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20241205_HEAL_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_31805683.pdf
Shareholder register Parsed HEALSource file signed link, expires in 15 minutes
Extracted text 10
Page 1
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Nomor Surat 1319/DIR/MH/XII/2024
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 30 November 2024
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 820.565.311 5,34% 820.565.311 5,34%
Parasian Jatinegara X
Barat No.
126Jakarta
Timur 13320
Yulisar Khiat Jalan Raya Direksi 1.937.949.520 12,61% 1.960.892.92 12,76%
Jatinegara 0 X
Barat No.
126Jakarta
Pemegang
Timur 13320
Saham > 5% PT Astra MENARA 1.110.824.000 7,23% 1.110.824.00 7,23%
International ASTRA LT 58 - 0
63 JL. JEND.
SUDIRMAN
KAV. 5-6
Lydia Hermina Tower, 855.082.000 5,56% 855.082.000 5,56%
Immanuel Lt. 8, Kav Blok
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
Meijani JL DENPASAR Komisaris 329.740.767 2,15% 329.740.767 2,15%
Wibowo BARAT C7/10 X
Pemegang RT 008 RW 002
Saham > 5% KUNINGAN
TIMUR/SETIA
BUDI
Hasmoro Jalan Raya Direksi 724.349.889 4,71% 724.349.889 4,71%
Jatinegara X
Barat No.
126Jakarta
Timur 13320
0 0% 0 0%
Masyarakat - Warkat - Scrip
9.111.518.51 59,3% 9.088.575. 59,15%
Masyarakat - Non Warkat - Scripless 3 113
475.920.000 3,1% 475.920.000 3.1%
Saham Treasury
15.365.950.0 100% 15.365.950.0 100%
Total 00 00
Persentase Jumlah Saham (Bulan Persentase(Bulan
Nama Jumlah Saham (Sebelumnya)
(Sebelumnya) Ini) Ini)
3,812,605,487 24.81% 3,835,548,887 24.96%
Total Pengendali
11,553,344,513 75.19% 11,530,401,113 75.04%
Total Non Pengendali
Page 3
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham scripless dimiliki oleh pemegang saham kurang
10.641.529.169 10.618.585.769
dari 5%
Jumlah saham scripless dimiliki oleh Direksi dan Dewan
1.481.488.432 1.481.488.432
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 8.684.120.737 8.661.177.337
Jumlah saham tercatat di Bursa per akhir bulan 15.365.950.000 15.365.950.000
% Saham Free Float 56,52 56,37
Jumlah Pemegang Saham
Bulan Sebelumnya Bulan Sekarang Perubahan
3.945 4.057 112
Penerima Manfaat Akhir dari Kepemilikan Saham
Page 4
Nomor Nama
1 Binsar Parasian Simorangkir
2 Lydia Immanuel
3 Meijani Wibowo
4 Hasmoro
5 Soedibjo Toeloes
6 Yulisar Khiat
7 Tjiptawati Budiharta
8 Husen Sutakaria
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 09-12-2024 15:13
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
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Letter / Announcement No. 1319/DIR/MH/XII/2024
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 30 November
2024 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 820,565,311 5.34% 820,565,311 5.34%
Parasian Jatinegara X
Barat No.
126Jakarta
Timur 13320
Yulisar Khiat Jalan Raya Direksi 1,937,949,520 12.61% 1,960,892,92 12.76%
Jatinegara 0 X
Barat No.
126Jakarta
Share Timur 13320
Ownership > PT Astra MENARA 1,110,824,000 7.23% 1,110,824,00 7.23%
5% International ASTRA LT 58 - 0
63 JL. JEND.
SUDIRMAN
KAV. 5-6
Lydia Hermina Tower, 855,082,000 5.56% 855,082,000 5.56%
Immanuel Lt. 8, Kav Blok
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
Meijani JL DENPASAR Komisaris 329,740,767 2.15% 329,740,767 2.15%
Wibowo BARAT C7/10 X
Share RT 008 RW 002
Ownership > KUNINGAN
5% TIMUR/SETIA
BUDI
Hasmoro Jalan Raya Direksi 724,349,889 4.71% 724,349,889 4.71%
Jatinegara X
Barat No.
126Jakarta
Timur 13320
0 0% 0 0%
Masyarakat - Warkat - Scrip
9.111.518.51 59,3% 9.088.575. 59,15%
Masyarakat - Non Warkat - Scripless 3 113
475.920.000 3,1% 475.920.000 3.1%
Saham Treasury
15.365.950.0 100% 15.365.950.0 100%
Total 00 00
Percentage Number of Shares (This Percentage (This
Name Number of Shares (Previously)
(Previous) Month) Month)
3,812,605,487 24.81% 3,835,548,887 24.96%
Total Controller
11,553,344,513 75.19% 11,530,401,113 75.04%
Total Non-Controllers
Page 8
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
10.641.529.169 10.618.585.769
than 5%
The number of scripless shares owned by the Board of Directors
1.481.488.432 1.481.488.432
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 8.684.120.737 8.661.177.337
The number of shares listed on the Exchange at the end of the
15.365.950.000 15.365.950.000
month
% Free Float Share 56,52 56,37
Number of Shareholders
Previous Month This Month Change
3.945 4.057 112
Final Beneficiaries of Share Ownership
Page 9
Number Name
1 Binsar Parasian Simorangkir
2 Lydia Immanuel
3 Meijani Wibowo
4 Hasmoro
5 Soedibjo Toeloes
6 Yulisar Khiat
7 Tjiptawati Budiharta
8 Husen Sutakaria
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 09-12-2024 15:13
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 16 people and organisations named in the text · linked when the evidence is strong
unresolved
org
PT. Datindo Entrycom
· Biro Administrasi Efek
p.1
unresolved
org
PT. Datindo Entrycom Persen
p.1
unresolved
org
PT Astra
p.1 ×2
unresolved
—
Lydia
· 855.082.000
p.1
unresolved
person
DENPASAR
· Komisaris
p.2 ×2
unresolved
person
Function
· Direktur
p.10
Extraction attempts how the parser did, and what it refused
Nothing structured was extracted from this document — the attempts below say why.
Rule parser
OK
confidence 0.900
264 ms
12 Sep 2026 22:55
Raw output
{'aggregates': {'total': {'pct': '100', 'shares': '15365950000'},
'treasury': {'pct': '3.1', 'shares': '475920000'},
'under5_non_warkat': {'pct': '59.15', 'shares': '9088575113'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2024-11-30',
'checksum_ok': True,
'checksum_parts': '15365950000',
'holders': [{'address': 'Jalan Raya Jatinegara Barat No.',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Binsar Parasian',
'page_no': 1,
'pct': '5.34',
'pct_prev': '5.34',
'position': 'Direksi',
'seq': 0,
'shares': '820565311',
'shares_prev': '820565311'},
{'address': '126Jakarta Timur 13320 Jalan Raya Jatinegara Barat '
'No.',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Yulisar Khiat',
'page_no': 1,
'pct': '12.76',
'pct_prev': '12.61',
'position': 'Direksi',
'seq': 1,
'shares': '1960892920',
'shares_prev': '1937949520'},
{'address': '126Jakarta Timur 13320 MENARA ASTRA LT 58 - 63 JL. '
'JEND.',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT Astra International',
'page_no': 1,
'pct': '7.23',
'pct_prev': '7.23',
'position': '',
'seq': 2,
'shares': '1110824000',
'shares_prev': '1110824000'},
{'address': 'SUDIRMAN KAV. 5-6 Hermina Tower, Lt. 8, Kav Blok',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Lydia Immanuel',
'page_no': 1,
'pct': '5.56',
'pct_prev': '5.56',
'position': '',
'seq': 3,
'shares': '855082000',
'shares_prev': '855082000'},
{'address': 'JL DENPASAR BARAT C7/10 RT 008 RW 002 KUNINGAN',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Meijani Wibowo',
'page_no': 2,
'pct': '2.15',
'pct_prev': '2.15',
'position': 'Komisaris',
'seq': 4,
'shares': '329740767',
'shares_prev': '329740767'},
{'address': 'TIMUR/SETIA BUDI Jalan Raya Jatinegara',
'category': 'BOARD',
'is_controller': True,
'is_controller_affiliate': False,
'name': 'Hasmoro',
'page_no': 2,
'pct': '4.71',
'pct_prev': '4.71',
'position': 'Direksi',
'seq': 5,
'shares': '724349889',
'shares_prev': '724349889'}],
'issuer_name': 'PT Medikaloka Hermina Tbk.',
'issuer_ticker': 'HEAL',
'layout': 'EREP_COVER',
'letter_number': '1319/DIR/MH/XII/2024',
'listing_board': 'Utama',
'period_label': 'November 2024',
'registrar': 'PT. Datindo Entrycom',
'total_shares': '15365950000'}