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Goodwill and Other Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Changes in the Carrying Amount of Goodwill | The following table shows changes in the carrying amount of Goodwill (in millions):
| Inpatient Rehabilitation |  | Home Health and Hospice |  | Consolidated
Goodwill as of December 31, 2018 | $ | 1,189.2 |  |  | $ | 911.6 |  |  | $ | 2,100.8 |
Acquisitions | 4.8 |  |  | 174.7 |  |  | 179.5 |
Consolidation of joint venture formerly accounted for under the equity method of accounting | 24.9 |  |  | — |  |  | 24.9 |
Goodwill as of December 31, 2019 | 1,218.9 |  |  | 1,086.3 |  |  | 2,305.2 |
Acquisitions | 9.2 |  |  | 1.0 |  |  | 10.2 |
Consolidation of joint venture formerly accounted for under the equity method of accounting | — |  |  | 3.3 |  |  | 3.3 |
Goodwill as of December 31, 2020 | 1,228.1 |  |  | 1,090.6 |  |  | 2,318.7 |
Acquisitions | 8.8 |  |  | 92.4 |  |  | 101.2 |
Consolidation of joint venture formerly accounted for under the equity method of accounting | — |  |  | 8.0 |  |  | 8.0 |
Goodwill as of December 31, 2021 | $ | 1,236.9 |  |  | $ | 1,191.0 |  |  | $ | 2,427.9 |
Schedule of Intangible Assets by Major Class | The range of estimated useful lives and the amortization basis for our intangible assets, excluding goodwill, are generally as follows:
| Estimated Useful Life and Amortization Basis
Certificates of need | 10 to 30 years using straight-line basis
Licenses | 10 to 20 years using straight-line basis
Noncompete agreements | 1 to 18 years using straight-line basis
Trade names: |
Encompass | indefinite-lived asset
All other | 1 to 20 years using straight-line basis
Internal-use software | 3 to 7 years using straight-line basis
Market access assets | 20 years using accelerated basis
The following table provides information regarding our other intangible assets (in millions):
| Gross Carrying Amount |  | Accumulated Amortization |  | Net
Certificates of need: |  |  |  |  |
2021 | $ | 204.5 |  |  | $ | (68.8) |  |  | $ | 135.7 |
2020 | 197.3 |  |  | (54.5) |  |  | 142.8 |
Licenses: |  |  |  |  |
2021 | $ | 194.5 |  |  | $ | (121.0) |  |  | $ | 73.5 |
2020 | 187.9 |  |  | (107.4) |  |  | 80.5 |
Noncompete agreements: |  |  |  |  |
2021 | $ | 78.5 |  |  | $ | (69.0) |  |  | $ | 9.5 |
2020 | 75.2 |  |  | (65.8) |  |  | 9.4 |
Trade name - Encompass: |  |  |  |  |
2021 | $ | 135.2 |  |  | $ | — |  |  | $ | 135.2 |
2020 | 135.2 |  |  | — |  |  | 135.2 |
Trade names - all other: |  |  |  |  |
2021 | $ | 45.0 |  |  | $ | (27.0) |  |  | $ | 18.0 |
2020 | 44.3 |  |  | (25.5) |  |  | 18.8 |
Internal-use software: |  |  |  |  |
2021 | $ | 209.0 |  |  | $ | (164.9) |  |  | $ | 44.1 |
2020 | 184.2 |  |  | (141.4) |  |  | 42.8 |
Market access assets: |  |  |  |  |
2021 | $ | 13.2 |  |  | $ | (11.7) |  |  | $ | 1.5 |
2020 | 13.2 |  |  | (11.4) |  |  | 1.8 |
Total intangible assets: |  |  |  |  |
2021 | $ | 879.9 |  |  | $ | (462.4) |  |  | $ | 417.5 |
2020 | 837.3 |  |  | (406.0) |  |  | 431.3 |
Schedule of Amortization Expense, Intangible Assets | Amortization expense for other intangible assets is as follows (in millions):
| For the Year Ended December 31,
| 2021 |  | 2020 |  | 2019
Amortization expense | $ | 56.4 |  |  | $ | 59.8 |  |  | $ | 58.4 |
Schedule of Future Estimated Amortization Expense, Intangible Assets | 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
2022 | $ | 53.7 |
2023 | 45.9 |
2024 | 37.0 |
2025 | 24.9 |
2026 | 21.3 |

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