRI.
Thus to be informed accordingly.
Page 6
Respectfully,
PT Cipta Sarana Medika Tbk
Octen Suhadi
Direktur
PT Cipta Sarana Medika Tbk
Jl Siliwangi No. 139, Cibadak, Kec Cibadak, Kabupaten Sukabumi, Jawa Barat
Phone : (021) 4586 9050, Fax : , www.dkhhospitals.com
Sender Name Octen Suhadi
Function Direktur
Date and Time 12-07-2025 11:25
Attachment 1. Keputusan Direksi - Signed.pdf
2. Laporan Realisasi Penggunaan Dana IPO.pdf
This is an official document of PT Cipta Sarana Medika Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. PT Cipta Sarana Medika Tbk is fully responsible for the
information contained within this document.
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