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Acquisitions and Noncontrolling Interest | 12 Months Ended
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Dec. 31, 2014
Noncontrolling Interest and Acquisitions Disclosure [Abstract] |
Noncontrolling Interest and Acquisitions | Acquisitions and Noncontrolling Interest Acquisitions AcariaHealth. In April 2013, the Company acquired 100% of AcariaHealth, a specialty pharmacy company, for $142 million in total consideration. The transaction consideration was financed through a combination of $75 million of Centene common stock and $67 million of cash. The Company also sold 685,280 shares of common stock for $15 million related to funding the escrow account for the acquisition. The Company's allocation of fair value resulted in goodwill of $92 million and other identifiable intangible assets of $35 million. The goodwill is not deductible for income tax purposes. The acquisition is recorded in the Specialty Services segment. Community Health Solutions of America, Inc. In July 2014, the Company completed a transaction whereby Community Health Solutions of America, Inc. assigned its contract with the Louisiana Department of Health and Hospitals under the Bayou Health Shared Savings Program to the Company's subsidiary, Louisiana Healthcare Connections (LHC). The fair value of consideration of $134 million consists of the following: cash consideration of $56 million; Centene common stock (1,492,738 shares) issued at closing of $58 million, and; the present value of the estimated contingent consideration subject to membership retained by LHC in the first quarter of 2015 of $20 million. The estimated contingent consideration is a Level III fair value measurement. The contingent consideration will not exceed $28 million. The Company's allocation of fair value resulted in goodwill of $125 million and other identifiable intangible assets of $9 million. Approximately 100% of the goodwill is deductible for income tax purposes. The acquisition is recorded in the Managed Care segment. Ribera Salud, S.A. In July 2014, the Company purchased a noncontrolling interest in Ribera Salud S.A. (Ribera Salud), a Spanish health management group for $17 million. Centene is a 50% joint shareholder with Ribera Salud's remaining investor, Banco Sabadell S.A. The Company is accounting for its investment using the equity method of accounting. Any basis difference between the Company's share of underlying net assets and the purchase price will be attributable to certain intangible assets and will be accreted into earnings over their useful lives. Upon closing, the Company executed letters of credit for $58 million (valued at the December 31, 2014 conversion rate), or €48 million, representing its proportional share of the letters of credit issued to support Ribera Salud’s outstanding debt. U.S. Medical Management. In January 2014, the Company acquired 68% of U.S. Medical Management, LLC (USMM), a management services organization and provider of in-home health services for high acuity populations, for $213 million in total consideration. The transaction consideration consisted of $133 million of Centene common stock and $80 million of cash. The total fair value of 100% of USMM on the date of acquisition was $352 million ($213 million for the Company's interest and $139 million for the redeemable noncontrolling interest). The Company's allocation of fair value resulted in goodwill of $280 million and other identifiable intangible assets of $78 million. Approximately 45% of the goodwill is deductible for income tax purposes. The acquisition is recorded in the Specialty Services segment. In connection with the acquisition, the Company entered into call and put agreements with the noncontrolling interest holder to purchase the noncontrolling interest at a later date. Under these agreements, the Company may purchase or be required to purchase up to the total remaining interests in USMM over a period beginning in 2015 and continuing through 2017. Under certain circumstances, the agreements may be extended through 2020. At the Company’s sole option, up to 50% of the consideration to be issued for the purchase of the additional interests under these agreements may be funded with shares of the Company's common stock. Noncontrolling Interest The Company has consolidated subsidiaries where it maintains less than 100% ownership. The Company’s ownership interest for each subsidiary as of December 31, are as follows:
|  | 2014 |  | 2013 |  | 2012
Centurion |  | 51 | % |  | 51 | % |  | 51 | %
Home State Health Plan |  | 95 | % |  | 95 | % |  | 95 | %
U.S. Medical Management |  | 68 | % |  | — |  |  | — |
Net income attributable to Centene Corporation and transfers from (to) noncontrolling interest entities are as follows ($ in millions):
| Year Ended December 31,
| 2014 |  | 2013 |  | 2012
Net earnings attributable to Centene Corporation | $ | 268 |  |  | $ | 161 |  |  | $ | 89 |
Transfers from (to) the noncontrolling interest: |  |  |  |  |
Decrease in equity for purchase of, distribution to and redemption of noncontrolling interest | — |  |  | — |  |  | (12 | )
Increase in equity for distributions from and consolidation of noncontrolling interest | — |  |  | 7 |  |  | 1 |
Reclassification to redeemable noncontrolling interest | (9 | ) |  | — |  |  | — |
Net transfers from (to) noncontrolling interest | (9 | ) |  | 7 |  |  | (11 | )
Changes from net earnings attributable to Centene Corporation and net transfers from (to) the noncontrolling interest | $ | 259 |  |  | $ | 168 |  |  | $ | 78 |
Ownership changes are described in more detail below. Home State Health Plan. In July 2012, the Company began operations as a 95% joint venture partner, operating under a new contract with the Office of Administration for Missouri to serve Medicaid beneficiaries in the Eastern, Central, and Western Managed Care Regions of the state. The operating results of Home State Health Plan are included in the Company's Managed Care segment. Louisiana Healthcare Connections. In February 2012, the Company began operations under a new contract in Louisiana through a joint venture subsidiary, Louisiana Healthcare Connections. The Company initially owned a 51% interest in the subsidiary and in October 2012, acquired the remaining noncontrolling interest for $10 million. The purchase price in excess of the noncontrolling interest was recorded to additional paid in capital. The operating results of Louisiana Healthcare Connections are included in the Company's Managed Care segment. Redeemable Noncontrolling Interest As a result of put option agreements, noncontrolling interest is considered redeemable and is classified in the Redeemable Noncontrolling Interest section of the consolidated balance sheets. Noncontrolling interest is initially measured at fair value using the binomial lattice model as of the acquisition date. The Company has elected to accrete changes in the redemption value through additional paid-in capital over the period from the date of issuance to the earliest redemption date following the effective interest method. A reconciliation of the changes in the Redeemable Noncontrolling Interest is as follows ($ in millions):
Balance, December 31, 2013 | $ | — |
Fair value of noncontrolling interest at acquisition | 139 |
Contribution from noncontrolling interest | 6 |
Reclassification to redeemable noncontrolling interest | 9 |
Net losses attributable to noncontrolling interest | (6 | )
Balance, December 31, 2014 | $ | 148 |
Pro forma disclosures related to the acquisitions have been excluded as immaterial.

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