| **Legal                Entity**                                       | **Incorporation                State** | **Country**                |
|-----------------------------------------------------------------------|----------------------------------------|----------------------------|
| Health                Products Research, Inc.                         | New                Jersey              | US                         |
| Promotech                Research Associates, Inc.                    | Colorado                               | US                         |
| Ventiv                Commercial Services, LLC                        | New                Jersey              | US                         |
| Franklin                Pharma Services, LLC                          | New                Jersey              | US                         |
| Pharmaceutical                Resource Solutions LLC                  | Delaware                               | US                         |
| Medconference                LLC                                      | Delaware                               | US                         |
| DialogCoach                LLC                                        | Delaware                               | US                         |
| Ignite Health                LLC                                 | Delaware                               | US                         |
| Chamberlain                Communications LLC                         | Delaware                               | US                         |
| Smith                Hanley Holding Corp.                             | Delaware                               | US                         |
| Synergos                LLC                                           | Delaware                               | US                         |
| Smith                Hanley Consulting Group, LLC                     | Delaware                               | US                         |
| MedFocus,                LLC                                          | Delaware                               | US                         |
| inVentiv                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                         |
| Adheris,                Inc.                                          | Delaware                               | US                         |
| InChord                Holding Corporation                            | Delaware                               | US                         |
| inVentiv                Communications, Inc.                          | Ohio                                   | US                         |
| Gerbig,                Snell Weisheimer Advertising, LLC              | Ohio                                   | US                         |
| Creative                Healthcare Solutions, LLC                     | Ohio                                   | US                         |
| Taylor                Search Partners, LLC                            | Ohio                                   | US                         |
| Blue                Diesel, LLC                                       | Ohio                                   | US                         |
| Y                Brand Outlook LLC                                    | Ohio                                   | US                         |
| Rxpedite                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,                Limited LLC                                   |                                   | UK                         |
| Kestrel                Healthcare Limited                             |                                   | UK                         |
| Rapid                Deployment Group Limited                         |                                   | UK                         |
| Ventiv                Health Limited                                  |                                   | UK                         |
| Ventiv                Holdings (UK)                                   |                                   | UK                         |
| Ventiv                Pharma Services Canada, Inc.                    |                                   | Canada                     |
| inVentiv                Canada ULC                                    |                                   | Canada                     |
| inVentiv                International B.V.                            |                                   | Netherlands                |
| Pharmaceutical                Resource Solutions of Puerto Rico, Inc. |                                   | Puerto                Rico |