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Syneos Health, Inc. – ‘10-Q’ for 3/31/23 – ‘EX-101.CAL’

On:  Wednesday, 5/10/23, at 7:14am ET   ·   For:  3/31/23   ·   Accession #:  950170-23-20079   ·   File #:  1-36730

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 5/10/23  Syneos Health, Inc.               10-Q        3/31/23   88:10M                                    Donnelley … Solutions/FA

Quarterly Report   —   Form 10-Q

Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 10-Q        Quarterly Report                                    HTML   2.38M 
 2: EX-4        Ex-4.1                                              HTML     31K 
 3: EX-10       Ex-10.5.1                                           HTML    418K 
 4: EX-10       Ex-10.5.2                                           HTML    305K 
 5: EX-31       Ex-31.1                                             HTML     30K 
 6: EX-31       Ex-31.2                                             HTML     30K 
 7: EX-32       Ex-32.1                                             HTML     27K 
 8: EX-32       Ex-32.2                                             HTML     27K 
14: R1          Cover Page                                          HTML     76K 
15: R2          Condensed Consolidated Statements of Operations     HTML    101K 
                (Unaudited)                                                      
16: R3          Condensed Consolidated Statements of Comprehensive  HTML     45K 
                (Loss) Income (Unaudited)                                        
17: R4          Condensed Consolidated Statements of Comprehensive  HTML     30K 
                (Loss) Income (Unaudited) (Parenthetical)                        
18: R5          Condensed Consolidated Balance Sheets (Unaudited)   HTML    132K 
19: R6          Condensed Consolidated Balance Sheets (Unaudited)   HTML     42K 
                (Parenthetical)                                                  
20: R7          Condensed Consolidated Statements of Cash Flows     HTML    103K 
                (Unaudited)                                                      
21: R8          Condensed Consolidated Statements of Shareholders'  HTML     63K 
                Equity (Unaudited)                                               
22: R9          Basis of Presentation                               HTML     31K 
23: R10         Financial Statement Details                         HTML    240K 
24: R11         Long-Term Debt Obligations                          HTML    111K 
25: R12         Derivatives                                         HTML     59K 
26: R13         Fair Value Measurements                             HTML    249K 
27: R14         Restructuring and Other Costs                       HTML     65K 
28: R15         Shareholders' Equity                                HTML     57K 
29: R16         Earnings Per Share                                  HTML     86K 
30: R17         Income Taxes                                        HTML     41K 
31: R18         Revenue from Contracts with Customers               HTML     36K 
32: R19         Segment Information                                 HTML    123K 
33: R20         Operations by Geographic Location                   HTML     87K 
34: R21         Concentration of Credit Risk                        HTML     30K 
35: R22         Related-Party Transactions                          HTML     33K 
36: R23         Commitments and Contingencies                       HTML     28K 
37: R24         Subsequent Events                                   HTML     30K 
38: R25         Basis of Presentation (Policies)                    HTML     35K 
39: R26         Financial Statement Details (Tables)                HTML    247K 
40: R27         Long-Term Debt Obligations (Tables)                 HTML     98K 
41: R28         Derivatives (Tables)                                HTML     54K 
42: R29         Fair Value Measurements (Tables)                    HTML    245K 
43: R30         Restructuring and Other Costs (Tables)              HTML     58K 
44: R31         Shareholders' Equity (Tables)                       HTML     47K 
45: R32         Earnings Per Share (Tables)                         HTML     87K 
46: R33         Segment Information (Tables)                        HTML    116K 
47: R34         Operations by Geographic Location (Tables)          HTML     82K 
48: R35         Basis of Presentation - Narrative (Details)         HTML     26K 
49: R36         Financial Statement Details - Schedule Of Cash      HTML     30K 
                Pool Position (Details)                                          
50: R37         Financial Statement Details - Accounts Receivable   HTML     36K 
                and Unbilled Services, net (Details)                             
51: R38         Financial Statement Details - Narrative (Details)   HTML     28K 
52: R39         Financial Statement Details - Schedule of Goodwill  HTML     40K 
                (Details)                                                        
53: R40         Financial Statement Details - Accumulated Other     HTML     42K 
                Comprehensive Loss, Net of Taxes (Details)                       
54: R41         Financial Statement Details - Tax Effects           HTML     51K 
                Allocated to Each Component of Other Comprehensive               
                (Loss) Income (Details)                                          
55: R42         Financial Statement Details - Schedule of Other     HTML     35K 
                Expense (Income) ,Net (Details)                                  
56: R43         Investments - Narrative (Details)                   HTML     28K 
57: R44         Long-Term Debt Obligations - Schedule of Debt       HTML     47K 
                Obligations (Details)                                            
58: R45         Long-Term Debt Obligations - Narrative (Details)    HTML     58K 
59: R46         Long-Term Debt Obligations - Accounts Receivable    HTML     39K 
                Financing Agreement (Details)                                    
60: R47         Long-Term Debt Obligations - Contractual            HTML     49K 
                Maturities of Debt Obligations (Details)                         
61: R48         Derivatives - Narrative (Details)                   HTML     31K 
62: R49         Derivatives - Interest Rate Swaps Designated as     HTML     43K 
                Hedging Instruments on Consolidated Balance Sheets               
                (Details)                                                        
63: R50         Fair Value Measurements - Schedule of Assets and    HTML     75K 
                Liabilities Measured at Fair Value on a Recurring                
                Basis (Details)                                                  
64: R51         Fair Value Measurements - Schedule of Assets and    HTML     33K 
                Liabilities Measured at Fair Value on a Recurring                
                Basis (Parenthetical) (Details)                                  
65: R52         Fair Value Measurements - Reconciliation of         HTML     34K 
                Changes in the Carrying Amount of Contingent                     
                Consideration (Details)                                          
66: R53         Fair Value Measurements - Narrative (Details)       HTML     45K 
67: R54         Fair Value Measurements - Schedule of Estimated     HTML     41K 
                Fair Value (Details)                                             
68: R55         Restructuring and Other Costs (Additional           HTML     28K 
                Information) (Details)                                           
69: R56         Restructuring and Other Costs - Schedule of         HTML     34K 
                Restructuring and Related Costs (Details)                        
70: R57         Restructuring and Other Costs - Employee Severance  HTML     38K 
                and Benefit Costs within Accrued Restructuring                   
                Liabilities (Details)                                            
71: R58         Shareholders' Equity - Shares of Common Stock       HTML     36K 
                Outstanding (Details)                                            
72: R59         Shareholders' Equity - Narrative (Details)          HTML     36K 
73: R60         Earnings Per Share - Schedule of Earnings Per       HTML     63K 
                Share, Basic and Diluted (Details)                               
74: R61         Earnings Per Share - Schedule of potential shares   HTML     33K 
                outstanding excluded from the computation of                     
                diluted (Loss) Earnings Per Share (Details)                      
75: R62         Income Taxes - Narrative (Details)                  HTML     47K 
76: R63         Revenue from Contracts with Customers - Narrative   HTML     36K 
                (Details)                                                        
77: R64         Segment Information Narrative (Details)             HTML     26K 
78: R65         Segment Information (Details)                       HTML     60K 
79: R66         Operations by Geographic Location - Total Revenue   HTML     51K 
                by Geographic Area (Details)                                     
80: R67         Operations by Geographic Location - Long-Lived      HTML     41K 
                Assets by Geographic Area (Details)                              
81: R68         Concentration of Credit Risk - Narrative (Details)  HTML     33K 
82: R69         Related-Party Transactions - Narrative (Details)    HTML     35K 
83: R70         Subsequent Event (Additional Information)           HTML     27K 
                (Details)                                                        
86: XML         IDEA XML File -- Filing Summary                      XML    159K 
84: XML         XBRL Instance -- synh-20230331_htm                   XML   2.41M 
85: EXCEL       IDEA Workbook of Financial Reports                  XLSX    122K 
11: EX-101.CAL  XBRL Calculations -- synh-20230331_cal               XML    169K 
 9: EX-101.DEF  XBRL Definitions -- synh-20230331_def                XML    650K 
13: EX-101.LAB  XBRL Labels -- synh-20230331_lab                     XML   1.29M 
10: EX-101.PRE  XBRL Presentations -- synh-20230331_pre              XML   1.00M 
12: EX-101.SCH  XBRL Schema -- synh-20230331                         XSD    172K 
87: JSON        XBRL Instance as JSON Data -- MetaLinks              472±   757K 
88: ZIP         XBRL Zipped Folder -- 0000950170-23-020079-xbrl      Zip    468K 


‘EX-101.CAL’   —   XBRL Calculations — synh-20230331_cal


This Exhibit is an XBRL XML File.


                                                                                                                                                                                
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<!-- Creation Date :2023-05-10T07:07:59.0826+00:00 -->
<!-- Copyright (c) 2023 Donnelly Financial Solutions, Inc. All Rights Reserved. -->
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<link:roleRef roleURI="http://www.syneoshealth.com/20230331/taxonomy/role/Role_StatementCONDENSEDCONSOLIDATEDBALANCESHEETSUnaudited" xlink:href="synh-20230331.xsd#Role_StatementCONDENSEDCONSOLIDATEDBALANCESHEETSUnaudited" xlink:type="simple"/>
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<link:roleRef roleURI="http://www.syneoshealth.com/20230331/taxonomy/role/Role_DisclosureFinancialStatementDetailsScheduleOfCashPoolPositionDetails" xlink:href="synh-20230331.xsd#Role_DisclosureFinancialStatementDetailsScheduleOfCashPoolPositionDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.syneoshealth.com/20230331/taxonomy/role/Role_DisclosureFinancialStatementDetailsAccountsReceivableAndUnbilledServicesNetDetails" xlink:href="synh-20230331.xsd#Role_DisclosureFinancialStatementDetailsAccountsReceivableAndUnbilledServicesNetDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.syneoshealth.com/20230331/taxonomy/role/Role_DisclosureFinancialStatementDetailsScheduleOfOtherExpenseIncomeNetDetails" xlink:href="synh-20230331.xsd#Role_DisclosureFinancialStatementDetailsScheduleOfOtherExpenseIncomeNetDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.syneoshealth.com/20230331/taxonomy/role/Role_DisclosureLongTermDebtObligationsScheduleOfDebtObligationsDetails" xlink:href="synh-20230331.xsd#Role_DisclosureLongTermDebtObligationsScheduleOfDebtObligationsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.syneoshealth.com/20230331/taxonomy/role/Role_DisclosureLongTermDebtObligationsContractualMaturitiesOfDebtObligationsDetails" xlink:href="synh-20230331.xsd#Role_DisclosureLongTermDebtObligationsContractualMaturitiesOfDebtObligationsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.syneoshealth.com/20230331/taxonomy/role/Role_DisclosureDerivativesInterestRateSwapsDesignatedAsHedgingInstrumentsOnConsolidatedBalanceSheetsDetails" xlink:href="synh-20230331.xsd#Role_DisclosureDerivativesInterestRateSwapsDesignatedAsHedgingInstrumentsOnConsolidatedBalanceSheetsDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.syneoshealth.com/20230331/taxonomy/role/Role_DisclosureFairValueMeasurementsScheduleOfAssetsAndLiabilitiesMeasuredAtFairValueOnRecurringBasisDetails" xlink:href="synh-20230331.xsd#Role_DisclosureFairValueMeasurementsScheduleOfAssetsAndLiabilitiesMeasuredAtFairValueOnRecurringBasisDetails" xlink:type="simple"/>
<link:roleRef roleURI="http://www.syneoshealth.com/20230331/taxonomy/role/Role_DisclosureEarningsPerShareScheduleOfEarningsPerShareBasicAndDilutedDetails" xlink:href="synh-20230331.xsd#Role_DisclosureEarningsPerShareScheduleOfEarningsPerShareBasicAndDilutedDetails" xlink:type="simple"/>
<link:calculationLink xlink:type="extended" xlink:role="http://www.syneoshealth.com/20230331/taxonomy/role/StatementCondensedConsolidatedStatementsOfOperationsUnaudited">
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_CostsAndExpenses" xlink:to="us-gaap_CostOfGoodsAndServicesSold" order="0" weight="1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_OperatingIncomeLoss" xlink:to="us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax" order="0" weight="1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_NonoperatingIncomeExpense" xlink:to="us-gaap_InterestIncomeExpenseNonoperatingNet" order="0" weight="1" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_NetIncomeLoss" xlink:to="us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest" order="0" weight="1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest" xlink:to="us-gaap_OperatingIncomeLoss" order="0" weight="1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_CostsAndExpenses" xlink:to="us-gaap_SellingGeneralAndAdministrativeExpense" order="1" weight="1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_OperatingIncomeLoss" xlink:to="us-gaap_CostsAndExpenses" order="1" weight="-1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_NonoperatingIncomeExpense" xlink:to="us-gaap_InterestExpense" order="1" weight="-1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_NetIncomeLoss" xlink:to="us-gaap_IncomeTaxExpenseBenefit" order="1" weight="-1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest" xlink:to="us-gaap_NonoperatingIncomeExpense" order="1" weight="1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_CostsAndExpenses" xlink:to="synh_RestructuringChargeIncludingOtherCosts" order="2" weight="1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_NonoperatingIncomeExpense" xlink:to="us-gaap_GainsLossesOnExtinguishmentOfDebt" order="2" weight="1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_CostsAndExpenses" xlink:to="us-gaap_Depreciation" order="3" weight="1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_NonoperatingIncomeExpense" xlink:to="us-gaap_OtherNonoperatingIncomeExpense" order="3" weight="1.00" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_CostsAndExpenses" xlink:to="us-gaap_AmortizationOfIntangibleAssets" order="4" weight="1.00" use="optional"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_CostsAndExpenses" xlink:label="us-gaap_CostsAndExpenses"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_CostOfGoodsAndServicesSold" xlink:label="us-gaap_CostOfGoodsAndServicesSold"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_OperatingIncomeLoss" xlink:label="us-gaap_OperatingIncomeLoss"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax" xlink:label="us-gaap_RevenueFromContractWithCustomerExcludingAssessedTax"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_NonoperatingIncomeExpense" xlink:label="us-gaap_NonoperatingIncomeExpense"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_InterestIncomeExpenseNonoperatingNet" xlink:label="us-gaap_InterestIncomeExpenseNonoperatingNet"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_NetIncomeLoss" xlink:label="us-gaap_NetIncomeLoss"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest" xlink:label="us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_SellingGeneralAndAdministrativeExpense" xlink:label="us-gaap_SellingGeneralAndAdministrativeExpense"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_InterestExpense" xlink:label="us-gaap_InterestExpense"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_IncomeTaxExpenseBenefit" xlink:label="us-gaap_IncomeTaxExpenseBenefit"/>
<link:loc xlink:type="locator" xlink:href="synh-20230331.xsd#synh_RestructuringChargeIncludingOtherCosts" xlink:label="synh_RestructuringChargeIncludingOtherCosts"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_GainsLossesOnExtinguishmentOfDebt" xlink:label="us-gaap_GainsLossesOnExtinguishmentOfDebt"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_Depreciation" xlink:label="us-gaap_Depreciation"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_OtherNonoperatingIncomeExpense" xlink:label="us-gaap_OtherNonoperatingIncomeExpense"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_AmortizationOfIntangibleAssets" xlink:label="us-gaap_AmortizationOfIntangibleAssets"/>
</link:calculationLink>
<link:calculationLink xlink:type="extended" xlink:role="http://www.syneoshealth.com/20230331/taxonomy/role/StatementCondensedConsolidatedStatementsOfComprehensiveLossIncomeUnaudited1">
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_ComprehensiveIncomeNetOfTax" xlink:to="us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent" order="0" weight="1" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_ComprehensiveIncomeNetOfTax" xlink:to="us-gaap_NetIncomeLoss" order="1" weight="1" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_ComprehensiveIncomeNetOfTax" xlink:to="synh_OtherComprehensiveIncomeLossDerivativesQualifyingAsHedgesNetOfTaxPortionAttributableToParent1" order="2" weight="1" use="optional"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_ComprehensiveIncomeNetOfTax" xlink:label="us-gaap_ComprehensiveIncomeNetOfTax"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent" xlink:label="us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPortionAttributableToParent"/>
<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_NetIncomeLoss" xlink:label="us-gaap_NetIncomeLoss"/>
<link:loc xlink:type="locator" xlink:href="synh-20230331.xsd#synh_OtherComprehensiveIncomeLossDerivativesQualifyingAsHedgesNetOfTaxPortionAttributableToParent1" xlink:label="synh_OtherComprehensiveIncomeLossDerivativesQualifyingAsHedgesNetOfTaxPortionAttributableToParent1"/>
</link:calculationLink>
<link:calculationLink xlink:type="extended" xlink:role="http://www.syneoshealth.com/20230331/taxonomy/role/Role_StatementCONDENSEDCONSOLIDATEDBALANCESHEETSUnaudited">
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_LiabilitiesAndStockholdersEquity" xlink:to="us-gaap_StockholdersEquity" order="0" weight="1" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_LiabilitiesCurrent" xlink:to="us-gaap_AccountsPayableCurrent" order="0" weight="1" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_AssetsCurrent" xlink:to="us-gaap_CashCashEquivalentsRestrictedCashAndRestrictedCashEquivalents" order="0" weight="1" use="optional"/>
<link:calculationArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/summation-item" xlink:from="us-gaap_Liabilities" xlink:to="us-gaap_LiabilitiesCurrent" order="0" weight="1" use="optional"/>
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<link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_DerivativeLiabilitiesCurrent" xlink:label="us-gaap_DerivativeLiabilitiesCurrent"/>
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3 Subsequent Filings that Reference this Filing

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 6/27/23  Syneos Health, Inc.               DEFM14A                1:2.4M                                   Donnelley … Solutions/FA
 6/27/23  Syneos Health, Inc.               PRER14A                2:2.5M                                   Donnelley … Solutions/FA
 6/15/23  Syneos Health, Inc.               PREM14A     6/14/23    2:2.3M                                   Donnelley … Solutions/FA


4 Previous Filings that this Filing References

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 5/10/23  Syneos Health, Inc.               8-K:1,9     5/10/23   11:865K                                   Donnelley … Solutions/FA
 3/30/23  Syneos Health, Inc.               8-K:5,9     3/27/23   11:338K                                   ActiveDisclosure/FA
 2/16/23  Syneos Health, Inc.               10-K       12/31/22  136:28M                                    Donnelley … Solutions/FA
 1/09/23  Syneos Health, Inc.               8-K:2,5,9   1/05/23   13:295K                                   Donnelley … Solutions/FA
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Filing Submission 0000950170-23-020079   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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