EX-10.13.2






 Exhibit 10.13.2 

Execution Version 
 SECOND
AMENDMENT TO AMENDED AND RESTATED STOCKHOLDERS’ AGREEMENT 
 This Second Amendment to the Amended and Restated Stockholders’
Agreement, dated as of December 27, 2019 (this “Amendment”), is entered by and between Agilon Health Topco, Inc., a Delaware corporation (the “Company”) and CD&R Vector Holdings, L.P., a Cayman Islands
exempted limited partnership (the “Major Holder”). 
 WHEREAS, the Company, the Major Holder and the Stockholders are party
to the Amended and Restated Stockholders’ Agreement in respect of the Company, dated November 29, 2019, as amended by the Company and the Major Holder in the First Amendment to the Amended and Restated Stockholders’ Agreement, dated
December 19, 2019 (as amended from time to time, the “Existing Agreement”); 
 WHEREAS, Section 17.6 of the
Existing Agreement provides that any term of the Existing Agreement may be amended with the written consent of the Company and the Major Holder if such amendment (i) does not materially and disproportionately adversely affect a
Stockholder in a materially different manner than all of the other Stockholders and (ii) does not adversely affect any Purchaser; and 

WHEREAS, on the date hereof, the Company will enter into an Investment Agreement with the Durable Purchaser (as defined in
Section 2). 
 NOW, THEREFORE, in consideration of the foregoing and other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the Parties agree as follows: 
 1.     Definitions. Capitalized
terms used and not defined in this Amendment have the respective meanings assigned to them in the Existing Agreement. 
 2.
    Amendment to the Existing Agreement. As of the date hereof and effective immediately prior to the effectiveness of the Durable Investment Agreement (as defined below): 

(a) Section 1 of the Existing Agreement is hereby amended to delete the definitions for “Investment Agreement”
and “Purchasers” and insert each of the following definitions in alphabetical order: 

“‘Durable’ shall mean the Durable Purchaser or any successor thereof.” 

“‘Durable Investment Agreement’ shall mean the Investment Agreement, dated as of December 27, 2019, by
and between the Company and the Durable Purchaser.” 
 “‘Durable Purchaser’ shall mean Durable
Capital Master Fund LP, a Delaware limited partnership and any permitted transferee from the Durable Purchaser.” 

“‘Investment Agreements’ shall mean the Morgan Stanley Investment Agreement, the Capital World Investment
Agreement, the Rock Springs Investment Agreement, the Wellington Investment Agreement, the BlackRock Investment Agreement and the Durable Investment Agreement.” 

  














 “‘Purchasers’ shall mean the Morgan Stanley
Purchasers, the Capital World Purchasers, the Rock Springs Purchaser, the Wellington Purchaser, the BlackRock Purchaser and the Durable Purchaser.” 

(b) Section 6 of the Existing Agreement is hereby amended and restated in its entirety as set forth below: 

“Exempt Transfers. Notwithstanding the foregoing, the notice, first refusal and co-sale
rights set forth in Section 5 above shall not apply to, (a) in the case the Stockholder or the Major Holder is an entity, any Transfer to its Affiliate, (b) any Transfer by (i) any Morgan Stanley
Purchaser or MS Agent, (ii) any Capital World Purchaser, (iii) the Rock Springs Purchaser, (iv) the Wellington Purchaser, (v) the BlackRock Purchaser, or (vi) the Durable Purchaser (each, a
“Purchaser Transferor”) on behalf of such Purchaser Transferor, to another fund or account managed, advised or sub-advised by MS Agent (in the case of any Morgan Stanley Purchaser or MS
Agent), Capital Research and Management Company (in the case of any Capital World Purchaser), Rock Springs Capital Management LP (in the case of the Rock Springs Purchaser), Wellington (in the case of the Wellington Purchaser), BlackRock (in the
case of the BlackRock Purchaser) or Durable (in the case of the Durable Purchaser) or, in the case of each of the foregoing, to an affiliated investment adviser registered pursuant to the requirements of the Investment Advisers Act of 1940, as
amended, pursuant to a merger or reorganization of such Purchaser Transferor, (c) any Transfer by any Purchaser Transferor to the Company in accordance with the terms and conditions of the put option in the Morgan Stanley Investment
Agreement, Capital World Investment Agreement, Rock Springs Investment Agreement, Wellington Investment Agreement, BlackRock Investment Agreement or Durable Investment Agreement, as applicable, and (d) in the case the Stockholder is a
natural person, any Transfer without consideration to a Stockholder’s ancestors, descendants or spouse or to trusts for the benefit of such persons or the Stockholder, or to any other Person approved by the Board of Directors of the Company;
provided, that, in the event of any Transfer made pursuant to such exemption, (A) the Stockholder shall inform the Company and the Major Holder, or the Major Holder shall inform the Company, as applicable, of such Transfer
or gift prior to effecting it and (B) the transferee shall enter into a written agreement to be bound by and comply with all provisions of this Agreement, as if it were an original Stockholder hereunder, including without limitation Sections
5, 8 and 9. Capital Stock subject to a Transfer described in this Agreement shall remain “Capital Stock” hereunder, and such pledgee, transferee or donee shall be treated as the “Stockholder” for purposes of
this Agreement.” 

  
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 (c)     Section 10 of the Existing Agreement is
hereby amended and restated in its entirety as set forth below: 
 “Vote to Increase Authorized Capital Stock” Each
Stockholder, other than the Rock Springs Purchaser, the Wellington Purchaser, the BlackRock Purchaser and the Durable Purchaser, shall vote or cause to be voted all Voting Shares owned by such Stockholder, or over which such Stockholder has voting
control, from time to time and at all times, in whatever manner as shall be necessary to increase the number of authorized shares of Capital Stock from time to time as requested by the Major Holder.” 

3.     Date of Effectiveness; Limited Effect. Except as expressly provided in this Amendment, all of the terms and
provisions of the Existing Agreement are and will remain in full force and effect and are hereby ratified and confirmed by the parties thereto. Without limiting the generality of the foregoing, the amendments contained herein will not be construed
as an amendment to or waiver of any other provision of the Existing Agreement or as a waiver of or consent to any further or future action on the part of any Party that would require the waiver or consent of any other party. On and after the date
hereof, each reference in the Existing Agreement to “this Agreement,” “the Agreement,” “hereunder,” “hereof,” “herein,” or words of like import will mean and be a reference to the Existing Agreement
as amended by this Amendment. 
 4.     Notice to Stockholders. Promptly after the date hereof, the Company shall
give written notice of this Amendment to each Stockholder in accordance with Section 17.5 of the Existing Agreement. 
 5.
    Miscellaneous. Sections 17.1, 17.2, 17.3, 17.4, 17.5, 17.6, 17.7, 17.8, 17.9, 17.12, 17.13, 17.15 and 17.16 of the Existing Agreement shall apply to this Amendment mutatis mutandis. 

[Remainder of page intentionally left blank] 

  
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 IN WITNESS WHEREOF, the Parties have executed this Amendment as of the date first written
above. 
  

					
	THE COMPANY:
	
	AGILON HEALTH TOPCO, INC.
		
	By:	 	 /s/ Ravi Sachdev

		 	Name:	 	Ravi Sachdev
		 	Title:	 	President



  
 [Signature Page to Second
Amendment to Amended and Restated Stockholders’ Agreement] 














 
					
	 MAJOR HOLDER:
  

CD&R VECTOR HOLDINGS, L.P.

		
	By:	 	 CD&R Investment Associates IX, Ltd.,

its general partner

		
	By:	 	 /s/ Theresa A. Gore

		 	Name:	 	Theresa A. Gore
		 	Title:	 	Vice President, Treasurer and Assistant Secretary



  
 [Signature Page to Second
Amendment to Amended and Restated Stockholders’ Agreement]