| **Legal                Entity**                                            | **Incorporation                State** | **Country**                |
|----------------------------------------------------------------------------|----------------------------------------|----------------------------|
| Health                Products Research, Inc.                              | New                Jersey              | US                         |
| Ventiv                Health (Georgia), Inc.                               | Georgia                                | US                         |
| MMD,                Inc.                                                   | New                Jersey              | US                         |
| Promotech                Research Associates, Inc.                         | Colorado                               | US                         |
| Scientific                Exchange, Inc.                                   | Connecticut                            | US                         |
| Ventiv                Health Communications, Inc.                          | Delaware                               | US                         |
| Ventiv                Commercial Services, LLC                             | New                Jersey              | US                         |
| VIS                Financial, LLC                                          | Delaware                               | US                         |
| Franklin                Pharma Services, LLC                               | New                Jersey              | US                         |
| Pharmaceutical                Resource Solutions LLC                       | Delaware                               | US                         |
| Smith                Hanley Holding Corp.                                  | Delaware                               | US                         |
| Smith                Hanley Consulting Group, LLC                          | Delaware                               | US                         |
| MedFocus,                LLC                                               | Delaware                               | US                         |
| Ventiv                Clinical Solutions LLC                               | Delaware                               | US                         |
| Smith                Hanley Associates, LLC                                | Delaware                               | US                         |
| Anova                Clinical Resources, LLC                               | Delaware                               | US                         |
| HHI                Clinical & Statistical Research Services, LLC       | Delaware                               | US                         |
| Ventiv                Health, LLC                                          | Delaware                               | US                         |
| Adheris,                Inc.                                               | Delaware                               | US                         |
| InChord                Holding Corporation                                 | Delaware                               | US                         |
| InChord                Communications, Inc.                                | Ohio                                   | US                         |
| Gerbig,                Snell Weisheimer Advertising, LLC                   | Ohio                                   | US                         |
| GSW                Building Associates, LLC                                | Ohio                                   | US                         |
| Creative                Healthcare Solutions, LLC                          | Ohio                                   | US                         |
| Creative                Healthcare Solutions, LLC dba Palio Communications |  Ohio                             |  US                   |
| Blue                Diesel, LLC                                            | Ohio                                   | US                         |
| Health                Process Management LLC                               | Ohio                                   | US                         |
| Y                Brand Outlook LLC                                         | Ohio                                   | US                         |
| Cadent                Medical Communications LLC                           | Ohio                                   | US                         |
| Stonefly                Communications Group LLC                           | Ohio                                   | US                         |
| Navicor                Group LLC                                           | Ohio                                   | US                         |
| InChord                Global LLC                                          | Ohio                                   | US                         |
| The                Center for Biomedical Continuing Education LLC          | Ohio                                   | US                         |
| InChord                Group Limited                                       |                                   | UK                         |
| Inchord,                Ltd.                                               |                                   | UK                         |
| Halliday                Jones Sales Limited                                |                                   | UK                         |
| Kestrel                Healthcare Limited                                  |                                   | UK                         |
| Rapid                Deployment Group Limited                              |                                   | UK                         |
| Rapid                Deployment Limited                                    |                                   | UK                         |
| Consultancy                Practice Limited                                |                                   | UK                         |
| Clinical                Communications (UK) Limited                        |                                   | UK                         |
| Health                Products Research (UK) Limited                       |                                   | UK                         |
| Ventiv                Health Limited                                       |                                   | UK                         |
| Ventiv                Holdings (UK)                                        |                                   | UK                         |
| Imedex                Netherlands, B.V.                                    |                                   | Netherlands                |
| Houdstermaatschappij                Boussauw Holding, B.V.                 |                                   | Netherlands                |
| Imedex                Holding, B.V.                                        |                                   | Netherlands                |
| Silver                Blue Holding, B.V.                                   |                                   | Netherlands                |
| Laboratoire                Socopharm SARL                                  |                                   | France                     |
| Ventiv                Health France SAS                                    |                                   | France                     |
| Ventiv                Pharma Services Canada, Inc.                         |                                   | Canada                     |
| Pharmaceutical                Resource Solutions of Puerto Rico, Inc.      |                                   | Puerto                Rico |