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PT. MEDIKALOKA HERMINA Tbk
Kantor Pusat: Jl. Raya Jatinegara Barat No. 126 Jatinegara, Jakarta Timur 13320
Kantor Cabang : Hermina Tower I Lt. 10 Jl. Selangit Blok B-10 Kav. 04, Kemayoran, Jakarta Pusat 10610
Telp. 021-8572525 Fax. 021-8560601 Website : www.herminahospitals.com
SURAT PERNYATAAN DIREKSI DIRECTORS’ STATEMENT LETTER
TENTANG TANGGUNG JAWAB ATAS REGARDING THE RESPONSIBILITY FOR
LAPORAN KEUANGAN KONSOLIDASIAN CONSOLIDATED FINANCIAL STATEMENTS
TANGGAL 31 DESEMBER 2025 AS OF DECEMBER 31, 2025
DAN UNTUK TAHUN YANG BERAKHIR PADA AND FOR THE YEAR THEN ENDED
TANGGAL TERSEBUT BESERTA WITH INDEPENDENT AUDITORS’ REPORT
LAPORAN AUDITOR INDEPENDEN PT MEDIKALOKA HERMINA TBK (“THE COMPANY")
PT MEDIKALOKA HERMINA TBK (“PERUSAHAAN") AND ITS SUBSIDIARIES
DAN ENTITAS ANAKNYA
Kami yang bertanda tangan di bawah ini; We, the undersigned:
Nama Yulisar Khiat Name
Alamat kantor Jl. Selangit, Blok B. 10, Kav. 4, Kemayoran, Office address
Jakarta Pusat
Alamat domisili JL. Raya Jatinegara Barat No. 126 Residential address
Kampung Melayu, Jatinegara,Jakarta Timur
Jabatan Direktur Utama/Pres/denf Director Title
Nama Susi Setyawati Name
Alamat kantor Jl. Selangit, Blok B. 10, Kav. 4, Kemayoran, Office address
Jakarta Pusat
Alamat domisili Jl. Madrasah Buntu Kay 36, Gandaria Residential address
Selatan, Cilandak, Jakarta Selatan
Jabatan Direktur/Director Title
Menyatakan bahwa: Declare that:
1. Kami bertanggung jawab atas penyusunan dan 1. We are responsible for the preparation and
penyajian laporan keuangan konsolidasian presentation of the consolidated financial statements of
Perusahaan dan Entitas Anaknya; the Company and its Subsidiaries;
2. Laporan keuangan konsolidasian Perusahaan dan 2. The consolidated financial statements of the Company
Entitas Anaknya telah disusun dan disajikan sesuai and its Subsidiaries have been prepared and presented
dengan Standar Akuntansi Keuangan (“SAK”) di in accordance with Indonesian Financial Accounting
Indonesia; peraturan Otoritas Jasa Keuangan Standards ("SAK"); the Indonesian Financial Services
(“OJK”); dan Pedoman Penyajian dan Pengungkapan Authority (“OJK”) regulations; and Guidance for
Laporan Emiten atau Perusahaan Publik yang Presentation and Disclosure of Issuer of the Report or
dikeiuarkan oleh OJK; Public Company released by OJK;
3. a. Semua informasi dalam laporan keuangan 3. a. A ll information contained in the consolidated
konsolidasian Perusahaan dan Entitas Anaknya financial statements o f the Company and its
telah dimuat secara lengkap dan benar; Subsidiaries have been completely and properly
disclosed;
b. Laporan keuangan konsolidasian Perusahaan b. The consolidated financial statements of the
dan Entitas Anaknya tidak mengandung informasi Company and its Subsidiaries do not contain any
atau fakta material yang tidak benar, dan tidak improper material information or facts and do not
menghilangkan informasi atau fakta material; omit material information or facts;
4. Kami bertanggung jawab atas sistem pengendalian 4. W ears responsible for the internal control system of the
internal dalam Perusahaan dan Entitas Anaknya. Company and its Subsidiaries.
Demikian pernyataan ini dibuat dengan sebenarnya. Thus, this statement is made truthfully.
Atas nama dan mewakili Dewan Direk: or and on behalf of the Board of Directors
Jakarta, 25 Maret 2026/ March 25, 2026
TEMPEL
1AMX377165054
Yulisar .hiat Susi Setyawati
Direktur Utama/ >sident Director Direktur/Director
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