On February 29, 2024, Computer Programs and Systems, Inc. (the ?Company?) entered into a Fourth Amendment (the ?Fourth Amendment?) to the Amended and Restated Credit Agreement, dated as of June 16, 2020 (as amended, the ?Credit Agreement?), by and among the Company; certain subsidiaries of the Company, as guarantors (collectively, the ?Subsidiary Guarantors?); Regions Bank, as administrative agent and collateral agent (the ?Administrative Agent?); and various other lenders. Capitalized terms used but not defined herein shall have the meanings ascribed to them in the Credit Agreement. The Fourth Amendment modified the term ?Consolidated EBITDA?

to provide that the additional following amounts will be added back to Consolidated Net Income: (i) costs and expenses related to the voluntary early retirement program during the fiscal year ending December 31, 2023; and (ii) fees, costs and expenses in categories identified to the Administrative Agent to the extent incurred during the fiscal year ending December 31, 2024, in an aggregate amount not to exceed $7,250,000. Additionally, the modified definition of ?Consolidated EBITDA? limits the amount of pro forma ?run rate?

cost savings, operating expense reductions and synergies (collectively, ?Savings?) related to the Viewgol Acquisition that can be added back to Consolidated Net Income to an aggregate amount not to exceed $6,600,000; however, Savings related to the Viewgol Acquisition are not subject to the cap of 15% of Consolidated EBITDA that otherwise applies to Savings related to Permitted Acquisitions, restructurings or cost savings initiatives. Finally, the Consolidated Fixed Charge Coverage Ratio covenant was decreased from 1.25:1.00 to 1.15:1.00 for each fiscal quarter ending March 31, 2024 through and including December 31, 2024. As of December 31, 2023, the Company was not in compliance with the Consolidated Fixed Charge Coverage Ratio required by the Credit Agreement, and the Fourth Amendment provides for a one-time waiver of this failure as an event of default.

The Company?s obligations under the Credit Agreement continue to be secured pursuant to the Amended and Restated Pledge and Security Agreement, dated as of June 16, 2020, by and among the parties identified as Obligors therein and Regions Bank, as collateral agent, on a first priority basis by a security interest in substantially all of the tangible and intangible personal assets (subject to certain exceptions) of the Company and the Subsidiary Guarantors, including certain registered intellectual property and the capital stock of certain of the Company?s direct and indirect subsidiaries. The Company?s obligations under the Credit Agreement also continue to be guaranteed by the Subsidiary Guarantors.