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GOODWILL AND OTHER INTANGIBLE ASSETS, NET
12 Months Ended
Dec. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract]  
GOODWILL AND OTHER INTANGIBLE ASSETS, NET GOODWILL AND OTHER INTANGIBLE ASSETS, NET
During 2021, 2020 and 2019, we did not record any goodwill impairment charges as a result of our annual impairment test and none of the goodwill associated with our reporting units was considered impaired as of October 31st of each respective year (the date of our annual goodwill impairment test). Since the date of our last annual goodwill impairment test, there have been no material developments, events, changes in operating performance or other circumstances that would cause management to believe it is more likely than not that the fair value of any of our reporting units would be less than their carrying amounts.
The following table summarizes the activity related to our goodwill for 2021 and 2020 (amounts in millions):
Goodwill
Home HealthHospicePersonal CareHigh Acuity CareTotal
Balances at December 31, 2019 (1)$87.1 $528.3 $43.1 $— $658.5 
Additions3.3 270.9 — — 274.2 
Balances at December 31, 202090.4 799.2 43.1 — 932.7 
Additions27.8 1.7 — 233.9 263.4 
Balances at December 31, 2021$118.2 $800.9 $43.1 $233.9 $1,196.1 
(1)Net of prior years' accumulated impairment losses of $733.7 million, which is inclusive of write-offs related to the sale and closure of care centers.
During 2021, we did not record any impairment charges related to our other intangible assets. During 2020, we recorded a non-cash other intangible assets impairment charge of $4.2 million related to acquired names which were no longer in use.
The following table summarizes the activity related to our other intangible assets, net for 2021 and 2020 (amounts in millions):
Other Intangible Assets, Net
Certificates of Need and LicensesAcquired
Names -Unamortizable
Acquired
Names -Amortizable (4)
Non-Compete
Agreements (4)
Technology (4)Total
Balances at December 31, 2019 (1)$37.6 $18.1 $5.6 $3.4 $— $64.7 
Additions11.8 — 7.0 11.5 — 30.3 
Write-off (2)— (4.2)— — — (4.2)
Amortization (3)(2.4)— (7.1)(7.1)— (16.6)
Balances at December 31, 202047.0 13.9 5.5 7.8 — 74.2 
Additions0.8 28.3 — 6.2 20.2 55.5 
Reclass to amortizable intangible— (6.6)6.6 — — — 
Amortization (3)(0.7)— (9.0)(7.6)(1.2)(18.5)
Balances at December 31, 2021$47.1 $35.6 $3.1 $6.4 $19.0 $111.2 
(1)Net of prior years' accumulated amortization of $4.4 million for acquired names and $2.7 million for non-compete agreements.
(2)Write-offs are related to our acquired names that are no longer in use or that were associated with care centers that are closed.
(3)Amortization of certificates of need and licenses is related to care centers that were closed during 2020 and 2021.
(4)The weighted average remaining amortization period of our amortizable acquired names, non-compete agreements and technology is 0.3 years, 1.3 years and 6.6 years, respectively.

See Note 4 – Acquisitions for further details on additions to goodwill and other intangible assets, net.
The estimated aggregate amortization expense related to intangible assets for each of the five succeeding years is as follows (amounts in millions):
Intangible Asset Amortization
2022$10.5 
20234.7 
20242.9 
20252.9 
20262.9 
$23.9