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Page 1 OCR 0.922
( bmhs

Ns since 1973

No.: 055-K/CORSEC/BMHS/VII/2024 19 Juli 2024 / July 19", 2024

Kepada Yth./To:

Otoritas Jasa Keuangan (Financial Services Authority or “OJK”)
Gedung Sumitro Djojohadikusumo, Lantai 3

Jl. Lapangan Banteng Timur 2-4

Jakarta - 10710

U.p: Kepala Eksekutif Pengawas Pasar Modal/
Chief Executive of Capital Market Supervision

Dengan hormat,

Dear Sir/Madam,
Perihal/ : Laporan Informasi atau Fakta Material/
Subject Report on Material Information or Facts

Guna memenuhi Peraturan OJK No. 31/POJK.04/2015 tanggal 16 Desember 2015 tentang
Keterbukaan Atas Informasi atau Fakta Material oleh Emiten Atau Perusahaan Publik (“POJK
31”) dan Keputusan Direksi Bursa Efek Indonesia No. KEP-00066/BEI/09-2022 tanggal 30
September 2022 perihal Perubahan Peraturan No. I-E tentang Kewajiban Penyampaian
Informasi (“Peraturan BEI No. I-E”), dengan ini, kami, PT Bundamendik Tbk. (“Perseroan”)
bermaksud untuk menyampaikan Laporan Informasi atau Fakta Material sebagai berikut:

In order to comply with OJK Regulation No. 31/POJK.04/2015 dated 16 December 2015
regarding Disclosure of Information or Material Facts by the Issuers or Public Companies (“POJK
31”) and Directors Decree of Indonesia Stock Exchange No. KEP-00066/BEI1/09-2022 dated 30
September 2022 regarding the Amendment to Regulation No. I-E on the Obligation to Submit
Information (IDX Regulation No. I-E”), we, PT Bundamendik Tbk. (the “Company”) hereby
intend to submit the Report on Material Information or Facts as follows:

Nama Emiten/Issuers PT Bundamedik Tbk.

Bidang Usaha/Scope of Business Aktivitas rumah sakit swasta.

Activities of private hospitals.

Telepon/ Phone
Faksimili/ Fax

Alamat Surat Elektronik (e-mail)

1. Tanggal Kejadian/
Date of Event

2. Jenis Informasi atau Fakta

Material / Type of Material
Information or Facts

From Embryo Throughout

021- 5098 0799
021- 3190 5915

corsec@bmhs.co.id

19 Juli 2024 / July 19, 2024

Penyelesaian rencana

transaksi

berdasarkan

Perjanjian Pengambilan Bagian dan Pembelian
Saham yang telah ditandatangani pada tanggal 1 April
2024 (“Perjanjian 1 April 2024”) oleh PT Morula
Indonesia (“MP”) (anak Perusahaan terkendali

PT Bundamedik Tbk

Jl. Teuku Cik Ditiro No. 28, Menteng, Jakarta 10350, Indonesia
Head Office: HDI Hive Menteng, 6-7" Floor, Jl. Probolinggo No. 18, Menteng, Jakarta 10350, Indonesia

4462 2150980799 & www.bmhs.co.id

Je
Page 2 OCR 0.931
@ bmhs

since 1973

Perseroan), Perseroan, PT Bunda Ipiti Investama
(“BIPI”), Ivan Rizal Sini, Mesha Rizal Sini dan Jinxin
Fertility Group (BVI) Company Limited (Jinxin BVI”)
(MI, Perseroan, BIPI, Ivan Rizal Sini, Mesha Rizal Sini
dan Jinxin BVI secara bersama-sama, “Para Pihak”).

The completion of the proposed transaction under the
Shares Subscription and Purchase Agreement, which
was executed on 1 April 2024 (“Agreement dated 1
April 2024”) by PT Morula Indonesia ("MI") (a
controlled subsidiary of the Company), the Company,
PT Bunda Ipiti Investama (“BIPI”), Ivan Rizal Sini,
Mesha Rizal Sini and Jinxin Fertility Group (BVI)
Company Limited (Jinxin BVI”) (MI, Perseroan, BIPI,
Ivan Rizal Sini, Mesha Rizal Sini and Jinxin BVI,
collectively, “Parties”).

3. Uraian Informasi atau Fakta : Dengan merujuk pada POJK 31 dan Peraturan BEI No.
Material/ Description of I-E, Perseroan dengan ini memberitahukan bahwa:
Material Information or Facts

a. Para Pihak telah menandatangani Perjanjian 1
April 2024 sehubungan dengan rencana (i)
penerbitan 48.333 (empat puluh delapan ribu
tiga ratus tiga puluh tiga) saham baru oleh MI
yang mewakili 25y6 (dua puluh lima persen) dari
total modal ditempatkan dan modal disetor MI
yang seluruhnya akan diambil bagian oleh Jinxin
BVI (“Pengambilan Bagian Saham”), dan (b)
penjualan 596 (lima persen) saham milik BIPI
(salah satu pemegang saham MI) dalam MI
kepada Jinxin BVI (“Pembelian Saham”)
(Rencana Pengambilan Bagian Saham dan
Pembelian Saham sebagaimana diuraikan di atas
selanjutnya disebut “Transaksi”).

b. Merujuk pada POJK 31 dan Peraturan BEI No.I-E,
pada tanggal 1 April 2024, Perseroan telah
menyampaikan Laporan Keterbukaan Informasi
kepada OJK dan masyarakat — atas
penandatanganan Perjanjian 1 April 2024
melalui Surat Perseroan No.013-
K/CORSEC/BMHS/IV/2024.

c. Pada tanggal 16 Juli 2024, Para Pihak telah
menandatangani — Amandemen Perjanjian
Pengambilan Bagian dan Pembelian Saham
(“Amandemen 16 Juli 2024”) untuk mengatur,
antara lain, pengalihan hak dan kewajiban untuk
melaksanakan Transaksi yaitu dari Jinxin BVI
kepada Jinxin Life Asia Healthcare Investment
Group Pte. Ltd., suatu perusahaan yang didirikan

&
PT Bundamedik Tbk

JI. Teuku Cik Ditiro No. 28, Menteng, Jakarta 10350, Indonesia
Head Office: HDI Hive Menteng, 6"-7" Floor, Jl. Probolinggo No. 18, Menteng, Jakarta 10350, Indonesia
4622150980799 & www.bmhs.co.id

From Embryo Throughout Life
Page 3 OCR 0.928
( bmhbs

NN, since 1973

menurut hukum Singapura (Jinxin
Singapore”).

d. Pada tanggal 19 Juli 2024 (“Tanggal
Penyelesaian”) Para Pihak telah melaksanakan
Transaksi. Dengan demikian, terhitung sejak
Tanggal Penyelesaian, Jinxin Singapore memiliki
total 30Y6 (tiga puluh persen) saham dalam MI
dan kepemilikan saham Perseroan dalam MI
berkurang dari sebelumnya 6396 (enam puluh
tiga persen) menjadi 47.256 (empat puluh tujuh
koma dua lima persen) dari seluruh modal
ditempatkan dan modal disetor MI namun tidak
terjadi perubahan pengendalian dalam MI
dimana Perseroan tetap menjadi pemegang
saham mayoritas MI dan laporan keuangan MI
tetap dikonsolidasikan ke dalam laporan
keuangan Perseroan.

Nilai Transaksi adalah sebesar (i)
Rp351.690.000.000 (tiga ratus lima puluh satu
milyar enam ratus sembilan puluh juta Rupiah)
yang diterima oleh MI untuk Pengambilan
Bagian Saham, dan (ii) Rp70.340.000.000 (tujuh
puluh milyar tiga ratus empat puluh juta Rupiah)
yang diterima oleh BIPI untuk Pembelian Saham.

e. Berdasarkan Perjanjian 1 April 2024
sebagaimana diubah dengan Amandemen 16 Juli
2024 (“Dokumen Transaksi"), Perseroan telah
sepakat untuk menjamin pelaksanaan kewajiban
MI (Jaminan Perseroan”), selaku anak
perusahaan terkendali Perseroan, berdasarkan
syarat dan ketentuan sebagaimana diatur dalam
Dokumen Transaksi. Jaminan Perseroan belum
berlaku efektif pada Tanggal Penyelesaian dan
baru akan berlaku efektif setelah dipenuhinya
seluruh persyaratan sebagaimana diatur dalam
Dokumen Transaksi.

Jaminan Perseroan merupakan transaksi afiliasi
berdasarkan Peraturan OJK No.
42/POJK.04/2020 tanggal 1 Juli 2020 tentang
Transaksi Afiliasi dan Transaksi Benturan
Kepentingan Transaksi (“POJK 42”). Jaminan
Perseroan juga merupakan transaksi material
sebagaimana dimaksud dalam Peraturan OJK
No. 17/POJK.04/2020 tentang Transaksi
Material dan Perubahan Kegiatan Usaha (“POJK
17”) dimana nilainya melebihi 206 (dua puluh
persen) namun kurang dari 5096 (lima puluh
persen) dari nilai ekuitas Perseroan

PT Bundamedik Tbk J-
Jl. Teuku Cik Ditiro No. 28, Menteng, Jakarta 10350, Indonesia
Head Office: HDI Hive Menteng, 6”-7” Floor, Jl. Probolinggo No. 18, Menteng, Jakarta 10350, Indonesia
(462 2150980799 & www.bmhs.co.id

roughout Life

Page 4 OCR 0.905
since 1973

@ bmhs

berdasarkan Laporan Keuangan Perseroan.
Dengan demikian, Perseroan juga akan
melakukan Keterbukaan Informasi dalam waktu
paling lambat 2 (dua) hari kerja setelah tanggal
efektifnya pemberian Jaminan Perseroan sesuai
dengan syarat dan ketentuan sebagaimana
diatur dalam POJK 42 dan POJK 17.

With reference to POJK 31 and IDX Regulation No. I-E,
the Company hereby notifies that:

a. The Parties executed the Agreement Dated 1 April
2024, in relation to the proposed (i) issuance of
48,333 (forty-eight thousand three hundred thirty-
three) new shares by MI representing 2546 (twenty-
Jive percent) of the total issued and paid up capital
Of MI which would be fully subscribed by Jinxin BVI
(“Shares Subscription"): and (ii) the sale of 54
(five percent) of the shares owned by BIPI (one of
the shareholders of MI) in MI to Jinxin BVI ("Shares
Purchase”) (Shares Subscription and Shares
Purchase as described above hereinafter shall be
referred to as the "Transaction”).

b.  Referring to POJK 31 and IDX Regulation No. I-E,
on April 15, 2024, the Company has submitted the
Information Disclosure Report to OJK and the
public regarding the execution of the Agreement
Dated 1 April 2024 based on the Company's Letter
No. 013-K/CORSEC/BMHS/IV/2024.

c. On 16 July 2024, the Parties executed the
Amendment Agreement to the Shares Subscription
and Purchase Agreement (“Amendment Dated 16
July 2024”) to set out, among others, assignment of
rights and obligations to implement the
Transaction from Jinxin BVI to Jinxin Life Asia
Healthcare Investment Group Pte. Ltd, a company
incorporated under the laws of Singapore ("Jinxin
Singapore”).

d.  OnJuly 19", 2024 (“Completion Date”), the Parties
have implemented the Transaction. Therefore, as of
the Completion Date, Jinxin Singapore owns a total
of 3016 (thirty percent) of MI's shares, and the
Company' shareholding in MI decreases from 6316
(sixty-three percent) to 47.2516 (forty-seven point
two five percent) of the total issued and paid-up
capital of MI, but there is no change of control in MI,
whereby the Company remains the majority
shareholders of MI and MIS financial statements

J3.

PT Bundamedik Tbk

Jl. Teuku Cik Ditiro No. 28, Menteng, Jakarta 10350, Indonesia

Head Office: HDI Hive Menteng, 6"-7" Floor, Jl. Probolinggo No. 18, Menteng, Jakarta 10350, Indonesia
4462 2150980799 @& www.bmhs.co.id

From Embryo
Page 5 OCR 0.922
(@ bmhs

since 1973

continue to be consolidated into the Company's
Jinancial statements.

The Transaction Value is (i) IDR 351,690,000,000
(three hundred and fifty-one billion six hundredand
ninety million Rupiah) for the Shares Subscription,
which is received by MI, and (ii) IDR 70,340,000,000
(seventy billion three hundred and forty million
Rupiah) which is received by BIPI for the Shares
Purchase.

e. Based on the Agreement Dated 1 April 2024 as
amended based on the Amendment Dated 16 July
2024 (“Transaction Documents”), the Company
has agreed to guarantee the implementation of the
obligations of MI (“Guarantee by the Company”),
as a controlled subsidiary of the Company, based on
the terms and conditions as set forth in the
Transaction Documents. The Guarantee by the
Company has yet to be effective on the Completion
Date and will only be effective upon the fulfillment
ofall reguirements as stipulated in the Transaction
Documents.

The Guarantee by the Company shall constitute an
affiliated party transaction based on OJK
Regulation No. 42/POJK.04/2020 dated July 1, 2020
concerning Affiliated Transactions and Conflict of
Interest Transactions ("POJK 42").

The Guarantee by the Company shall also
constitute ad material transaction as regulated
under OJK Regulation No. 17/POJK.04/2020
regarding Material Transactions and Changes of
Business Activities (“POJK 17”) where the value
exceeds 20Y6 (twenty percent) but less than 5016
(fifty percent) of the Company's eguity value
based on the Company's Financial Statements.
Therefore, the Company will conduct Information
Disclosure no later than 2 (two) business days after
the effective date of the Guarantee by the Company
in accordance with the terms and conditions as
stipulated in POJK 42 and POJK 17.

4. Dampak kejadian, informasi : Transaksi tidak memiliki dampak negatif
atau fakta material tersebut terhadap kegiatan operasional, hukum,
terhadap Emiten atau kondisi keuangan atau kelangsungan usaha
Perusahaan Publik / Impact of Perseroan.
such event information or
material facts towards Issuer or The Transaction does not have a negative
Public Company impact on the operational activities, legal,

aka
PT Bundamedik Tbk

Jl. Teuku Cik Ditiro No. 28, Menteng, Jakarta 10350, Indonesia
Head Office: HDI Hive Menteng, 6"-7" Floor, Jl. Probolinggo No. 18, Menteng, Jakarta 10350, Indonesia
4622150980799 & www.bmhs.co.id

Throughout Life

Page 6 OCR 0.932
(& bmhs

Ns since 1973

financial conditions or going-concern of the

Company.
5. Keterangan lain-lain/ Others : a. Laporan ini dilakukan oleh Perseroan untuk
Information menjalankan tata kelola perusahaan yang

baik dan untuk memenuhi ketentuan POJK 31.

b. Jinxin Singapore bukan merupakan pihak
afiliasi Perseroan.

a. This report is carried out by the Company to
Implement good corporate governance and to
Julfill the provisions of POJK 31.

b. Jinxin Singapore is notan affiliated party of the
Company.

Laporan ini kami sampaikan dalam Bahasa Indonesia dan Bahasa Inggris. Apabila terdapat
perbedaan antara versi Bahasa Indonesia dan versi Bahasa Inggris, maka yang berlaku adalah
versi Bahasa Indonesia dan versi Bahasa Inggris akan diartikan mengikuti Bahasa Indonesia.

This report is made in Indonesian and English language versions. In the event of any
discrepancies between the Indonesian and English language versions, the Indonesian language
version will prevail and the English language version will be construed in accordance with the
Indonesian language version.

Demikian laporan ini kami sampaikan.
Thus, we submit this report.

Terima kasih atas perhatian dan kerjasamanya.
Thank you for your attention.

Hormat kami/ Sincerely yours,
PT Bundamedik Tbk

973

PT Bundamedik Tbk
sephine Tobing
Corporate Secretary

Tembusan kepada Yth./ Cc:
Direksi PT Bursa Efek Indonesia (BEI)/
The Board of Directors of PT Bursa Efek Indonesia (Indonesian Stock Exchange/IDX)

PT Bundamedik Tbk

Jl. Teuku Cik Ditiro No. 28, Menteng, Jakarta 10350, Indonesia

Head Office: HDI Hive Menteng, 6"-7" Floor, Jl. Probolinggo No. 18, Menteng, Jakarta 10350, Indonesia
(162 2150980799 & www.bmhs.co.id

From Embryo Throughout Life

File

File Open PDF
Source IDX
Size2.83 MB
Published19 Jul 2024
Pages6
Characters13,597
Text sourceOCR
OCR confidence0.923

Names mentioned 12 people and organisations named in the text · linked when the evidence is strong

linked person Ivan Rizal Sini p.2 ×4
linked person Mesha Rizal Sini p.2 ×4
possible org Otoritas Jasa Keuangan p.1
possible org Bursa Efek Indonesia p.1 ×3
possible org Bundamedik Tbk. p.1 ×18
unresolved org Financial Services Authority p.1
unresolved org Bundamendik Tbk. p.1 ×4
unresolved org Indonesia Stock Exchange p.1
unresolved org PT Morula Indonesia p.1 ×2
unresolved org PT Bunda Ipiti Investama p.2 ×2
unresolved org Jinxin Life Asia Healthcare Investment Group Pte. Ltd. p.2 ×2
unresolved person Tembusan kepada Yth./ Cc: · Direksi PT Bursa Efek Indonesia (BEI)/ p.6

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