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20260507_SILO_Laporan Bulanan Registrasi Pemegang Efek//Perubahan Struktur Pemegang Saham_32078695.pdf
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Page 1
Go To English Page Nomor Surat 074/Corsec-SIH/V/2026 Nama Perusahaan PT Siloam International Hospitals Tbk. Kode Emiten SILO Papan Pencatatan Utama Lampiran 1 Perihal Laporan Bulanan Registrasi Pemegang Efek Bersama ini PT Siloam International Hospitals 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 Siloam International Hospitals Tbk. bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini. Perseroan menyampaikan Laporan Bulanan Registrasi Pemegang Efek yang berakhir pada akhir bulan April - 2026 Sebagai Berikut : Biro Administrasi Efek: PT. Sharestar Indonesia
Page 2
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi
Nama Alamat Jabatan Saham Bulan Saham Bulan Pengendali
Sebelumnya Sebelumny Pengendali
Ini Ini
a
David UtamaAPARTMENT Direksi 2.100.000 0,02% 2.100.000 0,02%
SETIABUDI
RESIDENCE
UNIT 2301 JLS
Meng Kuan APARTEMEN Direksi 1.671.614 0,01% 1.671.614 0,01%
Phua BOTANICA
TOWER 3
Pemegang LT.10, UNIT A
Saham RT/RW.005/003
Direksi dan ,
Meng Kuan APARTEMEN Direksi 8.716.406 0,07% 8.716.406 0,07%
Komisaris
Phua BOTANICA
TOWER 3
LT.10, UNIT A
RT/RW.005/003
,
Phua Meng Unit 15E Direksi 340.000 0% 340.000 0%
Kuan Sandalwood
Twr
Pakubuwono
Resd.Jl.Pakubu
wono 6 No.70
Keb.Baru
Persen
Jumlah Persen
Jumlah Saham Saham Afiliasi
Nama Alamat Saham Bulan Saham Bulan Pengendali
Sebelumnya Sebelumny Pengendali
Ini Ini
a
MEGAPRATA 2121 2.679.256.980 20,6% 2.679.256.98 20,6%
MA KARYA BULEVARD 0
GAJAH MADA
Pemegang #01-01, LIPPO
saham 5% KARAWACI
(lima persen) SIGHT 38 BEACH 8.329.093.832 64,04% 8.329.093.83 64,04%
atau lebih INVESTMENT ROAD 29- 2
11SOUTH
BEACH
TOWER X
SINGAPORE
189767
SINGAPORE
SINGAPORE
Page 3
Pemegang Saham < 5%
1.000.785.12 7,69% 1.000.785. 7,69%
Publik - Warkat 0 120
981.241.025 7,55% 981.241.02 7,55%
Publik - Non Warkat 5
2.920.023 0,02% 2.920.023 0.02%
Saham Treasuri
13.006.125.0 100% 13.006.125.0 100%
Total 00 00
Page 4
Jumlah Saham Non Warkat berdasarkan Tipe Investor
Tipe dan Klasifikasi Investor Jumlah Saham
Afiliasi dari pengendali dan pemilik manfaat 0
Direksi dan Dewan Komisaris 12.828.020
Karyawan (hanya saham yang dibatasi pengalihan
0
kepemilikannya)
Pengendali 8.329.093.832
Saham Tresuri 2.920.023
Jumlah Saham Scripless berdasarkan Tipe dan Klasifikasi Investor dari KSEI
Tipe dan Klasifikasi Investor Jumlah Saham
Bank 125.637.362
Government -
Private Equity 8.329.093.832
Trustee Bank 12.595.672
Venture Capital -
Private Bank 57.706.847
Exchange Traded Funds 1.377.565
Investment Manager 18.730.279
Investment Advisors 14.207.964
Brokerage Firms 79
Page 5
Hedge Fund - Sovereign Wealth Fund - Capital Market Supporting Institutions and Professions 21.262.615 Commanditaire Vennootschap (CV) or Limited partnership - Firm 80.586.800 Invesment Fund Selling Agent - Peer to peer lending - Permanent establishment - Sole proprietorship 2.600 Corporate 2.871.658.375 Association/social organization - State-owned enterprises - Central Bank - State Owned Company - Diocese - Conference - Congregation - Cooperatives - International organization - Political parties -
Page 6
Partnership - Educational Institution - Mutual Funds (MF) 278.518.722 Securities Company (SC) 1.572.945 Pension Funds (PF) 10.185.896 Financial Institutional (IB) - Insurance (IS) 60.841.036 Foundation (FD) - Individual (ID) 121.361.291 *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
996.989.068 996.989.068
saham kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Direksi dan Dewan
12.828.020 12.828.020
Komisaris kurang dari 5%
Jumlah saham non-warkat dimiliki oleh Pengendali kurang dari 5% 0 0
Jumlah saham non-warkat dimiliki oleh Afiliasi dari Pengendali 0 0
kurang dari 5%
Jumlah saham tresuri non-warkat kurang dari 5% 2.920.023 2.920.023
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 0 0
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 981.241.025 981.241.025
Jumlah saham tercatat di Bursa per akhir bulan 13.006.125.000 13.006.125.000
% Saham Free Float 7,54 7,54
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
4.952 5.043 91
Pemilik manfaat (pengendali tingkat individu) yang terdiri dari satu pihak atau kelompok yang terorganisasi dari PT Siloam International
Hospitals Tbk.
Pemegang Saham
Nama Pemegang % Kepemilikan
Nomor Nama Pemilik Manfaat Alamat Langsung
Saham Langsung Saham*
Perseroan
1 Atiff Ibrahim Gill Tidak %
* 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 Siloam International Hospitals Tbk.
Lewi Aga Basoeki
Page 9
Corporate Secretary
PT Siloam International Hospitals Tbk.
Gdg Fak. Kedokteran UPH Lt. 32, Jl. Boulevard Jend. Sudirman No. 15, Lippo
Telepon : 021-25668000, Fax : 021-5460075, www.siloamhospitals.com
Nama Pengirim Lewi Aga Basoeki
Jabatan Corporate Secretary
Tanggal dan Waktu 07-05-2026 16:13
Lampiran 1. 074 -Corsec-SIH-V-2026-Monthly Report Mei 26 F.pdf
Dokumen ini merupakan dokumen resmi PT Siloam International Hospitals Tbk. yang tidak memerlukan tanda
tangan karena dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Siloam International Hospitals Tbk.
bertanggung jawab penuh atas informasi yang tertera didalam dokumen ini.
Page 10
Go To Indonesian Page Letter / Announcement No. 074/Corsec-SIH/V/2026 Issuer Name PT Siloam International Hospitals Tbk. Issuer Code SILO Listing Board Main Attachment 1 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 Siloam International Hospitals 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 April - 2026 Security Administration Bureau: PT. Sharestar Indonesia
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
David UtamaAPARTMENT Direksi 2,100,000 0.02% 2,100,000 0.02%
SETIABUDI
RESIDENCE
UNIT 2301 JLS
Meng Kuan APARTEMEN Direksi 1,671,614 0.01% 1,671,614 0.01%
Phua BOTANICA
TOWER 3
Board of
LT.10, UNIT A
Directors and
RT/RW.005/003
Board of ,
Commission Meng Kuan APARTEMEN Direksi 8,716,406 0.07% 8,716,406 0.07%
ers Phua BOTANICA
TOWER 3
LT.10, UNIT A
RT/RW.005/003
,
Phua Meng Unit 15E Direksi 340,000 0% 340,000 0%
Kuan Sandalwood
Twr
Pakubuwono
Resd.Jl.Pakubu
wono 6 No.70
Keb.Baru
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
MEGAPRATA 2121 2,679,256,980 20.6% 2,679,256,98 20.6%
MA KARYA BULEVARD 0
GAJAH MADA
Shareholders #01-01,
of 5% (five LIPPO
percent) or KARAWACI
more
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
Shareholders SIGHT 38 BEACH 8,329,093,832 64.04% 8,329,093,83 64.04%
INVESTMENT ROAD 29- 2
of 5% (five
percent) or 11SOUTH
more BEACH
TOWER X
SINGAPORE
189767
SINGAPORE
SINGAPORE
1.000.785.12 7,69% 1.000.785. 7,69%
Public - Scrip 0 120
981.241.025 7,55% 981.241.02 7,55%
Public - Scripless 5
2.920.023 0,02% 2.920.023 0.02%
Treasury Stock
13.006.125.0 100% 13.006.125.0 100%
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 & Beneficial Owner 0 BOD / BOC 12.828.020 Employee (lock up shares only) 0 Controller 8.329.093.832 Treasury 2.920.023 Number of Scripless Shares based on Investor Type and Classification from KSEI Investor Type & Classification Number of Shares Bank 125.637.362 Government - Private Equity 8.329.093.832 Trustee Bank 12.595.672 Venture Capital - Private Bank 57.706.847 Exchange Traded Funds 1.377.565 Investment Manager 18.730.279 Investment Advisors 14.207.964 Brokerage Firms 79
Page 14
Hedge Fund - Sovereign Wealth Fund - Capital Market Supporting Institutions and Professions 21.262.615 Commanditaire Vennootschap (CV) or Limited partnership - Firm 80.586.800 Investment Fund Selling Agent - Peer to peer lending - Permanent establishment - Sole proprietorship 2.600 Corporate 2.871.658.375 Association/social organizations - State Owned Enterprises - Central Bank - State Owned Company - Diocese - Conference - Congregation - Cooperatives - International organization - Political parties -
Page 15
Partnership - Educational Institution - Mutual Funds (MF) 278.518.722 Securities Company (SC) 1.572.945 Pension Funds (PF) 10.185.896 Financial Institutional (IB) - Insurance (IS) 60.841.036 Foundation (FD) - Individual (ID) 121.361.291 *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
996.989.068 996.989.068
than 5%
The number of scripless shares owned by the Board of Directors
12.828.020 12.828.020
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% 2.920.023 2.920.023
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 0 0
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 981.241.025 981.241.025
The number of shares listed on the Exchange at the end of the
13.006.125.000 13.006.125.000
month
% Free Float Share 7,54 7,54
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
4.952 5.043 91
Beneficial owner (ultimate individual controller) consisting of one party or an organized group from PT Siloam
International Hospitals Tbk.
Company’s Direct Direct Shareholder % Share
Number Beneficial Owner Name Address
Shareholders Name Ownership*
1 Atiff Ibrahim Gill No %
*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 Siloam International Hospitals Tbk.
Page 18
Lewi Aga Basoeki
Corporate Secretary
PT Siloam International Hospitals Tbk.
Gdg Fak. Kedokteran UPH Lt. 32, Jl. Boulevard Jend. Sudirman No. 15, Lippo
Phone : 021-25668000, Fax : 021-5460075, www.siloamhospitals.com
Sender Name Lewi Aga Basoeki
Function Corporate Secretary
Date and Time 07-05-2026 16:13
Attachment 1. 074 -Corsec-SIH-V-2026-Monthly Report Mei 26 F.pdf
This is an official document of PT Siloam International Hospitals Tbk. that does not require a signature as it was
generated electronically by the electronic reporting system. PT Siloam International Hospitals Tbk. is fully
responsible for the information contained within this document.
Names mentioned 8 people and organisations named in the text · linked when the evidence is strong
unresolved
org
PT. Sharestar
· Biro Administrasi Efek
p.1
unresolved
org
PT. Sharestar Indonesia
p.1 ×2
unresolved
—
Lewi Aga Basoeki
· Corporate Secretary
p.9 ×2
unresolved
—
Commission
· Direksi
p.11
unresolved
person
Phua Meng
· Direksi
p.11
unresolved
—
percent) or
p.11
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
154 ms
12 Sep 2026 22:28
Raw output
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'treasury': {'pct': '0.02', 'shares': '2920023'},
'under5_non_warkat': {'pct': '7.55', 'shares': '981241025'},
'under5_warkat': {'pct': '7.69', 'shares': '1000785120'}},
'as_of_date': '2026-04-30',
'checksum_ok': True,
'checksum_parts': '13006125000',
'holders': [{'address': 'APARTMENT SETIABUDI',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
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'page_no': 2,
'pct': '0.02',
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'position': 'Direksi',
'seq': 0,
'shares': '2100000',
'shares_prev': '2100000'},
{'address': 'RESIDENCE UNIT 2301 JLS APARTEMEN BOTANICA TOWER 3',
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{'address': 'LT.10, UNIT A RT/RW.005/003 , APARTEMEN BOTANICA '
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'page_no': 2,
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{'address': 'LT.10, UNIT A RT/RW.005/003 , Unit 15E Sandalwood',
'category': 'BOARD',
'is_controller': False,
'is_controller_affiliate': False,
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'pct': '0',
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'position': 'Direksi',
'seq': 3,
'shares': '340000',
'shares_prev': '340000'},
{'address': '2121 BULEVARD GAJAH MADA',
'category': 'FIVE_PCT',
'is_controller': False,
'is_controller_affiliate': False,
'name': 'MEGAPRATA MA KARYA',
'page_no': 2,
'pct': '20.6',
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'position': '',
'seq': 4,
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'shares_prev': '2679256980'},
{'address': '#01-01, LIPPO KARAWACI 38 BEACH ROAD 29-',
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'is_controller': True,
'is_controller_affiliate': False,
'name': 'SIGHT INVESTMENT',
'page_no': 2,
'pct': '64.04',
'pct_prev': '64.04',
'position': '',
'seq': 5,
'shares': '8329093832',
'shares_prev': '8329093832'}],
'issuer_name': 'PT Siloam International Hospitals Tbk.',
'issuer_ticker': 'SILO',
'layout': 'EREP_COVER',
'letter_number': '074/Corsec-SIH/V/2026',
'listing_board': 'Utama',
'period_label': 'April 2026',
'registrar': 'PT. Sharestar Indonesia',
'total_shares': '13006125000'}