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Goodwill and Other Intangible Assets | 12 Months Ended
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Dec. 31, 2021
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 (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 |
Goodwill increased in 2019 as a result of our consolidation of Yuma Rehabilitation Hospital and the remeasurement of our previously held equity interest at fair value and our acquisitions of Alacare and other inpatient and home health and hospice operations. Goodwill increased in 2020 as a result of our acquisitions of inpatient and home health operations as well as our consolidation of the Jupiter, Florida home health agency and the remeasurement of our previously held equity interest at fair value. Goodwill increased in 2021 as a result of our acquisitions of Frontier and other inpatient and home health and hospice operations as well as our consolidation of the Home Health of South Florida joint venture and the remeasurement of our previously held equity interest at fair value. See Note 2, Business Combinations, and Note 9, Investments in and Advances to Nonconsolidated Affiliates. We performed impairment reviews as of October 1, 2021, 2020, and 2019 and concluded no Goodwill impairment existed. As of December 31, 2021, 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: |  |  |  |  |
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 |
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 |
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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- Definition The entire disclosure for goodwill and intangible assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -URI http://asc.fasb.org/topic&trid=2144416 + Details
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