Goodwill and Other Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2013

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 for the years ended December 31, 2013, 2012, and 2011 (in millions): 

	Amount
Goodwill as of December 31, 2010	$	420.3
Acquisition	1.4
Goodwill as of December 31, 2011	421.7
Consolidation of joint venture formerly accounted for under the equity method of accounting	15.6
Goodwill as of December 31, 2012	437.3
Acquisition	13.7
Conversion of 100% owned hospital into a joint venture	6.2
Divestiture of skilled nursing facility beds	(0.3		)
Goodwill as of December 31, 2013	$	456.9

Schedule of Intangible Assets by Major Class

The following table provides information regarding our other intangible assets (in millions): 

	Gross Carrying Amount		Accumulated Amortization			Net
Certificates of need:
2013	$	14.7	$	(3.0	)	$	11.7
2012	9.9		(2.5		)	7.4
Licenses:
2013	$	50.5	$	(44.9	)	$	5.6
2012	50.6		(42.9		)	7.7
Noncompete agreements:
2013	$	40.2	$	(24.8	)	$	15.4
2012	34.3		(20.3		)	14.0
Tradenames:
2013	$	17.0	$	(9.3	)	$	7.7
2012	16.1		(8.6		)	7.5
Internal-use software:
2013	$	105.3	$	(63.5	)	$	41.8
2012	84.7		(55.0		)	29.7
Market access assets:
2013	$	13.2	$	(7.2	)	$	6.0
2012	13.2		(6.3		)	6.9
Total intangible assets:
2013	$	240.9	$	(152.7	)	$	88.2
2012	208.8		(135.6		)	73.2

Schedule of Amortization Expense, Intangible Assets

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

	For the Year Ended December 31,
	2013		2012		2011
Amortization expense	$	17.3	$	13.4	$	15.2

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
2014	$	17.6
2015	15.8
2016	12.0
2017	8.6
2018	6.2