On January 17, 2024, R1 RCM Inc. entered into Amendment No. 2 (the ?Second Amendment?) to the Second Amended and Restated Credit Agreement, dated as of June 21, 2022 (as amended by that certain Amendment No. 1 and Waiver, dated as of November 17, 2023, and as further amended, restated, amended and restated, supplemented or otherwise modified, the ?Credit Agreement?), by and among the Company and certain of its subsidiaries, Bank of America, N.A., as administrative agent, and the lenders named therein.

Pursuant to the Second Amendment, among certain other amendments, the lenders named in the Second Amendment agreed, severally and not jointly, to extend additional Initial Term B Loans (as defined in the Credit Agreement) (the ?Incremental Term B Loans?) to the Company under the Credit Agreement in an aggregate principal amount equal to $575,000,000. The Company used the proceeds of the Incremental Term B Loans, together with cash on hand and Revolving Loans (as defined in the Credit Agreement) borrowed under the Credit Agreement, to finance (i) the cash consideration for the acquisition of Acclara and (ii) fees and costs incurred in connection with the acquisition and related transactions.