0001193125-23-274104 Sample Contracts

NEXTGEN HEALTHCARE, INC. AND as Trustee FIRST SUPPLEMENTAL INDENTURE Dated as of November 9, 2023
First Supplemental Indenture • November 9th, 2023 • Nextgen Healthcare, Inc. • Services-computer integrated systems design • New York

FIRST 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.

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