NEXTGEN HEALTHCARE, INC. AND as Trustee FIRST SUPPLEMENTAL INDENTURE Dated as of November 9, 2023First Supplemental Indenture • November 9th, 2023 • Nextgen Healthcare, Inc. • Services-computer integrated systems design • New York
Contract Type FiledNovember 9th, 2023 Company Industry JurisdictionFIRST SUPPLEMENTAL INDENTURE, dated as of November 9, 2023 (this “Supplemental Indenture”), among NextGen Healthcare, Inc., a Delaware corporation (the “Company”), as issuer, and U.S. Bank Trust Company, National Association, as trustee (the “Trustee”), to the Indenture, dated as of November 1, 2022 (as supplemented or otherwise modified prior to the date hereof, the “Indenture”), between the Company and the Trustee.