On August 8, 2023, R1 RCM Inc. received notice that Brian K. Dean would be resigning from the board of directors of the company, effective immediately, in connection with his planned departure from Sutter Health (Sutter). Mr. Dean was nominated to the Board by Sutter pursuant to the Director Nomination Agreement, dated as of August 2, 2022, between the company and Sutter. Under the terms of the Nomination Agreement, Sutter is entitled to nominate another individual to the Board upon Mr. Dean's resignation.

On August 11, 2023, upon the recommendation of the Nominating and Corporate Governance Committee, the Board appointed Dominic Nakis as a director of the Company as the Sutter Designee" (as such term is defined in the Nomination Agreement), effective as of August 11, 2023, to serve until the Company's 2024 Annual Meeting of Stockholders and thereafter until his successor is duly elected and qualified, or until his earlier death, resignation or removal. Except for the Nomination Agreement, Mr. Nakis was not selected pursuant to any arrangement or understanding between him and any other person. Mr. Nakis currently serves as Sutter's Senior Vice President and Interim Chief Financial Officer, where he is responsible for Sutter's overall financial operations, including financial planning and analysis, investments, treasury, accounting and controls, revenue cycle, decision support, managed care contracting, actuarial, and underwriting.

Mr. Nakis also oversees supply chain and Sutter's health plan. Prior to joining Sutter in April 2023, Mr. Nakis held various roles at Advocate Aurora Health and its predecessor organizations for over 35 years, most recently serving as Chief Financial Officer and Advocate Board Treasurer from April 2018 to March 2023. Mr. Nakis began his career in the assurance practice at Ernst & Young in Chicago.

He is a member of the Healthcare Financial Management Association and the American Hospital Association Investment Committee, and is a past member of the Healthcare Financial Management Association's National Principles and Practices Board. Mr. Nakis earned a bachelor's degree in accounting from the University of Illinois at Chicago and an MBA from DePaul University's Kellstadt Graduate School of Business. Mr. Nakis is a certified public accountant.