Document:

<PAGE>

                                                                    EXHIBIT 10.4

PURSUANT TO CALIFORNIA GOVERNMENT CODE SECTION 6254(q) WHICH REQUIRES PROVIDER
CONTRACTS ENTERED INTO BY THE CALIFORNIA MEDICAL ASSISTANCE COMMISSION TO REMAIN
CONFIDENTIAL FOR ONE YEAR AND FOR RATE TERMS TO REMAIN CONFIDENTIAL FOR FOUR
YEARS, CONFIDENTIAL TREATMENT HAS BEEN REQUESTED FOR THE BULK OF THIS DOCUMENT.

<TABLE>
<S>                                        <C>                    <C>
STATE OF CALIFORNIA
STANDARD AGREEMENT AMENDMENT
STD 213 A(DHS Rev 7/04)

[X]  CHECK HERE IF ADDITIONAL PAGES ARE ADDED 17 PAGES            AGREEMENT NUMBER   AMENDMENT NUMBER
                                                                  05-45908           A-02

                                                                  REGISTRATION NUMBER: ______________

1.   This Agreement is entered into between the State Agency and Contractor named below:

     STATE AGENCY'S NAME                                (Also referred to as CDHS, DHS, or the State)

     California Department of Health Services

     CONTRACTOR'S NAME                                               (Also referred to as Contractor)

     Molina Healthcare of California Partner Plan, Inc.

2.   The term of this

     Agreement is June 30, 2005 through December 31, 2007

3.   The maximum amount of this Agreement is: Seventy Three Million, Thirty-three Thousand
     Dollars $73,033,000

4.   The parties mutually agree to this amendment as follows. All actions noted below are by this
     reference made a part of the Agreement and incorporated herein:

     1)   Amendment effective date: December 7, 2006

     2)   Purpose of amendment: To extend the Contract through December 31, 2007; to remove some aid
          codes; to amend the Non-Contracting Emergency Service Providers language; to remove
          Medicare Part D as a Covered Service; to amend the Alcohol and Substance Abuse Treatment
          Services language and to add its related Attachment 10-C; to add the Erectile Dysfunction
          language and to add its related Attachment 10-D; to amend Attachment 10-B; to amend the
          Grievance language; to amend the enrollment capacity; to add the Confidential Contract
          Terms language; to add the Federal False Claim Act Compliance language; and to adjust rates
          and the encumbrances/amounts payable accordingly.

     3)   EXHIBIT A, ATTACHMENT 8 PROVIDER COMPENSATION ARRANGEMENTS, SECTION 13 NON-CONTRACTING
          EMERGENCY SERVICE PROVIDERS, IS AMENDED TO READ:

                                                                             (Continued on next page)

     All other terms and conditions shall remain the same.

IN WITNESS WHEREOF, THIS AGREEMENT HAS BEEN EXECUTED BY THE PARTIES HERETO.

-----------------------------------------------------------------------------------------------------
                             CONTRACTOR                                          CALIFORNIA
                                                                       DEPARTMENT OF GENERAL SERVICES
CONTRACTOR'S NAME (If other than an individual, state whether a                   USE ONLY
corporation, partnership, etc.)

MOLINA HEALTHCARE OF CALIFORNIA PARTNER PLAN, INC.

BY (Authorized Signature)                  DATE SIGNED (Do not type)
                                           12/9/06

/s/ Stephen T. O'Dell
----------------------------------------
PRINTED NAME AND TITLE OF PERSON SIGNING

Stephen T. O'Dell, President

ADDRESS

One Golden Shore Drive
Long Beach, CA 90802

                         STATE OF CALIFORNIA

AGENCY NAME

California Department of Health Services

BY (Authorized Signature)                  DATE SIGNED (Do not type)
                                           2/6/07

/s/ Stan Rosenstein
----------------------------------------
PRINTED NAME AND TITLE OF PERSON SIGNING

Stan Rosenstein, Deputy Director, Medical Care Services                Exempt per:
                                                                       [ ] Welfare and Institutions
ADDRESS                                                                    Code section 14087.55(c)

1501 Capitol Avenue, 6th Floor, MS 4000, PO Box 997413                 [X] Welfare and Institutions
Sacramento, CA 95899-7413                                                  Code section 14089.8(b)
-----------------------------------------------------------------------------------------------------
</TABLE>exv10w5

 

EXHIBIT 10.5

UTAH DEPARTMENT
OF HEALTH

Box 143104
288 North 1460 West, Salt Lake City, Utah 84114-3104

CONTRACT
AMENDMENT

	 	 	 	 	 	 	 
	H0535503

	 	 	 	 	066222	 
	 	 	 	 	 
	Department Log Number

	 	 
	 	State Contract Number

	 

	 	Amendment Number 03
	 	 

	 	 	 	 
	1.	 	CONTRACT NAME:
	 
	 	 	The name of this Contract is Health Plan - Molina.
	 
	2.	 	CONTRACTING PARTIES:
	 
	 	 	This Contract Amendment is between the Utah Department of Health (DEPARTMENT), and Molina Healthcare of Utah (CONTRACTOR).
	 
	3.	 	PURPOSE OF CONTRACT AMENDMENT:
	 
	 	 	To extend the Contract period from June 30, 2007 to December 31, 2007 and to increase the Contract amount to cover the additional six
months. The DEPARTMENT and the CONTRACTOR will negotiate a new savings sharing provision for State Fiscal Year 2008.
	 
	4.	 	CHANGES TO CONTRACT:
	 
	 	 	A.  	On Page 1, paragraph 3, CONTRACT PERIOD, is changed to read as follows: 
	 
	 	 	  	“The service period of this Contract will be January 1, 2006 through December 31, 2007,
unless terminated or extended by agreement and in accordance with the terms and conditions of this Contract. This Contract may be extended 2 times, at the option of the
DEPARTMENT, by means of an amendment to this Contract. Such extension must be in writing.”
	 
	 	 	B.  	On Page 1, paragraph 4, CONTRACT AMOUNT, is changed to read as follows:
	 
	 	 	  	“The CONTRACTOR will be paid up to a maximum amount of $285,250,000.00 in accordance with
the provisions in this Contract. This Contract is funded with 71.26% Federal funds and with 28.74% State funds. The CFDA# is 93.778 and relates to the Federal funds
provided.
	 
	 	 	C.  	On Page 4, of Attachment F, paragraph C (Savings Sharing Provision for FY2007) is modified to add the following: “The parties will negotiate a savings sharing
provision for FY 2008 and amend this Contract to reflect that agreement. It is the intention of the parties that the FY 2008 savings sharing provision be effective July 1,
2007. This updated savings sharing provision for FY 2008 is conditional on approval from Centers for Medicare and Medicaid Services (CMS).”
	 
	 	 	D.  	All other provisions of the Agreement remain unchanged.
	 
	5.	 	EFFECTIVE DATE OF AMENDMENT: This amendment is effective July 1, 2007.
	 
	6.	 	If the Contractor is not a local public procurement unit as defined by the Utah Procurement Code (UCA § 63-56-5), this Contract Amendment must be signed by a
representative of the State Division of Finance and the State Division of Purchasing to bind the State and the Department to this Contract Amendment.
	 
	7.	 	This Contract, its attachments, and all documents incorporated by reference constitute the entire agreement between the parties and supercede all prior negotiations,
representations, or agreements, either written or oral between the parties relating to the subject matter of this Contract.

IN WITNESS WHEREOF, the parties sign this Contract Amendment.

	 	 	 	 	 	 	 	 	 	 	 	 	 
	CONTRACTOR: Molina Healthcare of Utah
	 	UTAH DEPARTMENT OF HEALTH
	 
	By:

	 	/s/ Paul Muench	 	7/10/07	 	By:	 	/s/ Shari A. Watkins, C.P.A.	 	7/18/07
	 
	 	 	 	 	 	 	 	 	 	 
	 

	 	Signature of Authorized Individual
	 	Date
	 	 	 	Shari A. Watkins, C.P.A.
	 	Date
	 

	 	 	 	 	 	 	 	 	 	Director	 	 
	Print Name:

	Paul Muench
	 	 	 	 	 	Office of Fiscal Operations	 	 
	 
	Title:

	 	Executive Director	 	 	 	 	 	 	 	 
	 

	 	 	 	 	 	 	 	 	 	CONTRACT RECEIVED AND

PROCESSED BY	 	 
	 

	 	 	 	 	 	 	 	 	 	DIVISION OF FINANCE	 	JULY 30, 2007
	 

	 	 	 	 	 	 	 	 	 	State Finance:
	 	Date
	 
	 

	 	 	 	 	 	 	 	 	 	/s/ Apichino	 	JULY 27, 2007
	 

	 	 	 	 	 	 	 	 	 	State Purchasing:
	 	Date

Page 1 of 1EX-10.4 Amendment dated June 21, 2007

 

    Exhibit 10.4

 

    AMENDMENT
    TO THE PEDIATRIX MEDICAL GROUP, INC.

    1996 QUALIFIED EMPLOYEE STOCK PURCHASE PLAN

 

    This amendment, made this 21st day of June, 2007 by
    Pediatrix Medical Group, Inc. (hereinafter called the
    “Company”).

 

    WITNESSETH:

 

    WHEREAS, the Company did establish the 1996 Pediatrix Medical
    Group, Inc. Qualified Employee Stock Purchase Plan effective as
    of April 1, 1996, which plan was amended and restated in
    its entirety effective as of October 1, 2006 (as so amended
    and restated, the “Plan”); and

 

    WHEREAS, pursuant to the terms of the Plan, on each Purchase
    Date for each Purchase Period under the Plan, shares of the
    Company’s common stock are to be purchased on the open
    market or from the Company for each Participant with the
    accumulated Participant payroll deductions elected by the
    Participant and made by the Company for the Purchase
    Period; and

 

    WHEREAS the current Purchase Period is the three month period
    ending June 30, 2007 and the Purchase Date for that
    Purchase Period would be the first Business Day after
    June 30, 2007; and

 

    WHEREAS because the Company has not yet filed its Annual Report
    on
    Form 10-K
    for the year ended 2006, the registration statement on
    Form S-8
    pursuant to which shares issued pursuant to the Plan have been
    registered (the
    “Form S-8”)
    is not current and the Company may not issue and sell shares
    thereunder; and

 

    WHEREAS as a result of the foregoing, it is not contemplated
    that shares of the Company’s common stock will be able to
    be purchased pursuant to the Plan on the first Business Day
    after June 30, 2007; and

 

    WHEREAS the Company wants to suspend purchases pursuant to the
    Plan until such time as the
    Form S-8
    for the Plan has been updated in accordance with the
    requirements of the Securities Act of 1933, as amended and the
    rules and regulations of the Securities and Exchange Commission
    thereunder; and

 

    WHEREAS the Company wants to provide participants with various
    options regarding the disposition of the amounts held by the
    Company as a result of payroll deductions for the Purchase
    Period ending June 30, 2007 and any other Purchase Periods
    with respect to which a
    Form S-8
    is not effective on what otherwise would be the Purchase Date
    for that Purchase Period; NOW THEREFORE, pursuant to
    Section 17 thereof, the Plan is hereby amended, effective
    as of January 1, 2007, as follows:

 

    1. The definition of Purchase Date is hereby amended to
    read as follows:

 

    “PURCHASE DATE — each March 31,
    June 30, September 30, and December 31, or if
    such date is not a Business Day the first Business Day, after
    the end of each Purchase Period on which it is administratively
    possible to do the purchase; provided however that unless a
    Registration Statement on
    Form S-8
    with respect to the shares of Common Stock to be issued and sold
    under the Plan contains current information in accordance with
    the Securities Act of 1933, as amended, and the rules and
    regulations of the Securities and Exchange Commission thereunder
    as determined by the General Counsel of the Company (a
    “Current
    S-8”)
    on the date that otherwise would be a Purchase Date, no purchase
    shall be made on that date and instead the amounts withheld by
    payroll deduction shall be carried over into the next Purchase
    Period and, if and to the extent not withdrawn pursuant to the
    provisions of this Plan, the Purchase Date for those carried
    over amounts shall be the fifth Business Day immediately
    following the date on which a Current
    S-8
    thereafter is first available.”

 

    2. Section 6 of the Plan is hereby amended by adding
    the following at the end thereof:

 

    “In the event that shares of Common Stock are not purchased
    under the Plan on a Purchase Date because a Current
    S-8 is not
    available on that Purchase Date, then the Company shall permit
    Participants to elect any of the following:

 

    (i) to cease to have any additional payroll deductions made
    until such time as a Current
    S-8 is
    available, but to have any payroll deductions that are not used
    to purchase shares on the Purchase Date because a Current
    S-8 is not
    available on that Purchase Date carried over to the next
    Purchase Period and used to purchase shares on the fifth
    Business Day immediately following the date on which a Current
    S-8
    thereafter is first available;

 

    (ii) to withdraw all payroll deductions and cease future
    payroll deductions until such time as a Current
    S-8 is
    available; or

 

    (iii) to continue to have payroll deductions taken and to
    have any payroll deductions that are not used to purchase shares
    on the Purchase Date because a Current
    S-8 is not
    available on that Purchase Date carried over to the next
    Purchase Period and used to purchase shares on the fifth
    Business Day immediately following the date on which a Current
    S-8
    thereafter is first available.

 

    Notwithstanding anything in the second paragraph of
    Section 9 hereof to the contrary, a Participant who elects
    to cease payroll deductions during a Purchase Period pursuant to
    the foregoing clauses (i) or (ii) shall be eligible to
    participate again in the first Purchase Period that immediately
    follows the one in which he or she ceased deductions
    and/or
    withdrew prior payroll deductions.”

 

    3. In all other respects, the Plan shall remain unchanged
    by this Amendment.

    

    2

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