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Goodwill and Other Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2023
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, 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 |
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 | 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: |  |  |  |  |
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 |
Schedule of Amortization Expense, Intangible Assets | 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 |
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
2024 | $ | 21.3 |
2025 | 15.7 |
2026 | 13.3 |
2027 | 11.6 |
2028 | 10.8 |

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