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20260714_DKHH_Laporan Penggunaan Dana Hasil Penawaran Umum_32111876.pdf
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Nomor Surat 015/Lap.Fin/CSM/VII/2026
Nama Perusahaan PT Cipta Sarana Medika Tbk
Kode Emiten DKHH
Lampiran 1
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 40.617.038.7 25.002.324.
IPO Saham DKHH 30 April 2025
00 0 50 50 20 030
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
25.002.324.030 1,75 % 1 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 5,5 %
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
Pembangunan
IPO Saham DKHH 30 April 2025 69.960.000.000 20.250.000.000 31 %
Gedung baru PT
CSM
DP Pembelian
69.960.000.000 3.000.000.000 5 %
Alkes CT Scan
DP Renovasi
69.960.000.000 612.000.000 1 %
Gedung
69.960.000.000 Modal kerja 16.755.038.720 63 %
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 69.960.000.000a. 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***)
Page 3
Dana yang diperoleh dari Konversi Waran dan Konversi efek Lainnya
Rencana Realisasi
Jumlah
Pengguna Pengguna
Total efek Efek yang Sisa Dana
Tanggal an Dana an Dana
No Jenis Efek Kode Efek yang Harga Nilai belum Hasil
Penerbitan Menurut Menurut
diterbitkan dikonversi Konversi
Prospektu Prospektu
kan
s s
10
265.000.0 41.075.00 264.687.3 29.708.40 18.748.32
1 Waran DKHH November 155 0
00 0.000 76 0 0
2025
Demikian untuk diketahui.
Hormat Kami,
PT Cipta Sarana Medika Tbk
Satria Muhammad Wilis
Direktur utama
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 Satria Muhammad Wilis
Jabatan Direktur utama
Tanggal dan Waktu 14-07-2026 19:34
Lampiran 1. Laporan Realisasi Penggunaan Dana 30 Juni 2026.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 015/Lap.Fin/CSM/VII/2026
Issuer Name PT Cipta Sarana Medika Tbk
Issuer Code DKHH
Attachment 1
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 40,617,038,7 25,002,324,
IPO Saham DKHH
00 0 50 50 20 030
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
25,002,324,030 1.75 % 1 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 5.5 %
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
Pembangunan
IPO Saham DKHH 69,960,000,000 20,250,000,000 31 %
Gedung baru PT
CSM
DP Pembelian
69,960,000,000 3,000,000,000 5 %
Alkes CT Scan
DP Renovasi
69,960,000,000 612,000,000 1 %
Gedung
69,960,000,000 Modal kerja 16,755,038,720 63 %
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 69,960,000,000a. 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
Page 6
Funds received from warrant conversion and conversion from other securities
Amount of
Plan of Realized
Amount of Fund
Total use of fund use of fund
Type of Securities Issuance Securities Remaining
No Securities Price Value according according
Securities Code date not yet after the
Issued to the to the
converted Conversio
prospectus prospectus
n
265,000,0 41,075,00 264,687,3 29,708,40 18,748,32
1 Waran DKHH 155 0
00 0,000 76 0 0
Thus to be informed accordingly.
Respectfully,
PT Cipta Sarana Medika Tbk
Satria Muhammad Wilis
Direktur utama
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 Satria Muhammad Wilis
Function Direktur utama
Date and Time 14-07-2026 19:34
Attachment 1. Laporan Realisasi Penggunaan Dana 30 Juni 2026.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.
Names mentioned 4 people and organisations named in the text · linked when the evidence is strong
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PT CSM DP Pembelian
p.2 ×2
unresolved
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Satria Muhammad Wilis
· Direktur utama
p.3 ×2
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Function
· Direktur
p.6
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