Syneos Health, Inc.https://pcaobus.org/form-ap-filings/20052/20052Syneos Health, Inc.200523/22/2018 12:20:35 PM2015ce1e6351-845f-432d-9391-f87b55620fd342Ernst & Young LLP697453Syneos Health, Inc.1610950SYNH0004201148John Joseph Guess00042011481438Ernst & Young LLPTrue