Exhibit 21.1

The following is a list of subsidiaries of the Company as of September 30, 2021.

Subsidiary Name		Type
Agnitio Corp.	Delaware		Domestic
Caere Corporation Branch Mexico	Delaware		Domestic
ComplyMD LLC	Delaware		Domestic
Consolidated Enterprise Corporation	Delaware		Domestic
Consolidated Healthcare Corporation	Delaware		Domestic
Consolidated Imaging Corporation	Delaware		Domestic
Ditech Networks, Inc.	Delaware		Domestic
Ditech Networks International, Inc.	Delaware		Domestic
Language and Computing, Inc.	Delaware		Domestic
PerSay, Inc.	Delaware		Domestic
Phonetic Systems, Inc.	Delaware		Domestic
Quadramed Quantim Corporation	Delaware		Domestic
Saykara, Inc.	Delaware		Domestic
SVOX USA, Inc.	Delaware		Domestic
TouchCommerce, Inc.	Delaware		Domestic
VirtuOz, Inc.	Delaware		Domestic
J.A. Thomas and Associates, Inc.	Georgia		Domestic
Nuance Healthcare Diagnostics Solutions, Inc.	Georgia		Domestic
Winscribe USA Inc.	Illinois		Domestic
Nuance Enterprise Solutions & Services Corporation f/k/a Varolii Corporation	Washington		Domestic
Spinvox Limited Sucursal Argentina	Argentina		International
Nuance Communications Australia Pty. Ltd.	Australia		International
Nuance Communications Austria GmbH	Austria		International
Nuance Communications Services Austria GmbH	Austria		International
SpeechMagic Holdings GmbH	Austria		International
Nuance Belgium N.V.	Belgium		International
Nuance Communications Ltda.	Brazil		International
Novitech Technologia e Servicos Ltda. Branch	Brazil		International
SpeechWorks BVI Ltd.	British Virgin Islands		International
Nuance Communications Canada, Inc.	Canada		International
Foxtrot Acquisition Limited	Cayman Islands		International
Foxtrot Acquisition II Limited	Cayman Islands		International
Nuance Communications Finland OY	Finland		International
Nuance Communications France Sarl	France		International
VirtuOz S.A.	France		International
Nuance Communications GmbH	Germany		International
Nuance Communications Healthcare Germany GmbH	Germany		International
Nuance Communications Hungary Kft.	Hungary		International
Nuance India Pvt. Ltd.	India		International
Nuance Communications International Holdings Limited	Ireland		International
Nuance Communications Ireland Limited	Ireland		International
Nuance Communications Services Ireland Ltd.	Ireland		International

Nuance Communications Healthcare International Ltd formerly Voice Signal Ireland Ltd.	Ireland	International
Nuance Communications Israel, Ltd.	Israel	International
PerSay Ltd.	Israel	International
Phonetic Systems Ltd.	Israel	International
Loquendo S.p.a.	Italy	International
Nuance Communications Italy Srl	Italy	International
Nuance Japan K.K.	Japan	International
Caere Corporation Branch Mexico	Mexico	International
Nuance Communications Netherlands B.V.	Netherlands	International
Winscribe Inc. Ltd.	New Zealand	International
Nuance Communications Asia Pacific Pte. Ltd.	Singapore	International
Nuance Communications Korea Ltd.	South Korea	International
Nuance Communications Iberica SA	Spain	International
Agnitio S.L.	Spain	International
Nuance Communications Sweden, A.B.	Sweden	International
SVOX AG	Switzerland	International
Nuance Turkey Iletisim Hizmetleri Ltd. Sirketi	Turkey	International
Nuance Communications UK Limited	United Kingdom	International
Nuance Communications Limited	United Kingdom	International
Winscribe Europe Limited	United Kingdom	International
Nuance Communications Services Ireland, Ltd. - Dubai Branch	UAE	International