Molina Medicaid Solutions - DHHR

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e10vkSIGNATURESPursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, as amended, the undersigned registrant has duly caused this report to besigned on its behalf by the undersigned, thereunto duly authorized, on the 16th day of March, 2009.MOLINA HEALTHCARE, INC.By:/s/ Joseph M. Molina, M.D.Joseph M. Molina, M.D.Chief Executive Officer(Principal Executive Officer)Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, this report has been signed below by the following persons on behalf of the registrantand in the capacities and on the dates indicated.Signature Title Date/s/ Joseph M. Molina, M.D.Joseph M. Molina, M.D./s/ John C. Molina, J.D.John C. Molina, J.D.Chairman of the Board, Chief Executive Officer, and President(Principal Executive Officer)Director, Chief Financial Officer, and Treasurer (PrincipalFinancial Officer)March 16, 2009March 16, 2009/s/ Joseph W. White, CPA, MBAJoseph W. White, CPA, MBA/s/ Charles Z. Fedak, CPA, MBACharles Z. Fedak, CPA, MBA/s/ Frank E. Murray, M.D.Frank E. Murray, M.D./s/ Steven Orlando, CPASteven Orlando, CPA/s/ Sally K. RichardsonSally K. Richardson/s/ Ronna RomneyRonna Romney/s/ John P. Szabo, Jr.John P. Szabo, Jr.Chief Accounting Officer (Principal Accounting Officer) March 16, 2009Director March 16, 2009Director March 16, 2009Director March 16, 2009Director March 16, 2009Director March 16, 2009Director March 16, 2009103Table of ContentsINDEX TO EXHIBITSNumber Description Method of Filing3.1 Certificate of Incorporation Filed as Exhibit 3.2 to registrant’s Registration Statement on Form S-1 filedDecember 30, 2002.3.2 Amended and Restated Bylaws Filed as Exhibit 3.2 to registrant’s Form 8-K filed February 17, 2009.4.1 Indenture dated as of October 11, 2008 Filed as Exhibit 4.1 to registrant’s Form 8-K filed October 5, 2008.4.2 First Supplemental Indenture dated as of October 11, 2008 Filed as Exhibit 4.2 to registrant’s Form 8-K filed October 5, 2008.4.3 Global Form of 3.75% Convertible Senior Note due 2014 Filed as Exhibit 4.3 to registrant’s Form 8-K filed October 5, 2008.10.1 2000 Omnibus Stock and Incentive Plan Filed as Exhibit 10.12 to registrant’s Form S-1 filed December 30, 2002.10.2 2002 Equity Incentive Plan Filed as Exhibit 10.13 to registrant’s Form S-1 filed December 30, 2002.10.3 Form of Stock Option Agreement under 2002 Equity Incentive Plan Filed as Exhibit 10.3 to registrant’s Form 10-K filed March 14, 2007.10.4 2002 Employee Stock Purchase Plan Filed as Exhibit 10.14 to registrant’s Form S-1 filed December 30, 2002.10.5 2005 Molina Deferred Compensation Plan adopted November 6, 2006 Filed as Exhibit 10.4 to registrant’s Form 10-Q filed November 9, 2006.10.6 2005 Incentive Compensation Plan Filed as Appendix A to registrant’s Proxy Statement filed March 28, 2005.10.7 Form of Restricted Stock Award Agreement (Executive Officer) under Molina Filed as Exhibit 10.1 to registrant’s Form 10-Q filed August 9, 2005.Healthcare, Inc. 2002 Equity Incentive Plan10.8 Form of Restricted Stock Award Agreement (Outside Director) under Molina Filed as Exhibit 10.1 to registrant’s Form 10-Q filed August 9, 2005.Healthcare, Inc. 2002 Equity Incentive Plan10.9 Form of Restricted Stock Award Agreement (Employee) under Molina Filed as Exhibit 10.1 to registrant’s Form 10-Q filed August 9, 2005.Healthcare, Inc. 2002 Equity Incentive Plan10.10 Employment Agreement with J. Mario Molina, M.D. dated January 2, 2002 Filed as Exhibit 10.7 to registrant’s Form S-1 filed December 30, 2002.10.11 Amendment to Employment Agreement with J. Mario Molina dated July 1, Filed as Exhibit 10.2 to registrant’s Form 10-Q filed August 8, 2006.200610.12 Employment Agreement with John C. Molina dated January 1, 2002 Filed as Exhibit 10.8 to registrant’s Form S-1 filed December 30, 2002.10.13 Employment Agreement with Mark L. Andrews dated December 1, 2001 Filed as Exhibit 10.9 to registrant’s Form S-1 filed December 30, 2002.10.14 Change in Control Agreement dated June 15, 2006 with Terry Bayer Filed as Exhibit 10.1 to registrant’s Form 8-K filed June 16, 2006.10.15 Change in Control Agreement dated May 29, 2008 with James W.Filed as Exhibit 10.1 to registrant’s Form 8-K filed May 30, 2007.Howatt, M.D.10.16 Change in Control Agreement dated March 1, 2008 with Joseph White Filed as Exhibit 10.15 to registrant’s Form 10-K filed March 17, 2008.10.17 Form of Indemnification Agreement Filed as Exhibit 10.14 to registrant’s Form 10-K filed March 14, 2007.10.18 Amended and Restated Credit Agreement, dated as of March 9, 2005, amongMolina Healthcare, Inc., as the Borrower, certain lenders, and Bank ofAmerica, N.A., as Administrative AgentFiled as Exhibit 10.1 to registrant’s current report on Form 8-K filed March 10,2005.Table of ContentsNumber Description Method of Filing10.19 First Amendment and Waiver to the Amended and Restated Credit Agreement,dated as of October 5, 2005, among Molina Healthcare, Inc., certain lenders,and Bank of America, N.A., as Administrative Agent10.20 Second Amendment and Waiver to the Amended and Restated CreditAgreement, dated as of November 6, 2006, among Molina Healthcare, Inc.,certain lenders, and Bank of America, N.A., as Administrative AgentFiled as Exhibit 10.1 to registrant’s current report on Form 8-K filedOctober 13, 2005.Filed as Exhibit 10.1 to registrant’s Form 10-Q filed November 9, 2006.10.21 Third Amendment and Waiver to the Amended and Restated Credit Agreement, Filed as Exhibit 10.1 to registrant’s Form 8-K filed May 31, 2008.dated as of May 25, 2008, among Molina Healthcare, Inc., certain lenders, andBank of America, N.A., as Administrative Agent10.22 Office Lease with Pacific Towers Associates for 200 Oceangate Corporate Filed as Exhibit 10.34 to registrant’s Form 10-K filed March 17, 2008.Headquarters.12.1 Computation of Ratio of Earnings to Fixed Charges Filed herewith.21.1 List of subsidiaries Filed herewith.23.1 Consent of Independent Registered Public Accounting Firm Filed herewith.31.1 Section 302 Certification of Chief Executive Officer Filed herewith.31.2 Section 302 Certification of Chief Financial Officer Filed herewith.32.1 Certificate of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as Filed herewith.adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.32.2 Certificate of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as Filed herewith.http://sec.gov/Archives/edgar/data/1179929/000095013409005437/a51362e10vk.htm[1/6/2012 11:14:47 AM]
e10vkadopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.http://sec.gov/Archives/edgar/data/1179929/000095013409005437/a51362e10vk.htm[1/6/2012 11:14:47 AM]
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Molina Medicaid SolutionsResponse t
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Bridging the Rivers ofChange Togeth
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Page 336 and 337: e10vkTable of ContentsItem 1:Overvi
Page 338 and 339: e10vkDepartment of Health Services
Page 340 and 341: e10vkservices, and reputation or na
Page 342 and 343: e10vkIf our government contracts ar
Page 344 and 345: e10vkIf our cost increases resultin
Page 346 and 347: e10vkour board of directors. Becaus
Page 348 and 349: e10vkFirst Quarter $ 44.94 $ 23.46S
Page 350 and 351: e10vkTable of ContentsCertain compo
Page 352 and 353: e10vkNevada 8,037 1,106.45 9,099 1,
Page 354 and 355: e10vkInvestment IncomeInvestment in
Page 356 and 357: e10vkand 2007, respectively. EBITDA
Page 358 and 359: e10vk$2.8 million, or $0.10 per dil
Page 360 and 361: e10vkREPORT OF INDEPENDENT REGISTER
Page 362 and 363: e10vk65Table of ContentsMOLINA HEAL
Page 364 and 365: e10vkDelegated Provider InsolvencyC
Page 366 and 367: e10vk2007 (see Note 11, “Long-Ter
Page 368 and 369: e10vk$ 252,380 $ 248,039Gross reali
Page 370 and 371: e10vkTable of ContentsMOLINA HEALTH
Page 372 and 373: e10vk$10.9 million, and $7.9 millio
Page 374 and 375: e10vkIn July 2008, our board of dir
Page 376 and 377: e10vkThe Registrant has an equity i
Page 380 and 381: exv12w1EX-12.1 2 a51362exv12w1.htm
Page 388 and 389: e10vkEX-31.1EX-31.2EX-32.1EX-32.2Ta
Page 390 and 391: e10vkLeverage operational efficienc
Page 392 and 393: e10vkhealth plans. Among such facto
Page 394 and 395: e10vkMissouri and Ohio health plans
Page 396 and 397: e10vkWe are subject to various rout
Page 398 and 399: e10vkIt may be difficult for a thir
Page 400 and 401: e10vkItem 5:PART IIMarket for Regis
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Page 404 and 405: e10vkMedical care ratio 86.8% 84.8%
Page 406 and 407: e10vkTable of ContentsMedical care
Page 408 and 409: e10vkare required to pay a fee for
Page 410 and 411: e10vkknown. While we believe our cu
Page 412 and 413: e10vkTable of ContentsMOLINA HEALTH
Page 414 and 415: e10vkYear Ended December 31,2009 20
Page 416 and 417: e10vkCalifornia $ 481,717 $ 417,027
Page 418 and 419: e10vkMOLINA HEALTHCARE, INC.NOTES T
Page 420 and 421: e10vk2008, we had transitioned fewe
Page 422 and 423: e10vknot intend to sell, nor is it
Page 424 and 425: e10vk87Table of ContentsMOLINA HEAL
Page 426 and 427: e10vkDuring 2009, 2008, and 2007, t
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e10vk$29.17 - $30.05 9,350 5.9 $ 29
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e10vk(1) The Registrant’s condens
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e10vkChanges in Internal Controls:
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e10vkSignature Title Date/s/ Joseph
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exv10w22Commitments exceed the sum
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exv10w22Loan Document. The amendmen
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exv10w22Name:Title:Fifth Amendment
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exv10w22Fifth Amendment to Credit A
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exv10w24EX-10.24 3 a55407exv10w24.h
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exv10w24Molina ECMS ref# 729 Provid
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exv10w24HSA — Hospital Services A
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exv10w243.2 Member Eligibility Dete
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exv10w245.6 Amendment. Health Plan
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exv10w24HSA — Hospital Services A
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exv10w24License No. StreetNPI (or U
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exv10w24Page 23 of 40ATTACHMENT CPr
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exv10w24• This reimbursement meth
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exv10w24(Rule 53250(e)(4))8. Provid
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exv10w241. Right to Audit. Provider
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exv10w24Treasurer G. William Hammer
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exv10w25unless the situation is one
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exv10w25Page 16Date 6/1/06ATTACHMEN
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exv10w252.5 Annual Disclosure of Ca
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e10vk10-K 1 a58840e10vk.htm FORM 10
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e10vkOur StrengthsWe focus on servi
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e10vkevent.CompetitionWe operate in
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e10vkat the funding for these healt
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e10vk18Table of ContentsAlso, many
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e10vkTable of Contentsalleged non-c
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e10vk(fair value of $20.4 million).
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e10vkTable of ContentsSTOCK PERFORM
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e10vkAs of December 31, 2010, our h
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e10vkYear Ended December 31,2010 20
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e10vkAcquisitionsWisconsin Health P
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e10vkspecific performance measures
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e10vkoverestimations were tied to o
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e10vkIntangible assets, net 105,500
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e10vkOur Health Plans segment compr
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e10vkSituations may arise where the
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e10vkinvestment fund. As of Decembe
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e10vk87Table of ContentsMOLINA HEAL
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e10vk7. ReceivablesHealth Plans seg
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e10vkTable of ContentsMOLINA HEALTH
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e10vkindebtedness under the Credit
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e10vkstatutory capital and surplus
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e10vkItem 12.Security Ownership of
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exv10w27EX-10.27 2 a58840exv10w27.h
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exv10w27(f) all transferable or ass
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exv10w27and other charges have been
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exv10w27BY A GENERAL RELEASE, WHICH
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exv10w27(f) Seller’s share of the
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exv10w2710.6 Items Not to be Prorat
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exv10w27- 21 -(i) Delinquency Repor
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exv10w27executed, and delivered by
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exv10w27MATERIALS THAT PERTAIN TO T
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exv10w27Attn: General CounselTeleph
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