Exhibit 3-C Pro Forma Organizational Chart of CVS … › sites › default › files...CVS Health...
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/1.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/2.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/3.jpg)
'
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/4.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/5.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/6.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/7.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/8.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/9.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/10.jpg)
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
![Page 11: 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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/11.jpg)
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
![Page 12: 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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/12.jpg)
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
![Page 13: 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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/13.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/14.jpg)
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
![Page 15: 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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/15.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/16.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/17.jpg)
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
![Page 18: 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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/18.jpg)
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
![Page 19: 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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/19.jpg)
,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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/20.jpg)
--- 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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/21.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/22.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/23.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/24.jpg)
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](https://reader030.fdocuments.us/reader030/viewer/2022041108/5f0bfe4e7e708231d4333b30/html5/thumbnails/25.jpg)
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
l