0001628280-19-010037 Sample Contracts

ADDENDUM NO. 4 TO AMENDED AND RESTATED SERVICES AGREEMENT
Services Agreement • August 6th, 2019 • R1 RCM Inc. • Services-management services

This Addendum No. 4 (this “Addendum”) is made and entered into as of the 30th day of April, 2019 (the “Addendum Effective Date”) by and between IHC Health Services, Inc., a Utah non-profit corporation, (“IMH” or sometimes referred to as “Intermountain” or “Intermountain Healthcare”) and R1 RCM Inc., a Delaware corporation, formerly known as Accretive Health, Inc. (“R1”) (each a “Party” and collectively, the “Parties”), pursuant to and subject to that certain Amended and Restated Services Agreement (as amended, referred to herein as the "Services Agreement") dated as of January 23, 2018, by and between the Parties.

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