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Goodwill and Other Intangible Assets (Tables)
 12 Months Ended
Dec. 31, 2024
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, 2021$1,237.0 
Acquisitions26.2 
Goodwill as of December 31, 20221,263.2 
Acquisitions18.1 
Goodwill as of December 31, 20231,281.3 
Acquisitions2.7 
Goodwill as of December 31, 2024$1,284.0 
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:   
2024$131.4 $(49.0)$82.4 
2023120.9 (43.1)77.8 
Licenses:   
2024$65.7 $(56.4)$9.3 
202365.7 (55.4)10.3 
Noncompete agreements:   
2024$66.5 $(63.4)$3.1 
202366.7 (62.0)4.7 
Trade name - Encompass:
2024$135.2 $— $135.2 
2023135.2 — 135.2 
Trade names - all other:   
2024$39.6 $(23.6)$16.0 
202339.3 (22.2)17.1 
Internal-use software:   
2024$214.4 $(163.3)$51.1 
2023198.6 (166.4)32.2 
Market access assets:
2024$13.2 $(12.5)$0.7 
202313.2 (12.3)0.9 
Total intangible assets:   
2024$666.0 $(368.2)$297.8 
2023639.6 (361.4)278.2 
Schedule of Amortization Expense, Intangible Assets
Amortization expense for other intangible assets is as follows (in millions):
 For the Year Ended December 31,
 202420232022
Amortization expense$28.8 $32.5 $28.8 
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
2025$25.4 
202623.0 
202716.3 
202812.2 
202910.7