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Summary of Significant Accounting Policies (Tables) | 12 Months Ended
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Dec. 31, 2022
Accounting Policies [Abstract] |
Schedule of Concentration of Net Operating Revenues by Payor | Our Net operating revenues disaggregated by payor source are as follows (in millions):
| Year Ended December 31,
| 2022 |  | 2021 |  | 2020
Medicare | $ | 2,843.1 |  |  | $ | 2,589.6 |  |  | $ | 2,375.6 |
Medicare Advantage | 654.6 |  |  | 609.6 |  |  | 544.9 |
Managed care | 505.2 |  |  | 484.5 |  |  | 371.4 |
Medicaid | 183.3 |  |  | 163.1 |  |  | 140.1 |
Other third-party payors | 39.5 |  |  | 46.0 |  |  | 43.0 |
Workers’ compensation | 24.7 |  |  | 23.1 |  |  | 21.5 |
Patients | 16.6 |  |  | 19.3 |  |  | 19.2 |
Other income | 81.6 |  |  | 79.7 |  |  | 50.6 |
Total | $ | 4,348.6 |  |  | $ | 4,014.9 |  |  | $ | 3,566.3 |
Schedule of Concentration of Net Operating Revenues and Net Patient Service Accounts Receivable by Payor and Payor Class | The concentration of patient service accounts receivable by payor class, as a percentage of total patient service accounts receivable, is as follows:
| As of December 31,
| 2022 |  | 2021
Medicare | 57.9 | % |  | 57.8 | %
Managed care and other discount plans, including Medicare Advantage | 31.1 | % |  | 31.4 | %
Medicaid | 4.4 | % |  | 4.1 | %
Other third-party payors | 3.4 | % |  | 3.3 | %
Workers' compensation | 2.2 | % |  | 1.9 | %
Patients | 1.0 | % |  | 1.5 | %
Total | 100.0 | % |  | 100.0 | %
Schedule of Useful Lives of Property and Equipment | Useful lives are generally as follows:
| Years
Buildings | 10 to 30
Leasehold improvements | 2 to 15
Vehicles | 5
Furniture, fixtures, and equipment | 3 to 10
Property and equipment consists of the following (in millions):
| As of December 31,
| 2022 |  | 2021
Land | $ | 286.1 |  |  | $ | 259.8 |
Buildings | 3,019.8 |  |  | 2,632.8 |
Leasehold improvements | 281.5 |  |  | 251.1 |
Vehicles | 4.5 |  |  | 3.8 |
Furniture, fixtures, and equipment | 647.2 |  |  | 571.0 |
| 4,239.1 |  |  | 3,718.5 |
Less: Accumulated depreciation and amortization | (1,659.4) |  |  | (1,490.5) |
| 2,579.7 |  |  | 2,228.0 |
Construction in progress | 359.5 |  |  | 353.2 |
Property and equipment, net | $ | 2,939.2 |  |  | $ | 2,581.2 |
Schedule of Estimated Useful Lives and Amortization Basis of Other Finite-lived Intangible Assets | 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 | 10 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: |  |  |  |  |
2022 | $ | 120.4 |  |  | $ | (41.5) |  |  | $ | 78.9 |
2021 | 115.3 |  |  | (36.0) |  |  | 79.3 |
Licenses: |  |  |  |  |
2022 | $ | 65.7 |  |  | $ | (54.3) |  |  | $ | 11.4 |
2021 | 65.7 |  |  | (53.2) |  |  | 12.5 |
Noncompete agreements: |  |  |  |  |
2022 | $ | 66.2 |  |  | $ | (60.2) |  |  | $ | 6.0 |
2021 | 65.3 |  |  | (58.4) |  |  | 6.9 |
Trade name - Encompass: |  |  |  |  |
2022 | $ | 135.2 |  |  | $ | — |  |  | $ | 135.2 |
2021 | — |  |  | — |  |  | — |
Trade names - all other: |  |  |  |  |
2022 | $ | 37.5 |  |  | $ | (20.8) |  |  | $ | 16.7 |
2021 | 37.5 |  |  | (19.5) |  |  | 18.0 |
Internal-use software: |  |  |  |  |
2022 | $ | 183.2 |  |  | $ | (150.3) |  |  | $ | 32.9 |
2021 | 182.8 |  |  | (142.6) |  |  | 40.2 |
Market access assets: |  |  |  |  |
2022 | $ | 13.2 |  |  | $ | (12.0) |  |  | $ | 1.2 |
2021 | 13.2 |  |  | (11.7) |  |  | 1.5 |
Total intangible assets: |  |  |  |  |
2022 | $ | 621.4 |  |  | $ | (339.1) |  |  | $ | 282.3 |
2021 | 479.8 |  |  | (321.4) |  |  | 158.4 |
Schedule of Estimated Basis of Other Indefinite-lived Intangible Assets | 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 | 10 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

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