Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health...

25
Exhibit 3-C Pro Forma Organizational Chart of CVS Health and its Affiliates Following the Transaction

Transcript of Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health...

Page 1: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

Exhibit 3-C

Pro Forma Organizational Chart of CVS Health and its Affiliates

Following the Transaction

Page 2: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

Corporate Structure Chart BEFORE

Public Shareholders Public Shareholders

CVS Health Aetna Inc.Corporation

CVS Pharmacy, Inc.

MERGER

Aetna Subsidiaries -

Hudson Merger Sub Corp.

I

Page 3: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

'

Corporate Structure Chart AFTER

7 Public Shareholders

CVS Hea!th Corporation

CVS Pharmacy, Inc.

Aetna Inc.

. , I ' Aetna Subsidi~

Page 4: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

12.1.2011

\lrMllr

A•mut.1-1-C. I I Omntnn-.ln£. (DEJ

Rul~ rn,s1on­l>ltlt.11lrHr.11llh. t'cxnpaa,,lnc. ,,.,._,,I.Lt'. t.U.'s

,\ttn.,,lnc, P.11flrnl!>.11fr~ l'....,.lU.'• t.LC tALnu~r,. \ILtPAJ th1:11nlz.allnn, (RI) rA.!l(",r;, ('.'>') w" (,.. r1omsl11ln)

1.1.('.(RI)

("'\.SBdlmon­ C\'S lnlrrnartonaL·~· Subddl,ui..,, (.'l) I.LC

(DI-:)

<"VSPR Cmlrr,lnt.

(DE)

(:\-'Si'R

lloldlnr, Ccxnp,on~.,_,_c,

'PR)

Purrln RJn, ("'\:,.

PhannaC). 1-l-<'. (PR)

f.nt"fl'f'h<

•CVSHealth

Sl!.m.m.ao'. CVS HEAL TH -AETNA

POST CLOSE

C\'S Hulth Corpor.11.tion

(DE)

Cardinal lltlllthllO.

tu: (unl'ttllled)

C\'S Pharmac,, Inc. (RI)

E.T.k.,lnc. (D.)

Page 5: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

l

CVS Health Corporation (DE)CVS Pharmacy Retail

With Tax Classification for LLCs (disregarded or corp)

CVS Pharmacy, Inc. (Rl) CO, MA, NM, SD & TX

Stores

I Massachusetts

CVS Pharmacy, Inc.

(MA) (Inactive)

Arizona CVS S!un:,, LL.C. (AZ)

CVS J268 Gil~rl, LLC. (AZ)

CVS J7~5 Peoria, LL.C. (AZ)

CVS Gilbert 3272, LL.C. (AZI

Bu•~ CVS, LLC. (IL)

Good)ear CVS, L.LC. (AZ) Sheffie-Id AH:nuc CVS, LL.C. (IL)

South Waba,h CVS, LLC. (IL)

Thum ■, PbllC'oit CVS, L.LC. (AZ.I

Wa,bingtoo Lamb C\'S, LLC. (;"\,\-')

I

I I I I I I I Store LLCs

Store LLCs \lf'l,illrRuh,-CVS RS CVS Rx Services, (Taxed asLongs Drug CVS PR (Taxed asComr•n), Inc.Arizona, Inc. Stores, L.L.C. Disregarded)'Center, Inc. f\\°) Corporations)'L.L.C. (AZ) (NY) (MD) Various(lza..-(;u ■ ranltt'!I)(DE) Various States

States

I I I I I Longs urugCVS PR Store LLCs CVS Bellmore StoresStore LLCs Holding (Taxed asA"enue, LL.C. Callfomla, L.L.C. (Taxed asCompany, Disregarded)'(NY) (CA HI NV)Disregarded)'L.L.C. (PR) AZ,IL&NV(disregarded) DisregardedAZ. Stores Stores(NY store) rA C:tn-c

I Puerto Rico CVS

Pharmacy, L.LC.

«PR) PR Stores

Cunne..-1itu1 CVS Pharma(), LLC. (CT) CT Store,

Ocha"'un: CVS Pharmu'), LLC. (DE) OE Scon:•

lo"D CVS Pbarmac,, L.L.C. (IA) IA Slorc-,

Kc-ntuck~ CVS Pharmu-,, LLC. (KY) KY S1orc-,

!\1at)land CVS Pbarm ■ c,. L.LC. (MD) MD Slon.-1

.\1iot,,ippi CVS Pharmac,, LLC. (MS) MS S1urc-,

Sc" Jcrwy CVS Pharmac,, LLC. (NJ) SJ Slun-,

North Carulioa CVS Pharma,-,·, LL.C. (NC) 1",C Store,

OIJ11bum11 CVS Pharma(~, LLC. (OK) OK Stun.-"

Rhode- hlllDd CVS Pb ■ rmac~. LLC. (RI) RI S1un.-,

Teone"tt CVS Pbarm ■(), LLC. (T!\) TS Slorc-,

\'i~inia CVS Pharma(), LLC. (VA) VA Stun-,

MS, MO, MS, SC, SJ, OH, PA, TN, TX. VA and WI

Slun.-1

CVS l'J-IH Heodn\11D, L.LC. (NY) NV S1un.-,

CVS Alban~. LL.C. (:'<iY) :-,.-y Store-,

CVS Mancbc-,tc-r :'<iH, LLC. (:'li'H) NH Scun-,

CVS Stair Capital, LLC. (ME) ME Slon.-,

Di,trict of Columbia C\'S Pbarmac,,. L.LC. (DC) DC

Store:,

Gurfic-ld 8e1u:b C\'S, LLC. (CA) CA S!nrc-,

~"'t.lfltia CVS Pharma,~, L.L.C. (GA) CA Slc1n.-,

German Dnlhon CVS, LLC. (AZ) AZ S!on-,

Gn.od SL Paul CVS, LLC. (~...,-1 !\'IS Store,

Higblaad Par!.. CVS, LLC. (IL) IL Stun-,

Hnlida~ CVS, LLC. (FL) FL Stun-,

Hook-Suf)C'rX, LL.C. (I!\) I!\" Store,

Mh"'1uri CVS Pharmac). LLC. (!\10) MO Store,

Montana CVS Pharma,-,, LLC. (Mn MT Slorc-,

!\'chnnka CVS Pharmat"), LLC. (SE) NE S!un.-,

Obin CVS Ston.-1, LLC. (OH) OH Ston•,

On-goo CVS Pharm ■ c,, LLC. (OR) OR Ston.-,

Pc-1111,)lunia CVS Pharmac), LLC. (PAI PA Stort\

Sou lb Canilioa C\'S Pharma,-,, LL.C. (SC) SC Stor,.·,

U111h C\'S Pharmac), L.LC. (Un UT Sturc-,

Vcrmonl CVS Pb11rm11c), LLC. (VJ) VT Stun-,

Warm Spring, Road CVS, LLC. (NV) :,.i\' Stun-,

Wa,biogton C\'5' Phuma~. LLC. CWA) WA Storr,

We,1 \'ifltinia CVS Pharmac~. LLC. (WV) W\' Storr,

Wi,«10,in CVS Pharma("), LLC. (WI) WI Sinn.-,

W1M,d'< ard Dc1rui1 CVS, L.LC. (Ml) Ml Store-,

I

C\'S TX lloldin2 Compan), L.1~<"-

(dhr.r;ard.d)

I C\'S ETB Holding Company, L.L.C.

(di,rrr; ■ rdrd)

I

I CVS NV Holding Company, L.L.C.

(DE)

I Nevada CVS

Pharmacy, L.L.C. (NV)

NV Stores

E.T.B., Inc. (TX bttr and wine retailer)

2

Page 6: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

CVS Pharmac Warehouse/Dist

I CVS AL

Distribution, L.L.C. (AL)

Bessemer, AL

I CVS Vero FL Distribution,

L.L.C. (FL)

Vero, FL Medley, FL

I I CVS Orlando

FL CVS Rx Distribution, Services, Inc.

L.L.C. (NY) (FL) Chemung, NY

Orlando, FL

CVS Health Corporation (DE)

CVS Pharmacy, Inc. (RI)

Phoenix, AZ LaHabra, CA

Lumberton, NJ Woonsocket, RI

North Smithfield, RI Conroe, TX Ennis, TX

Freder1cksburg, VA

I I I I I I Hook-SupeRx,

CVS Indiana, CVS CVS PA CVS SC CVS TN

L.L.C. (DE) Longs Drug L.L.C.

Michigan, Oistributlon1 Distr1bution, Distribution,

Indianapolis, Stores, L.L.C. (IN)

L.L.C. (Ml) L.L.C.(PA) L.L.C.(SC) L.L.C.(TN)

IN (MD) Augusta, GA

(Alcohol) Indianapolis,

Novi, Ml Somerset, PA N. Augusta, Loudon, TN IN SC Knoxville, TN

Longs Drug Stores California, L.L.C. (CA) Ontar1o, CA

Patterson, CA Kapolel, HI

Honolulu, HI

3

Page 7: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

CVS Caremark MEDICARE PART D

Active Med D Companies Highlighted

CVS Health Corporation

(DE)

1 CVS

Pharmacy, Inc. 1RI'

I Caremark Rx, L.L.C.

(DE)

I

II

Carrmarl,Ri:Amrrta.LLC LLC.

(llE) (CA)

I Pbarm■C■ re

CapthcRE.Lcd. (AZ)

(n-lttsu~nu company)

I

Part D Holding Comp ■ n~. LLC.

(DE)

(bnldin~ co)

I

I Acui:ido

l111urance Compau,-

cun (Thinl-party

rhk)

I

C1n:m1rl.PCS, LLC. (DE)

I SilnrScripl lnsal'Bnce 'company

(TN) (Thlnl•P"r1)·

rtsk)

I

Cbokr Source, LLC. (MO)

I

CbokcSourn: Therapeutic or Hou,1unTe1 ■",

LLC(!\10)

I Can-marL.

U~'"" Holdln~ Corp.(formcrt,

UniH:r"■ I

Amrrinn Corp.) (I",)

I I

UAC Holding, Inc.

(DE)

I P~nnsyh·a,;ila Ufc

la.Ui-ance Company

(PA)

I

CVSCoremnk Part D Stnlcn.

LLC. (DE)

I

~h:mht-rHl' ■ llb

LLC (DE)

4

Page 8: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

CVS Health International Structure

C\'S Foreign, Inc.

(iW)

C\'S Caremark Indemnity Ltd.

(Bermuda capthre

insurance com pan)')

f--

I

C\'S Safi..-Sourcing UK. Ltd.

(UK)

C\'S Health Corporation

(DE)

I

.88%

I

lnno,·ative \\'orldwide Distributors

(HK) Limited (Hong Kong)

\.

99%

1%

CVS Pbiirmat"),, In,·. (RI)

(S1ntr-gic, nx«ba1:1dJ.i11g,

admhi., loi;:htin ■ ad

pbarm11~ upc-ntion~)

I CVS

Intunational. L.L.C. (DE)

I CCI Foreign

Holdings, Sari (Lux)

I CCI Foreign,

Sari (Lux)

\. I I

Beaut)'

Holdings, L.L.C. (DE)

\.

I 1%

I

Pamplona Drogaria

Satide e Beleza Onofre Ltda.

LTDA (Brazil)

(Brazil)

5

Page 9: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

CVS Caremark PBM, Specialty Pharmacy and Mail Order

Ocean ProCal"l' Auiuidtiun Pbarm ■ l) Suh, LLC. Dil"l'ct.LLC.

(DE) (OH)

'--

Speaa!ty Ma111

Caremark Arizona Specialty Pharmacy, LL C Caremark Cahforrna Specialty Pharmacy, LL C. Caremark Florida Specialty Pharmacy, LLC Caremark Hawan Specialty Pharmacy, LLC Caremark llhno1s Specialty Pharmacy. LLC Caremark Kansas Specialty Pharmacy, LLC Caremark Lou1siana Specialty Pharmacy, LLC Caremark Maryland Specialty Pha1macy, LLC Caremark Massachusetts Specialty Pharmacy, LLC Caremark Michigan Specralty Pharmacy, LLC Caremark Minnesota Specialty Pharmacy, LLC Caremark New Jersey Specialty Pharmacy, LLC Caremark North Carolina Specialty Pharmacy, LLC Caremark Ohio Specialty Pharmacy, LL C Caremark Pennsylvania Specialty Pharmacy, LLC Carema1k Tennessee Specialty Pharmacy, LLC Caremark Washington Specialty Pha1macy, LLC

Ma1I01derl Ca1emark Arizona Mail Pha,macy, LLC Ca,emark F1onda Ma11 Pharmacy, LLC Caremark Hawan Mail Pharmacy, LL C Caremark llhno1s Ma!I Pharmacy, LLC Caremark Texas Mail Pharmacy, LLC CVS Caremark Advanced Technology Pharmacy, LL C

J_ PruCal"l'

Phuma~. LLC.

I(RI} (diuq~•rdrd)

Pb ■ rmaC ■ n:Elpn-,~

SpNial~Pb ■ rm11() Carc-m ■ rl..,

He■ lthc ■ rc­Sc,nicc~of PA. LLC.Di,1rih111on,

LLC. (CA)LLC.(DE)

\, ("1o bok1alrr)

!iCan:m ■ rk

Mall Pharma() Holding LLC,

(AZ. FL IL a11d TX)

l 6Carc-mar"­M ■IIPb ■ rm■C)

LLC, (AZ.FL HI.IL

2 ■ ndTX)

Carc-m ■ r"­

U:-,,ldic, Holdi11g. LLC

(DE)

J_

Can:m ■ r"­

U:-,,ldk~ LLC (DE)

Care-mark Rrdland~ Pb ■ rmac,,

LLC. tCAJ

1------------t-------i

Care-marl. RrpHl., LLC f--

CboiaSuurcc Tbn■ pr111ic Of Hou,lun, Tru,

LLC. (MO)

l7C■ n:marl..

SJl('d ■ lt)

Pb ■ rm ■n

Holding LI£, (,ario111,1 ■ ti:1)

I 17 Can:mar1.

Spc:dalt) Pbarm ■ c, LLC, (,ariou,,1111r,)I

C ■ l"C'ffllltk

Tu ■, Spc:dalt) Pbarma1.1, 1---­

LLC (TX) _,/ Caremark

1-------l ~!:,':;;d~:~:f----------~ LLC

I ~neraliu11

Health, LLC. Carcmarl.

(DE) lnl1111;Rewun:r

Cl'alcr,LLC

:So\·oLogix. LLC ,­(DE)

CVS Health Corporation

(DE)

I C\'S

Pharmacy, f--

Inc.I (Rll

r Caremark Rx, L.L.C.

(DE)

l C■ n:m ■ rkPbC,

!Vlcdlmp1HI (uurel11tN)

·--Ec"-rrd Corponitloa or Florida,

l11l·.

1... nol,JS..)

,1........ ..,. -···· \16111 ... )

H"'4"tCU.C­Canmar'-PCS Cboi1."C'.!tourn,, LLC.CVS PR Canm ■ r&J>CS,Alab■m ■ M■ il fl,,

LLC. LLC c_.,-•"Pb■rm ■C)Center, Inc.

Pbarm ■ Can: H.wqu.c(MOJ Huldi115:., LLC (DEi l..... ,Manageme111(DE) (ALI

Senk""

l I C■ n:m ■ rl..PCS

SS P&D Alaham■ M■ U

Holdoo. LLC Puerto Rkn Caremark Pb ■ rmac~, Hr■ ltb (mbaecthlt)PuertoRlro LLC Srn·in• )Huldl11g, LLC. (AL) (~arral(PR)

P ■ rtnrnbl

I I "i I :"¾J I Baumd AJ,111«PCSCan:marli.PCS Accord11111 Sureterip1,Ei•aer SJl('rialt) Rs.,

:-.',:umm,:JkalPurrtnRhu, Heallb, Heahh Sen in·,, LLC

LLC.LLC.Pbarmac,, LLC. LLC.(DE) (l·na11ecli\il))la,lilule, (0[)

(PR) (Di,rqarded)LLC. (PR)

\. LLC. (FL)

I Care-marl. Atcurda111

Ad\alll"CRl.CUm, IPA. LLC. Common,C1"Y) LLC.LLC.

(Stal,:ufl'o'Y(Di,n:g,arded) (DE)PBM coalrul)

'--f C ■ n:m ■ rkPCS

Pen11nha11I ■

!\1ai!Pbarmu') Huldi1111;, LLC

(DE)

Can:marJ..PCS Pt'1111~~hui ■

~ai!Pbarm11L1, LU." CDE)

6

Page 10: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

MINUTECLINIC, L.L.C. AND ITS SUBSIDIARIES

MinuteClinic, L.L.C. (Operating: AZ, GA, FL, MD &

RI (CSC Only) (D)

41-1939629'-I

I I I I MinuteChnic Diagnostic of Alabama,

M;'llmuteLlm1c Diagnostic of Arizona,

~ MmuteChn1c D1agnost1c of Florida, MmuteClinic Diagnostic of <.,eorg1a,

ILLC r LLC LLC LLC-(Operating ALI (D) (Non-Operating( (D) (Non-Operating( (D) (Non-Operating( (D)

47-4172831 20-4767711 20-3516155 20-3516039

MmuteLhnic--01agnost1c ot Ha wan,

~ _J

MmuteLhmc D1agnost1c ot 1lhno1s,

~ HMmuteChmc Diagnostic 01 Kentucky, , liiiuteelm1c Diagnostic of Louisiana,

L.L.C. LLC L.L.C. L.L.C.

(Operating: HII (D) (Operating: ILi (C) (Operating: KY( (D) l (Operating LAI (D)

38-3893929 20-5818281 27-1306048 46-1499950

[MinuteClinic Diagnostic of Maine, ~ MinuteClinic Diagnostic of Maryland, MinuteClinic Diagnostic of

HMinuteClinic Diagnostic of Nebraska, J

L.L.C. LLC Massachusetts, LLC L L.L.C. ,__

(Non-Operating( (D) >- - (Operating NE( (D)(Operating MEI (D) (Operating: MAI (D)

47-4302355 20-3515999 20-8550806 38-3920362

[ Mmute<.:lm1c Diagnostic of New

HMinuteClinic Diagnostic of New MinuteClinic Diagnostic of Ohio, LLC

· :'llinuteChmc Diagnostic of Oklahoma,

Hampshire, L.L.C. >---

Mexico, L.L.C. >-

.__ (Operating: OHi (D) LLC

(Operating: NHI (D) (Operating N;'IIJ (D) (Operating: OKI (D) I20-3113336 35-2465302 61-1726627 20-8550988

MinuteClinic Diagnostic of Rhode MmuteChn1c Diagnostic ot Uregon, MinuteClinic Diagnostic of

H MmuteClimc Diagnostic of South

I

LLC Pennsylrnnia, LLC Island, LLC Carolina, L.L.C.

~ !-- >-- (Operating: RI (CSC operated by - (Operating: sq (D)(Operating: ORI (D) (Operating: PAI (D)

20-8550938 20-3516114 MinuteClinic, L.L.C.JI (D) 26-1999831

20-3516074

MinuteClinic Diagnostic of MinuteClinic Diagnostic of Texas, LLC MinuteChmc Diagnostic ot litah, MmuteChmc Diagnostic ot\ irgmia,

~~ I(Operating: TX( (D) - '--' L.L.C. LLC Washington, LLC

>-~ (Operating: WA(20-4768243 (Operating llTI (D) (Operating: VA( (D) (D) I

32-0452611 20-8672011 30-0337537

[ MinuteClimc Diagnostic of Wisconsin, LLC

(Operating: WI( (D) ~ 46-4644485

7

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MinuteClinic Diagnostic Medical Group of California, Inc.

(Operating: Los Angeles, CAI (C)

42-1731802

Eric C. Marshall, M.D., P.C. d/b/a MinuteClinic Diagnostic of the District of

Columbia (Operating: DCI

(C) 20-8550517

MinuteClinic Diagnostic, P.A. (Operating: MN(

(C) 41-1952112

MinuteClinic Diagnostic of North Carolina, P.C.

!Operating: NCI (C)

20-3555819

MINUTECLINIC PRACTITIONER-OWNED ENTITIES

'.\1inuteClinic Diagnostic Medical Group of Orange County, Inc.

(Operating: Orange County, CAI (C)

26-0844287

MinuteClinic Diagnostics of Indiana, LLC (Operating: INI

(C) 20-3207688

MinuteClinic Diagnostic of New Jersey, LLC

(Operating: NJ! (C)

20-4868967

MinuteClinic Diagnostic of Tennessee, P.C. (Operating: TNI

(C) 20-3348922

MinuteClinic Diagnostic of San Diego, Inc. MC Diagnostic of Connecticut, P.C.

(Operating: San Diego, CAI !Operating: CTI (C) (C)

26-0844323 20-5414393

MinuteClinic Diagnostic of Michigan, P.C. !Operating: Mil

(C) 20-4269269

Parekh MinuteClinic ofNe\'ada, P.C.• (Operating: N\'j

(C) *Operates under the d/b/a/ MinuteClinic

Diagnostic of Ne\'ada 20-5793559

MinuteClinic Diagnostic of Kansas, P.A..

!Operating: KS&MO*I (C)

•0perales in MO under the name MinuteOinic Diagnostic of Kansas, P.C.

20-5096637

George Safran, M.D., P.C. (formerly Kimberly J. Henderson, M.D.,

P.C.) !Operating: NY: EITective J/28/101

(C) 27-1511452

MinuteClinic Diagnostic of Minnesota, P.A. !Operating: ~IN)

(C) 47-5140770

8

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Coram Healthcare Corporation of Alabama Coram Healthcare Corporation of Indiana Coram Healthcare Corporation of Mississippi Coram Healthcare Corporation of Southern California Coram Healthcare Corporation of Florida Coram Healthcare Corporation of Greater D.C. Coram Healthcare Corporation of Greater New York Coram Healthcare Corporation of Nevada Coram Healthcare Corporation of Northern California Coram Healthcare Corporation of Southern Florida

CoramRx, LLC Coram Healthcare Corporation of North Texas Coram Healthcare Corporation of Utah Coram Alternate Site Services, Inc. Coram Healthcare Corporation of Massachusetts Coram Healthcare/Carolina Home Therapeutics, LLC (51%)

Coram CVS Specialty

CVS Health Corporation

(DE)

I CVS Pharmacy,

Inc. (RI)

I Caremark Rx,

L.L.C. (DE)

Ocean Acquisition Sub,

L.L.C. (DE)

Apria Finance Holdings, Inc.

(DE)

I Sky Acquisition

LLC (DE)

Coram, LLC (D

7 ~

Coram Clinical T2 Medical, Inc. >--Trials, Inc. (DE)

(DE)

I Coram

Healthcare Corps'

(Various Entities)

I Coram Specialty

Infusion Services, L.L.C.

(DE)

I Coram

Healthcare Corps'

(Various Entities) 9

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OMNICARE, INC. (DE)

Omnicare Headquarters LLC (DE)

Omnicare Holding eHealth Solutions, Inc. ACS ACQCO Corp. Company (DE) (DE)' (DE)

AMC-New Yori<. Inc. (DE)

Phannacy Associates o Glens Falls, Inc. (NY)

AMC-Tennessee, Inc. (DE)

Atlantic Medical Group. LLC(MD)'

CHP Acquisrtion Corp. ----r (DE)

Home Phannacy Services, LLC (MO)

CP Acquisrtion Corp. (OK)

Nebraska LLC (DE) JHC Acquisrtion LLC RXC Acquisrtion

(DE) Company (DE)

Pharmore, Inc. (DE) Managed Healthcare, Sterting Healthcare Phanned Holdings, Inc.

Inc. (DE) Services, Inc. (DE) (DE)

PSI Arkansas Acquisrtion, LLC (DE)

Evergreen Phannaceutical of

California, Inc. (CA)

OCR Services Corporation (DE)

Shore Phannaceutical Providers, LLC (DE)

Heanland Heatthcare Services, LLC (OH)'

Sun Phannacy, limrted Company (DE) liability Company (OH)

Omnicare Management

Omnicare of Nevada LLC (DE)

Specialty Ca,ts. LLC (DE)·

Omnicare Pharmacies of the Great Plains Holding

Company (DE)

Omnicare Phannacy of

Phannore Drugs, LLC (IL)

Med Wortd Acquisition TCP! Acquisition Corp. Corp. (DE) (DE)

CIP Acquisition, LLC (DE)

Medical Arts Health Care, Inc. (GA)

MHHP Acquisrtion Company LLC

UC Acquisition Corp. (DE)

NCS Healthcare, LLC (DE)

(Tier Continued)

NeighborCare, Inc. (PA) (Tier Continued)

NIV Acquisition LLC (DE)

Weber Medical System LLC (DE)

Williamson Drug Company, Incorporated

(VA)

Superior Care Phannacy, Inc. (DE)

Omnicare Senior Health Outcomes, LLC (DE)

Advanced Care Scripts. Inc. (Fl)

Heartland Phannacy of Heartland Phannacy of Illinois LLC (OH) PA, LLC (OH)

t Omnicare, Inc. (18%) other shareholders (82%). 2 Omnicare Holding Company, Inc. (80%) and other owners (20% - 5% each for Allen Hettleman, MD: Louis Miller, MD: Peter Oroszlan, MD and Kenneth Zonies, MD

3 OCR Services Corporation 50%) and Heartland Services, LLC (50%)

4 Omnicare Management Company (51%) and RJ Carts, Inc. (49%).

10

Page 14: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

Company breakdown continued....

r-------,----,----,----l NCS Healthcare, LLC h-----,---------,r--------,

Committed Provider Management & Netwo NCS Healthcare of NCS Healthcare of NCS Healthcare of NCS Healthcare of New NCS Healthcare of Se111ices. LLC (OE) ' Se111ices, Inc. (OH) Indiana, Inc. (IN) Kentucky, Inc. (OH) Montana, Inc. (OH) Hampshire, Inc. (NH) New Mexico, Inc. (OH)

NCS Healthcare of South Carolina, Inc.

(OH)

NCS Healthcare of Tennessee, Inc. (OH)

UNI-Care HealthNCS Healthcare of NCS Se111ices, Inc. Pharmasource NCSC Acquisition Sub,

Services of Maine. Inc.Washington, Inc. (OH) (OH) Healthcare, Inc. (GA) LLC (OH)

(NH)'

' :

NCS Healthcare of Indiana LLC (DE)'

NeighborCare, Inc.

NeighborCare Holdings, Inc. (Continued)

Badger Acquisdion of Kentucky LLC (OE)

NeighborCare Se111ices Corporation (DE)

O&R Pharmaceutical Services, LLC (KY)

CSR. Inc. (KY)

1 NCS Healthcare, LLC (10%} and Bergen Brunswick (80%}. 2 NCS Healthcare, LLC (13%) and NCS Healthcare of New Hampshire, Inc. (87%). 3 NCS Services, Inc. (1 %) and NCS HealthCare of Indiana, Inc. (99%)

11

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Badger Acquisition of Minnesota LLC (DE)

(Tier Ccntinued)

Badger Acquisition of OhioLLC(OE)

--------l

Continuing Care Rx. LLC (PA)

CCRx of North Carolina Holdings, LLC (DE)

CCRx of North Carolina, LLC (DE)

ZSAcquisrtion Company, LLC (OE)

~---l CompScript LLC (FL)

NeighborCare PharmacyCompany breakdown continued .... Services. Inc.

Campo's Medical Pharmacy, Inc. (LA)

Hytree Pharmacy. Inc. (OH)

Omnicare Pharmacy of Tennessee LLC (DE)

Omnicare of New York. LLC (DE)

APS Acquisrtion Sub tLC (DE)

(Tier Continued)

ASCO Heahhcare. LLC Omnicare Property (MD) Management. LLC (OE)

(Tier Continued)

Badger Acquisition LLC (DE)

CCRx Holdings, LLC (DE)

CP Services LLC (DE)

Omnicare ESC LLC (DE)

Omnicare IndianaEnloe Drugs LLC (DE) Partnership Holding

Company LLC (DE)

Omnicare Pharmacies Pharmaceutical, LLC

Evergreen of Pennsylvania West

(WA) LLC (PA)

Omnicare PharmacyHome Care Pharmacy. and Supply Services,

LLC (SD) LLC (DE)

Omnicare Pharmacy of Systems, LLC (MO) lntertock Pharmacy

the Midwest LLC (DE)

Pharmacy Consuhants, Services, LLC (DE)

Langsam Heahh LLC (SC)

Lo-Med Prescription Services. LLC (OH)

Professional Pharmacy (DE)

Lobos Acquisition. LLC Services, Inc. (MD)

Roeschen's Healthcare, Illinois. LLC (IL)

NCS Healthcare of LLC(WI)

Specialized Pharmacy Iowa, LLC (OH)

NCS Healthcare of Services, LLC (Ml)

Value Health Care Kansas, LLC (OH) NCS Healthcare of

Services. tLC (DE)

Care Phanuaceut.CalNCS Healthcare of Services. LP (DE) 1Ohio, LLC (OH)

PRN Pharmaceutical Wisconsin, LLC (OH)

NCS Healthcare of Services. LP (DE)'

Westhaven Services Acquisrtion Company

Best Care LTC Cc., LLC (OH)

LLC (DE)

North Shore Pharmacy Services. LLC (OE)

NeighborCare of Indiana, LLC (IN)

NeighborCare of Virginia, LLC (VA)

NeighborCare Pharmacy of Virginia

LLC (VA)

Main S1reel Pharmacy, l.LC. (MD)'

PP Acquisition Ccmpany. LLC (DE)

VAPS Acquisrtion Company, LLC (DE)

12

Page 16: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

Company breakdown continued....

APS Acquisrtion LLC

Omnicare Pharmacy of Omnicare Pharmacy of Pharmacy Holding #1, Pharmacy Holding #2, APS - Summ~ Care North Carolina, LLC Pueblo, LLC (DE) LLC (DE) LLC (DE) Pharmacy, L.L.C. (DE)

(DE)

Omnicare Pharmacy of Florida. LP (DE)' ···········•.....

Omnica,e Pharmacy of Te,as I, LP (DE)' •••·••··••••••••

Omnicare Pham1ilcy of Texas 2. LP (DE)' •••••·· ••·•··•··

ASCO Healthcare. LLC

NeighborCareASCO HeatthCare of NeighborCare of New Institutional Heatth Care

Pharmacies, LLC (MD)New England, LLC (MO Hampshire, L.L.C. (NH) Services, LLC (NJ)

ASCO Healthcare of Suburban medical Compass Heatth Care4. LP (DE) ' New England. Limned Services, LLC (PA) Services, LLC (WV)

Partnership (MD)'

Badger Acquisrtion of Minnesota, LLC

Merwin long Term Merwin IV& Merwin RX·

Care, Inc. Specialty Pharmacy, Compounding (MN) LLC (MN) Pharmacy, LLC (MN)

1 Evergreen Pharmaceutical, LLC owns (50%) and ARV Assisted Living, Inc. (50%). 2 Home Care Pharmacy, LLC (50%) other owner (50%). 3 Professional Pharmacy Services, Inc. (99%) and NeighborCare Pharmacies, LLC (1 %).

• NeighborCare Pharmacy Services, Inc. (99%) and Omnicare Indiana Partnership Holding Company LLC ( 1 %). 5 Pharmacy Holding #1, LLC (99%) and Pharmacy Holding #2, LLC (1%). 6 ASCO HealthCare, LLC (54.5%), NeighborCare Pharmacies, LLC (44.5%) and ASCO Healthcare of New England, LLC (1%) 7 ASCO HealthCare, LLC (99.5%) and Institutional Health Care Services, LLC (.05%).

13

Page 17: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

Aetna Inc. Organization Chart As of December 5, 2017

8100% Aetna Inc. \j

(1) (Pennsylvania) (a) ~~\)~ ::-1 . j

'7,),;z~ •,-,'•'.'" '<, f.::../ ",... ·. I ,i;i: ·-

I I I I I I I 100% 100%

Aetna Health and Life Insurance Company (1) (Connecticut) (a)

100%100% 100% 100%100%Aetna Health Aetna HealthAetna Financial Aetna Health Health Re, Inc.Aetna Life InsuranceHoldings, LLC Insurance CompanyHoldings, LLC Insurance Company (1) (Vermont) (a)Company(4) (Delaware) (a) of New York(4) (Delaware) (a) (1) (Pennsylvania) (a)(1) (Connecticut) (a) (1) (New York) (a)

I 100% 100%100% 100%100%100% 100% 100% Continental Life 100%Phoenix Data Active Health Aetna CorporateEcho Merger Sub,Healthagen LLC ASI Wings, LLC iAUSHC Holdings, Inc Medicity, Inc.Insurance CompanySolutions LLC Management, Inc. Inc. Services LLC(4) (Connecticut) (a) (4) (Delaware) (a) (1) (Connecticut) (a) (1) (Delaware) (a)of Brentwood,(4) (Delaware) (a) (1) (Delaware) (a) (1) (Delaware) (a) (4) (Delaware) (a)

Tennessee (1) (Tennessee) (a)

II II 100%

I Health Data & ManagementI Solutions, Inc.

I ( 1) (Delaware) (a)

I I

I 100%

Futrix Limited I

(4) (New Zealand) (a)I

I I '

1(1) Corporation 1(2) Partnership (3) Joint Venture

:(4) limited liability Company 1(5) Trust

100% Aetna Integrated Informatics, Inc.

(1) (Pennsylvania) (a)

Aetna Foundation, Inc.• (1) (Connecticut)

(d)

100%55% 100% 100%American ContinentalPHPSNE Parent Novo Allvia nt Corporation.... Insurance CompanyCorporation

Innovations. LLC (1) (Delaware) (a)(1) (Delaware) (a) (1) (Tennessee) (a)

(4) (Delaware) (a)

100% Aetna

International Inc. (1) (Connecticut) (a)

(a) Consolidated (b) One line Consolidation (i.e., equity method) (c) Separate Account Asset (d) Not consolidated

Percentages are rounded to nearest whole percent and are based on ownership of voting rights.

• Nonstock Corporation: Aetna does not control this entity. Stand-alone.

Page 1

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100% Aetna

International Inc. (1) (Connecticut) (a)

I I I I I I I 100%

Aetna Insurance (Singapore) Pte. Ltd. (1) (Singapore) (a)

100% Aetna Health Insurance

Company of Europe Limited

(1) (Ireland) (a)

100% Aetna Global Benefits

(Bermuda) Limited (1) (Bemuda) (a)

100% Aetna Life & Casualty

(Bermuda) Ltd. (1) (Bermuda) (a)

100% Aetna Global Holdings

Limited (1) (England & Wales)

(a)

100% Aetna Global Benefits (Singapore) PTE. LTD.

(1) (Singapore) (a)

100% Aetna (Shanghai)

Enterprise Services Co. Ltd.

(1) (China) (a)

100% Aetna Global

Holdings Limited (1) (England &

Wales) (a)

77% PT Asuransi Aetna

Asia•••• (1) (Indonesian) (a)

I I I

100% 100%

100% 49% 100% 99.98% 100% 100%

Aetna Global Benefits Aetna Global Benefits Spinnaker Tepee Indian Health Aetna ( Beijing) 100%

Aetna Global Benefits K;oodhealth Worldwide Healthagen Aetna Korea Ltd.

(Bahamas) Limited (Europe) Limited

(Asia) Limited (Middle East) LLC •• Limited. Organisation Private Enterprise Managment International Limited (1) (Korea) (a)

(1) (Bahamas) (a) (1) (England & Wales)

(1) (Hong Kong) (a) (4) (UAE) (a) (1) (Bermuda) (a) limited••• Services Co. (1) (England & (a) (1) India (a) (1) (Beijing) (a) Wales) (a)

I I I I I I

100% 100% 80% 100% 49% 25% 49%

Goodhealth Worldwide Aetna Global Benefits PT. Aetna Global 100% Spinnaker Bidco Health Care

Bupa Health Bupa Holdings (Global) Limited (Asia Pacific) Limited Benefits Indonesia •

Aetna Global Limited Management Co. Ltd. Insurance (Thailand) (Thailand) Limited

(1) (Bermuda) (a) (1) (Hong Kong) (a) (1) (Indonesia) (a) Benefits Limited (1) (England and (1) (Thailand) (a) Public Company .....

(1) (DIFC, UAE) (a) Wales) (a) Limited •••••• (1) (Thailand) (a)(1) (Thailand) (a)

I I I

I I

25% Minor Health

Entreprise Co, Ltd........ (1) (Thailand) (a)

.02% Indian Health

Organisation Private Limited•••

(1) (India) (a)

28%100% Bupa Health InsuranceAetna Holdco (UK)

(Thailand) PublicLimited

Company Limited (1) (England and ...... Wales) (a)

(1) (Thailand) (a)

75% 51%

Minor Health Health Care

Entreprise Co,Management Co. Ltd. Ltd.•••••••

(1) (Thailand) (a) (1) (Thailand) (a)

I I

100% 100% Aetna Insurance Aetna Global

Company Limited Benefits (UK) Limited (1) ( England and {l) (England and

Wales) (a) Wales) (a)

46% Bupa Health

Insurance (Thailand) Public Company Limited •••••• (1) (Thailand) (a)

*PT. Aetna Global Benefits Indonesia is 80% owned by Aetna Global Benefits (Bermuda) Limited; and 20% owned by Suhatsyah Rivai, Aetna's Nominee

••Aetna Global Benefits (Middle East) LLC is 49% owned by Aetna Global Benefits (Bermuda) Limited; and 51% owned by Euro Gulf LLC, Aetna's Nominee

••*Indian Health Organisation Private Limited is 0.019857% owned by Aetna Global Benefits (Asia Pacific); 99.980143% owned by Aetna Global Benefits (Singapore) PTE. LTD.

••••pr Asuransi Aetna Asia is 77% owned by Aetna International Inc.; and 23% owned by PT Asuransi Central Asia •••••Bupa Holdings (Thailand) Limited is 51% owned by Mr. Paiboon Sutantivorakoon

• • • • • • Bupa Health Insurance (Thailand) Public Company Limited is 46% owned by Minor Health Entreprise Co, Ltd.; 25% owned by Aetna Global Holdings Limited; and

28% owned by Health Care Management Co. Ltd. and total 1% owned by Aetna Global Benefits (Bermuda) Limited (1 Share), Mr. Sansanapongpherchar (1 Share)

Mr. Jitphasong ltsaraphakded (1 Share), Mrs. Suphee Wattana (1 Share), Mr. Buncha Tamphragom (1 Share)

••••••• Minor Health Entreprise Co, Ltd is (1 share) owned by Aetna Global Benefits (Bermuda) Limited

Page-1A

I

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,e,oa H•"'" Ho";o,,, CCC .,,,. l(4) (Delaware) (a) ",

f-., "' . ,-__., >""~ . ,If-€'~' ~

I I I I I I I I 100% 100%

100%100% 100% 100% 100% 100%Aetna Health of Prodigy HealthAetna Health Inc.Aetna Health Inc. Aetna Health Inc. Aetna Health Inc. Aetna Health Inc. iTriage, LLCCalifornia Inc. Group, Inc.

(1) (Texas) (a) (1) (New York) (a (1) (Connecticut) (a) (1) (Florida) (a) (1) (Georgia) (a) (1) (Delaware) (a)(1) (California) (a) (1) (Delaware) (a)

I I II I I I 100%100% 100%100% 100% 100%100% 100%Aetna StudentAetna Better Strategic ResourceAetna Health Inc. Aetna Health Inc. Aetna Ireland Inc.Aetna Health Inc. Cofinity, Inc.Health Agency Inc.Health Inc. Company(1) (New Jersey) (a) (1) (Maine) (a) (1) (Delaware) (a)(1) (Michigan) (a) (1) (Delaware) (a)(1) (Massachusetts) (a)(1) (New York) (a) (l)(South Carolina)(a)

I I II I 1 I 100% 100%100% 100% 100%100%100% 100%Aetna Dental of Aetna RX Home Aetna SpecialtyAetna Better Aetna HealthAetna Dental Inc.Aetna Dental Inc. @ Credentials Inc.California Inc. Delivery, LLCHealth of California Pharmacy, LLC Management, LLC(1) (Texas) (a) (1) (New Jersey) (a) (1) (Delaware) (a)(1) (California) (a) (4) (Delaware) (a)Inc. (4) (Delaware) (a) (4) (Delaware) (a)

(1) (California) (a)

I I I I I I I 100% 100% 100% 100% 100% 100% 100%

100%Aetna Better Aetna Better Aetna Better Aetna Better HealthAetna Better Aetna Better Aetna Better Aetna BetterHealth Inc. Health, Inc. Health Inc. Health Inc. of Texas Inc. Health Inc. Health Inc. Health Inc.(1) (Georgia) (a) (1) (Louisiana) (a) (1) (Ohio) (a) (1) (Illinois) (a) (1) (Texas) (a) (1) (Connecticut) (a) (1) (Pennsylvania)

(1) (New Jersey) (a) (a)

I I III I I 100%100%

100%100% Aetna BetterSchaller Anderson 100% Delaware PhysiciansAetna Medicaid Health of NorthAetna BetterMedical Care, IncorporatedAdministrators LLC Carolina Inc.Health of Iowa Inc.Administrators,(1) (Delaware) (a)(4) (Arizona) (a) (1) (North Carolina)(1) (Iowa) (a)Incorporated

(a)(1) (Delaware) (a)

100%100% 100%

Aetna BetterAetna Better Aetna Florida Inc.

Health of OklahomaHealth of (1) (Florida) (a)

Inc.Washington, Inc. (1) (Oklahoma) (a)(1) (Washington) (a)

Supp 1 &1a

Page 20: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

--- I

100% 1

I

Aetna Health Holdings, LLC I

(4) (Delaware) (a)

l__'. _,__, ·-'- -,,- ·r, s j ,c -· :.__,_:J

I I I I I I 100%

100% Aetna Risk Assurance 100% 100% 100% 100%

Coventry Transplant Company of Connecticut Aetna Health Inc. Coventry Health Care of Coventry HealthCare Aetna Health of Iowa Inc.Network, Inc. Inc. (1) (Louisiana) (a) Nebraska, Inc. Management Corporation

(1) (Delaware) (a) (1) (Connecticut) (a) (1) (Iowa) (a)

(1) (Nebraska) (a) (1) (Delaware) (a)

I I I I I I

100% 100% 100% 100% 100% 100%

Coventry Consumer HealthAssurance Coventry Prescription Coventry Health Care Aetna Better Health of Aetna Better Health of

Advantage, Inc. Pennsylvania, Inc. Management Services Inc. National Network, Inc. Nevada Inc. Kansas Inc.

(1) (Delaware) (a) (1) (Pennsylvania) (a) (1) (Nevada) (a) (1) (Delaware) (a) (1) (Nevada) (a) (1) (Kansas) (a)

I I I I I I

100% 100% 100% 100% 100% 100% Coventry Health Care of Aetna Better Health of Coventry Health Care of Coventry Health Care of Coventry Health Care of Coventry Health and Life

Missouri, Inc. Missouri LLC Illinois, Inc. West Virginia, Inc. Virginia, Inc. Insurance Company (1) (Missouri) (a) (4) (Missouri) (a) (1) (Illinois) (a) (1) (West Virginia) (a) (1) (Virginia) (a) (1) (Missouri) (a)

I I I I I 7 100% 100% 100% 100%

100%

Coventry Health Care of Coventry Health Care Aetna HealthAssurance Aetna Better Health of 100% 100% Aetna Better Health of

Kansas, Inc. National Accounts, Inc. Pennsylvania, Inc. Michigan Inc. Aetna Health Aetna Better Kentucky Insurance

(1) (Kansas) (a) (1) (Delaware) (a) (1) (Pennsylvania) (a) (1) (Michigan) (a) of Utah Inc. Health Inc. Company

(1) (Utah) (a) (1) (Tennessee) (a) (1) (Kentucky) (a)

Supp 1 b

Page 21: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

I 100%

Aetna Network Services LLC

(4)(Connecticut)(a)

100% MHNet Specialty

Services, LLC (4) (Maryland) (a)

100%

I

100%Mental Health MHNet Life and HealthNetwork of New York

Insurance CompanyIPA, Inc. (1) (Texas) (a)(1) (New York) (a)

100% 100%

Mental Health Associates, Inc.

MHNetof

(1) (Louisiana) (a) Florida, Inc.

(1) (Florida) (a)

*100% owned through Aetna's Nominees

-·,

' l 100%

Aetna Health Holdings, LLC <

(4) (Delaware) (a)

I ·'I

- ... ~ ·,' - ,' ·-·---· - --- j

1 I 100%

Group Dental Service, Inc.

(1) (Maryland) (a)

100% 100% Coventry Health Care

First Health Workers Group Corp. Compensation, Inc.

(1) (Delaware) (a) (1) (Delaware) (a)

I I I I 100%100% 100% 100%100%

First Health Life &Group Dental Service FOCUS HealthCareClaims First Script NetworkHealth Insuranceof Maryland, Inc. Administration Corp. Management, Inc.Services, Inc.

Company(1) (Maryland) (a) (1) (Maryland) (a) (1) (Tennessee) (a)(1) (Nevada) (a)(1) (Texas) (a)

II I I

100% 100%·100%100% Florida Health Plan Medical Examinations

MetraComp, Inc.bswift LLC Administrators, LLC of New York, P.C.(1) (Connecticut) (a)(4) (Delaware) (a) (4) (Florida) (a) (1) (New York) (a)

II 100% 100%100%100%

Carefree InsuranceCoventry Health Care Coventry Health PlanCorporate Benefit Services, Inc. of Florida, Inc.of Florida, Inc.Strategies, Inc.

(1) (Florida) (a) (1) (Florida) (a)(1) (Florida) (a)(1) (Delaware) (a)

100% Coventry

Rehabilitation Services, Inc.

(1) (Delaware) (a)

Supp-1c

Page 22: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

1--:;-·

100% ,:_Aetna Health Holdings, LLC

' (4) (Delaware) (a) 1,·:

·,

L. ' , ::1•~<1- >; • 3 •;• ~-- d S

I I I I 100%100% 39.5% .2% 100%

Aetna PharmacyAetna Health Inc. Aetna ACO Aetna ACO ADMINCO, Inc.,- Management(1) (Pennsylvania) (a) Holdings Inc. * Holdings Inc. • (1) (Arizona) (a) Services LLC(1) (Delaware) (a) (1) (Delaware) (a)

(4) (Delaware) (a)

I

I I I _I

50% 50%51% 50%50%Texas Health + Aetna Sutter Health andBanner Health and Allina Health and

Innovation HealthHealth Insurance Aetna InsuranceAetna Health Aetna InsuranceHoldings, LLC • * Holding Company LLC Holding CompanyInsurance Holding Holding Company(4) (Delaware) (a)*** Company LLc••••• LLC****** LLC •••••••

(4) (Texas) (a) (4) (Delaware) (a)(4) (Delaware) (a) (4) (Delaware) (a)

lJ I J 100% 100% 100% 100% 100% 100%

Texas Health + Aetna Innovation Banner Health and Allina Health and Sutter Health and Sutter Health and Health Insurance Health Insurance Aetna Health Aetna Insurance Aetna Administrative Aetna Insurance

Company Company Insurance Company Company Services LLC Company(1) (Texas) (a) (1) (Virginia) (a) 1) (Arizona) (a) (1) (Minnesota) (a) (4) (Delaware) (a) (1) (Califonia) (a)

j I 100% 100% 100%

Texas Health + Aetna Innovation Banner Health and

Health Plan Inc.•••• Health Plan, Inc. Aetna Health Plan Inc.

(1) (Texas) (a) (1) (Virginia) (a) (1) (Arizona) (a)

*Aetna ACO Holdings Inc. is owned by Aetna Life Insurance Company (302 shares); Aetna Health Inc. (PA) (198 shares); and Aetna Health Holdings, LLC (1 share).

**Innovation Health Holdings, LLC is SO% owned by Aetna ACO Holdings Inc. and 50% owned by !nova Health System Foundation • ..Texas Health+ Aetna Health Insurance Holding Company LLC is 50% owned by Aetna ACO Holdings Inc. and 50% owned by Texas Health Resources ••••Texas Health+ Aetna Health Plan Inc. became a direct subsidiary of Texas Health+ Aetna Health Insurance Company February 2017 •••••Banner Health and Aetna Health Insurance Holding Company LLC is 51% owned by Aetna ACO Holdings Inc. and 49% owned by Banner Health ·•••••Allina Health and Aetna Insurance Holding Company LLC is 50% owned by Aetna ACO Holdings Inc.; and SO% owned by Allina Health ·•••••'Sutter Health and Aetna Insurance Holding Company LLC is 50% owned by Aetna ACO Holdings Inc.; and 50% owned by Sutter Health Plan Products Organization, LLC

Supp-1d

Page 23: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

100% Aetna Financial

Holdings, LLC (4) (Delaware) (a)

1 .._

'' ·'c15~-; '-~

1

I " ~,~ .::...::..:'::e::L _c,·""'"'::.1I

I I l I 100%

100% 100% 100% 100% 100%

Aetna Asset U. S. Healthcare Aetna Workers' Managed Care Aetna Behavioral Aetna Capital

Advisors, LLC Properties, Inc. Comp Access, LLC Coordinators, Inc. Health, LLC Management, LLC

(4) Delaware (a) (1) (Pennsylvania) (a) (4) (Delaware) (a) (1) (Delaware) (a) (4) (Delaware) (a) (4) (Delaware) (a)

100%100% 100% 100%

Horizon BehavioralPayFlex Systems PayFlex Aetna Card

I-Holdings, Inc.

Services, LLC Solutions, LLCUSA, Inc.

(4) Delaware (a)(1) (Nebraska) (a) (1) (Delaware) (a) (4) (Connecticut) (a)

100% 100% 100%

100% Health and Human Employee Assistance

Resources for Work and Family

Resource Center, Inc. Services, LLC Living, LLC

Benefits, Inc. (1) (California) (a) (4) (Kentucky) (a)

(4) (Texas) (a) (1) (New Jersey) (a)

I

I I 100%* 100%**

Aetna Partners Aetna Partners Diversified Fund Diversified

(Cayman), Limited Fund, LLC (1) (Cayman) (a) (4) (Delaware) (a)

100% The Vasquez Group Inc.

(1) (Illinois) (a)

• Aetna Life Insurance Company owns the Class C participating shares of Aetna Partners Diversified Fund (Cayman), Limited.

••Aetna Life Insurance Company, Aetna Health and Life Insurance Company and Aetna Health Management own substantially all of the non-managing member interests of Aetna Partners Diversified Fund, LLC.

Supp 2

Page 24: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

I

100% Broadspire National

Services, Inc. (1) (Florida) (a)

100% AH P Holdings, Inc.

(1) (Connecticut) (a))

I

100% PE Holdings, LLC

(4) (Connecticut) (a)

I I 100%

Aetna Insurance 100% 100%

Company of Aetna Life AE Fourteen,

Connecticut Assignment Company Incorporated

(1) (Connecticut) (a) (1) (Connecticut) (a) (1) (Connecticut) (a)

aJ I

100% Aetna Life Insurance Company I

(1) (Connecticut) (a) ·lI

I I

l' •"e • '",'1.c~- -~~¾?fr: i

I

100% Aetna Resources LLC

(4) (Delaware) (a)

I 50%

Texas Health + Aetna Health Insurance

Holding Company LLC... (4) (Texas) (a)

I 100%

Texas Health + Aetna Health Insurance

Company (1) (Texas) (a)

I 100%

Texas Health+ Aetna Health Plan Inc.••••

(1) (Texas) (a)

60.3% Aetna ACO

Holdings Inc. • (1) (Delaware) (a)

50% Innovation Health Holdings, LLC ••

(4) (Delaware) (a)

100% Innovation Health

Insurance Company (1) (Virginia) (a)

100% Innovation

Health Plan, Inc. (1) (Virginia) (a)

I 100%

Canal Place, LLC (4) (Delaware) (a)

I 51%

Banner Health and Aetna Health

Insurance Holding Company LLc•••••

(4) (Delaware) (a)

I 100%

Banner Health and Aetna Health

Insurance Company 1) (Arizona) (a)

I 100%

Banner Health and Aetna Health Plan

Inc. (1) (Arizona) (a)

I 100%

Aetna Ventures, LLC (4) (Delaware) (a)

I 50%

Allina Health and Aetna Insurance

Holding Company LLc••••••

(4) (Delaware) (a)

I 100%

Allina Health and Aetna Insurance

Company (1) () (a)

•Aetna ACO Holdings Inc. is owned by Aetna Life Insurance Company (302 shares); Aetna Health Inc. (PA) (198 shares); and Aetna Health Holdings, LLC (1 share) .

.. Innovation Health Holdings, LLC is 50% owned by Aetna ACO Holdings Inc. and 50% owned by lnova Health System Foundation

...Texas Health+ Aetna Health Insurance Holding Company LLC is 50% owned by Aetna ACO Holdings Inc. and 50% owned by Texas Health Resources

••••Texas Health+ Aetna Health Plan Inc. became a direct subsidiary of Texas Health+ Aetna Health Insurance Company February 2017

•••• *Banner Health and Aetna Health Insurance Holding Company LLC is 51% owned by Aetna ACO Holdings Inc. and 49% owned by Banner Health

•••• ..Allina Health and Aetna Insurance Holding Company LLC is 50% owned by Aetna ACO Holdings Inc.; and 50% owned by Allina Health .......Sutter Health and Aetna Insurance Holding Company LLC is 50% owned by Aetna ACO Holdings Inc.; and 50% owned by Sutter Health Plan Products Organization, LLC

Supp 3

I 79.25%

Aetna Multi-Strategv 1099 Fund

(5) (Delaware) (a)

Sutter Health and Aetna Insurance

Holding Company LLC •••••••

100% Sutter Health and

Aetna Administrative

Services LLC 14l (Delaware) (a)

(4) (Delaware) (a)

I 50%

I 100%

Sutter Health and Aetna Insurance

Company (1) (Califonia) (a)

Page 25: Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health and its Affiliates Following the Transaction Corporate Structure Chart BEFORE Public

100% 100% Niagara Re, Inc. Performax, Inc.

(1) (New York) (a) (1) (Delaware) (a)

100% Prodigy Health Group, Inc.

(1) (Delaware) (a)

I' ,..::::;:_ ___J. ; 'I - - - -<---"'....:.~,.·

100% 100% Precision Benefit Services,

Scrip World, LLC Inc. (4) (Utah) (a) {1) (Delaware) (a)

_J_ 100%

Meritain Health, Inc. (1)( New York) (a)

100% American Health

Holding, Inc. (1) (Ohio) (a)

I I 100%100%100% 100%

Professional RiskU.S Healthcare Holdings,Administrative Enterprises, Prime Net, Inc. Management, Inc.LLCInc. (1) (Ohio) (a)

(1) {Ohio) (a)(4) (Ohio) (a){1) (Arizona) (a)

Supp 4

I

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