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Goodwill and Other Intangible Assets (Tables)
 12 Months Ended
Dec. 31, 2022
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):
 Amount
Goodwill as of December 31, 2019$1,218.9 
Acquisitions9.3 
Goodwill as of December 31, 20201,228.2 
Acquisitions8.8 
Goodwill as of December 31, 20211,237.0 
Acquisitions26.2 
Goodwill as of December 31, 2022$1,263.2 
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:
Encompassindefinite-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 AmountAccumulated AmortizationNet
Certificates of need:   
2022$120.4 $(41.5)$78.9 
2021115.3 (36.0)79.3 
Licenses:   
2022$65.7 $(54.3)$11.4 
202165.7 (53.2)12.5 
Noncompete agreements:   
2022$66.2 $(60.2)$6.0 
202165.3 (58.4)6.9 
Trade name - Encompass:
2022$135.2 $— $135.2 
2021— — — 
Trade names - all other:   
2022$37.5 $(20.8)$16.7 
202137.5 (19.5)18.0 
Internal-use software:   
2022$183.2 $(150.3)$32.9 
2021182.8 (142.6)40.2 
Market access assets:
2022$13.2 $(12.0)$1.2 
202113.2 (11.7)1.5 
Total intangible assets:   
2022$621.4 $(339.1)$282.3 
2021479.8 (321.4)158.4 
Schedule of Amortization Expense, Intangible Assets
Amortization expense for other intangible assets is as follows (in millions):
 For the Year Ended December 31,
 202220212020
Amortization expense$28.8 $31.2 $32.9 
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
2023$25.0 
202417.2 
202511.6 
202610.4 
202710.0