R1 RCM INC. | Business Operations | Business Contracts

Voting Agreement, dated as of January 9, 2022, between the Company, Revint Holdings, LLC and TCP-ASC ACHI Series LLLP (Filed With SEC on January 11, 2022)

Amendment No. 5 to the Amended & Restated Master Professional Services Agreement between the Registrant and Ascension Health effective May 1, 2021 (Filed With SEC on August 3, 2021)

Addendum No. 8 to the Amended and Restated Services Agreement between the Registrant and IHC Health Services, Inc. dated as of March 24, 2021 (Filed With SEC on May 4, 2021)

Addendum No. 7 to Amended and Restated Services Agreement between the Registrant and IHC Health Services, Inc. dated as of April 30, 2020 (Filed With SEC on August 5, 2020)

Addendum No. 6 to Amended and Restated Services Agreement between the Registrant and IHC Health Services, Inc. dated as of January 28, 2020 (Filed With SEC on May 5, 2020)

Amendment No. 4 to Amended and Restated Master Professional Services Agreement between the Registrant and Ascension Health dated as of December 20, 2019 (Filed With SEC on February 20, 2020)

Amendment No. 5 to Amended and Restated Services Agreement between the Registrant and IHC Health Services, Inc. dated as of December 31, 2019 (Filed With SEC on February 20, 2020)

Addendum No. 4 to the Amended and Restated Services Agreement between the Registrant and IHC Health Services, Inc. dated as of April 30, 2010 (Filed With SEC on August 6, 2019)

Addendum No. 3 to Amended and Restated Services Agreement between the Registrant and IHC Health Services, Inc. dated as of October 1, 2018 (Filed With SEC on February 22, 2019)

R1 RCM INC. (37) | Business Operations (9)