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20260609_HEAL_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32099190.pdf
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Page 1
Go To English Page Nomor Surat 352/DIR/MH/VI/2026 Nama Perusahaan PT Medikaloka Hermina Tbk. Kode Emiten HEAL Papan Pencatatan Utama Lampiran 0 Perihal Laporan Bulanan Registrasi Pemegang Efek Bersama ini PT Medikaloka Hermina Tbk. menyatakan: 1. Bertanggung jawab atas penyusunan dan penyajian Laporan Bulanan Registrasi Pemegang Efek (LBRE). 2. Semua informasi dalam LBRE telah dimuat secara lengkap dan benar, tidak mengandung informasi atau fakta material yang tidak benar, dan tidak menghilangkan informasi atau fakta material. 3. Perhitungan Free Float telah disajikan sesuai dengan Peraturan Pencatatan Bursa Nomor I-A dan/atau I-V tentang Pencatatan Saham dan Efek Bersifat Ekuitas Selain Saham yang Diterbitkan oleh Perusahaan Tercatat, termasuk telah mengeluarkan kepemilikan saham oleh pihak Pengendali dan Afiliasi dari Pengendali, dan Afiliasi dari Pemilik Manfaat; dimiliki oleh anggota Dewan Komisaris atau anggota Direksi; dan saham yang telah dibeli kembali oleh perusahaan. Direksi atas nama PT Medikaloka Hermina Tbk. bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini. Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada akhir bulan Mei - 2026 Sebagai Berikut : Biro Administrasi Efek: PT. Datindo Entrycom
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali
Sebelumnya Sebelumny Pengendali
Ini Ini
a
dr. Hasmoro Jalan Raya Direksi 756.718.089 4,92% 760.969.489 4,955%
Jatinegara
Barat No. 126 X
Jakarta Timur
13320
dr. Binsar Jalan Raya Direksi 789.863.411 5,14% 789.863.411 5,14%
Parasian Jatinegara
Barat No. 126 X
Jakarta Timur
13320
Yulisar Khiat Jalan Raya Direksi 986.829.166 6,42% 988.329.166 6,44%
Jatinegara
Barat No. 126 X
Jakarta Timur
13320
Meijani Jalan Raya Komisaris 303.181.367 1,97% 303.181.367 1,97%
Pemegang Wibowo Jatinegara
Saham Barat No. 126 X
Direksi dan Jakarta Timur
Komisaris 13320
dr. Husen Jalan Raya Komisaris 379.246.696 2,47% 379.246.696 2,47%
Sutakaria Jatinegara
Barat No. 126
Jakarta Timur
13320
drg. Susi Jalan Raya Direksi 699.775 0,005% 699.775 0,005%
Setyawati Jatinegara
Barat No. 126
Jakarta Timur
13320
dr. Tan Jalan Raya Direksi 4.604.400 0,03% 4.604.400 0,03%
Suryanti Jatinegara
Barat No. 126
Jakarta Timur
13320
Yustinus I Jalan Raya Direksi 0 0% 50.000 0,0003%
Herawan Jatinegara
Barat No. 126
Jakarta Timur
13320
Page 3
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi
Nama Alamat Saham Bulan Saham Bulan Pengendali
Sebelumnya Sebelumny Pengendali
Ini Ini
a
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%
Pemegang Immanuel Lt. 8, Kav Blok
saham 5% B/10
Kemayoran, Jl.
(lima persen)
HBR Motik No.
atau lebih
4, Sahari
Selatan Jakarta
Pusat
PT Astra MENARA 1.990.651.300 12,95% 1.990.651.30 12,95%
Healthcare ASTRA LANTAI 0
59 JL.
JEND.SUDIRM
AN KAV 5-6
KARET
TENGSIN,
TANAH ABANG
Pemegang Saham < 5%
0 0% 0 0%
Pemegang Saham < 5% - Warkat
8.093.707.69 52,685% 8.062.197. 52,4697%
Pemegang Saham < 5% - Non Warkat 6 096
94.542.100 0,62% 120.251.300 0.78%
Saham Treasuri
15.365.950.0 100% 15.365.950.0 100%
Total 00 00
Page 4
Jumlah Saham Scrip dan Scripless berdasarkan Tipe dan Klasifikasi Investor
Tipe dan Klasifikasi Investor Jumlah Saham
Afiliasi dari pengendali 0
Direksi dan Dewan Komisaris 3.226.944.304
Karyawan (hanya saham yang dibatasi pengalihan
0
kepemilikannya)
Pengendali 0
Saham Tresuri 120.251.300
Jumlah Saham Scripless berdasarkan Tipe dan Klasifikasi Investor dari KSEI
Tipe dan Klasifikasi Investor Jumlah Saham
Bank 6.663.264
Government -
Private Equity 1.195.949.500
Trustee Bank 64.155.500
Venture Capital -
Private Bank 41.623.900
Exchange Traded Funds 192.296.887
Investment Manager 2.645.604
Investment Advisors 71.069.738
Brokerage Firms 12.173.653
Page 5
Hedge Fund 55.086.500 Sovereign Wealth Fund 90.498.556 Capital Market Supporting Institutions and Professions - Commanditaire Vennootschap (CV) or Limited partnership 3.100 Firm - Invesment Fund Selling Agent - Peer to peer lending - Permanent establishment - Sole proprietorship 1.000 Corporate 4.369.195.768 Association/social organization - State-owned enterprises - Central Bank 635.300 State Owned Company - Diocese - Conference - Congregation - Cooperatives - International organization 350.363.700 Political parties -
Page 6
Partnership - Educational Institution 1.488.500 Mutual Funds (MF) 789.219.837 Securities Company (SC) 48.317.714 Pension Funds (PF) 167.823.256 Financial Institutional (IB) 2.119.400 Insurance (IS) 219.601.200 Foundation (FD) 980.700 Individual (ID) 7.684.037.423 *Data klasifikasi investor yang disajikan dalam laporan ini bersumber dari informasi yang disampaikan oleh Pemegang Rekening KSEI berdasarkan hasil verifikasi yang dilakukan melalui proses Know Your Customer (KYC) atas data investor yang dikelolanya. Penetapanan klasifikasi investor dilakukan oleh masing-masing Pemegang Rekening KSEI dengan mengacu pada definisi dan panduan klasifikasi investor yang telah disediakan oleh KSEI. Keakuratan maupun kesesuaian pada penentuan klasifikasi investor yang tersaji dalam laporan ini menjadi tanggung jawab masing-masing Pemegang Rekening KSEI yang melakukan proses klasifikasi tersebut.
Page 7
Informasi Saham Free Float
Keterangan Bulan Sebelumnya Bulan Ini
Jumlah saham non-warkat dimiliki oleh seluruh pemegang
9.632.700.123 9.631.200.123
saham kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Direksi dan Dewan
1.444.450.327 1.448.751.727
Komisaris kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Pengendali kurang dari 5% 1.059.899.456 1.064.150.856
Jumlah saham non-warkat dimiliki oleh Afiliasi dari Pengendali 0 0
kurang dari 5%
Jumlah saham tresuri non-warkat kurang dari 5% 94.542.100 120.251.300
Jumlah saham yang harus dibatasi pengalihan kepemilikannya
0 0
(lock up) baik berdasarkan Peraturan maupun bagian tindakan
korporasi Perusahaan Tercatat kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Perusahaan Modal 1.195.899.500 1.195.899.500
Ventura dan Private Equity kurang dari 5%
Jumlah saham non-warkat yang berada dalam status sita atau 0 0
blokir oleh Aparat Penegak Hukum atau Otoritas yang
berwenang kurang dari 5%
Jumlah saham dengan penerima manfaat investor publik yang 0 0
telah disetujui Bursa untuk diperhitungkan sebagai Free Float
(Ketentuan V.2 Peraturan I-A dan Ketentuan V.2 Peraturan I-V)
Jumlah saham Free Float 5.837.908.740 5.802.146.740
Jumlah saham tercatat di Bursa per akhir bulan 15.365.950.000 15.365.950.000
% Saham Free Float 37,99 37,76
Page 8
Persentase Bulan
Keterangan Bulan Sebelumnya Bulan Ini Persentase Bulan Ini
Sebelumnya
Jumlah saham tidak tercatat 0 0% 0 0%
Jumlah Pemegang Saham Nasabah Pemilik SID
Bulan Sebelumnya Bulan Sekarang Perubahan
7.396 8.450 1.054
Pemilik manfaat (pengendali tingkat individu) yang terdiri dari satu pihak atau kelompok yang terorganisasi dari PT Medikaloka Hermina
Tbk.
Pemegang Saham
Nama Pemegang % Kepemilikan
Nomor Nama Pemilik Manfaat Alamat Langsung
Saham Langsung Saham*
Perseroan
1 Binsar Parasian Simorangkir Ya 789.863.411 %
2 Lydia Immanuel Ya 855.082.000 %
3 Meijani Wibowo Ya 303.181.367 %
4 Hasmoro Ya 760.969.489 %
5 Soedibjo Toeloes Ya 398.065.100 %
6 Yulisar Khiat Ya 988.329.166 %
7 Husen Sutakaria Ya 379.246.696 %
Page 9
* Persentase Kepemilikan, jika pemegang kolom pemegang saham langsung diisi:
- Ya : maka merupakan % kepemilikan pemilik manfaat langsung ke Perseroan
- Tidak : maka merupakan % kepemilikan pemengang saham langsung ke Perseroan
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
Nama Pengirim Yulisar Khiat
Jabatan Direktur Perusahaan
Tanggal dan Waktu 10-06-2026 16:41
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 10
Go To Indonesian Page Letter / Announcement No. 352/DIR/MH/VI/2026 Issuer Name PT Medikaloka Hermina Tbk. Issuer Code HEAL Listing Board Main Attachment 0 Subject Monthly Report of Securities Holders Registration Hereby, the Company declares that: 1. It is responsible for the preparation and presentation of the Monthly Securities Holder Registration Report. 2. All information contained in the LBRE has been fully and accurately disclosed, does not contain any incorrect material information or facts, and does not omit any material information or facts. 3. The Free Float calculation has been presented in accordance with Listing Exchange Regulation Number I-A and/or I-V concerning the Listing of Shares and Equity Securities Other Than Shares Issued by Listed Companies, including the exclusion of share ownership by the Controlling Shareholder and its Affiliates; affiliates of beneficial owner; members of the Board of Commissioners or the Board of Directors; and treasury shares repurchased by the Company. The Board of Directors of PT Medikaloka Hermina Tbk., on behalf of the Company, bears full responsibility for the information contained in this document. The Company hereby announce Monthly Report of Securities Holders Registration which ends in Mei - 2026 Security Administration Bureau: PT. Datindo Entrycom
Page 11
Number of Percent of Number of Percent of Affiliate of
Name Address Position Shares in Shares in Shares in Shares in Controller the
Previous Previous Current Current Controller
dr. Hasmoro Jalan Raya Direksi 756,718,089 4.92% 760,969,489 4.955%
Jatinegara
Barat No. 126 X
Jakarta Timur
13320
dr. Binsar Jalan Raya Direksi 789,863,411 5.14% 789,863,411 5.14%
Parasian Jatinegara
Barat No. 126 X
Jakarta Timur
13320
Yulisar Khiat Jalan Raya Direksi 986,829,166 6.42% 988,329,166 6.44%
Jatinegara
Barat No. 126 X
Jakarta Timur
13320
Board of Meijani Jalan Raya Komisaris 303,181,367 1.97% 303,181,367 1.97%
Directors and Wibowo Jatinegara
Board of Barat No. 126 X
Commission Jakarta Timur
13320
ers
dr. Husen Jalan Raya Komisaris 379,246,696 2.47% 379,246,696 2.47%
Sutakaria Jatinegara
Barat No. 126
Jakarta Timur
13320
drg. Susi Jalan Raya Direksi 699,775 0.005% 699,775 0.005%
Setyawati Jatinegara
Barat No. 126
Jakarta Timur
13320
dr. Tan Jalan Raya Direksi 4,604,400 0.03% 4,604,400 0.03%
Suryanti Jatinegara
Barat No. 126
Jakarta Timur
13320
Yustinus I Jalan Raya Direksi 0 0% 50,000 0.0003%
Herawan Jatinegara
Barat No. 126
Jakarta Timur
13320
Page 12
Number of Percent of Number of Percent of Affiliate of
Name Address Shares in Shares in Shares in Shares in Controller the
Previous Previous Current Current Controller
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 855,082,000 5.56% 855,082,000 5.56%
Immanuel Tower, Lt. 8,
Shareholders Kav Blok B/10
of 5% (five Kemayoran,
percent) or Jl. HBR Motik
more No. 4, Sahari
Selatan
Jakarta Pusat
PT Astra MENARA 1,990,651,300 12.95% 1,990,651,30 12.95%
Healthcare ASTRA 0
LANTAI 59 JL.
JEND.SUDIR
MAN KAV 5-6
KARET
TENGSIN,
TANAH
ABANG
Share Ownership of <5%
0 0% 0 0%
Share Ownership of <5% - Scrip
8.093.707.69 52,685% 8.062.197. 52,4697%
Share Ownership of <5% - Scripless 6 096
94.542.100 0,62% 120.251.300 0.78%
Treasury Stock
15.365.950.0 100% 15.365.950.0 100%
Total 00 00
Page 13
Number of Scrip and Scripless Shares based on Investor Type and Classification Investor Type & Classification Number of Shares Affiliation from Controller 0 BOD / BOC 3.226.944.304 Employee (lock up shares only) 0 Controller 0 Treasury 120.251.300 Number of Scripless Shares based on Investor Type and Classification from KSEI Investor Type & Classification Number of Shares Bank 6.663.264 Government - Private Equity 1.195.949.500 Trustee Bank 64.155.500 Venture Capital - Private Bank 41.623.900 Exchange Traded Funds 192.296.887 Investment Manager 2.645.604 Investment Advisors 71.069.738 Brokerage Firms 12.173.653
Page 14
Hedge Fund 55.086.500 Sovereign Wealth Fund 90.498.556 Capital Market Supporting Institutions and Professions - Commanditaire Vennootschap (CV) or Limited partnership 3.100 Firm - Investment Fund Selling Agent - Peer to peer lending - Permanent establishment - Sole proprietorship 1.000 Corporate 4.369.195.768 Association/social organizations - State Owned Enterprises - Central Bank 635.300 State Owned Company - Diocese - Conference - Congregation - Cooperatives - International organization 350.363.700 Political parties -
Page 15
Partnership - Educational Institution 1.488.500 Mutual Funds (MF) 789.219.837 Securities Company (SC) 48.317.714 Pension Funds (PF) 167.823.256 Financial Institutional (IB) 2.119.400 Insurance (IS) 219.601.200 Foundation (FD) 980.700 Individual (ID) 7.684.037.423 *The investor classification data presented in this report is derived from information provided by KSEI Account Holders based on verification conducted through the Know Your Customer (KYC) process on the investor data under their management. The determination of investor classification is carried out by each KSEI Account Holder with reference to the definitions and investor classification guidelines provided by KSEI. The accuracy and appropriateness of the investor classification presented in this report remain the responsibility of each KSEI Account Holder that performs the classification process.
Page 16
Free Float Share Information
Information Previous Month This Month
The number of scripless shares owned by shareholders is less
9.632.700.123 9.631.200.123
than 5%
The number of scripless shares owned by the Board of Directors
1.444.450.327 1.448.751.727
and Board of Commissioners is less than 5%
The number of scripless shares owned by the Controller is less
1.059.899.456 1.064.150.856
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% 94.542.100 120.251.300
The number of shares owned less than 5% and subject to a lock-
up restriction, either based on regulations or the corporate 0 0
actions of the listed company.
The number of non-script shares owned less than 5% by venture 1.195.899.500 1.195.899.500
capital and private equity companies
The number of non-script shares owned less than 5% and 0 0
subject to confiscation or blocking by law enforcement officials or
authorized authorities.
Number of shares with public investor beneficiaries that have 0 0
been approved by IDX as Free Float (Provision V.2 of Regulation
I-A and Provision V.2 of Regulation I-V).
The amount of Free Float Share 5.837.908.740 5.802.146.740
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 37,99 37,76
Page 17
Remarks Previous Month Previous Month Percentage Current Month Current Month Percentage
Number of Unlisted Shares 0 0% 0 0%
Number of Shareholders Holding SID Accounts
Previous Month Current Month Change
7.396 8.450 1.054
Beneficial owner (ultimate individual controller) consisting of one party or an organized group from PT
Medikaloka Hermina Tbk.
Company’s Direct Direct Shareholder % Share
Number Beneficial Owner Name Address
Shareholders Name Ownership*
1 Binsar Parasian Simorangkir Yes 789.863.411 %
2 Lydia Immanuel Yes 855.082.000 %
3 Meijani Wibowo Yes 303.181.367 %
4 Hasmoro Yes 760.969.489 %
5 Soedibjo Toeloes Yes 398.065.100 %
6 Yulisar Khiat Yes 988.329.166 %
7 Husen Sutakaria Yes 379.246.696 %
Page 18
*Ownership Percentage, if the “Direct Shareholder” column is filled:
- Yes: represents the % ownership of the beneficial owner directly in the Company
- No: represents the % ownership of the direct shareholder in the Company
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
Sender Name Yulisar Khiat
Function Direktur Perusahaan
Date and Time 10-06-2026 16:41
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 17 people and organisations named in the text · linked when the evidence is strong
unresolved
org
PT. Datindo Entrycom
· Biro Administrasi Efek
p.1 ×2
unresolved
person
dr. Binsar
p.2 ×2
unresolved
person
drg. Susi
· Direksi
p.2 ×2
unresolved
person
dr. Tan
· Direksi
p.2 ×2
unresolved
org
PT Astra
p.3 ×4
unresolved
—
Yustinus I
· Direksi
p.11
unresolved
—
percent) or
p.12
unresolved
person
Function
· Direktur
p.18
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
601 ms
12 Sep 2026 22:11
Raw output
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'treasury': {'pct': '0.78', 'shares': '120251300'},
'under5_non_warkat': {'pct': '52.4697', 'shares': '8062197096'},
'under5_warkat': {'pct': '0', 'shares': '0'}},
'as_of_date': '2026-05-31',
'checksum_ok': True,
'checksum_parts': '15365950000',
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{'address': 'Jakarta Timur 13320 Jalan Raya Jatinegara Barat No. '
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'position': 'Direksi',
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{'address': 'Jakarta Timur 13320 Jalan Raya Jatinegara Barat No. '
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{'address': 'Jakarta Timur 13320 Jalan Raya Jatinegara Barat No. '
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{'address': 'Jakarta Timur 13320 Jalan Raya Jatinegara Barat No. '
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{'address': 'Jakarta Timur 13320 Jalan Raya Jatinegara Barat No. '
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'page_no': 2,
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{'address': 'Jakarta Timur 13320 Jalan Raya Jatinegara',
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'page_no': 2,
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'position': 'Direksi',
'seq': 7,
'shares': '50000',
'shares_prev': '0'},
{'address': 'MENARA ASTRA LT 58 63 JL. JEND.',
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'is_controller': False,
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'position': '',
'seq': 8,
'shares': '1110824000',
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{'address': 'SUDIRMAN KAV. 5-6 Hermina Tower, Lt. 8, Kav Blok '
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'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'Lydia Immanuel',
'page_no': 3,
'pct': '5.56',
'pct_prev': '5.56',
'position': '',
'seq': 9,
'shares': '855082000',
'shares_prev': '855082000'},
{'address': 'HBR Motik No. 4, Sahari Selatan Jakarta Pusat MENARA '
'ASTRA LANTAI 59 JL. JEND.SUDIRM AN KAV 5-6 KARET '
'TENGSIN, TANAH ABANG',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'PT Astra Healthcare',
'page_no': 3,
'pct': '12.95',
'pct_prev': '12.95',
'position': '',
'seq': 10,
'shares': '1990651300',
'shares_prev': '1990651300'}],
'issuer_name': 'PT Medikaloka Hermina Tbk.',
'issuer_ticker': 'HEAL',
'layout': 'EREP_COVER',
'letter_number': '352/DIR/MH/VI/2026',
'listing_board': 'Utama',
'period_label': 'Mei 2026',
'registrar': 'PT. Datindo Entrycom',
'total_shares': '15365950000'}