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Goodwill and Other Intangible Assets | 12 Months Ended
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Dec. 31, 2023
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):
| Amount
Goodwill as of December 31, 2020 | $ | 1,228.2 |
Acquisitions | 8.8 |
Goodwill as of December 31, 2021 | 1,237.0 |
Acquisitions | 26.2 |
Goodwill as of December 31, 2022 | 1,263.2 |
Acquisitions | 18.1 |
Goodwill as of December 31, 2023 | $ | 1,281.3 |
Goodwill increased in 2021, 2022 and 2023 as a result of our acquisitions of inpatient rehabilitation operations. For additional information on these acquisitions, see Note 3, Business Combinations. We performed impairment reviews as of October 1, 2023, 2022, and 2021 and concluded no Goodwill impairment existed. As of December 31, 2023, 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: |  |  |  |  |
2023 | $ | 120.9 |  |  | $ | (43.1) |  |  | $ | 77.8 |
2022 | 120.4 |  |  | (41.5) |  |  | 78.9 |
Licenses: |  |  |  |  |
2023 | $ | 65.7 |  |  | $ | (55.4) |  |  | $ | 10.3 |
2022 | 65.7 |  |  | (54.3) |  |  | 11.4 |
Noncompete agreements: |  |  |  |  |
2023 | $ | 66.7 |  |  | $ | (62.0) |  |  | $ | 4.7 |
2022 | 66.2 |  |  | (60.2) |  |  | 6.0 |
Trade name - Encompass: |  |  |  |  |
2023 | $ | 135.2 |  |  | $ | — |  |  | $ | 135.2 |
2022 | 135.2 |  |  | — |  |  | 135.2 |
Trade names - all other: |  |  |  |  |
2023 | $ | 39.3 |  |  | $ | (22.2) |  |  | $ | 17.1 |
2022 | 37.5 |  |  | (20.8) |  |  | 16.7 |
Internal-use software: |  |  |  |  |
2023 | $ | 198.6 |  |  | $ | (166.4) |  |  | $ | 32.2 |
2022 | 183.2 |  |  | (150.3) |  |  | 32.9 |
Market access assets: |  |  |  |  |
2023 | $ | 13.2 |  |  | $ | (12.3) |  |  | $ | 0.9 |
2022 | 13.2 |  |  | (12.0) |  |  | 1.2 |
Total intangible assets: |  |  |  |  |
2023 | $ | 639.6 |  |  | $ | (361.4) |  |  | $ | 278.2 |
2022 | 621.4 |  |  | (339.1) |  |  | 282.3 |
Amortization expense for other intangible assets is as follows (in millions):
| For the Year Ended December 31,
| 2023 |  | 2022 |  | 2021
Amortization expense | $ | 32.5 |  |  | $ | 28.8 |  |  | $ | 31.2 |
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
2024 | $ | 21.3 |
2025 | 15.7 |
2026 | 13.3 |
2027 | 11.6 |
2028 | 10.8 |

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