0001193125-22-279649 Sample Contracts

R1 RCM Inc. November 7, 2022 John Sparby Re: Employment Terms Dear John,
Employment Agreement • November 8th, 2022 • R1 RCM Inc. /DE • Services-management services • Delaware

On behalf of R1 RCM Inc. (“R1”), I am delighted to confirm that, effective January 1, 2023, you will be appointed as President, reporting to R1’s Chief Executive Officer. The terms and conditions of your employment with R1 are set forth in further detail below and Exhibit A (collectively, with all other Exhibits hereto, this “Agreement”). Effective January 1, 2023, this Agreement will supersede any and all prior employment agreements or offer letters with R1 and/or its parent, subsidiaries, or predecessors.

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R1 RCM INC.
Offer Letter • November 8th, 2022 • R1 RCM Inc. /DE • Services-management services • Illinois

Reference is made to the offer letter, dated March 23, 2021 (as amended as of April 27, 2013, April 29, 2014, and March 6, 2019, the “Offer Letter”) between you and R1 RCM Inc. (previously known as Accretive Health, Inc.), a Delaware corporation (the “Company”). The Offer Letter will remain effective until December 31, 2022. This letter agreement (this “Agreement”), which will become effective January 1, 2023, amends, restates and supersedes the Offer Letter in its entirety, and sets forth all of the terms and conditions of your employment with the Company beginning January 1, 2023.

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