X0203 3 2008-08-06 1 0000884497 MEDQUIST INC MEDQ 0001207821 AQUILINA ROBERT M 39 LITTLE WOLF ROAD SUMMIT NJ 07907 1 0 0 0 Explanation of Responses: Mr. Aquilina is a director of MedQuist Inc. He is also Executive Chairman of CBaySystems Holdings Limited ("CBaySystems") and of CBay Inc., a subsidiary of CBaySystems. As of the date of this filing, CBay Inc. owns 26,085,086 shares of MedQuist Inc. common stock, or approximately 69.5% of the shares outstanding. In addition, Mr. Aquilina serves as an executive partner, a senior operating consultant role, to S.A.C. Private Capital Group, LLC ("SAC PCG"), an affiliate of which, S.A.C. PEI CB Investment, L.P. ("SAC CBI"), as of the date of this filing, owns approximately 58.1% of the outstanding ordinary shares of CBaySystems. International Equities (S.A.C. Asia) Limited, an affiliate of SAC PCG and SAC CBI, owns approximately 2.1% of the outstanding ordinary shares of CBaySystems as of the date of this filing. Mr. Aquilina disclaims beneficial ownership of the shares of MedQuist Inc. common stock owned by CBay Inc., and this report shall not be deemed an admission that Mr. Aquilina is the beneficial owner of such securities for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose. /s/ Robert M. Aquilina 2008-08-17