Goodwill and Other Intangible Assets

12 Months Ended

Dec. 31, 2021

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):

	Inpatient Rehabilitation		Home Health and Hospice		Consolidated
Goodwill as of December 31, 2018	$	1,189.2	$	911.6	$	2,100.8
Acquisitions	4.8		174.7		179.5
Consolidation of joint venture formerly accounted for under the equity method of accounting	24.9		—		24.9
Goodwill as of December 31, 2019	1,218.9		1,086.3		2,305.2
Acquisitions	9.2		1.0		10.2
Consolidation of joint venture formerly accounted for under the equity method of accounting	—		3.3		3.3
Goodwill as of December 31, 2020	1,228.1		1,090.6		2,318.7
Acquisitions	8.8		92.4		101.2
Consolidation of joint venture formerly accounted for under the equity method of accounting	—		8.0		8.0
Goodwill as of December 31, 2021	$	1,236.9	$	1,191.0	$	2,427.9

Goodwill increased in 2019 as a result of our consolidation of Yuma Rehabilitation Hospital and the remeasurement of our previously held equity interest at fair value and our acquisitions of Alacare and other inpatient and home health and hospice operations. Goodwill increased in 2020 as a result of our acquisitions of inpatient and home health operations as well as our consolidation of the Jupiter, Florida home health agency and the remeasurement of our previously held equity interest at fair value. Goodwill increased in 2021 as a result of our acquisitions of Frontier and other inpatient and home health and hospice operations as well as our consolidation of the Home Health of South Florida joint venture and the remeasurement of our previously held equity interest at fair value. See Note 2, Business Combinations, and Note 9, Investments in and Advances to Nonconsolidated Affiliates.

We performed impairment reviews as of October 1, 2021, 2020, and 2019 and concluded no Goodwill impairment existed. As of December 31, 2021, 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:
2021	$	204.5	$	(68.8)	$	135.7
2020	197.3		(54.5)		142.8
Licenses:
2021	$	194.5	$	(121.0)	$	73.5
2020	187.9		(107.4)		80.5
Noncompete agreements:
2021	$	78.5	$	(69.0)	$	9.5
2020	75.2		(65.8)		9.4
Trade name - Encompass:
2021	$	135.2	$	—	$	135.2
2020	135.2		—		135.2
Trade names - all other:
2021	$	45.0	$	(27.0)	$	18.0
2020	44.3		(25.5)		18.8
Internal-use software:
2021	$	209.0	$	(164.9)	$	44.1
2020	184.2		(141.4)		42.8
Market access assets:
2021	$	13.2	$	(11.7)	$	1.5
2020	13.2		(11.4)		1.8
Total intangible assets:
2021	$	879.9	$	(462.4)	$	417.5
2020	837.3		(406.0)		431.3

Amortization expense for other intangible assets is as follows (in millions):

	For the Year Ended December 31,
	2021		2020		2019
Amortization expense	$	56.4	$	59.8	$	58.4

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
2022	$	53.7
2023	45.9
2024	37.0
2025	24.9
2026	21.3