Document:

EX-4.1

 Exhibit 4.1 

FIRST SUPPLEMENTAL INDENTURE 

dated as of February 16, 2016 

among 
 Molina Healthcare, Inc.,

 the Guarantors Party Hereto 

and 
 U.S. Bank National
Association, 
 as Trustee 
  

 
 5.375% Senior
Secured Notes due 2022 

 THIS FIRST SUPPLEMENTAL INDENTURE (this “First Supplemental Indenture”), entered
into as of February 16, 2016, among (i) Molina Healthcare, Inc., a Delaware corporation (the “Issuer”), (ii) Molina Pathways, LLC, Pathways Health and Community Support LLC, The RedCo Group, Inc., Family Preservation
Services, Inc., Camelot Care Centers, Inc., AmericanWork, Inc., Pathways of Massachusetts LLC, Pathways of Maine, Inc., Pathways Community Services LLC, a Delaware limited liability company, Children’s Behavioral Health, Inc., College Community
Services, Pathways of Idaho LLC, Family Preservation Services of North Carolina, Inc., Pathways of Arizona, Inc., Pathways Community Services LLC, a Pennsylvania limited liability company, and Family Preservation Services of Florida, Inc. (each, a
“New Guarantor”), and (iii) U.S. Bank National Association, as trustee (in such capacity, the “Trustee”). 

RECITALS 
 WHEREAS, the
Issuer, the Guarantors party thereto and the Trustee entered into the Indenture, dated as of November 10, 2015 (the “Indenture”), relating to the Company’s 5.375% Senior Secured Notes due 2022 (the
“Notes”); 
 WHEREAS, as a condition to the Trustee entering into the Indenture and the purchase of the Notes by the
Holders, the Issuer agreed pursuant to Section 4.17 of the Indenture to cause certain Domestic Subsidiaries to provide Guarantees in certain circumstances; and 

WHEREAS, pursuant to Section 9.01(a)(7), the Issuer and the Trustee are authorized to enter into this First Supplemental Indenture
without the consent of Holders of the Notes. 
 AGREEMENT 

NOW, THEREFORE, in consideration of the premises and mutual covenants herein contained and intending to be legally bound, the parties to this
First Supplemental Indenture hereby agree as follows: 
 Section 1. Capitalized terms used herein and not otherwise defined herein are
used as defined in the Indenture. 
 Section 2. Each New Guarantor, by its execution of this First Supplemental Indenture, agrees to be
a Guarantor under the Indenture and to be bound by the terms of the Indenture applicable to Guarantors, including, but not limited to, Article 10 thereof. 

Section 3. Except as expressly amended hereby, the Indenture is in all respects ratified and confirmed and all the terms, conditions and
provisions thereof shall remain in full force and effect. This First Supplemental Indenture shall form a part of the Indenture for all purposes, and every Holder of Notes heretofore or hereafter authenticated and delivered shall be bound hereby.

 Section 4. This First Supplemental Indenture, and any dispute, claim or controversy arising under or related to this First
Supplemental Indenture, shall be governed by and construed in accordance with the laws of the State of New York. 

 Section 5. This First Supplemental Indenture may be signed in various counterparts which
together will constitute one and the same instrument. Delivery of an executed counterpart of a signature page of this First Supplemental Indenture by telecopy, .pdf or e-mail shall be effective as delivery of a manually executed counterpart of this
First Supplemental Indenture. 
 Section 6. In case any provision of this First Supplemental Indenture or the Indenture shall be
invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby. 

Section 7. This First Supplemental Indenture is an amendment supplemental to the Indenture, and the Indenture and this First Supplemental
Indenture will henceforth be read together. 
 Section 8. The Trustee shall not be responsible in any manner whatsoever for or in
respect of the validity or sufficiency of this First Supplemental Indenture with respect to the Issuer or any New Guarantor or for or in respect of the recitals contained herein, all of which recitals are made solely by the Issuer and the New
Guarantors. 
 [Signature Page to Follow] 

 IN WITNESS WHEREOF, the parties hereto have caused this First Supplemental Indenture to be duly
executed as of the date first above written. 
  

			
	 Molina Healthcare, Inc.,
 as
Issuer

		
	By:	 	 /s/ Joseph W. White

	Name:	 	Joseph W. White
	Title:	 	Vice President, Chief Accounting Officer

  

			
	 Molina Pathways, LLC,
 as
Guarantor

		
	By:	 	 /s/ Craig Bass

	Name:	 	Craig Bass
	Title:	 	President

  

			
	 Pathways Health and Community Support LLC,

as Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 The RedCo Group, Inc.,
 as
Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 Family Preservation Services, Inc.,

as Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

 [Signature Page to First Supplemental Indenture] 

 
			
	 Camelot Care Centers, Inc.,
 as
Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 AmericanWork, Inc.,
 as
Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 Pathways of Massachusetts LLC,
 as
Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 Pathways of Maine, Inc.,
 as
Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 Pathways Community Services LLC, a Delaware
limited liability company,

as Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

 [Signature Page to First Supplemental Indenture] 

			
	 Children’s Behavioral Health, Inc.,

as Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 College Community Services,

as Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	 Title:
	 	President

  

			
	 Pathways of Idaho LLC,
 as
Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 Family Preservation Services of North Carolina,

Inc.,
 as Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 Pathways of Arizona, Inc.,

as Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

 [Signature Page to First Supplemental Indenture] 

			
	 Pathways Community Services LLC, a Pennsylvania
limited liability company,

as Guarantor

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 Family Preservation Services of Florida, Inc.,

as Guarantor 

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	 U.S. BANK NATIONAL ASSOCIATION,

as Trustee

		
	By:	 	 /s/ Paula Oswald

	Name:	 	Paula Oswald
	Title:	 	Vice President

 [Signature Page to First Supplemental Indenture]EX-10.1

 Exhibit 10.1 

GUARANTOR JOINDER AGREEMENT 

THIS GUARANTOR JOINDER AGREEMENT (this “Agreement”) dated as of February 16, 2016, is by and between each of the parties
listed on the signature pages hereto (each a “New Subsidiary”) and SunTrust Bank, in its capacity as Administrative Agent, under the Credit Agreement dated as of June 12, 2015 (as amended, modified, supplemented, increased and
extended from time to time, the “Credit Agreement”) by and among MOLINA HEALTHCARE, INC., a Delaware corporation (the “Borrower”), the Guarantors identified therein, the Lenders identified therein and SunTrust Bank,
as Administrative Agent, Swingline Lender and Issuing Bank. Capitalized terms used herein and not otherwise defined shall have the meanings assigned to such terms in the Credit Agreement. 

The Loan Parties are required by Section 5.10 of the Credit Agreement to cause the New Subsidiary to become a “Guarantor.”
Accordingly, the New Subsidiary hereby agrees with the Administrative Agent as follows: 
 1. The New Subsidiary hereby acknowledges, agrees
and confirms that, by its execution of this Agreement, the New Subsidiary will be deemed to be a party to the Credit Agreement and a “Guarantor” for all purposes of the Credit Agreement and shall have all of the obligations of a Guarantor
thereunder as if it had executed the Credit Agreement. The New Subsidiary hereby ratifies, as of the date hereof, and agrees to be bound by, all of the terms, provisions and conditions applicable to the Guarantors contained in the Credit Agreement.
Without limiting the generality of the foregoing terms of this paragraph 1, the New Subsidiary hereby, jointly and severally together with the other Guarantors, guarantees to the Administrative Agent, each Lender, each Affiliate of a
Lender that enters into Bank Products or Hedging Transactions with the Borrower or any Subsidiary, and each other holder of the Obligations, as provided in Article X of the Credit Agreement, as primary obligor and not as surety, the prompt payment
of the Obligations in full when due (whether at stated maturity, as a mandatory prepayment, by acceleration or otherwise) strictly in accordance with the terms thereof. 

2. The New Subsidiary hereby represents and warrants to the Administrative Agent that the exact legal name and state of organization of the
New Subsidiary is as set forth on the signature page hereto. 
 3. The address of the New Subsidiary for purposes of all notices and other
communications is the address set forth for any Loan Party in Section 11.1 of the Credit Agreement. 
 4. The New Subsidiary hereby
waives acceptance by the Administrative Agent and the Lenders of the guaranty by the New Subsidiary under Article X of the Credit Agreement. 

5. This Agreement may be executed by one or more of the parties to this Agreement on any number of separate counterparts (including by
telecopy), and all of said counterparts taken together shall be deemed to constitute one and the same instrument. 
 [Guarantor Joinder
Agreement] 

 6. This Agreement and any claims, controversy, dispute or cause of action (whether in contract or
tort or otherwise) based upon, arising out of or relating to this Agreement and the transactions contemplated hereby shall be construed in accordance with and be governed by the Law (without giving effect to the conflict of law principles thereof
except for Sections 5-1401 and 5-1402 of the New York General Obligations Law) of the State of New York. 
 [Signature Page Follows] 

[Guarantor Joinder Agreement] 

  
 -2- 

 IN WITNESS WHEREOF, the New Subsidiary has caused this Agreement to be duly executed by its
authorized officer, and the Administrative Agent, for the benefit of the holders of the Obligations, has caused the same to be accepted by its authorized officer, as of the day and year first above written. 

 

			
	 Molina Pathways, LLC,
 a Delaware
limited liability company

		
	By:	 	 /s/ Craig Bass

	Name:	 	Craig Bass
	Title:	 	President
	
	 Pathways Health and Community Support LLC,

a Delaware limited liability company

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 The Redco Group, Inc.,
 a
Pennsylvania corporation

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 Family Preservation Services, Inc.,

a Virginia corporation

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

 [Guarantor Joinder Agreement] 

Signature Page 

  
 -3- 

			
	 Camelot Care Centers, Inc.,
 an
Illinois corporation

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 AmericanWork, Inc.,
 a Delaware
corporation

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 Pathways of Massachusetts LLC,
 a
Delaware limited liability company

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 Pathways of Maine, Inc.,
 a Maine
corporation

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 Pathways Community Services LLC,
 a
Delaware limited liability company

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

 [Guarantor Joinder Agreement] 

  
 -4- 

 
			
	 Children’s Behavioral Health, Inc.,

a Pennsylvania corporation

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 College Community Services,
 a
California corporation

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 Pathways of Idaho LLC,
 a Delaware
limited liability company

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 Family Preservation Services of North Carolina, Inc.,

a North Carolina corporation

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 Pathways of Arizona, Inc.,
 an
Arizona corporation

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

 [Guarantor Joinder Agreement] 

  
 -5- 

			
	 Pathways Community Services LLC,
 a
Pennsylvania limited liability company

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President
	
	 Family Preservation Services of Florida, Inc.,

a Florida corporation

		
	By:	 	 /s/ Terry Bayer

	Name:	 	Terry Bayer
	Title:	 	President

  

			
	Acknowledged and accepted:
	
	SUNTRUST BANK, as Administrative Agent
		
	By:	 	 /s/ Katherine Bass

	Name:	 	 Katherine Bass

	Title:	 	 Director

 [Guarantor Joinder Agreement] 

  
 -6-

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