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Goodwill and Other Intangible Assets (Tables)
 12 Months Ended
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 
Acquisitions8.8 
Goodwill as of December 31, 20211,237.0 
Acquisitions26.2 
Goodwill as of December 31, 20221,263.2 
Acquisitions18.1 
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:
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:   
2023$120.9 $(43.1)$77.8 
2022120.4 (41.5)78.9 
Licenses:   
2023$65.7 $(55.4)$10.3 
202265.7 (54.3)11.4 
Noncompete agreements:   
2023$66.7 $(62.0)$4.7 
202266.2 (60.2)6.0 
Trade name - Encompass:
2023$135.2 $— $135.2 
2022135.2 — 135.2 
Trade names - all other:   
2023$39.3 $(22.2)$17.1 
202237.5 (20.8)16.7 
Internal-use software:   
2023$198.6 $(166.4)$32.2 
2022183.2 (150.3)32.9 
Market access assets:
2023$13.2 $(12.3)$0.9 
202213.2 (12.0)1.2 
Total intangible assets:   
2023$639.6 $(361.4)$278.2 
2022621.4 (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,
 202320222021
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 
202515.7 
202613.3 
202711.6 
202810.8