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Nomor Surat 047/DIR/CSM/IV/2026
Nama Perusahaan PT Cipta Sarana Medika Tbk
Kode Emiten DKHH
Lampiran 1
Perihal Penyampaian Laporan Tahunan & Keberlanjutan dan ESG
Perseroan Menyampaikan Laporan Tahunan & Keberlanjutan dan ESG tahun 2025 dengan periode tahun buku dari
01 Januari 2025 sampai dengan 31 Desember 2025 dalam bahasa Indonesia dan Inggris
Apakah Perseroan akan/telah melakukan panggilan Rapat Umum Pemegang Saham Tahunan? (Ya)
Perseroan melakukan panggilan Rapat Umum Pemegang Saham Tahunan pada tanggal 04 Juni 2026
Informasi sebagaimana dimaksud di atas telah dimuat pada Situs Web Perseroan di alamat link
https://dkhhospitals.com/ pada tanggal 30 April 2026
Apakah Perseroan tercatat di Bursa lain? (Tidak)
A. Kinerja Lingkungan (Environmental Performance)
Perseroan menyampaikan Keberlanjutan dan ESG Tahunan :
E-01 Laporan Emisi Gas Rumah Kaca (GRK)
Laporan Emisi GRK Konsolidasi? Ya
Batasan Organisasi Operasional/Finansial
Adakah anak perusahaan yang tidak diikutsertakan dalam
Tidak
laporan ini?
Name Total Emisi (tCO2e)
Kategori 1: Emisi GRK langsung dan pembuangan
Emisi langsung dari pembakaran stasioner 0
Emisi langsung dari pembakaran bergerak 520,66
Emisi langsung dari proses pengolahan 0
Emisi fugitive langsung 0
Emisi langsung dari Land Use, Land Use Change and
0
Forestry (LULUCF)
Total Emisi Langsung (Scope 1) 520,66
Page 2
Kategori 2: Emisi GRK tidak langsung dari energi yang diimpor/dibeli
Emisi tidak langsung dari konsumsi Listrik yang
5.777,4
diimpor/dibeli
Emisi tidak langsung dari konsumsi jaringan energi yang
0
diimpor/dibeli (diluar listrik)
Total Emisi Tidak Langsung (Scope 2) 5.777,4
Kategori 3: Emisi GRK tidak langsung dari transportasi
Transportasi dan distribusi hulu 0
Perjalanan dinas 0
Transportasi dari klien dan pengunjung 0
Transportasi dan distribusi hilir 0
Perjalanan Karyawan 0
Kategori 4: Emisi GRK tidak langsung dari produk yang digunakan oleh perusahaan
Kegiatan yang berhubungan dengan energi yang tidak
termasuk dalam emisi langsung dan emisi energi tidak 0
langsung
Pembelian Barang dan Jasa 0
Capital equipment/goods 0
Limbah yang dihasilkan dalam kegiatan operasional 0
Aset Sewaan hulu 0
Kategori 5: Emisi GRK tidak langsung yang terkait dengan penggunaan produk dari perusahaan
Investasi 0
Penggunaan produk yang dijual 0
Perawatan akhir masa pakai produk yang dijual 0
Waralaba hilir 0
Aset Sewaan Hilir 0
Pengolahan produk yang dijual 0
Page 3
Kategori 6: Emisi GRK tidak langsung dari sumber lainnya
Emisi atau pembuangan tidak langsung lainnya 0
Total Emisi Tidak Langsung (Scope 3) 5.777,4
Total Emisi GRK (Scope 1 and 2) 6.298,06
Total Emisi GRK (Scope 1, 2 and 3) 6.298,06
Offsets/Credits 0
Pembelian Renewable Energy Certificate (REC) (kWh) 0
Total emisi dari Scope 1 dan 2 per unit
E-02 Intensitas Emisi GRK 0,0435
pendapatan Perusahaan Tercatat
Jumlah total energi yang dikonsumsi secara
30.932,9
langsung (kWh or J)
Jumlah total energi yang dikonsumsi secara
E-03 Konsumsi Energi listrik 0
tidak langsung (kWh or J))
Total konsumsi energi (kWh or J) 30.932,9
E-04 Konsumsi Air Total konsumsi air (m3) 40.109
E-05 Limbah yang dihasilkan Total limbah yang dihasilkan (ton) 164.228,06
E-06 Komitmen Perusahaan untuk mencapai target Net Zero Emission
Apakah Perusahaan memiliki komitmen pencapaian target net zero? Tidak
Tahun berapa Perusahaan menargetkan pencapaian Net Zero emission yang
null
dipublikasi?
Mohon berikan deskripsi ringkas penjelasan dan tautan ke dokumentasi yang menjelaskan komitmen
pencapaian target Net zero emission Perusahaan.
-
E-07 Komitmen Perusahaan untuk mengurangi Emisi Gas Rumah Kaca (Emission Reduction)
Apakah Perusahaan memiliki komitmen mengurangi emisi? Tidak
0%
Target pengurangan emisi GRK
0 (tCO2e)
Tahun target untuk penurunan emisi GRK? null
Apakah perusahaan memiliki manajemen yang mengawasi pengendalian iklim?
Tidak
Langkah-langkah yang sudah dilakukan dan penurunan emisi yang telah dicapai dibandingkan tahun
sebelumnya.
Penjelasan:
Page 4
Sebagai bagian dari tanggung jawab terhadap mitigasi perubahan iklim, Perseroan berkomitmen untuk
melakukan pemantauan dan pengelolaan emisi Gas Rumah Kaca (GRK) yang dihasilkan dari seluruh aktivitas
operasional rumah sakit. Perseroan menyadari bahwa sektor kesehatan berkontribusi terhadap emisi karbon
melalui penggunaan energi listrik yang intensif serta penggunaan bahan bakar untuk infrastruktur penunjang.
B. Kinerja Sosial (Social Performance)
S-01 Kesetaraan Gender
Laki-Laki Perempuan
Level Jabatan
Jumlah pegawai Persentasi pegawai Jumlah pegawai Persentasi pegawai
Entry-level 233 33,29 % 361 51,57 %
Mid-level 40 5,71 % 47 6,71 %
Senior-level 8 1,14 % 8 1,14 %
Executive-level 1 0,14 % 2 1,14 %
Total Pegawai 282 40,29 % 418 59,71 %
S-02 Jumlah level pegawai yang dimiliki oleh laki-laki dan perempuan berdasarkan kelompok umur
Level Jabatan
Rentang Usia Entry-level Mid-level Senior-level Executive-level Jumlah
(tahun) Pegawai
Laki-Laki Perempuan Laki-Laki Perempuan Laki-Laki Perempuan Laki-Laki Perempuan
18-25 0 0 0 0 0 0 0 0 0
25-35 0 0 0 0 0 0 0 0 0
35-45 0 0 0 0 0 0 0 0 0
45-55 0 0 0 0 0 0 0 0 0
>55 0 0 0 0 0 0 0 0 0
S-03 Tingkat Pergantian Pegawai
Jumlah Pegawai (dalam tahun Percentage Pegawai (dalam tahun
pelaporan) pelaporan)
Jumlah Pegawai
resign/Pemutusan Hubungan 0 Pegawai 0%
Kerja
Jumlah Pegawai Baru/pengganti 0 Pegawai 0%
S-04 Jumlah Pegawai Sementara
Jumlah Pegawai (dalam tahun Percentage Pegawai (dalam tahun
pelaporan) pelaporan)
Jumlah Pegawai perusahaan
yang dipegang oleh kontraktor 0 Pegawai 0%
dan/atau konsultan
S-05 Pelatihan dan Pengembangan Pegawai
Page 5
Rata-rata jam pelatihan per
Jumlah pegawai yang ikut serta Persentase jumlah pegawai yang
pegawai dalam tahun
dalam program pelatihan ikut serta dalam pelatihan (%)
Pelaporan
29 jam/pegawai 388 55 %
S-06 Jumlah Kecelakaan Kerja
Persentase kecelakaan kerja serius yang berakibat
Frekuensi kecelakaan kerja dari total pegawai
cedera serius dan fatal dari total pegawai (%)
2 0%
S-07 Jumlah Kejadian Pelanggaran Hak Asasi Manusia
Jumlah pelanggaran hak asasi manusia dalam tahun
0
Pelaporan
Kebijakan Perusahaan terkait Pekerja
S-08 Perusahaan memiliki kebijakan terkait pelecehan seksual dan/atau
Ya
non-diskriminasi?
Perusahaan memiliki kebijakan terkait pelecehan seksual dan/atau non diskriminasi yang tercantum dalam
Pedoman Kode Etik Perseroan. Perseroan menetapkan standar yang sama dalam proses seleksi,
penempatan, dan pengembangan karier karyawan yang sepenuhnya didasarkan pada kompetensi,
kualifikasi medis/non-medis, serta profesionalisme individu. Kebijakan ini tertuang dalam Peraturan
Perusahaan yang telah disahkan oleh Dinas Tenaga Kerja setempat, yang menjamin bahwa setiap individu
memiliki peluang yang sama untuk bertumbuh bersama DKH Hospitals.
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
S-09 Perusahaan memiliki kebijakan mengenai hak asasi manusia? Ya
Perusahaan memiliki kebijakan terkait hak asasi manusia yang tercantum dalam Pedoman Kode Etik
Perseroan. Perseroan berkomitmen penuh untuk menjunjung tinggi Hak Asasi Manusia (HAM) dalam
seluruh aspek operasional bisnis layanan kesehatannya. Sesuai Undang- Undang No. 13 Tahun 2003
tentang Ketenagakerjaan, Perseroan secara tegas menolak segala bentuk eksploitasi tenaga kerja,
termasuk penggunaan tenaga kerja anak dan praktik kerja paksa di seluruh unit rumah sakit DKH Hospitals.
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
S-10 Perusahaan memiliki kebijakan mengenai pekerja anak dan/atau
Tidak
pekerja paksa?
Perseroan berkomitmen penuh untuk menjunjung tinggi Hak Asasi Manusia (HAM) dalam seluruh aspek
operasional bisnis layanan kesehatannya. Sesuai Undang- Undang No. 13 Tahun 2003 tentang
Ketenagakerjaan, Perseroan secara tegas menolak segala bentuk eksploitasi tenaga kerja, termasuk
penggunaan tenaga kerja anak dan praktik kerja paksa di seluruh unit rumah sakit DKH Hospitals.
S-11 Perusahaan memiliki kebijakan perusahaan mengenai kesehatan dan
keselamatan kerja serta lingkungan kerja yang aman dan layak diberikan Ya
kepada seluruh karyawan?
Sebagai institusi kesehatan, Perseroan mengimplementasikan sistem manajemen Kesehatan dan
Keselamatan Kerja Rumah Sakit (K3RS) yang ketat. Hal ini dibuktikan dengan pencapaian akreditasi
Tingkat Paripurna dari Komisi Akreditasi Rumah Sakit (KARS) bagi unit RS DKH Cibadak, yang menjamin
terpenuhinya standar keamanan tinggi bagi pasien maupun staf medis.
Page 6
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
Corporate Social Responsibility (CSR)
S-12 Perusahaan memiliki aktivitas CSR, investasi atau sumbangan
Ya
terhadap komunitas atau organisasi nirlaba terdaftar?
Perseroan meyakini bahwa pertumbuhan bisnis yang berkelanjutan hanya dapat dicapai melalui
keharmonisan antara kinerja ekonomi, peningkatan kesejahteraan sosial, dan pelestarian lingkungan hidup.
Sejalan dengan nilai filosofis Dedikasi Sepenuh Hati, Perseroan mengintegrasikan Tanggung Jawab Sosial
dan Lingkungan (TJSL) ke dalam inti operasional rumah sakit untuk memberikan dampak nyata bagi
masyarakat di sekitar wilayah operasional DKH Hospitals.
Annual Report dan Sustainability Report Halaman 196 - 198
C. Kinerja Tata Kelola (Governance Performance)
G-01 Keberagaman Manajemen dan Independensi (Board Diversity and Independence)
Tipe Manajemen
Jumlah Laki-laki Perempuan Pihak Independen
Perusahaan
Komisaris 0 3 0 2
Direksi 0 2 0 1
G-02 Total kehadiran direksi dan komisaris ke rapat dewan
Jumlah rapat dewan (di tahun Rata-rata persentase kehadiran
pelaporan) direksi/komisaris dalam rapat dewan
Jumlah kehadiran direksi ke rapat
3 100 %
dewan
Jumlah kehadiran komisaris ke
3 100 %
rapat dewan
Kebijakan mengenai manajemen lainnya
G-03 Perusahaan memiliki kebijakan mengenai pemisahan Chairman of
Ya
The Board dan CEO?
Perusahaan memiliki kebijakan mengenai pemisahan chairman of the board dan CEO yang tercantum
dalam Pedoman Tata Kelola Perusahaan
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Pedoman-Tata-Kelola-Perusahaan-PT-Cipta-
Sarana-Medika-Tbk-1.pdf
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Komisaris-PT-Cipta-Sarana-Medika-
Tbk.pd
f
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Direksi-PT-Cipta-Sarana-Medika-Tbk.
pdf
G-04 Perusahaan memiliki kebijakan penilaian dewan direksi dan
Ya
komisaris
Perusahaan memiliki kebijakan penilaian dewan direksi dan komisaris yang tercantum dalam Piagam
Direksi dan Piagam Dewan Komisaris Perseroan
Page 7
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Komisaris-PT-Cipta-Sarana-Medika-
Tbk.pd
f
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Direksi-PT-Cipta-Sarana-Medika-Tbk.
pdf
G-05 Perusahaan memiliki kebijakan pelatihan dewan direksi dan
Ya
komisaris
Saat ini Perseroan telah memiliki kebijakan spesifik terkait pengembangan kompetensi untuk Direksi. Sesuai
kebijakan tersebut, anggota Direksi mengikuti berbagai program pengembangan kompetensi dalam bentuk
pelatihan dan pendidikan yang bertujuan untuk meningkatkan kemampuan dan menunjang pelaksanaan
tugas mereka.
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Pedoman-Tata-Kelola-Perusahaan-PT-Cipta-
Sarana-Medika-Tbk-1.pdf
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Komisaris-PT-Cipta-Sarana-Medika-
Tbk.pd
f
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Direksi-PT-Cipta-Sarana-Medika-Tbk.
pdf
G-06 Kriteria khusus yang digunakan untuk pemilihan dewan direksi dan
Ya
komisaris
Kriteria khusus yang digunakan untuk pemilihan dewan direksi dan komisaris tercantum dalam Piagam
Direksi dan Piagam Dewan Komisaris
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Komisaris-PT-Cipta-Sarana-Medika-
Tbk.pd
f
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Direksi-PT-Cipta-Sarana-Medika-Tbk.
pdf
G-07 Perusahaan memiliki kebijakan mengenai kode etik dan/atau anti-
Ya
korupsi?
Perusahaan memiliki kebijakan mengenai kode etik yang tercantum dalam Pedoman Kode Etik Perseroan
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
G-08 Perusahaan memiliki kebijakan mengenai perlakuan adil terhadap
Ya
Pemegang Saham?
Perusahaan memiliki kebijakan mengenai perlakuan adil terhadap pemegang saham yang tercantum dalam
Pedoman Tata Kelola Perseroan dan Pedoman Kode Etik Perseoan
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Pedoman-Tata-Kelola-Perusahaan-PT-Cipta-
Sarana-Medika-Tbk-1.pdf
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
G-09 Perusahaan memiliki kebijakan mengenai kewajiban
Ya
direksi/komisaris untuk mencegah adanya konflik kepentingan?
Perusahaan memiliki kebijakan mengenai kewajiban direksi/komisaris untuk mencegah adanya konflik
kepentingan yang tercantum dalam Pedoman Tata Kelola Perseroan dan Pedoman Kode Etik Perseoan
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Pedoman-Tata-Kelola-Perusahaan-PT-Cipta-
Sarana-Medika-Tbk-1.pdf
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
Page 8
D. Lain-lain
Keselarasan Laporan Keberlanjutan/Tahunan dengan Metrik ESG
Halaman di Laporan
Kinerja Kode Nama Metrik
Keberlanjutan/Tahunan
E-01 Laporan Emisi Gas Rumah Kaca 179
E-02 Intensitas Emisi Gas Rumah Kaca 8-179
E-03 Konsumsi Energi Listrik 8-176
E-04 Konsumsi Air 8-178
Lingkungan
E-05 Limbah yang Dihasilkan 184
Komitmen Perusahaan untuk Mencapai
E-06 -
Target Net Zero Emission
Komitmen Perusahaan untuk
E-07 178
mengurangi Emisi Gas Rumah Kaca
S-01 Kesetaraan Gender 188
Pegawai Berdasarkan Gender dan
S-02 188-190
Kelompok Umur
S-03 Tingkat Pergantian Pegawai -
S-04 Jumlah Pegawai Sementara -
S-05 Pelatihan dan Pengembangan Pegawai 194
S-06 Jumlah Kecelakaan Kerja 193
Kejadian Pelanggaran Hak Asasi
S-07 n/a
Manusia
Sosial Kebijakan Pelecehan Seksual dan/atau
S-08 188
Non-diskriminasi
S-09 Kebijakan Mengenai Hak Asasi Manusia 192
Kebijakan Pekerja Anak dan/atau
S-10 192
Pekerja Paksa
Kebijakan Mengenai Kesehatan dan
Keselamatan Kerja serta Lingkungan
S-11 192
Kerja yang Aman dan Layak diberikan
Kepada Seluruh Karyawan
S-12 Pencegahan Konflik Kepentingan 196-198
Page 9
Keberagaman Manajemen dan
G-01 126
Independensi
Total Kehadiran Direksi dan Komisaris ke
G-02 116-121
Rapat Dewan
Kebijakan Pemisahan Chairman of the
G-03 126
Board dan CEO
Kebijakan Penilaian Dewan Direksi dan
G-04 117
Komisaris
Kebijakan Pelatihan Dewan Direksi dan
Tata-kelola G-05 121
Komisaris
G-06 Kriteria Khusus Pemilihan Dewan -
G-07 Kode Etik dan/atau Anti-Korupsi 149
Kebijakan Perlakuan Adil terhadap
G-08 104
Pemegang Saham
G-09 Pencegahan Konflik Kepentingan 101
Standar Internasional yang Diacu dan Verifikasi Pihak Ketiga
Keselarasan dengan kerangka pelaporan keberlanjutan
Ya X Tidak
Assurance dan validasi pihak ketiga
X Tidak
Demikian untuk diketahui.
Hormat Kami,
PT Cipta Sarana Medika Tbk
Page 10
Satria Muhammad Wilis
Direktur utama
PT Cipta Sarana Medika Tbk
Jl Siliwangi No. 139, Cibadak, Kec Cibadak, Kabupaten Sukabumi, Jawa Barat
Telepon : (021) 4586 9050, Fax : , www.dkhhospitals.com
Nama Pengirim Satria Muhammad Wilis
Jabatan Direktur utama
Tanggal dan Waktu 30-04-2026 22:09
Lampiran 1. Final AR SR 2025 DKHH.pdf
Dokumen ini merupakan dokumen resmi PT Cipta Sarana Medika Tbk yang tidak memerlukan tanda tangan karena
dihasilkan secara elektronik oleh sistem pelaporan elektronik. PT Cipta Sarana Medika Tbk bertanggung jawab
penuh atas informasi yang tertera didalam dokumen ini.
Page 11
Go To Indonesian Page
Letter / Announcement No. 047/DIR/CSM/IV/2026
Issuer Name PT Cipta Sarana Medika Tbk
Issuer Code DKHH
Attachment 1
Subject Submission of Annual And Sustainability Report
The Company hereby submit Annual And Sustainability Report Report 2025 for the period of 01 Januari 2025 to 31
Desember 2025 in Indonesia dan Inggris
Will the Company be/has summons for the Annual General Meeting of Shareholders? (Yes)
The Company made invitations to the Annual General Meeting of Shareholders on 04 Juni 2026
The information referred above has been published on the Company’s website https://dkhhospitals.com/ at 30 April
2026
Is the Company listed on another Stock Exchange? (No)
A. Environmental Performance
The Company submits its Annual Sustainability and ESG Report:
E-01 Greenhouse Gas (GHG) Emission Report
Consolidated GHG Emission Report? Yes
Organizational Boundaries Operasional/Finansial
Any subsidiaries that are not included in the report? No
Name Total emission (tCO2e)
Category 1: Direct GHG emissions and removals
Direct emissions from stationary combustion 0
Direct emissions from mobile combustion 520,66
Direct emissions from processes 0
Direct fugitive emissions 0
Direct emissions from Land Use, Land Use Change and
0
Forestry (LULUCF)
Total Direct Emissions (Scope 1) 520,66
Category 2: Indirect GHG emissions from imported energy
Page 12
Indirect emissions from imported/purchased electricity
5.777,4
consumption
Indirect emissions from imported/purchased network energy
0
consumption (excluding electricity)
Total Indirect Emissions (Scope 2) 5.777,4
Category 3: Indirect GHG emissions from transportation
Upstream transport and distribution 0
Business travels 0
Transportation of clients and visitors 0
Downstream transportation and distribution 0
Employee commuting 0
Category 4: Indirect GHG emissions from products used by Organization
Energy related activities not included in direct emissions and
0
energy indirect emissions
Purchased goods and services 0
Capital equipment/goods 0
Waste generated in operations 0
Upstream leased assets 0
Category 5: Indirect GHG Emissions associated with the use of products from the Organization
Investments 0
Use of sold products 0
End of life treatment of sold products 0
Downstream franchises 0
Downstream leased assets 0
Processing of sold products 0
Category 6: Indirect GHG emissions from other sources
Page 13
Other indirect emissions or removals 0
Total GHG Emissions (Scope 1 and 2) 5.777,4
Total GHG Emissions (Scope 1 and 2) 6.298,06
Total GHG Emissions (Scope 1, 2 and 3) 6.298,06
Offsets/Credits 0
REC Purchases (kWh) 0
Total scope 1 and 2 emissions produced per
E-02 GHG Emissions Intensity 0,0435
revenue of listed compant (tCO2e/Rp)
Total amount of energy directly consumed
30.932,9
(kWh or J)
Total amount of energy indirectly consumed
E-03 Electricity Consumption 0
(kWh or J)
Total energy consumption (kWh or J) 30.932,9
E-04 Water Consumption Total water consumed (m3) 40.109
E-05 Waste Generation Total waste generated (ton) 164.228,06
E-06 Company commitment to Net Zero Emission Target
Does the Company have a net zero emission target commitment? No
What year is the Company’s net zero emission published target? null
Please provide a brief description and a link to documentation explaining the Company’s commitment in
achieving net zero emission target.
-
E-07 Company Commitment to GHG Emission Reduction Target
Does the Company commit to reducing GHG emission? Tidak
0%
What is the Company’s GHG emission reduction target?
0 (tCO2e)
Targeted year in achieving GHG reduction target? null
Does the Listed Company has measures on monitoring in enacting climate policy?
No
Steps that have been taken and emission reductions that have been achieved compared to the previous year
Page 14
As part of its responsibility to support climate change mitigation, the Company is committed to monitoring and
managing greenhouse gas (GHG) emissions arising from its hospital operations. The Company recognizes that
the healthcare sector contributes to carbon emissions through intensive electricity consumption and the use of
fuel for supporting infrastructure.
B. Kinerja Sosial (Social Performance)
S-01 Gender Diversity
Men Women
Job positions Number of Percentage of Percentage of
Number of employees
employees employees employees
Entry-level 233 33,29 % 361 51,57 %
Mid-level 40 5,71 % 47 6,71 %
Senior-level 8 1,14 % 8 1,14 %
Executive-level 1 0,14 % 2 1,14 %
Total Pegawai 282 40,29 % 418 59,71 %
S-02 Employees Level by Gender and Age Group
Job levels
Age group Entry-level Mid-level Senior-level Executive-level Number of
(years) employees
Men Women Men Women Men Women Men Women
18-25 0 0 0 0 0 0 0 0 0
25-35 0 0 0 0 0 0 0 0 0
35-45 0 0 0 0 0 0 0 0 0
45-55 0 0 0 0 0 0 0 0 0
>55 0 0 0 0 0 0 0 0 0
S-03 Employees Turnover
Number of employees Percentage
(in reporting year) (in reporting year)
Number of employees resigned 0 Employees 0%
Number of newly appointed
0 Employees 0%
Employees
S-04 Temporary Worker
Number of employees Percentage
(in reporting year) (in reporting year)
Total company headcount held
by contractors and/or 0 Employees 0%
consultants
S-05 Employee Training and Development
Page 15
Average training hour per
Total employee attending company Percentage of employee attending
employee
training program company training program (%)
(in reporting year)
29 hours/employee 388 55 %
S-06 Injury Rate
Frequency of work-related accidents of total
Percentage of serious work-related accidents resulting in
Employees
serious and fatal injuries from total employees (%)
(in reporting year)
2 0%
S-07 Incidents Regarding Human Rights Abuse
Number of incidents regarding human rights
0
abuse (in reporting year)
Company Policy Regarding Employees
S-08 Does the company has a policy regarding sexual harassment and/or
Yes
non-discrimination?
The Company has policies regarding sexual harassment and/or non-discrimination which are stated in the
Company's Code of Conduct Guidelines. The Company applies consistent standards in employee selection,
placement, and career development, with decisions based solely on competence, medical or non-medical
qualifications, and individual professionalism. This commitment is set out in the Company Regulation
approved by the relevant local Manpower Office, which affirms that every individual has equal opportunity to
grow and develop within DKH Hospitals.
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
S-09 Does the company has a policy regarding human rights? Yes
The Company has a policy regarding human rights which is stated in the Company's Code of Conduct
Guidelines. The Company is fully committed to upholding human rights across all aspects of its healthcare
operations. Pursuant to Law No. 13 of 2003 on Manpower, the Company firmly rejects all forms of labor
exploitation, including child labor and forced labour, across all DKH Hospitals units.
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
S-10 Does the company have a policy regarding child labor and/or forced
No
labor?
The Company is fully committed to upholding human rights across all aspects of its healthcare operations.
Pursuant to Law No. 13 of 2003 on Manpower, the Company firmly rejects all forms of labor exploitation,
including child labor and forced labour, across all DKH Hospitals units.
S-11 Does the company have a company policy regarding occupational
health and safety as well as a safe working environment for all Yes
employees?
As a healthcare institution,the Company implements a rigorous Hospital Occupational Health and Safety
Management System (K3RS). This is reflected in the Plenary accreditation achieved by RS DKH Cibadak
from the Hospital Accreditation Commission (KARS), which indicates the fulfilment of high safety standards
for both patients and medical personnel.
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
Page 16
Corporate Social Responsibility (CSR)
S-12 Does the company have CSR activities, investments or donations to
Yes
the community or registered non-profit organizations?
The Company believes that sustainable business growth can only be achieved through a balance between
economic performance, improved social welfare, and environmental stewardship. In line with its
philosophical value of Wholehearted Dedication, the Company integrates Corporate Social Responsibility
(CSR) into the core of its hospital operations in order to create meaningful impact for communities
surrounding the DKH Hospitals network.
Annual Report and Sustainability Report Page 196 - 198
C. Governance Performance
G-01 Board Diversity and Independence
Type of Company Number of seats Seats Occupied by Seats Occupied by Seats Occupied by
Board on Company Men Women Independent Party
Commissioners 0 3 0 2
Directors 0 2 0 1
G-02 Board Meeting Attendance
Number of board meetings Percentage of board meeting
(in reporting year) attendances (in reporting year)
Director Attendance to
3 100 %
Board Meetings
Comissioner Attendance to
3 100 %
Board Meetings
Other governmental-related policy
G-03 Does the company has a policy regarding separation of the
Yes
Chairman of the Board and CEO?
The company has a policy regarding the separation of chairman of the board and CEO as stated in the
Corporate Governance Guidelines.
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Pedoman-Tata-Kelola-Perusahaan-PT-Cipta-
Sarana-Medika-Tbk-1.pdf
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Komisaris-PT-Cipta-Sarana-Medika-
Tbk.pd
f
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Direksi-PT-Cipta-Sarana-Medika-Tbk.
pdf
G-04 Does the company has a policy regarding board appraisal? Yes
The Company has a policy for assessing the board of directors and commissioners as stated in the
Company's Board of Directors Charter and Board of Commissioners Charter.
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Komisaris-PT-Cipta-Sarana-Medika-
Page 17
Tbk.pd
f
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Direksi-PT-Cipta-Sarana-Medika-Tbk.
pdf
G-05 Does the company has a policy regarding board training and
Yes
development?
The Company has established a specific policy regarding competency development for the Board of
Directors. In accordance with the aforementioned policy, members of the Board of Directors participated in
various competency development programs in the form of training and education activities aimed at
improving their capabilities and supporting the execution of their duties.
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Pedoman-Tata-Kelola-Perusahaan-PT-Cipta-
Sarana-Medika-Tbk-1.pdf
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Komisaris-PT-Cipta-Sarana-Medika-
Tbk.pd
f
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Direksi-PT-Cipta-Sarana-Medika-Tbk.
pdf
G-06 Does the company has a criteria regarding board appointment and
Yes
re-election?
The specific criteria used for the selection of the board of directors and commissioners are stated in the
Board of Directors Charter and the Board of Commissioners Charter.
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Komisaris-PT-Cipta-Sarana-Medika-
Tbk.pd
f
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Piagam-Direksi-PT-Cipta-Sarana-Medika-Tbk.
pdf
G-07 Does the company has a policy regarding ethics and/or anti-
Yes
corruption?
The company has a policy regarding the code of ethics which is stated in the Company's Code of Conduct
Guidelines.
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
G-08 Does the company has a policy regarding equitable treatment of
Yes
shareholders?
The Company has a policy regarding fair treatment of shareholders as stated in the Company's Corporate
Governance Guidelines and the Company's Code of Conduct Guidelines.
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Pedoman-Tata-Kelola-Perusahaan-PT-Cipta-
Sarana-Medika-Tbk-1.pdf
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
G-09 Does the company have a policy regarding the obligations of
Yes
directors/commissioners to prevent conflicts of interest?
The company has a policy regarding the obligations of directors/commissioners to prevent conflicts of
interest as stated in the Company's Corporate Governance Guidelines and the Company's Code of Conduct
Guidelines.
https://dkhhospitals.com/wp-content/uploads/2025/12/Signed-Pedoman-Tata-Kelola-Perusahaan-PT-Cipta-
Sarana-Medika-Tbk-1.pdf
https://dkhhospitals.com/wp-content/uploads/2026/01/Pedoman-Kode-Etik-PT-CSM-Tbk.pdf
Page 18
D. Other
Alignment of Sustainability/Annual Reports with ESG Metrics
Pages in the Sustainability/Annual
Kinerja Kode Metric Name
Report
E-01 Greenhouse Gas Emission Report 179
E-02 Greenhouse Gas Emission Intensity 8-179
E-03 Electricity Consumption 8-176
E-04 Water Consumption 8-178
Environment
E-05 Waste Generated 184
Company Commitment to Achieving Net
E-06 -
Zero Emission Target
Company Commitment to Reduce
E-07 178
Emission
S-01 Gender Equality 188
S-02 Employees by Gender and Age Group 188-190
S-03 Employee Turnover Rate -
S-04 Number of Temporary Officers -
S-05 Employee Training and Development 194
S-06 Number of Work Accidents 193
S-07 Human Rights Violation Incidents n/a
Social Sexual Harassment and/or Non-
S-08 188
Discrimination Policy
S-09 Policy on Human Rights 192
S-10 Child Labor and/or Forced Labor Policy 192
Occupational Health and Safety Policy
S-11 and Safe and Secure Work Environment 192
are provided to all employees.
S-12 Corporate Social Responsibility 196-198
Page 19
Management Diversity and
G-01 126
Independence
Total Attendance of Directors and
G-02 116-121
Commissioners to Board Meetings
Chairman of the Board and CEO
G-03 126
Separation Policy
Board of Directors and Commissioners
G-04 117
Assessment Policy
Board of Directors and Commissioners
Governance G-05 121
Training Policy
G-06 Special Criteria for Election of the Board -
G-07 Code of Ethics and/or Anti-Corruption 149
G-08 Fair Treatment Policy for Shareholders 104
G-09 Conflict of Interest Prevention Policy 101
Referenced International Standards and Third Party Verification
Alignment with sustainability reporting framework
Yes X No
null
Third-party assurance and/or validation
X No
Thus to be informed accordingly.
Respectfully,
PT Cipta Sarana Medika Tbk
Page 20
Satria Muhammad Wilis
Direktur utama
PT Cipta Sarana Medika Tbk
Jl Siliwangi No. 139, Cibadak, Kec Cibadak, Kabupaten Sukabumi, Jawa Barat
Phone : (021) 4586 9050, Fax : , www.dkhhospitals.com
Sender Name Satria Muhammad Wilis
Function Direktur utama
Date and Time 30-04-2026 22:09
Attachment 1. Final AR SR 2025 DKHH.pdf
This is an official document of PT Cipta Sarana Medika Tbk that does not require a signature as it was generated
electronically by the electronic reporting system. PT Cipta Sarana Medika Tbk is fully responsible for the
information contained within this document.
Names mentioned 11 people and organisations named in the text · linked when the evidence is strong
unresolved
—
Emisi langsung dari pembakaran stasioner
p.1
unresolved
—
Emisi fugitive langsung
p.1
unresolved
—
Total Emisi Langsung (Scope 1)
p.1
unresolved
person
Satria Muhammad Wilis
· Direktur utama
p.10 ×2
unresolved
—
Direct emissions from stationary combustion
p.11
unresolved
—
Direct emissions from mobile combustion
p.11
unresolved
—
Direct emissions from processes
p.11
unresolved
—
Direct fugitive emissions
p.11
unresolved
—
Total Direct Emissions (Scope 1)
p.11
unresolved
person
Function
· Direktur
p.20
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