<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0508</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2025-03-24</periodOfReport>

    <issuer>
        <issuerCik>0001124804</issuerCik>
        <issuerName>Veradigm Inc.</issuerName>
        <issuerTradingSymbol>MDRX</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001266227</rptOwnerCik>
            <rptOwnerName>STONEHILL CAPITAL MANAGEMENT LLC</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>320 PARK AVENUE</rptOwnerStreet1>
            <rptOwnerStreet2>26TH FLOOR</rptOwnerStreet2>
            <rptOwnerCity>NEW YORK</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001454870</rptOwnerCik>
            <rptOwnerName>STONEHILL MASTER FUND LTD.</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O STONEHILL CAPITAL MANAGEMENT LLC</rptOwnerStreet1>
            <rptOwnerStreet2>320 PARK AVENUE, 26TH FLOOR</rptOwnerStreet2>
            <rptOwnerCity>NEW YORK</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001052161</rptOwnerCik>
            <rptOwnerName>STONEHILL INSTITUTIONAL PARTNERS LP</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O STONEHILL CAPITAL MANAGEMENT LLC</rptOwnerStreet1>
            <rptOwnerStreet2>320 PARK AVENUE, 26TH FLOOR</rptOwnerStreet2>
            <rptOwnerCity>NEW YORK</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001266230</rptOwnerCik>
            <rptOwnerName>MOTULSKY JOHN</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O STONEHILL CAPITAL MANAGEMENT LLC</rptOwnerStreet1>
            <rptOwnerStreet2>320 PARK AVENUE, 26TH FLOOR</rptOwnerStreet2>
            <rptOwnerCity>NEW YORK</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001454846</rptOwnerCik>
            <rptOwnerName>SISITSKY PETER</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O STONEHILL CAPITAL MANAGEMENT LLC</rptOwnerStreet1>
            <rptOwnerStreet2>320 PARK AVENUE, 26TH FLOOR</rptOwnerStreet2>
            <rptOwnerCity>NEW YORK</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001582442</rptOwnerCik>
            <rptOwnerName>THOYER MICHAEL</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O STONEHILL CAPITAL MANAGEMENT LLC</rptOwnerStreet1>
            <rptOwnerStreet2>320 PARK AVENUE, 26TH FLOOR</rptOwnerStreet2>
            <rptOwnerCity>NEW YORK</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001600910</rptOwnerCik>
            <rptOwnerName>Stern Michael Lenard</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O STONEHILL CAPITAL MANAGEMENT LLC</rptOwnerStreet1>
            <rptOwnerStreet2>320 PARK AVENUE, 26TH FLOOR</rptOwnerStreet2>
            <rptOwnerCity>NEW YORK</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0002015106</rptOwnerCik>
            <rptOwnerName>Arora Samir</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O STONEHILL CAPITAL MANAGEMENT LLC</rptOwnerStreet1>
            <rptOwnerStreet2>320 PARK AVENUE, 26TH FLOOR</rptOwnerStreet2>
            <rptOwnerCity>NEW YORK</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0002014853</rptOwnerCik>
            <rptOwnerName>Zwahlen Garrett</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>C/O STONEHILL CAPITAL MANAGEMENT LLC</rptOwnerStreet1>
            <rptOwnerStreet2>320 PARK AVENUE, 26TH FLOOR</rptOwnerStreet2>
            <rptOwnerCity>NEW YORK</rptOwnerCity>
            <rptOwnerState>NY</rptOwnerState>
            <rptOwnerZipCode>10022</rptOwnerZipCode>
            <rptOwnerStateDescription></rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <aff10b5One>0</aff10b5One>

    <derivativeTable>
        <derivativeTransaction>
            <securityTitle>
                <value>Restricted Stock Units</value>
            </securityTitle>
            <conversionOrExercisePrice>
                <footnoteId id="F1"/>
            </conversionOrExercisePrice>
            <transactionDate>
                <value>2025-03-24</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>A</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>8696</value>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <exerciseDate>
                <footnoteId id="F2"/>
            </exerciseDate>
            <expirationDate>
                <footnoteId id="F2"/>
            </expirationDate>
            <underlyingSecurity>
                <underlyingSecurityTitle>
                    <value>Common Stock</value>
                </underlyingSecurityTitle>
                <underlyingSecurityShares>
                    <value>8696</value>
                </underlyingSecurityShares>
            </underlyingSecurity>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>8696</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>I</value>
                </directOrIndirectOwnership>
                <natureOfOwnership>
                    <value>See Footnotes</value>
                    <footnoteId id="F2"/>
                    <footnoteId id="F3"/>
                </natureOfOwnership>
            </ownershipNature>
        </derivativeTransaction>
    </derivativeTable>

    <footnotes>
        <footnote id="F1">Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.</footnote>
        <footnote id="F2">Award of Restricted Stock Units granted under the Veradigm, Inc. 2024 Veradigm Stock Incentive Plan to Jonathan Sacks, a Partner at Stonehill Capital Management LLC and a director of the Issuer, on March 24, 2025. The award vests 100% on May 31, 2025.</footnote>
        <footnote id="F3">The Reporting Persons disclaim beneficial ownership of the securities reported on this Form 4, except to the extent of any pecuniary interest. The Reporting Persons may be deemed to have an indirect pecuniary interest in the RSUs pursuant to their arrangements with Mr. Sacks.</footnote>
    </footnotes>

    <ownerSignature>
        <signatureName>/s/ Paul Malek - Stonehill Capital Management LLC, by: Paul Malek, Authorized Signatory</signatureName>
        <signatureDate>2025-03-26</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Paul Malek - Stonehill Master Fund Ltd., by: Paul Malek, Authorized Signatory</signatureName>
        <signatureDate>2025-03-26</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Paul Malek - Stonehill Institutional Partners LP, by: Paul Malek, Authorized Signatory</signatureName>
        <signatureDate>2025-03-26</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Paul Malek, as Attorney-in-Fact for John Motulsky</signatureName>
        <signatureDate>2025-03-26</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Paul Malek, as Attorney-in-Fact for Peter Sisitsky</signatureName>
        <signatureDate>2025-03-26</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Paul Malek, as Attorney-in-Fact for Michael Thoyer</signatureName>
        <signatureDate>2025-03-26</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Paul Malek, as Attorney-in-Fact for Michael Lenard Stern</signatureName>
        <signatureDate>2025-03-26</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Paul Malek, as Attorney-in-Fact for Samir Arora</signatureName>
        <signatureDate>2025-03-26</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Paul Malek, as Attorney-in-Fact for Garrett Zwahlen</signatureName>
        <signatureDate>2025-03-26</signatureDate>
    </ownerSignature>
</ownershipDocument>
