On February 15, 2024, the Board of Directors (the ?Board?) of R1 RCM Inc. (the ?Company?) appointed Pamela L. Spikner as principal accounting officer of the Company, effective immediately. Ms. Spikner?s appointment follows Mr. Evans? notice to the Company on February 15, 2024 of his intent to retire by the end of the first quarter of 2024.

The Company thanks Mr. Evans for his service and wishes him well in his retirement. Ms. Spikner, age 47, has served as the Company?s Chief Accounting Officer since July 2021. Prior to joining the Company, Ms. Spikner was Assistant Corporate Controller of Hill-Rom Holdings Inc., a medical technology provider, from July 2019 to July 2021.

Ms. Spikner held various accounting leadership roles at Exelon Corporation, a utility services holding company, from September 2007 to July 2019. Ms. Spikner began her career with PricewaterhouseCoopers. Ms. Spikner holds a B.S. degree from Indiana University of Pennsylvania and is a certified public accountant and certified internal auditor.