8-K

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

Current Report

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): April 18, 2011

MOLINA HEALTHCARE, INC.

(Exact name of registrant as specified in its charter)

Delaware	1-31719	13-4204626
(State of incorporation)	(Commission File Number)	(I.R.S. Employer Identification Number)

200 Oceangate, Suite 100, Long Beach, California 90802

(Address of principal executive offices)

Registrant’s telephone number, including area code: (562) 435-3666

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

o      Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

o      Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

o      Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

o      Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Item 2.02.  Results of Operations and Financial Condition.

On April 18, 2011, Molina Healthcare, Inc. issued a press release announcing its financial results for the first quarter ended March 31, 2011.  The full text of the press release is included as Exhibit 99.1 to this report.  The information contained in the websites cited in the press release is not part of this report.

The information in this Form 8-K and the exhibit attached hereto shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Securities Exchange Act of 1934, except as expressly set forth by specific reference in such a filing.

Item 9.01.  Financial Statements and Exhibits.

(d)        Exhibits:

Exhibit No.	Description
99.1	Press release of Molina Healthcare, Inc. issued April 18, 2011, as to financial results for the first quarter ended March 31, 2011.

SIGNATURE

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

	MOLINA HEALTHCARE, INC.
Date: April 18, 2011	By:    /s/ Jeff D. Barlow
	Jeff D. Barlow
	Sr. Vice President – General Counsel, and Secretary

EXHIBIT INDEX

Exhibit No.	Description
99.1	Press release of Molina Healthcare, Inc. issued April 18, 2011, as to financial results for the first quarter ended March 31, 2011.

EX-99.1

Exhibit 99.1

News Release

Contact:

Juan José Orellana

Investor Relations

562-435-3666, ext. 111143

MOLINA HEALTHCARE REPORTS

FIRST QUARTER 2011 RESULTS

●   Earnings per diluted share for first quarter 2011 of $0.56, up 37% over 2010

●   Quarterly premium revenues of $1.1 billion, up 12% over 2010

●   Quarterly operating income of $31 million, up 53% over 2010

●   Aggregate membership up 11% over 2010

Long Beach, California (April 18, 2011) – Molina Healthcare, Inc. (NYSE: MOH) today reported its financial results for the first quarter ended March 31, 2011.

Net income for the quarter was $17.4 million, or $0.56 per diluted share, compared with net income of $10.6 million, or $0.41 per diluted share, for the quarter ended March 31, 2010.

“I am pleased with our first quarter results,” said J. Mario Molina, M.D., chief executive officer of Molina Healthcare, Inc. “We remain profitable in our core markets and continue to grow our enrollment.  Our expansion into the Dallas-Fort Worth Star+Plus program will allow us to demonstrate once again the value of the high quality health care services we offer.”

Guidance

The Company reaffirms its earnings per diluted share guidance for fiscal year 2011 of $2.20.  Although the Company's first quarter financial performance was strong, budgets in every state in which the Company operates its health plans are in deficit and are likely to remain so through state fiscal year 2012.  Given this uncertainty in the rate environment, any adjustment to our guidance is unwarranted at this time.

Overview of Financial Results

First Quarter 2011 Compared with Fourth Quarter 2010

Net income in the first quarter of 2011 of $17.4 million was consistent with net income in the fourth quarter of 2010 of $17.6 million.  Medical care costs as a percentage of premium revenue (the medical care ratio, or MCR) was 84.5% in the first quarter of 2011 compared with 82.7% in the fourth quarter of 2010.  Sequential medical care costs trends were as follows:

● Pharmacy costs on a per member per month, or PMPM, basis increased approximately 7% in the first quarter of 2011 from the fourth quarter of 2010.

● Capitation costs dropped approximately 13% PMPM due to the transition of members in Michigan and Washington into fee-for-service networks.

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MOH Reports First Quarter 2011 Results

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April 18, 2011

● Fee-for-service costs increased approximately 8% PMPM, partially due to the transition of members from capitated provider networks into fee-for-service networks.  Fee-for-service and capitation costs combined increased approximately 4% PMPM.

First Quarter 2011 Compared with First Quarter 2010

Health Plans Segment

Premium revenue grew 12% in the first quarter of 2011 compared with the first quarter of 2010, due to a membership increase of 11%.  Consolidated premium revenue increased by approximately 1% on a PMPM basis.  Medicare enrollment exceeded 24,000 members at March 31, 2011, and Medicare premium revenue for the quarter was $85.4 million compared with $50.3 million in the first quarter of 2010.

The medical care ratio decreased to 84.5% in the first quarter of 2011 compared with 85.3% for the same period of 2010.  Total medical care costs increased less than 1% PMPM, while medical care costs for the Company’s Medicaid membership decreased by approximately 2% PMPM.

● Pharmacy costs (adjusted for the state’s retention of the pharmacy benefit in Ohio effective February 1, 2010) increased approximately 5% PMPM.

● Capitation costs decreased approximately 15% PMPM, primarily due to the transition of members in Michigan and Washington into fee-for-service networks.

● Fee-for-service costs increased approximately 4% PMPM, partially due to the transition of members from capitated provider networks into fee-for-service networks.  Fee-for-service and capitation costs combined increased less than 1% PMPM.

● Hospital admissions per thousand members per year decreased approximately 7% in the first quarter of 2011 when compared with the first quarter of 2010.

● Pharmacy utilization was essentially flat, with the increase in costs being driven by higher costs per prescription.

The medical care ratio of the California health plan decreased to 84.3% in the first quarter of 2011 from 86.8% in the first quarter of 2010, as higher premium revenue PMPM more than offset an increase of approximately 27% in pharmacy costs and an increase of approximately 5% in fee-for-service costs.

The medical care ratio of the Florida health plan increased to 96.6% in the first quarter of 2011 from 88.7% in the first quarter of 2010, primarily due to higher fee-for-service and capitation costs, which more than offset lower pharmacy costs.  The Company has undertaken a number of measures – focused on both utilization and unit cost reductions – to improve the profitability of the Florida health plan.  The Florida health plan’s medical care ratio decreased from 100.2% in the fourth quarter of 2010.

The medical care ratio of the Michigan health plan increased to 81.2% in the first quarter of 2011 from 80.8% in the first quarter of 2010, as higher physician and outpatient facility fee-for-service costs and higher pharmacy costs more than offset lower capitation costs.

The medical care ratio of the Missouri health plan increased to 93.6% in the first quarter of 2011 from 83.5% in the first quarter of 2010 due to higher fee-for-service costs.

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MOH Reports First Quarter 2011 Results

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April 18, 2011

The medical care ratio of the New Mexico health plan increased to 82.8% in the first quarter of 2011 from 77.4% in the first quarter of 2010, as lower fee-for-service costs failed to offset the impact of a premium rate decrease of approximately 8.5% PMPM.

The medical care ratio of the Ohio health plan decreased to 74.6% in the first quarter of 2011 from 79.1% in the first quarter of 2010, due to an increase in Medicaid premium PMPM of approximately 4.5% effective January 1, 2011, and flat fee-for-service costs.

The medical care ratio of the Texas health plan increased to 91.1% in the first quarter of 2011 from 82.5% in the first quarter of 2010.  Effective February 1, 2011, the Company added approximately 30,000 aged, blind or disabled, or ABD, Medicaid members in the Dallas-Fort Worth area, and effective September 1, 2010, the Company added approximately 54,000 members state-wide who are covered under the Children’s Health Insurance Program, or CHIP.

The medical care ratio of the Utah health plan decreased to 79.3% in the first quarter of 2011 from 105.0% in the first quarter of 2010, primarily due to reduced fee-for-service costs in the outpatient facility and physician categories and an increase in Medicaid premium PMPM of approximately 7% effective July 1, 2010.  Lower fee-for-service costs were the result of both lower unit costs and lower utilization.

The medical care ratio of the Washington health plan decreased to 86.6% in the first quarter of 2011 from 90.3% in the first quarter of 2010.  Lower capitation costs more than offset higher fee-for-service and higher pharmacy costs.  Pharmacy costs for the Washington health plan’s Medicaid members grew approximately 22% PMPM.

The medical care ratio of the Wisconsin health plan (acquired September 1, 2010) was 118.1% in the first quarter of 2011.  The Wisconsin health plan recorded a premium deficiency reserve of $3.35 million in the first quarter of 2011.  Absent that premium deficiency reserve, the Wisconsin health plan’s medical care ratio would have been approximately 98% for the first quarter of 2011.

Days in medical claims and benefits payable were as follows:

(Dollars in thousands)	March 31, 2011		Dec. 31, 2010		March 31, 2010
Days in claims payable – fee-for-service	41 days		42 days		44 days
Number of claims in inventory at end of period		185,300		143,600		153,700
Billed charges of claims in inventory at end of period	$	250,600	$	218,900	$	194,000

Consolidated Expenses

General and administrative expenses, or G&A, were $94.4 million, or 8.4% of total revenue, for the first quarter of 2011 compared with $78.9 million, or 8.2% of total revenue, for the first quarter of 2010.

Premium tax expense decreased to 3.4% of premium revenue in the first quarter of 2011 from 3.6% in the first quarter of 2010.

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MOH Reports First Quarter 2011 Results

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April 18, 2011

Depreciation and amortization expense related to the Company’s Health Plans segment is all recorded in “Depreciation and Amortization” in the Company’s consolidated statements of income.  Depreciation and amortization related to the Company’s Molina Medicaid Solutions segment is recorded within three different headings in the Company’s consolidated statements of income as follows:

●   Amortization of purchased intangibles relating to customer relationships is reported as amortization in “Depreciation and Amortization;”

●   Amortization of purchased intangibles relating to contract backlog is recorded as a reduction of service revenue; and

●   Depreciation is recorded as cost of service revenue.

The following table presents all depreciation and amortization recorded in the Company’s consolidated statements of income, regardless of whether the item appears as depreciation and amortization, a reduction of revenue, or as cost of service revenue, and reconciles that amount to the condensed consolidated statements of cash flows.

	Three Months Ended March 31,
	2011					2010
	Amount		% of Total Revenue			Amount		% of Total Revenue
	(In thousands)
Depreciation and amortization	$	12,667		1.1	%	$	10,061		1.0	%
Amortization recorded as reduction of service revenue		2,186		0.2			–		–
Depreciation recorded as cost of service revenue		3,241		0.3			–		–
Depreciation and amortization reported in     the condensed consolidated statements of     cash flows	$	18,094		1.6	%	$	10,061		1.0	%

Interest expense was $3.6 million for the first quarter of 2011 compared with $3.4 million in the first quarter of 2010.

Income tax expense was recorded at an effective rate of 37.2% in the first quarter of 2011 compared with 38.0% in the first quarter of 2010.

Molina Medicaid Solutions Segment

Performance of Molina Medicaid Solutions for the quarter ended March 31, 2011, was as follows:

(In thousands)
Service revenue before amortization	$	38,860
Amortization of contract backlog recorded as contra-service revenue		(2,186	)
Service revenue		36,674
Cost of service revenue		31,221
General and administrative costs		2,477
Amortization of customer relationships intangibles		1,282
Operating income	$	1,694

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MOH Reports First Quarter 2011 Results

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April 18, 2011

Cash Flow

Cash provided by operating activities was $82.4 million in 2011 compared with cash used in operating activities of $26.5 million for 2010.  Deferred revenue, which was a use of operating cash totaling $90.7 million in 2010, was a source of operating cash totaling $84.2 million in 2011.

At March 31, 2011, the Company had cash and investments of $870.8 million, and the parent company had cash and investments of $25.6 million.

Reconciliation of Non-GAAP to GAAP Financial Measures

EBITDA (1)

(In thousands)	Three Months Ended March 31,
	2011		2010
Operating income	$	31,300	$	20,438
Add back:
Depreciation and amortization reported in the condensed consolidated     statements of cash flows		18,094		10,061
EBITDA	$	49,394	$	30,499

(1)   The Company calculates EBITDA consistently on a quarterly and annual basis by adding back depreciation and amortization to operating income.  EBITDA is not prepared in conformity with GAAP because it excludes depreciation and amortization, as well as interest expense, and the provision for income taxes.  This non-GAAP financial measure should not be considered as an alternative to the GAAP measures of net income, operating income, operating margin, or cash provided by operating activities, nor should EBITDA be considered in isolation from these GAAP measures of operating performance.  Management uses EBITDA as a supplemental metric in evaluating the Company’s financial performance, in evaluating financing and business development decisions, and in forecasting and analyzing future periods.  For these reasons, management believes that EBITDA is a useful supplemental measure to investors in evaluating the Company’s performance and the performance of other companies in its industry.

Conference Call

The Company’s management will host a conference call and webcast to discuss its first quarter results at 5:00 p.m. Eastern time on Monday, April 18, 2011.  The number to call for the interactive teleconference is (212) 271-4657.  A telephonic replay of the conference call will be available from 7:00 p.m. Eastern time on Monday, April 18, 2011, through 6:00 p.m. on Tuesday, April 19, 2011, by dialing (800) 633-8284 and entering confirmation number 21517922.  A live broadcast of Molina Healthcare’s conference call will be available on the Company’s website, www.molinahealthcare.com, or at www.earnings.com.  A 30-day online replay will be available approximately an hour following the conclusion of the live broadcast.

About Molina Healthcare

Molina Healthcare, Inc. provides quality and cost-effective Medicaid-related solutions to meet the health care needs of low-income families and individuals and to assist state agencies in their administration of the Medicaid program.  Molina’s licensed health plans in California, Florida, Michigan, Missouri, New Mexico, Ohio, Texas, Utah, Washington, and Wisconsin currently serve approximately 1.6 million members, and the Company’s subsidiary, Molina Medicaid Solutions, provides business processing and information technology administrative services to Medicaid agencies in Idaho, Louisiana, Maine, New Jersey, and West Virginia, and drug rebate administration services in Florida.

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MOH Reports First Quarter 2011 Results

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April 18, 2011

Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: This earnings release contains “forward-looking statements” regarding the Company’s plans, expectations, and anticipated future events.  Actual results could differ materially due to numerous known and unknown risks and uncertainties, including, without limitation, risk factors related to the following:

● significant budget pressures on state governments and their potential inability to maintain current rates, to implement expected rate increases, or to maintain existing benefit packages or membership eligibility thresholds or criteria;

● uncertainties regarding the impact of the Patient Protection and Affordable Care Act, including its possible repeal, judicial overturning of the individual insurance mandate, the effect of various implementing regulations, and uncertainties regarding the likely impact of other federal or state health care and insurance reform measures;

● management of our medical costs, including seasonal flu patterns and rates of utilization that are consistent with our expectations;

● the success of our efforts to retain existing government contracts and to obtain new government contracts in connection with state requests for proposals (RFPs) in both existing and new states, and our ability to grow our revenues consistent with our expectations;

● the accurate estimation of incurred but not reported medical costs across our health plans;

● risks associated with the continued growth in new Medicaid and Medicare enrollees;

● retroactive adjustments to premium revenue or accounting estimates which require adjustment based upon subsequent developments, including Medicaid pharmaceutical rebates;

● the continuation and renewal of the government contracts of both our health plans and Molina Medicaid Solutions and the terms under which such contracts are renewed;

● the timing of receipt and recognition of revenue and the amortization of expense under the state contracts of Molina Medicaid Solutions in Maine and Idaho;

● additional administrative costs and the potential payment of additional amounts to providers and/or the state by Molina Medicaid Solutions as a result of MMIS implementation issues in Idaho;

● government audits and reviews, including the audit of our Medicare plans by CMS;

● changes with respect to our provider contracts and the loss of providers;

● the establishment of a federal or state medical cost expenditure floor as a percentage of the premiums we receive, and the interpretation and implementation of medical cost expenditure floors, administrative cost and profit ceilings, and profit sharing arrangements;

● the interpretation and implementation of at-risk premium rules regarding the achievement of certain quality measures;

● approval by state regulators of dividends and distributions by our health plan subsidiaries;

● changes in funding under our contracts as a result of regulatory changes, programmatic adjustments, or other reforms;

● high dollar claims related to catastrophic illness;

● the favorable resolution of litigation or arbitration matters;

● restrictions and covenants in our credit facility;

● the relatively small number of states in which we operate health plans;

● the availability of financing to fund and capitalize our acquisitions and start-up activities and to meet our liquidity needs;

● a state’s failure to renew its federal Medicaid waiver;

● an inadvertent unauthorized disclosure of protected health information;

● changes generally affecting the managed care or Medicaid management information systems industries;

● increases in government surcharges, taxes, and assessments;

● changes in general economic conditions, including unemployment rates;

and numerous other risk factors, including those discussed in our periodic reports and filings with the Securities and Exchange Commission.  These reports can be accessed under the investor relations tab of our Company website or on the SEC’s website at www.sec.gov.  Given these risks and uncertainties, we can give no assurances that our forward-looking statements will prove to be accurate, or that any other results or events projected or contemplated by our forward-looking statements will in fact occur, and we caution investors not to place undue reliance on these statements. All forward‐looking statements in this release represent our judgment as of April 18, 2011, and we disclaim any obligation to update any forward-looking statements to conform the statement to actual results or changes in our expectations.

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MOH Reports First Quarter 2011 Results

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April 18, 2011

MOLINA HEALTHCARE, INC.

UNAUDITED CONSOLIDATED STATEMENTS OF INCOME

(Amounts in thousands, except per-share data)

	Three Months Ended March 31,
	2011			2010
Revenue:
Premium revenue	$	1,081,438		$	965,220
Service revenue		36,674			–
Investment income		1,594			1,521
Total operating revenue		1,119,706			966,741
Expenses:
Medical care costs		913,532			822,816
Cost of service revenue		31,221			–
General and administrative expenses		94,436			78,880
Premium tax expenses		36,550			34,546
Depreciation and amortization		12,667			10,061
Total expenses		1,088,406			946,303
Operating income		31,300			20,438
Interest expense		(3,603	)		(3,357	)
Income before income taxes		27,697			17,081
Income tax expense		10,309			6,491
Net income	$	17,388		$	10,590
Net income per share:
Basic	$	0.57		$	0.41
Diluted	$	0.56		$	0.41
Weighted average number of common shares and potentially dilutive common shares outstanding		30,838			25,837
Operating Statistics:
Ratio of medical care costs paid directly to providers to premium revenue		82.2	%		83.2	%
Ratio of medical care costs not paid directly to providers to premium revenue		2.3			2.1
Medical care ratio (1)		84.5	%		85.3	%
General and administrative expense ratio (2)		8.4	%		8.2	%
Premium tax ratio (1)		3.4	%		3.6	%
Effective tax rate		37.2	%		38.0	%

(1)   Medical care ratio represents medical care costs as a percentage of premium revenue; premium tax ratio represents premium taxes as a percentage of premium revenue.

(2)   Computed as a percentage of total operating revenue.

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MOH Reports First Quarter 2011 Results

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April 18, 2011

MOLINA HEALTHCARE, INC.

UNAUDITED CONSOLIDATED BALANCE SHEETS

(Amounts in thousands, except per-share data)

	March 31, 2011			Dec. 31, 2010
ASSETS
Current assets:
Cash and cash equivalents	$	463,792		$	455,886
Investments		337,514			295,375
Receivables		170,418			168,190
Deferred income taxes		15,395			15,716
Prepaid expenses and other current assets		28,608			22,772
Total current assets		1,015,727			957,939
Property and equipment, net		107,757			100,537
Deferred contract costs		37,891			28,444
Intangible assets, net		98,048			105,500
Goodwill and indefinite-lived intangible assets		212,484			212,228
Investments		20,187			20,449
Restricted investments		49,307			42,100
Receivable for ceded life and annuity contracts		24,155			24,649
Other assets		17,598			17,368
	$	1,583,154		$	1,509,214
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Medical claims and benefits payable	$	351,382		$	354,356
Accounts payable and accrued liabilities		113,697			137,930
Deferred revenue		143,273			60,086
Income taxes payable		7,746			13,176
Total current liabilities		616,098			565,548
Long-term debt		165,354			164,014
Deferred income taxes		17,462			16,235
Liability for ceded life and annuity contracts		24,155			24,649
Other long-term liabilities		19,580			19,711
Total liabilities		842,649			790,157
Stockholders’ equity:
Common stock, $0.001 par value; 80,000 shares authorized, outstanding     30,552 shares at March 31, 2011, and 30,309 shares at December 31, 2010		31			30
Preferred stock, $0.001 par value; 20,000 shares authorized, no shares outstanding		−			−
Additional paid-in capital		255,803			251,627
Accumulated other comprehensive loss		(2,309	)		(2,192	)
Retained earnings		486,980			469,592
Total stockholders’ equity		740,505			719,057
	$	1,583,154		$	1,509,214

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MOH Reports First Quarter 2011 Results

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April 18, 2011

MOLINA HEALTHCARE, INC.

UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

	Three Months Ended March 31,
	2011			2010
Operating activities:
Net income	$	17,388		$	10,590
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization		18,094			10,061
Deferred income taxes		1,619			3,094
Stock-based compensation		4,064			2,136
Non-cash interest on convertible senior notes		1,340			1,243
Amortization of deferred financing costs		503			344
Unrealized gain on trading securities		−			(540	)
Loss on rights agreement		−			493
Tax deficiency from employee stock compensation		(264	)		(353	)
Changes in operating assets and liabilities:
Receivables		(2,168	)		8,054
Prepaid expenses and other current assets		(8,142	)		(668	)
Medical claims and benefits payable		(2,974	)		11,657
Accounts payable and accrued liabilities		(25,796	)		15,134
Deferred revenue		84,172			(90,664	)
Income taxes		(5,430	)		2,935
Net cash provided by (used in) operating activities		82,406			(26,484	)
Investing activities:
Purchases of property and equipment		(14,941	)		(5,976	)
Purchases of investments		(104,984	)		(49,439	)
Sales and maturities of investments		62,919			53,226
Net cash paid in business combinations		(3,253	)		(2,430	)
Increase in deferred contract costs		(9,635	)		−
Increase in restricted investments		(7,207	)		(656	)
Change in other long-term assets and liabilities		(937	)		426
Net cash used in investing activities		(78,038	)		(4,849	)
Financing activities:
Proceeds from employee stock plans		2,462			−
Excess tax benefits from employee stock compensation		1,076			113
Net cash provided by financing activities		3,538			113
Net increase (decrease) in cash and cash equivalents		7,906			(31,220	)
Cash and cash equivalents at beginning of period		455,886			469,501
Cash and cash equivalents at end of period	$	463,792		$	438,281

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MOH Reports First Quarter 2011 Results

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April 18, 2011

MOLINA HEALTHCARE, INC.

UNAUDITED MEMBERSHIP DATA

Total Ending Membership By Health Plan:	March 31, 2011		Dec. 31, 2010		March 31, 2010
California		347,000		344,000		353,000
Florida		66,000		61,000		52,000
Michigan		225,000		227,000		226,000
Missouri		82,000		81,000		78,000
New Mexico		90,000		91,000		92,000
Ohio		248,000		245,000		228,000
Texas		128,000		94,000		40,000
Utah		80,000		79,000		75,000
Washington		341,000		355,000		338,000
Wisconsin (1)		40,000		36,000		−
		1,647,000		1,613,000		1,482,000
Total Ending Membership By State for the Medicare Advantage Plans (1):
California		5,300		4,900		2,700
Florida		600		500		300
Michigan		6,700		6,300		4,200
New Mexico		700		600		600
Ohio		400		−		−
Texas		600		700		500
Utah		6,700		8,900		7,100
Washington		3,300		2,600		1,600
		24,300		24,500		17,000
Total Ending Membership By State for the Aged, Blind or Disabled Population:
California		14,100		13,900		13,400
Florida		10,300		10,000		8,900
Michigan		32,000		31,700		32,700
New Mexico		5,600		5,700		5,800
Ohio		28,200		28,200		26,700
Texas		51,200		19,000		18,100
Utah		8,200		8,000		7,900
Washington		4,300		4,000		3,500
Wisconsin (1)		1,700		1,700		−
		155,600		122,200		117,000

(1)   The Company acquired the Wisconsin health plan on September 1, 2010.  As of March 31, 2011, the Wisconsin health plan had approximately 2,400 Medicare Advantage members that are ceded 100% under a reinsurance contract with a third party; these members are not included in the membership tables herein.

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MOH Reports First Quarter 2011 Results

Page 11

April 18, 2011

MOLINA HEALTHCARE, INC.

UNAUDITED SELECTED FINANCIAL DATA BY HEALTH PLAN

(Amounts in thousands except per member per month amounts)

	Three Months Ended March 31, 2011
			Premium Revenue				Medical Care Costs
	Member Months (1)		Total		PMPM		Total		PMPM		Medical Care Ratio			Premium Tax Expense
California		1,041	$	134,976	$	129.63	$	113,737	$	109.24		84.3	%	$	1,902
Florida		192		49,222		256.63		47,568		248.01		96.6			17
Michigan		678		164,760		243.06		133,728		197.28		81.2			9,846
Missouri		245		55,166		225.33		51,608		210.79		93.6			–
New Mexico		271		84,606		311.93		70,038		258.21		82.8			1,965
Ohio		737		230,340		312.68		171,752		233.15		74.6			17,775
Texas		349		80,811		231.49		73,615		210.88		91.1			1,340
Utah		236		67,935		287.77		53,839		228.06		79.3			–
Washington		1,034		195,272		188.81		169,116		163.52		86.6			3,642
Wisconsin (2)		120		16,417		137.25		19,380		162.02		118.1			–
Other (3)		−		1,933		–		9,151		–		–			63
		4,903	$	1,081,438	$	220.58	$	913,532	$	186.34		84.5	%	$	36,550

	Three Months Ended March 31, 2010
			Premium Revenue				Medical Care Costs
	Member Months (1)		Total		PMPM		Total		PMPM		Medical Care Ratio			Premium Tax Expense
California		1,062	$	123,910	$	116.67	$	107,561	$	101.28		86.8	%	$	1,628
Florida		154		39,088		253.45		34,687		224.91		88.7			6
Michigan		675		155,345		230.13		125,449		185.85		80.8			9,939
Missouri		234		52,143		223.01		43,516		186.11		83.5			–
New Mexico		280		95,598		341.02		74,015		264.03		77.4			2,004
Ohio		673		218,363		324.35		172,625		256.41		79.1			17,005
Texas		121		39,200		324.08		32,331		267.29		82.5			681
Utah		221		58,540		265.51		61,460		278.76		105.0			–
Washington		1,007		181,054		179.84		163,510		162.42		90.3			3,262
Wisconsin (2)		−		−		−		−		−		−			−
Other (3)		−		1,979		–		7,662		–		–			21
		4,427	$	965,220	$	218.04	$	822,816	$	185.87		85.3	%	$	34,546

(1)   A member month is defined as the aggregate of each month’s ending membership for the period presented.

(2)   The Company acquired the Wisconsin health plan on September 1, 2010.

(3)   “Other” medical care costs primarily include medically related administrative costs at the parent company.

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MOH Reports First Quarter 2011 Results

Page 12

April 18, 2011

MOLINA HEALTHCARE, INC.

UNAUDITED SELECTED FINANCIAL DATA

(Dollars in thousands except per member per month amounts)

The following tables provide the details of the Company’s medical care costs for the periods indicated:

	Three Months Ended March 31, 2011							Three Months Ended March 31, 2010
	Amount		PMPM		% of Total Medical Care Costs			Amount		PMPM		% of Total Medical Care Costs
Fee-for-service	$	655,884	$	133.78		71.8	%	$	566,879	$	128.06		68.9	%
Capitation		128,682		26.25		14.1			137,132		30.98		16.7
Pharmacy		91,576		18.68		10.0			90,071		20.35		10.9
Other		37,390		7.63		4.1			28,734		6.48		3.5
	$	913,532	$	186.34		100.0	%	$	822,816	$	185.87		100.0	%

The following table provides the details of the Company’s medical claims and benefits payable as of the dates indicated:

	March 31, 2011		Dec. 31, 2010		March 31, 2010
Fee-for-service claims incurred but not paid (IBNP)	$	273,378	$	275,259	$	260,456
Capitation payable		43,738		49,598		42,461
Pharmacy payable		16,953		14,649		16,196
Other		17,313		14,850		6,660
	$	351,382	$	354,356	$	325,773

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MOH Reports First Quarter 2011 Results

Page 13

April 18, 2011

MOLINA HEALTHCARE, INC.

CHANGE IN MEDICAL CLAIMS AND BENEFITS PAYABLE

(Dollars in thousands, except per-member amounts)

(Unaudited)

The Company’s claims liability includes an allowance for adverse claims development based on historical experience and other factors including, but not limited to, variation in claims payment patterns, changes in utilization and cost trends, known outbreaks of disease, and large claims.  The Company’s reserving methodology is consistently applied across all periods presented.  The negative amounts displayed for “Components of medical care costs related to: Prior periods” represent the amount by which the Company’s original estimate of claims and benefits payable at the beginning of the period exceeded the actual amount of the liability based on information (principally the payment of claims) developed since that liability was first reported.  The following table shows the components of the change in medical claims and benefits payable as of the periods indicated:

	Three Months Ended						Year Ended
	March 31, 2011			March 31, 2010			Dec. 31, 2010
Balances at beginning of period	$	354,356		$	315,316		$	315,316
Balance of acquired subsidiary		–			–			3,228
Components of medical care costs related to:
Current period		957,909			861,271			3,420,235
Prior periods		(44,377	)		(38,455	)		(49,378	)
Total medical care costs		913,532			822,816			3,370,857
Payments for medical care costs related to:
Current period		646,428			581,389			3,085,388
Prior periods		270,078			230,970			249,657
Total paid		916,506			812,359			3,335,045
Balances at end of period	$	351,382		$	325,773		$	354,356
Benefit from prior period as a percentage of:
Balance at beginning of period		12.5	%		12.1	%		15.7	%
Premium revenue		4.1	%		4.0	%		1.2	%
Total medical care costs		4.9	%		4.7	%		1.5	%
Claims Data:
Days in claims payable, fee-for-service		41			44			42
Number of members at end of period		1,647,000			1,482,000			1,613,000
Number of claims in inventory at end of period		185,300			153,700			143,600
Billed charges of claims in inventory at end of period	$	250,600		$	194,000		$	218,900
Claims in inventory per member at end of period		0.11			0.10			0.09
Billed charges of claims in inventory per member at end of period	$	152.16		$	130.90		$	135.71
Number of claims received during the period		4,342,200			3,493,300			14,554,800
Billed charges of claims receivedduring the period	$	3,386,600		$	2,760,500		$	11,686,100

-END-