Exhibit 10.3
  Amendment Borrower
 RECITALS
 Credit
Agreement
   Amendments to Credit Agreement
  Accuro
 Accuro Acquisition provided Section 8.11 Section 7.01(a) b Deferred Payment provided Section 8.11 Section 7.01(a) b




---



##### 



Deferred Payment Accuro Acquisition
 Third
Amendment Effective Date
  Aggregate Revolving Commitment
 Applicable Rate Section 7.02(b)
 Pricing
    
    Consolidated
    
    Commitment
    
    Letter of
    
    Eurodollar
    
    Base RateTier
    
    Leverage Ratio
    
    Fee
    
    Credit Fee
    
    Loans
    
    Loans1
    
    3 3.5:1.0
    
    0.50%
    
    3.50%
    
    3.50%
    
    2.50%2
    
    3 3.0:1.0 but
< 3.5:1.0
    
    0.375%
    
    3.25%
    
    3.25%
    
    2.25%3
    
    3 2.5:1.0 but
< 3.0:1.0
    
    0.375%
    
    2.75%
    
    2.75%
    
    1.75%4
    
    3 2.0:1.0 but
< 2.5:1.0
    
    0.30%
    
    2.50%
    
    2.50%
    
    1.50%5
    
    < 2.0:1.0
    
    0.25%
    
    2.25%
    
    2.25%
    
    1.25%
 Section
7.02(b)
 Pricing
    
    Consolidated
    
    Eurodollar
    
    Base RateTier
    
    Leverage Ratio
    
    Loans
    
    Loans1
    
    3 3.0:1.0
    
    4.00%
    
    3.00%2
    
    < 3.0:1.0
    
    3.75%
    
    2.75%
 Section 7.02(b) provided however
 2




---



##### 



Section 7.02(b) Section
7.02(b)
 Term Loan Section 2.01(b)
 Term Loan Commitment Section 2.01(b) Schedule 2.01
 Consolidated EBITDA
  Funded
Indebtedness
 3




---



##### 



Permitted
Acquisition
   Term Loan Term Loan Schedule 2.01
  Term Loan Section 2.05 Section 9.02
 Payment Dates
    
    Principal Amortization PaymentJune 30, 2008
    
    $561,484.32September 30, 2008
    
    $561,484.32December 31, 2008
    
    $561,484.32March 31, 2009
    
    $561,484.32June 30, 2009
    
    $561,484.32September 30, 2009
    
    $561,484.32December 31, 2009
    
    $561,484.32
 4




---



##### 



Payment Dates
    
    Principal Amortization PaymentMarch 31, 2010
    
    $561,484.32June 30, 2010
    
    $561,484.32September 30, 2010
    
    $561,484.32December 31, 2010
    
    $561,484.32March 31, 2011
    
    $561,484.32June 30, 2011
    
    $561,484.32September 30, 2011
    
    $561,484.32December 31, 2011
    
    $561,484.32March 31, 2012
    
    $561,484.32June 30, 2012
    
    $561,484.32September 30, 2012
    
    $561,484.32December 31, 2012
    
    $561,484.32March 31, 2013
    
    $561,484.32June 30, 2013
    
    $561,484.32September 30, 2013
    
    $561,484.32Term Loan
    
    Outstanding Principal Balance ofMaturity Date
    
    Term Loan
     Schedule 2.01 Schedule 2.01 Schedule 2.01
 Conditions Precedent
   5




---



##### 



Miscellaneous
       6




---



##### 



THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES HEREUNDER SHALL BE
GOVERNED BY, AND CONSTRUED AND INTERPRETED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW
YORK.
  7




---



##### 



BORROWER:
    
    MEDASSETS, INC.,a Delaware corporationBy:
Name:
Title:
    
    /s/ Jonathan H. Glenn

Jonathan H. Glenn
Executive Vice President
Chief Legal and Administrative OfficerGUARANTORS:
    
    ASPEN HEALTHCARE METRICS LLC,a Delaware limited liability companyBy:
Name:
Title:
    
    /s/ Jonathan H. Glenn

Jonathan H. Glenn
Vice President and SecretaryMEDASSETS ANALYTICAL SYSTEMS, LLC,a Delaware limited liability companyBy:
Name:
Title:
    
    /s/ Jonathan H. Glenn

Jonathan H. Glenn
Vice President and SecretaryAVEGA HEALTH SYSTEMS, LLC,a Delaware limited liability companyBy:
Name:
Title:
    
    /s/ Jonathan H. Glenn

Jonathan H. Glenn
Vice President and SecretaryMEDASSETS NET REVENUE SYSTEMS, LLC,a Delaware limited liability companyBy:
Name:
Title:
    
    /s/ Jonathan H. Glenn

Jonathan H. Glenn
Secretary




---



##### 



MEDASSETS SUPPLY CHAIN SYSTEMS, LLC,a Delaware limited liability companyBy:
Name:
Title:
    
    /s/ Jonathan H. Glenn

Jonathan H. Glenn
Executive Vice President and SecretaryRADIOLOGY PARTNERS LLC,a Delaware limited liability companyBy:
Name:
Title:
    
    /s/ Jonathan H. Glenn

Jonathan H. Glenn
SecretaryDOMINIC & IRVINE, LLC,a Delaware limited liability companyBy:
Name:
Title:
    
    /s/ Jonathan H. Glenn

Jonathan H. Glenn
SecretaryMEDASSETS FINANCIAL SERVICES LLC,a Delaware limited liability companyBy:
Name:
Title:
    
    /s/ Jonathan H. Glenn

Jonathan H. Glenn
Secretary




---



##### 



ADMINISTRATIVE AGENT:
    
    BANK OF AMERICA, N.A.,as Administrative AgentBy:
Name:
Title:
    
    /s/ Anne M. Zeschke

Anne M. Zeschke
Assistant Vice PresidentLENDERS:
    
    BANK OF AMERICA, N.A.,as a Lender, Swing Line Lender and L/C IssuerBy:
Name:
Title:
    
    /s/ R. Shawn Janko

R. Shawn Janko
Senior Vice PresidentBismarck CBNA Loan Funding LLC,By:
Name:
Title:
    
    /s/ Brian Schott

Brian Schott
Attorney-in-factAs agent for AIB Debt Management LimitedBy:
Name:
Title:
    
    /s/ Des Brennan

Des Brennan
Assistant Vice President
Investment Advisor to
AIB Debt Management, LimitedAs agent for AIB Debt Management LimitedBy:
Name:
Title:
    
    /s/ Joanne Gibson

Joanne Gibson
Assistant Vice President
Investment Advisor to
AIB Debt Management, LimitedStanfield AZURE CLO, Ltd.By: Stanfield Capital Partners, LLCas its Collateral ManagerBy:
Name:
Title:
    
    /s/ David Frey

David Frey
Managing DirectorStanfield Modena CLO, LtdBy: Stanfield Capital Partners, LLCas its Asset ManagerBy:
Name:
Title:
    
    /s/ David Frey

David Frey
Managing DirectorStanfield Arnage CLO Ltd.
By: Stanfield Capital Partners, LLC
as its Collateral ManagerBy:
Name:
    
    /s/ David Frey

David FreyTitle:
    
    Managing DirectorStanfield Bristol CLO, Ltd.
By: Stanfield Capital Partners LLC
as it Collateral ManagerBy:
Name:
    
    /s/ David Frey

David FreyTitle:
    
    Managing Director




---



##### 



Stanfield Carrera CLO, Ltd.
By: Stanfield Capital Partners LLC
as its Asset ManagerBy:
Name:
    
    /s/ David Frey

David FreyTitle:
    
    Managing DirectorStanfield Vantage CLO, Ltd
By: Stanfield Capital Partners, LLC
as its Asset ManagerBy:
Name:
    
    /s/ David Frey

David FreyTitle:
    
    Managing DirectorStanfield Veyron CLO, Ltd
By: Stanfield Capital Partners, LLC
as its Collateral ManagerBy:
Name:
    
    /s/ David Frey

David FreyTitle:
    
    Managing DirectorEAGLE LOAN TRUST
By: Stanfield Capital Partners, LLC
as its Collateral ManagerBy:
Name:
    
    /s/ David Frey

David FreyTitle:
    
    Managing DirectorXL Re Europe Limited
By: Stanfield Capital Partners, LLC
signed as: its Collateral ManagerBy:
Name:
    
    /s/ David Frey

David FreyTitle:
    
    Managing DirectorStanfield Daytona CLO, Ltd
By: Stanfield Capital Partners, LLC
as its Collateral ManagerBy:
Name:
    
    /s/ David Frey

David FreyTitle:
    
    Managing DirectorStanfield McLaren CLO, Ltd.
By: Stanfield Capital Partners, LLC
as its Collateral ManagerBy:
Name:
    
    /s/ David Frey

David FreyTitle:
    
    Managing DirectorROSEDALE CLO II LTD.By: Princeton Advisory
Group, Inc. 
the Collateral ManagerBy:
    
    [SIGNATURE ILLEGIBLE]Name:
    

    [ILLEGIBLE]Title:
    
    Vice PresidentFounders Grove CLO, Ltd.By: Tall Tree Investment Management, LLCas Collateral ManagerBy:

    /s/ Brad LangsName:

    Brad LangsTitle:
    
    Officer




---



##### 



Grant Grove CLO, Ltd.By: Tall Tree Investment Management, LLCas Collateral ManagerBy:
    
    /s/ Brad LangsName:

    Brad LangsTitle:
    
    OfficerMuir Grove CLO, Ltd.By: Tall Tree Investment Management, LLCas Collateral ManagerBy:
    
    /s/ Brad LangsName:
    
    Brad LangsTitle:
    
    OfficerWachovia Bank, National Association,By:
    
    /s/ Kirk TeschName:
    
    Kirk TeschTitle:
    
    Vice PresidentGrand Central Asset Trust, EAP SeriesBy:
    
    /s/ Brian SchottName:
    
    Brian SchottTitle:
    
    Attorney-in-factWhiteHorse II, Ltd.By: WhiteHorse Capital Partners, L.P.As Collateral ManagerBy:
    
    /s/ Ethan M. Underwood, CFAName:
    
    Ethan M. Underwood, CFATitle:
    
    Portfolio ManagerWhiteHorse IV, Ltd.By:
WhiteHorse Capital Partners, L.P.As
Collateral ManagerBy:
    
    /s/ Ethan M. Underwood, CFAName:
    
    Ethan M. Underwood, CFATitle:
    
    Portfolio ManagerWhiteHorse V, Ltd.By: WhiteHorse Capital Partners, L.P.As
Collateral ManagerBy:
    
    /s/ Ethan M. Underwood, CFAName:
    
    Ethan M. Underwood, CFATitle:
    
    Portfolio ManagerEagle Master Fund Ltd.By: Citigroup Alternative Investments LLC,as Investment Manager for and on behalf ofEagle Master Fund Ltd.By:
    
    /s/ Melanie HanlonName:
    
    Melanie HanlonTitle:
    
    DirectorREGATTA FUNDING LTD.By: Citigroup Alternative Investments LLC,
attorney-in-factBy:
    
    /s/ Melanie HanlonName:
    
    Melanie HanlonTitle:
    
    DirectorLMP Corporate Loan Fund, Inc.By: Citigroup Alternative Investments LLCBy:
    
    /s/ Melanie HanlonName:
    
    Melanie HanlonTitle:
    
    Director




---



##### 



FM Leveraged Capital Fund IIBy: GSO Debt Funds Management LLC as Subadviser toFriedbergMilstein LLCBy:
    
    /s/ Lee M. ShaimanName:
    
    Lee M. ShaimanTitle:
    
    Authorized SignatoryGale Force 1 CLO, Ltd.By: GSO Debt Funds Management LLC as Collateral
ManagerBy:
    
    /s/ Lee M. ShaimanName:
    
    Lee M. ShaimanTitle:
    
    Authorized SignatoryGale Force 2 CLO, Ltd.By: GSO Debt Funds Management LLC as Collateral
ManagerBy:
    
    /s/ Lee M. ShaimanName:
    
    Lee M. ShaimanTitle:
    
    Authorized SignatoryGale Force 3 CLO, Ltd.By: GSO Debt Funds Management LLC as Collateral
ManagerBy:
    
    /s/ Lee M. ShaimanName:
    
    Lee M. ShaimanTitle:
    
    Authorized SignatoryGale Force 4 CLO, Ltd.By: GSO Debt Funds Management LLC as Collateral
ManagerBy:
    
    /s/ Lee M. ShaimanName:
    
    Lee M. ShaimanTitle:
    
    Authorized SignatoryHUDSON STRAITS CLO 2004, LTD.By: GSO Debt Funds Management LLC as Collateral
ManagerBy:
    
    /s/ Lee M. ShaimanName:
    
    Lee M. ShaimanTitle:
    
    Authorized SignatoryRIVERSIDE PARK CLO LTD.By: GSO Debt Funds Management LLCas Collateral ManagerBy:
    
    /s/ Dean T. CriaresName:
    
    Dean T. CriaresTitle:
    
    Senior Managing DirectorSun Life Assurance Company of Canada (US)By: GSO CP Holdings LP as Sub-AdvisorBy:
    
    /s/ Lee M. ShaimanName:
    
    Lee M. ShaimanTitle:
    
    Authorized SignatoryGLADSTONE BUSINESS INVESTMENT, LLCBy:
    
    /s/ John O. SateriName:
    
    John O. SateriTitle:
    
    Managing Director




---



##### 



EMPORIA PREFERRED FUNDING I, LTD. 
By: Emporia Capital Management, LLCBy:
    
    /s/ Steven AlexanderName:
    
    Steven AlexanderTitle:
    
    DirectorBy:
    
    /s/ Peter BurtonName:
    
    Peter BurtonTitle:
    
    Vice PresidentEMPORIA PREFERRED FUNDING III, LTD.By: Emporia Capital Management, LLCBy: 
Name:
    
    /s/ Steven Alexander

Steven AlexanderTitle:
    
    DirectorBy:
    
    /s/ Peter BurtonName:
    
    Peter BurtonTitle:
    
    Vice PresidentEMPORIA PREFERRED FUNDING IV, LTD. 
By: Emporia Capital Management, LLCBy:
Name:
    
    /s/ Steven Alexander

Steven AlexanderTitle:
    
    DirectorBy:
    
    /s/ Peter BurtonName:
    
    Peter BurtonTitle:
    
    Vice PresidentGoldenTree Loan Opportunities III, Limited 
By: GoldenTree Asset Management, LPBy:
    
    /s/ Karen A. WeberName:
    
    Karen A. WeberTitle:
    
    Director  Bank DebtGoldenTree Loan Opportunities IV, LimitedBy: GoldenTree Asset Management, LPBy:
    
    /s/ Karen A. WeberName:
    
    Karen A. WeberTitle:
    
    Director  Bank DebtGoldenTree Loan Opportunities V, LimitedBy: GoldenTree Asset Management, LPBy:
Name:
    
    /s/ Karen A. Weber

Karen A. WeberTitle:
    
    Director  Bank DebtLATITUDE CLO I, Ltd.By:
Name:
    
    /s/ Kirk Wallace

Kirk WallaceTitle:
    
    Senior Vice PresidentLATITUDE CLO II,Ltd.By:
Name:
    
    /s/ Kirk Wallace

Kirk WallaceTitle:
    
    Senior Vice PresidentLATITUDE CLO III, Ltd.By:
Name:
    
    /s/ Kirk Wallace

Kirk WallaceTitle:
    
    Senior Vice President




---



##### 



WatchTower CLO I PLC,By: Citadel Limited Partnership, Collateral ManagerBy: Citadel Investment Group, L.L.C., its General Partneras a Lender, Swing Line Lender and L/C IssuerBy:
    
    /s/ Erica L. TarpeyName:
    
    Erica L. TarpeyTitle:
    
    Authorized SignatoryColumbusNova CLO Ltd. 2006-Ias a LenderBy:
Name:
    
    /s/ Paul L. Cal

Paul L. CalTitle:
    
    Associate DirectorColumbusNova CLO Ltd. 2006-IIas a LenderBy:
Name:
    
    /s/ Paul L. Cal

Paul L. CalTitle:
    
    Associate DirectorColumbusNova CLO Ltd. 2007-Ias a LenderBy:
Name:
    
    /s/ Paul L. Cal

Paul L. CalTitle:
    
    Associate DirectorColumbusNova CLO IV Ltd. 2007-IIas a LenderBy:
Name:
    
    /s/ Paul L. Cal

Paul L. CalTitle:
    
    Associate DirectorDEUTSCHE BANK TRUST COMPANY AMERICAS, 
as LenderBy:
    
    /s/ Carin KeeganName:
    
    Carin KeeganTitle:
    
    DirectorBy:
Name:
    
    /s/ Scottye Lindsey

Scottye LindseyTitle:
    
    DirectorBNP PARIBASBy:
Name:
    
    /s/ Cecile Scherer

Cecile SchererTitle:
    
    Director Merchant Banking GroupBy:
Name:
    
    /s/ Kandice Gu

Kandice GuTitle:
    
    Vice President




---



##### 



LIGHTPOINT CLO III, LTDLIGHTPOINT CLO IV, LTDLIGHTPOINT CLO VII, LTDLIGHTPOINT CLO VIII, LTDBy:
Name:
    
    /s/ Timothy S. Van Kirk

Timothy S. Van KirkTitle:
    
    Managing DirectorAvenue CLO Fund, Avenue CLO II, Ltd., Avenue CLO III, Ltd.,Avenue CLO IV, Ltd., Avenue CLO V, Ltd. and Avenue CLO VI, Ltd.By:
Name:
    
    /s/ Richard DAddario

Richard DAddarioTitle:
    
    Senior Portfolio ManagerGRAND HORN CLO LTD.By: Seix Investment Advisors LLC, as Collateral ManagerBy:
Name:
    
    /s/ George Goudelias

George GoudeliasTitle:
    
    Managing DirectorLEHMAN COMMERCIAL PAPER INC.By:
Name:
    
    /s/ Ahuva Schwager

Ahuva SchwagerTitle:
    
    Authorized SignatoryGeneral Electric Capital CorporationBy:
Name:
    
    /s/ Peter B. Zone

Peter B. ZoneTitle:
    
    Its Duly Authorized SignatoryGE Business Financial Services Inc.(formerly known as Merrill Lynch Business Financial Services Inc.)By:
Name:
    
    /s/ Peter B. Zone

Peter B. ZoneTitle:
    
    Its Duly Authorized SignatoryMORGAN STANLEY BANKBy:
    
    /s/ Daniel TwengeName:
    
    Daniel TwengeTitle:
    
    Authorized SignatoryTralee CDO I, LtdBy: Par-Four Investment Management, LLCas investment advisorBy:
    
    /s/ Edward LabrenzName:
    
    Edward LabrenzTitle
    
    Authorized SignatoryMadison Capital Funding LLCBy:
    /s/ Faraaz KamranName: Faraaz KamranTitle: Senior Vice PresidentCIT Healthcare LLCBy:

    /s/ R. T. RollerName: R. T. RollerTitle: Authorized Signatory




---



##### 



ARTUS LOAN FUND 2007-I, LTD.BABSON CLO LTD. 2003-IBABSON CLO LTD. 2004-IBABSON CLO LTD. 2004-IIBABSON CLO LTD. 2005-IBABSON CLO LTD. 2005-IIBABSON CLO LTD. 2005-IIIBABSON CLO LTD. 2006-IBABSON CLO LTD. 2006-IIBABSON CLO LTD. 2007-IBABSON MID-MARKET CLO LTD. 2007-IIBABSON LOAN OPPORTUNITY CLO, LTD.SAPPHIRE VALLEY CDO I, LTD.By: Babson Capital Management LLC as Collateral ManagerBy:

    /s/ Michael FrenoName: Michael FrenoTitle: DirectorC.M. LIFE INSURANCE COMPANY
By: Babson Capital Management LLC as Investment Sub-AdviserBy:

    /s/ Michael FrenoName: Michael FrenoTitle: DirectorMASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
By: Babson Capital Management LLC as Investment AdviserBy:

    /s/ Michael FrenoName: Michael FrenoTitle: DirectorJEFFERIES FINANCE CP FUNDING LLCBy:

    /s/ Charlie J. FranklinName: Charlie J.
FranklinTitle: Closing ManagerJFIN CLO 2007 LTD.
By: Jefferies Finance LLC as Collateral ManagerBy:

    /s/ Charlie J. FranklinName: Charlie J. FranklinTitle: Closing ManagerGoldman Sachs Bank USABy:
Name:
    
    /s/ Mark Walton

Mark WaltonTitle:
    
    Authorized SignatoryDenali Capital LLC, managing member of
DC Funding Partners LLC, portfolio manager for
DENALI CAPITAL CLO IV, LTD., or an affiliateBy:
Name:
    
    /s/ John P. Thacker

JOHN P. THACKERTitle:
    
    CHIEF CREDIT OFFICER




---



##### 



Denali Capital LLC, managing member of
DC Funding Partners LLC, portfolio manager for
DENALI CAPITAL CLO VI, LTD., or an affiliateBy:
Name:
    
    /s/ John P. Thacker

JOHN P. THACKERTitle:
    
    CHIEF CREDIT OFFICERDenali Capital LLC, managing member of
DC Funding Partners LLC, portfolio manager for
DENALI CAPITAL CLO VII, LTD. or an affiliateBy:
Name:
    
    /s/ John P. Thacker

JOHN P. THACKERTitle:
    
    CHIEF CREDIT OFFICERDenali Capital LLC, managing member of
DC Funding Partners LLC, portfolio manager for
DENALI CAPITAL CREDIT OPPORTUNITY FUND FINANCING,

LTD., or an affiliateBy:
Name:
    
    /s/ John P. Thacker

JOHN P. THACKERTitle:
    
    CHIEF CREDIT OFFICERMERRILL LYNCH CAPITAL SERVICES, INC.By:
    
    /s/ Neyda DariasName:
    
    Neyda DariasTitle:
    
    Vice PresidentCIT CLO I LTD.By:
    
    /s/ David M. HarnischName:
    
    DAVID M. HARNISCHTitle:
    
    VICE PRESIDENTCIT ASSET MANAGEMENTGrand Central Asset Trust CAMERON I SeriesBy:
    
    /s/ Brian SchottName:
    
    Brian SchottTitle:
    
    Attorney-in-fact




---



##### 



ADDITIONAL LENDERS:OAK HILL CREDIT PARTNERS II, LIMITED

    
    OAK HILL CREDIT PARTNERS III, LIMITEDBy: Oak Hill CLO Management II, LLC
As Investment Manager
    
    By: Oak Hill CLO Management III, LLC
As Investment ManagerBy:

    /s/ Scott D. Krase
    
    
    
    By:

    /s/ Scott D. KraseName:

    Scott D. Krase
    
    
    
    Name:

    Scott D. KraseTitle:

    Authorized Person
    
    
    
    Title:

    Authorized PersonOAK HILL CREDIT PARTNERS IV, LIMITED

    
    OAK HILL CREDIT PARTNERS V, LIMITEDBy: Oak Hill CLO Management IV, LLC
    
    
    
    By: Oak Hill CLO Management V, LLCAs Investment Manager
    
    
    
    As Investment ManagerBy:

    /s/ Scott D. Krase
    
    
    
    By:

    /s/ Scott D. KraseName:

    Scott D. Krase
    
    
    
    Name:

    Scott D. KraseTitle:

    Authorized Person
    
    
    
    Title:

    Authorized PersonCRP V
    
    SMBC MVI SPC, on behalf of and for the account
of Segregated Portfolio No. 1By: Oak Hill Advisors, L.P.
As Portfolio Manager
    
    
    
    By: Oak Hill Separate Account Management I, LLC
As Investment ManagerBy:

    /s/ Scott D. Krase
    
    
    
    By:

    /s/ Scott D. KraseName:

    Scott D. Krase
    
    
    
    Name:

    Scott D. KraseTitle:

    Authorized Person
    
    
    
    Title:

    Authorized PersonOHA PARK AVENUE CLO I, LTD.
    
    
    
    GMAM GROUP PENSION TRUST IBy: Oak Hill Advisors, L.P.
As Investment Manager
    
    
    
    By: STATE STREET BANK AND TRUST
     COMPANY, solely as TrusteeBy:

    /s/ Scott D. Krase
    
    
    
    By:Name:

    Scott D. Krase
    
    
    
    Name:Title:

    Authorized Person
    
    
    
    Title: