EX-10.9



 Exhibit 10.9 

AMENDMENT OF AND JOINDER TO 

REGISTRATION RIGHTS AGREEMENT 

THIS AMENDMENT AND JOINDER (this “Amendment and Joinder”) is made as of June 26, 2015 by and between Nant Health, LLC, a
Delaware limited liability company (the “Company”), NantWorks, LLC, a Delaware limited liability company (“NantWorks”), and Allscripts Healthcare Solutions, Inc., a Delaware corporation
(“Allscripts”). 
 WHEREAS, the Company, NantWorks and Verizon Investments LLC, a Delaware limited liability company
(“Verizon”), are parties to a Registration Rights Agreement dated October 25, 2012 (the “Registration Rights Agreement”). 

WHEREAS, Allscripts has acquired 59,099,908 Series G Units (the “Allscripts Units”) from the Company pursuant to that Series
G Units Purchase Agreement of even date herewith. 
 WHEREAS, NantWorks and the Company desire to amend the Registration Rights Agreement to
allow for the inclusion of the Allscripts Units in the definition of Registrable Securities so that Allscripts may become a party to the Registration Rights Agreement by execution of this Amendment and Joinder. 

WHEREAS, this Amendment and Joinder is duly made pursuant to Section 2.6 of the Registration Rights Agreement by the Company with the
consent of the Company and holders of a majority of the Registrable Securities outstanding as of the date hereof. 
 NOW, THEREFORE,
intending to be legally bound hereby, the parties hereby agree as follows: 
 1. Capitalized terms used in this Amendment and Joinder but not
otherwise defined shall have the meanings given to them in the Registration Rights Agreement. 
 2. The parties hereby agree that the
definition of “Registrable Securities” in the Registration Rights Agreement shall include the Allscripts Units. 
 3. Except as
modified by this Amendment and Joinder, the Registration Rights Agreement shall remain in full force and effect. Nothing herein shall be held to alter, vary or otherwise affect the terms, conditions and provisions of the Registration Rights
Agreement, other than as expressly contemplated herein. 
 4. Allscripts hereby accedes to and ratifies the Registration Rights Agreement
and covenants and agrees with the Company, Verizon and NantWorks to be bound by the terms of the Registration Rights Agreement as a “Holder” and to duly and punctually perform and discharge all liabilities and obligations whatsoever from
time to time to be performed or discharged by it under or by virtue of the Registration Rights Agreement in all respects as if named as a party therein. 

  
 1 








 5. The Company covenants and agrees that Allscripts shall be entitled to all the benefits of the
terms and conditions of the Registration Rights Agreement as a “Holder.” 
 6. This Amendment and Joinder shall hereafter be read
and construed in conjunction and as one document with the Registration Rights Agreement and references in the Registration Rights Agreement to “the Agreement” or “this Agreement,” and references in all other instruments and
documents executed thereunder or pursuant thereto to the Registration Rights Agreement, shall for all purposes refer to the Registration Rights Agreement incorporating and as supplemented by this Amendment and Joinder. 

7. This Amendment and Joinder may be executed in any number of counterparts and signatures may be delivered by facsimile or other electronic
transmission (including via .pdf or .tif) and each of such counterparts shall for all purposes be deemed an original, and all such counterparts shall together constitute one and the same instrument. 

[Remainder of Page Left Intentionally Blank] 

  
 2 








 IN WITNESS WHEREOF, the undersigned have caused this Amendment and Joinder to be executed and
delivered by its authorized representative as of the date first above written. 
  

									
	NANT HEALTH, LLC	 		 	NANTWORKS, LLC
					
	By:	 	 /s/ Robert Watson
	 		 	By:	 	 /s/ Patrick Soon-Shiong

	Name:	 	Robert Watson	 		 	Name:	 	Patrick Soon-Shiong
	Title:	 	President	 		 	Title:	 	Chief Executive Officer

  

			
	ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
		
	By:	 	 
	Name:	 	
	Title:	 	








 IN WITNESS WHEREOF, the undersigned have caused this Amendment and Joinder to be executed and
delivered by its authorized representative as of the date first above written. 
  

									
	NANT HEALTH, LLC	 		 	NANTWORKS, LLC
					
	By:	 	 	 		 	By:	 	 
	Name:	 		 		 	Name:	 	
	Title:	 		 		 	Title:	 	

  

			
	ALLSCRIPTS HEALTHCARE SOLUTIONS, INC.
		
	By:	 	 /s/ Richard Poulton

 

	Name:	 	Richard Poulton
	Title:	 	CFO