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Goodwill and Other Intangible Assets
12 Months Ended
Dec. 31, 2018
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill and Other Intangible Assets
Goodwill and Other Intangible Assets:
The following table shows changes in the carrying amount of Goodwill for the years ended December 31, 2018, 2017, and 2016 (in millions):
 
Inpatient Rehabilitation
 
Home Health and Hospice
 
Consolidated
Goodwill as of December 31, 2015
$
1,133.1

 
$
757.0

 
$
1,890.1

Acquisitions
8.9

 
42.5

 
51.4

Divestiture of pediatric home health services

 
(14.3
)
 
(14.3
)
Goodwill as of December 31, 2016
1,142.0

 
785.2

 
1,927.2

Acquisitions
24.0

 
21.4

 
45.4

Goodwill as of December 31, 2017
1,166.0

 
806.6

 
1,972.6

Acquisitions
23.2

 
105.0

 
128.2

Goodwill as of December 31, 2018
$
1,189.2

 
$
911.6

 
$
2,100.8


Goodwill increased in 2016 as a result of our acquisitions of inpatient and home health and hospice operations offset by the divestiture of our pediatric home health assets to Thrive Skilled Pediatric Care in November 2016 for approximately $21 million. We recorded a $3.3 million gain as part of Other operating expenses in our consolidated statements of operations during the year ended December 31, 2016. Goodwill increased in 2017 as a result of our acquisitions of inpatient and home health operations. Goodwill increased in 2018 as a result of our acquisitions of Camellia and other inpatient and home health and hospice operations. See Note 2, Business Combinations.
We performed impairment reviews as of October 1, 2018, 2017, and 2016 and concluded no Goodwill impairment existed. As of December 31, 2018, we had no accumulated impairment losses related to Goodwill.
The following table provides information regarding our other intangible assets (in millions):
 
Gross Carrying Amount
 
Accumulated Amortization
 
Net
Certificates of need:
 
 
 
 
 
2018
$
148.3

 
$
(28.2
)
 
$
120.1

2017
113.7

 
(19.5
)
 
94.2

Licenses:
 

 
 

 
 

2018
$
169.1

 
$
(82.2
)
 
$
86.9

2017
146.0

 
(71.6
)
 
74.4

Noncompete agreements:
 

 
 

 
 

2018
$
65.6

 
$
(58.6
)
 
$
7.0

2017
63.5

 
(55.4
)
 
8.1

Trade name - Encompass:
 
 
 
 
 
2018
$
135.2

 
$

 
$
135.2

2017
135.2

 

 
135.2

Trade names - all other:
 

 
 

 
 

2018
$
38.9

 
$
(19.4
)
 
$
19.5

2017
35.1

 
(16.4
)
 
18.7

Internal-use software:
 

 
 

 
 

2018
$
161.3

 
$
(89.3
)
 
$
72.0

2017
201.6

 
(132.3
)
 
69.3

Market access assets:
 
 
 
 
 
2018
$
13.2

 
$
(10.5
)
 
$
2.7

2017
13.2

 
(10.0
)
 
3.2

Total intangible assets:
 

 
 

 
 

2018
$
731.6

 
$
(288.2
)
 
$
443.4

2017
708.3

 
(305.2
)
 
403.1


Amortization expense for other intangible assets is as follows (in millions):
 
For the Year Ended December 31,
 
2018
 
2017
 
2016
Amortization expense
$
51.4

 
$
49.3

 
$
48.5


Total estimated amortization expense for our other intangible assets for the next five years is as follows (in millions):
Year Ending December 31,
Estimated Amortization Expense
2019
$
56.9

2020
43.3

2021
35.7

2022
29.6

2023
27.0