List of Sub-Processors

Sub-Processor	Description	Location
Adobe Inc.	Document management services	San Jose, CA, USA
Amazon Web Services	Cloud and data hosting, management and organization services	Seattle, WA, USA
Anthropic Claude	AI model	San Francisco, CA, USA
AROBS Business Services S.R.L.	Software development support services	Cluj-Napoca, Romania
Atlassian Corporation Plc.	Ticketing system services and product development tool	San Francisco, CA, USA
Avoxi	Toll free number provider	Atlanta, Georgia, USA
Boomi, LP	Development services	Conshohocken, PA, USA
Caylent Inc.	AWS consulting services	Irvine, CA, USA
Certinia Inc.	Project management tool	Austin, TX, USA
Comply Exchange Limited	Tax reporting services	Surrey, England
DocuSign	Electronic signature provider	San Francisco, CA, USA
Eficode USA Inc.	Consulting services	Philadelphia, PA, USA
Glean, Inc.	Enterprise search and knowledge discovery	Palo Alto, CA, USA
Gong.io Inc.	Sales training services	San Francisco, CA, USA
Google LLC	Internal electronic mail and hosting device messaging	Mountain View, CA, USA
Gray Consulting, Inc. d/b/a Clincierge	Affiliate of Greenphire, LLC	Conshohocken, PA, USA
Greenphire, LLC	Affiliate of Suvoda LLC	Conshohocken, PA, USA
Greenphire Limited	Affiliate of Greenphire, LLC	United Kingdom
Harvey AI Corporation	Legal technology services	San Francisco, CA, USA
InTouchCX Inc.	Cardholder support	Winnipeg, Canada
Iron Mountain	Document storage and shredding	Boyers, PA, USA and Sharon Hills, PA, USA
Lionbridge Technologies, LLC	Translation services	Waltham, MA, USA
Lucid Software Inc.	Project management services	South Jordan, UT, USA
Microsoft Office 365 and SharePoint	Cloud-based e-mail system and document storage and management	Redmond, WA, USA
Microsoft Azure	Data storage, management and organization services	Redmond, WA, USA
NetSuite Inc.	Finance and customer services	Austin, TX, USA
Novacomp, Inc.	Software development support services	Miami, FL, USA
Palo Alto	Firewall management services	Santa Clara, CA, USA
QlikTech Inc.	Data analytics	King of Prussia, PA, USA
RWS	Translation services	East Hartford, CT, USA
SendGrid (a Twilio company)	Cloud-based electronic communications tool	Denver, CO, USA
SizedRight Marketing LLC	Customer feedback services	Newton, MA, USA
Slack Technologies, Inc.	Electronic collaboration and communication tool	San Francisco, CA, USA
Snowflake	Cloud-based platform that supports data analysis	Menlo Park, CA, USA
Sonatafy Technology	Software development support services	Las Vegas, NV, USA
Stefanini Romania SRL	Weekend help desk and software development support services and device depot services	Bucharest, Romania
Suvoda LLC	Affiliate of Greenphire, LLC	Conshohocken, PA, USA
Suvoda Software SrL	Wholly owned subsidiary of Suvoda LLC that performs services for Suvoda LLC in connection with its operations	Bucharest, Romania
Suvoda Software SL	Wholly owned subsidiary of Suvoda LLC that performs services for Suvoda LLC in connection with its operations	Barcelona, Spain
Suvoda Software GK	Wholly owned subsidiary of Suvoda LLC that performs services for Suvoda LLC in connection with its operations	Tokyo, Japan
Suvoda Software LTD	Wholly owned subsidiary of Suvoda LLC that performs services for Suvoda LLC in connection with its operations	Greater Manchester, United Kingdom (registered office)
Transperfect	Translation services	New York, NY, USA
Tray.ai, Inc. (formerly Tray.io)	Data integration tool	San Francisco, CA, USA
Twilio	Communication tool	San Francisco, CA, USA
Vention Solutions, Inc. (formerly iTechArt Group, Inc.)	Software development support services	Manahawkin, NJ, USA
Zendesk	Cloud-based support ticketing system	San Francisco, CA, USA
ZenQMS	Cloud-based issue management system	Bridgeport, Pennsylvania, USA
Zoom	Video conferencing and phone service	San Jose, California, USA
Zoho Corporation (Manage Engine Service Desk Plus)	IT Service Management Software	Pleasanton, CA, USA

eClinical Services

To the extent eClinical Services are applicable, additional Sub-Processors are as follows:

Sub-Processor	Description	Location
Cytel Inc.	Generation of drug and randomization schedules	Cambridge, Massachusetts, USA
ICON (eCOA only)	Translation services	Dublin, Ireland
Elastic	Log management service	Mountain View, CA, USA
Mavenlink	Project Management Software	Irvine, CA, USA
N-Side SA	Forecasting and optimization services	Louvain-La-Neuve, Belgium

Device Services

To the extent Device Services are applicable, additional Sub-Processors are as follows:

Sub-Processor	Description	Location
IBM MaaS360	Mobile device management as a service	Netherlands
Oracle NetSuite	Device ordering and management	Austin, TX, USA
Vessel, LLC	Device logistics	Portsmouth, NH, USA
Wireless Logic	SIM Card provider and SIM Card services	Maidenhead, United Kingdom
Cronofy	Scheduling Platform	London, England
CogState	Rater training services	Melbourne, Australia
Clinexion	Device logistics	Canonsburg, PA, USA
Lilt	Translation services	San Francisco, CA, USA

Travel Services

To the extent Travel Services are applicable, additional Sub-Processors are as follows:

Sub-Processor	Description	Location
Bolt Operations OÜ	Travel services	Tallinn, Estonia
Cencora, Inc. (formerly WorldCourier)	Shipment & courier services	New York, NY, USA
Deltek, Inc.	CRM & accounting system services	Herndon, VA, USA
EAN Services, LLC	Rental car services	St. Louis, MO, USA
Gerard Pons Voyages	Travel services	Lyon, France
Ground Management Holdings, LLC, dba GroundSpan	Transportation services	Paramus, NJ, USA
ITandT Business Travel Solutions	Travel services	Malvern, PA, USA
Lufthansa City Center Reisebüropartner GmbH	Travel services	Frankfurt, Germany
Lyft, Inc.	Transportation services	San Francisco, CA, USA
Modify Health, Inc.	Meal delivery services	Alpharetta, GA, USA
MUV, Inc.	Transportation services	Addison, TX, USA
NesPat Corp	Travel services	Cheyenne, WY, USA
Newland Chase Limited	Visa services – only if patient needs	Houston, TX, USA
OnSolve	Duty of care services	Ormond Beach, FL, USA
PJ Travel Solutions LTD.	Transportation services	Forest Row, United Kingdom
REVA, Inc.	Private air charter services	Fort Lauderdale, FL, USA
Sabre GLBL Inc.	Travel technology services	Southlake, TX, USA
SARL VIP Limousine France	Transportation services	Valencin, France
Savoya LLC	Transportation services	Dallas, TX, USA
Altour Delaware, LLC	Transportation services	New York, NY, USA
Uber Health, LLC	Transportation services	San Francisco, CA, USA

Patient Payments, Budgeting and Benchmarking, and Site Payments Services

To the extent Patient Payments, Budgeting and Benchmarking, and Site Payments Services are applicable, additional Sub-Processors are as follows:

Sub-Processor	Description	Location
InTouchCX Inc.	Cardholder support	Winnipeg, Canada
KMS Technology, Inc.	Software development services	Ho Chi Minh City, Vietnam
NICE LTD.	Phone services	Hoboken, NJ, USA
Sovos Compliance, LLC	US tax services	Wilmington, MA, USA
Worldwide Flex (formerly Catalyst Clinical Research)	Financial services	Durham, NC, USA
Unit21	Fraud detection services	San Francisco, CA, USA

Travel Services and Patient Payments, Budgeting and Benchmarking, and Site Payments Services

To the extent Travel Services and Patient Payments, Budgeting and Benchmarking, and Site Payments Services are applicable, additional Sub-Processors are as follows:

Sub-Processor	Description	Location
Box, Inc.	Document management services	Redwood City, CA, USA
Language Line, LLC	Translation services	Monterey, CA, USA
Nexus Technologies, LLC (d/b/a NexusTek)	Managed service provider (IT)	Greenwood Village, CO, USA
Skyflow Inc.	Data hosting, residency and security application services	Palo Alto, CA, USA
Smartsheet, Inc.	Document management services	Bellevue, WA, USA
Unlocked Data LTD.	Report automation services	Basingstoke, England

List of various financial service providers can be made available in an audit setting upon request.

The above-mentioned product specific subprocessors are subject to expansion to reflect that some or more of product specific subprocessors could be used across all product lines.