Owner Scorecard


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NHC, National HealthCare Corporation

We provide include a comprehensive range of health care services.

Activities include providing sub acute and post acute skilled nursing care, intermediate nursing care, rehabilitative care, memory and Alzheimer's care, senior living services, home health care services, hospice services, and behavioral health services.

The most significant portion of our business and the base for our other health care services is the operation of our skilled nursing facilities ("SNF's").

Latest annual: FY2025 10-K
NHC · National HealthCare Corporation
I

The business

What it sells, where the money comes from, the kind of company it is.

Revenue · FY2025
$1.5B
+16.1% YoY · 8% 5-yr CAGR
Vital signs · TTM, with 5-yr average
Revenue $1.5B 5-yr avg $1.2B
Operating margin 8.5% 5-yr avg 5.6%
ROIC 10% 5-yr avg 6%
Owner-earnings margin 11% 5-yr avg 5%
Free cash flow margin 11% 5-yr avg 5%

The business in brief

read the 10-K →

What this business is and what moves its needle, from its own SEC filings.

What moves the needle
Operating margin has run about 5.0% through the cycle, a thin margin, where volume, cost discipline and the price it gets all bear on the result. The operating margin has swung widely — from 2.9% to 8.5% over the years — so the through-cycle figure carries more than any single year, and the worst year more than the best. Read this kind of business on volume, payer mix and reimbursement. On its own account, the filing leans hardest on pricing power & competition, set against the numbers in what the filing emphasizes, below.
Is it a good business?
Return on capital has rarely cleared the cost of capital (median 6%, above 15% in 0 of 10 years). By owner earnings: roughly 7% of revenue reaches owners as cash, consistently. This is price-taker territory, where the balance sheet and the cycle matter more than any multiple; the rest is in the 10-K.

Every line is arithmetic on the company's filings, shown in full in the sections below.

II

The record

Ten years of arithmetic, read across the cycle.

The record, 2016–2025

realized figures from each filing · older years to the left
2016’162017’172018’182019’192020’202021’212022’222023’232024’242025’25TTMTTMMar 2026
Income statement
$924M$964M$980M$996M$1.0B$1.1B$1.1B$1.1B$1.3B$1.5B$1.5BRevenueRevenue
3%3%3%3%2%2%2%n/mn/mn/mn/mSG&A / revenueSG&A/rev
$61M$54M$56M$49M$48M$51M$32M$57M$90M$128M$130MOperating incomeOp. inc.
6.6%5.6%5.7%4.9%4.7%4.7%2.9%5.0%6.9%8.5%8.5%Operating marginOp. mgn
$51M$56M$59M$68M$42M$139M$22M$67M$102M$120M$124MNet incomeNet inc.
37%25%22%23%20%7%24%26%25%25%23%Effective tax rateTax rate
Cash flow & returns
$91M$94M$98M$100M$203M$62M$9M$111M$107M$185M$208MOperating cash flowOp. cash
$39M$43M$42M$42M$42M$41M$40M$42M$42M$45M$46MDepreciationDeprec.
$812K($6M)($4M)($12M)$117M($119M)($57M)($398K)($41M)$16M$34MWorking capital & otherWC & other
$63M$32M$30M$26M$22M$39M$30M$28M$28M$36M$40MCapexCapex
6.8%3.4%3.0%2.6%2.1%3.7%2.8%2.4%2.1%2.4%2.6%Capex / revenueCapex/rev
$52M$62M$69M$74M$181M$23M($21M)$83M$80M$149M$168MOwner earningsOwner earn.
5.6%6.4%7.0%7.4%17.6%2.1%−2.0%7.3%6.1%9.8%11.0%Owner earnings marginOE mgn
$28M$62M$69M$74M$181M$23M($21M)$83M$80M$149M$168MFree cash flowFCF
3.1%6.4%7.0%7.4%17.6%2.1%−2.0%7.3%6.1%9.8%11.0%Free cash flow marginFCF mgn
$1M$246K$0$0$3M$0AcquisitionsAcquis.
$26M$28M$30M$31M$32M$32M$35M$36M$37M$39M$39MDividends paidDiv. paid
$8M$0$867K$872K$53K$836K$10M$2M$14M$15MBuybacksBuybacks
5%5%6%5%6%6%3%5%6%9%10%ROICROIC
8%8%8%9%5%15%3%7%10%11%11%Return on equityROE
4%4%4%5%1%12%−1%3%7%8%8%Retained to equityRetained/eq
Balance sheet
$164M$198M$183M$203M$147M$108M$59M$107M$76M$93M$197MCash & investmentsCash+inv
$83M$87M$97M$93M$90M$96M$100M$109M$135M$139M$138MReceivablesReceiv.
$8M$7M$7M$7M$9M$9M$7M$7M$9M$8M$9MInventoryInvent.
$19M$16M$20M$19M$21M$22M$17M$19M$25M$23M$21MAccounts payablePayables
$71M$78M$85M$82M$77M$82M$90M$97M$119M$124M$126MOperating working capitalOper. WC
$291M$329M$322M$341M$457M$427M$354M$406M$424M$462M$466MCurrent assetsCur. assets
$151M$155M$158M$195M$281M$263M$198M$214M$235M$254M$251MCurrent liabilitiesCur. liab.
1.9×2.1×2.0×1.8×1.6×1.6×1.8×1.9×1.8×1.8×1.9×Current ratioCurr. ratio
$18M$18M$21M$21M$21M$168M$168M$168M$170M$170M$170MGoodwillGoodwill
$1.1B$1.1B$1.1B$1.3B$1.4B$1.4B$1.3B$1.3B$1.5B$1.5B$1.5BTotal assetsAssets
$120M$100M$55M$10M$0$0$137M$40M$10MTotal debtDebt
($44M)($98M)($128M)($193M)($147M)($107M)$61M($53M)($187M)Net debt / (cash)Net debt
15.4×11.1×11.9×15.6×34.4×60.3×56.7×177.3×21.7×20.1×28.6×Interest coverageInt. cov.
$670M$703M$733M$779M$795M$903M$874M$909M$980M$1.1B$1.1BShareholders’ equityEquity
0.1%0.2%0.2%0.2%0.2%0.2%0.2%0.2%0.3%0.3%0.3%Stock comp / revenueSBC/rev
Per share
15.2M15.2M15.2M15.4M15.4M15.4M15.4M15.4M15.6M15.6M15.8MShares out (diluted)Shares
$60.73$63.34$64.34$64.87$66.90$69.68$70.29$74.24$83.81$97.01$96.76Revenue / shareRev/sh
$3.32$3.69$3.87$4.44$2.72$8.99$1.45$4.34$6.53$7.67$7.84EPS (diluted)EPS
$3.41$4.08$4.51$4.80$11.80$1.49$-1.39$5.42$5.11$9.50$10.68Owner earnings / shareOE/sh
$1.86$4.08$4.51$4.80$11.80$1.49$-1.39$5.42$5.11$9.50$10.68Free cash flow / shareFCF/sh
$1.70$1.86$1.96$2.03$2.08$2.08$2.24$2.31$2.37$2.47$2.49Dividends / shareDiv/sh
$4.12$2.13$1.95$1.72$1.42$2.56$1.96$1.81$1.77$2.33$2.53Cap. spending / shareCapex/sh
$44.03$46.18$48.13$50.69$51.74$58.57$56.60$59.10$62.84$68.31$69.18Book value / shareBVPS
Per-share growththe realized rate an owner's share compounded
9-yr5-yr
Revenue / share+5.3%/yr+7.7%/yr
Owner earnings / share+12.1%/yr−4.2%/yr
EPS+9.7%/yr+23.0%/yr
Dividends / share+4.3%/yr+3.6%/yr
Capital spending / share−6.1%/yr+10.4%/yr
Book value / share+5.0%/yr+5.7%/yr

The record, charted

FY2016–2025

Each measure over its full record; the current point and the worst year marked.

Share count
16Mpeak FY2025
ROIC
9%low FY2022

Owner earnings vs. net income

Owner earningsNet income

The accountant's number, and the cash an owner can take; the gap is the tell.

$149Mowner earningsvs.$120Mnet incomelow FY2022

Where the cash went

ReinvestBuybacksDividendsAcquisitionsRetainedBeyond op. cash

Each year's outlays against its operating cash: the mix, and how it drifts. The hatched cap is spending beyond that year's operating cash — financed from the balance sheet or borrowing, not operations.

FY2016FY2025

Net income is the accountant's number; owner earnings is the cash an owner could take out. The walk between them, off the cash-flow statement, and whether the gap is widening or holding.

In fiscal 2025 the business turned $120M of profit into $149M of owner earnings: more cash than the profit line showed, after the non-cash charges and the capital it put back in.

Reported net income$120M
Owner earnings$149M · 10% of revenue
FY2025FY2024FY2023FY2022FY2021
Reported net income$120M$102M$67M$22M$139M
Depreciation & amortizationnon-cash charge added back+$45M+$42M+$42M+$40M+$41M
Stock-based compensationreal costnon-cash, but a real cost+$4M+$4M+$3M+$3M+$3M
Working capital & othertiming of cash in and out, other non-cash items+$16M−$41M−$398K−$57M−$119M
Cash from operations$185M$107M$111M$9M$62M
Capital expenditurecash put back in to keep running and to grow−$36M−$28M−$28M−$30M−$39M
Owner earnings$149M$80M$83M($21M)$23M
Owner-earnings marginowner earnings ÷ revenue10%6%7%-2%2%

Owner earnings is the cash an owner could pull out without starving the business: operating cash less the capital it must spend to hold its position . The cash-flow statement also adds stock comp back as non-cash, but it is a real cost paid in shares; counted as the expense it is (less $4M), owner earnings is nearer $144M.

Maintenance capex is estimated as depreciation where a growing business invests above it; free cash flow is the figure the scorecard's free-cash margin reads.

III

Quality & stewardship

Returns, the balance sheet, capital allocation, and pay.

Owner’s Scorecard

FY2025 10-K · source on SEC EDGAR →

Will it survive?

  • Comfortable
    Operating income $128M ÷ interest expense $6M
    What this means

    Operating profit covers interest with the kind of margin Graham wanted for a defensive holding. Necessary, not sufficient, it says solvent, not cheap.

  • Net cash
    Cash $93M + ST investments $152M − debt $40M
    What this means

    Cash and short-term investments exceed every dollar of debt by $205M, on net the company owes nothing, and can act from strength when others can't. Net debt is the leverage figure that matters: the cash is already set against the debt. Strategic or illiquid investments aren't counted here.

  • Not enough data
    What this means

    The filing data didn't include the inputs for this check.

Is it a good business?

  • Below average through the cycle
    10-yr median, range 3%–9%; 9% latest = NOPAT $96M ÷ invested capital $1.0B
    Industry peers: median 4%
    What this means

    The rate the business earns on the money tied up in it, Buffett's north star, because over time a stock tracks the ROIC beneath it. Above ~15% sustained hints at a moat; a return below the cost of capital (~8%) erodes value as a business grows rather than building it — the test Buffett weighs most. The headline is the median of the last 10 years (it ran 9% most recently), so one peak or trough year doesn't set the verdict. Asset-light businesses (R&D expensed, little capital) read artificially high, pair this with Owner Earnings.

  • Solid through the cycle
    10-yr median margin, range -2%–18%; latest $149M = operating cash $185M − maintenance capex $36M
    Industry peers: median 5%
    What this means

    What an owner could take out without starving the business: operating cash less the maintenance capital it must spend to hold its position — Buffett's owner earnings. That's 10% of revenue this year, a 6% median across 10 years. Treating stock comp as the real expense it is (less $4M of SBC) leaves $144M.

  • Cash-backed
    Cash from ops $185M ÷ net income $120M
    What this means

    How much of reported profit showed up as operating cash. Above 1× is reassuring; well below suggests earnings lean on accruals. One year is noisy, growth and working-capital swings distort it, and this is operating cash, not free cash. Watch the multi-year trend.

How is the cash used?

  • Reinvests most of it
    Dividends + buybacks $53M ÷ Owner Earnings $149M
    What this means

    Of $149M Owner Earnings, $53M (36%) went back to shareholders, $39M dividends, $15M buybacks. Net of $4M stock comp, the real buyback was about $10M. Returning most of it is the mark of a mature business with little left to reinvest at a high return; reinvesting most could mean a long runway, or empire-building. The split doesn't say which; the return earned on it (see ROIC) does.

  • Investing or harvesting? 0.81×
    Maintaining
    Capex $36M ÷ depreciation $45M
    What this means

    Descriptive, not a grade. Above ~1× means investing faster than assets wear out (growth, or, sustained for years, today's earnings carrying less depreciation than tomorrow's will). Below means spending less than it's wearing out (efficiency, or a melting asset base). The ratio won't tell you which; the filings will.

Graham’s defensive tests · 4 of 6 met

Graham’s numerical criteria for the defensive investor (The Intelligent Investor, ch. 14), run on the filings. A floor of safety, not a buy signal; many fine modern businesses fail his strictest liquidity rules by design.

  • Adequate size Near
    Revenue ≥ $2B · $1.5B
    What this means

    Big enough to weather a storm. Graham's 1972 floor was ~$100M of sales (≈ $700M today); we use a $2B revenue line as a conservative modern stand-in.

  • Strong liquidity Near
    Current ratio ≥ 2× · 1.82×
    What this means

    Current assets at least twice current liabilities, near-term bills covered without touching the business. Strict by design: many cash-rich modern firms run leaner and miss it, holding their cushion in longer-dated securities.

  • Conservative debt Pass
    Debt ≤ working capital · $40M vs $208M WC
    What this means

    Graham's rule that borrowings not exceed net current assets. Capital-heavy and buyback-heavy firms routinely fail it, read it next to interest coverage, not alone.

  • Earnings stability Pass
    A profit every year (10-yr record) · no losses
    What this means

    Graham wanted earnings in each of the past ten years, the stability a defensive owner leans on.

  • Dividend record Pass
    Uninterrupted dividends · paid every year (10)
    What this means

    An unbroken dividend was Graham's mark of durability. He wanted twenty years; the filings show about ten, and a single suspension breaks the streak. Non-payers, many fine modern compounders, fall outside his defensive net by design.

  • Earnings growth Pass
    Earnings +33% over the record · +74%
    What this means

    At least a third more earnings than a decade ago, averaging three years at each end. Net income (not per-share), so stock splits don't distort it, buybacks and dilution show up in the share-count line instead.

  • Moderate price
    P/E ≤ 15 and P/E × P/B ≤ 22.5 · decided by the price
    What this means

    Graham's valuation gate, the wall he kept between a sound business and a sound investment. Three-year average earnings are $6.16/share (latest year $7.68), the averaged base the calculator's gate runs on, and book value is $68.42/share. Enter a price in “What the price implies” just below for the P/E, P/B, and whether it clears. But this is the rule Buffett outgrew: there's no hard P/E law, and a wonderful business can deserve a far richer multiple if the thesis holds, treat it as the bargain-hunter's floor, not a verdict on the price.

Durability & moat, 2016–2025

Whether the record’s returns held, and what the capital reinvested earned.

  • Profitable years 10 of 10
    What this means

    Never lost money over the record, the earnings stability Graham insisted on.

  • Return on capital ≥ 15% 0 of 8 yrs
    What this means

    A moat shows up as a high return on invested capital that holds year after year, not one good vintage.

  • Operating margin 6% → 7% (3-yr avg ends)
    What this means

    Through the cycle the operating margin held roughly steady — about 6% early, 7% lately, median 5%.

  • Reinvestment, incremental ROIC returns capital
    What this means

    The capital base barely grew: this business returns cash through dividends and buybacks rather than reinvesting. Judge it on the cash returned, not on compounding.

  • Owner earnings growth +8%/yr
    What this means

    Owner earnings grew about 8% a year over the record.

  • Worst year 2022 · 2.9% op. margin
    What this means

    Stayed profitable even in its hardest year, the resilience that survives recessions.

  • Share count +0.3%/yr
    What this means

    Roughly flat share count, little dilution, little buyback.

  • Dividend record rising
    What this means

    Paid and raised the dividend across the record, the continuity Graham prized.

  • How management talks about it Owner’s terms
    What this means

    The record and the register agree: capital is compounding and the filing reasons in an owner’s terms — per-share value, return on capital, the long term — not a promoter’s.

Does AI threaten the moat?

Moderate contestability

AI is likely to reshape costs and some products here without clearly contesting or sparing the core moat; how the company itself frames it is the tell.

The question is whether a moat the record shows as durable outlasts a technology that lowers the cost of part of what the firm sells. The durability is read in the record above, the filing's own framing of AI beside it; the industry label decides nothing on its own.

Read from the filing's own risk factors, paired with the industry's structure under its SIC code; the durability is read above, the price below.

All figures as filed; the source filing is linked above.

Current Position

as of the latest quarter, Mar 31, 2026

Can the business pay what it owes this year, off the freshest balance sheet: the quality of the assets, the debt actually coming due, and what a low ratio means here.

Current assets$466M
  • Cash & short-term investments$197M
  • Receivables$138M
  • Inventory$9M
  • Other current assets$121M
Current liabilities$251M
  • Accounts payable$21M
  • Other current liabilities$229M
Current ratio1.86×all current assets ÷ what's due · Graham looked for 2×
Quick ratio1.82×stricter: inventory excluded
Cash ratio0.79×strictest: cash alone against what's due
Working capital$215Mthe cushion left after near-term bills
Revenue, latest quarter vs. a year ago+2.3%the freshest read on whether the business is still growing
Current ratio, recent quarters2.1× → 1.9×
Deeper floors
Tangible book value$901Mequity stripped of goodwill & intangibles
Net current asset value$38MGraham's net-net: current assets less all liabilities
Debt incl. operating leases$39M$39M of it operating leases
Deferred revenue$13Mcustomer cash collected before delivery; operating float

From the company's latest filing.

How the cash was used, 2016–2025

Over the record, the business generated $1.1B of operating cash; how management split it reads as a balanced allocator, splitting cash between the business, owners, and the balance sheet.

  • Reinvested$335M · 32%
  • Dividends$325M · 31%
  • Buybacks$51M · 5%
  • Retained (debt / cash)$351M · 33%
  • Returned to owners$376M

    50% of the owner earnings the business produced over the span, $325M as dividends and $51M as buybacks.

  • Average price paid for buybacks

    Buybacks ran $51M over the span, but the filings don't tag the share count needed to deduce the average price paid.

  • Net change in share count3.7%

    The diluted count rose from 15M to 16M: issuance (stock pay, deals) outran any buybacks, so owners were diluted on net.

  • Dividend record$2.47/sh

    Paid in 10 of the years on record, the per-share dividend growing about 4% a year. It was never cut over the span.

  • Return on what it retained12%

    Of the earnings it kept rather than paid out ($349M over the span), annual owner earnings (first three years vs last three) grew $43M, so each retained $1 added about 0.12 of yearly owner earnings. Buffett's test, run on owner earnings instead of market value.

Buybacks are gross of stock issued to staff; the share-count line above is the net of that, the figure that decides whether owners gained. The average price paid blends a year of purchases (and any accelerated repurchase), so it is close, not exact. The record of where the cash went and on what terms.

Management, ownership & pay

read the proxy →

From the proxy: how much of the business the people running it own, and how they are paid, beside what the business earned for its owners in the same years.

Fiscal yearChief executivePay, as filed“Actually paid”Owner earnings
2021Stephen F. Flatt$2.2M$2.1M$23M
2022Stephen F. Flatt$1.2M$1.0M($21M)
2023Stephen F. Flatt$1.6M$2.4M$83M
2024Stephen F. Flatt$2.2M$2.7M$80M
2025Stephen F. Flatt$2.7M$3.4M$149M

Both pay figures are the company’s own, from the pay-versus-performance table its proxy statement files. “As filed” is the Summary Compensation Table total: salary, bonus, and equity awards at their value on the day of grant. “Actually paid” is the SEC’s prescribed recalculation, which re-marks those equity awards to what they became as they vested; it can swing far above or below the filed figure in either direction, and negative years occur. Owner earnings are the whole business's, from the record above, for the same fiscal years.

  • Insider ownership13.9%

    The stake all directors and executive officers hold together, per the 2026 proxy: skin in the game, the first thing Munger reads.

  • Stock-based compensation$4M

    The slice of the business handed to employees in shares this year, 0% of revenue, equal to 3% of operating profit. Buffett's oldest accounting fight: this is compensation, compensation is an expense, real whether or not the headline earnings admit it. One trap: the cash-flow statement adds SBC back, so the operating cash, and the owner earnings drawn from it, are flattered by exactly this amount; counted as the cost it is, what an owner keeps is lower.

Inverting the record

Invert: instead of why National HealthCare Corporation is a good business, the question is what would make owning it a mistake, and whether those marks are in the record. Disconfirming tests across 2016–2025.

1 of the 6 tests turned up something to look into; the other 5 came back clean.

  • Look hereDid the share count rise anyway?3.7%

    Diluted shares grew 3.7% over 2016–2025, even as the company spent $51M on buybacks. The repurchases were outrun by issuance — to staff, in a raise, or in a deal — and the filing says which; owners' slice still shrank. Read the buyback line beside this one, not on its own.

And these came back clean
  • Is it less profitable than it was?
  • Did debt outgrow the business?
  • Did reported profit become cash?
  • Did receivables and inventory outpace sales?
  • Are "one-time" charges a yearly habit?

Each test is read from the filings and is noisy alone; a flag can mark a cyclical trough or a year of heavy investment as easily as a problem. The filing says which.

What an owner would ask, FY2025

read the 10-K →
  • Which reported numbers are a judgment call?
    Management names Revenue recognition as critical estimates

    each rests partly on management's judgment; the filing's note sets out the assumptionsverify →

The questions the record and the charts do not answer on their own; each carries the figure and the place to look.

Peers, Health Care Providers & Services

The same industry, side by side on owner economics. Each figure is a through-cycle median, so a peak or trough year can’t distort it; the group median at the foot is the line to read each against.

CompanyRevenueGross marginOp. marginROICOwner earn. margin
PACSPACS Group Inc.$5.3B6.3%21%5%
ENSGEnsign Group$5.0B20%7.7%17%5%
BKDBrookdale Senior Living Inc.$3.2B-1.3%-1%-1%
HIMSHims & Hers Health$2.3B75%-10.2%-9%9%
RDNTRadNet$2.0B13%4.9%4%5%
NHCNational HealthCare Corporation$1.5B5.3%6%7%
SHCSotera Health$1.2B55%25.2%7%13%
INNVInnovAge Holding Corp.$854M-2.5%-6%1%
Group median5.1%5%5%
IV

The price

What a price has to assume.

What the price implies

reverse-DCF

Type today's close and see the owner-earnings growth you'd have to believe to justify it, beside what National HealthCare Corporation has delivered.

National HealthCare Corporation’s latest year runs above its own through-cycle margin — the reported figure may flatter a peak. So the tool opens on the through-cycle base, Graham’s averaging cutting both ways; clear the toggle below to read the latest year exactly as reported.

$

Through the cycle, National HealthCare Corporation earns about $102M on its 6.7% median owner-earnings margin. This year’s 9.8% margin runs above that; the reported figure may flatter a peak you'd be paying on. Normalize, below, values the price on that through-cycle figure rather than the latest year. It comes pre-checked here for that reason, the same rule that already normalizes a trough; clear it to price the year as filed.

Base

The assumptions

9.0% = the 4.55% 10-year Treasury (Jul 15, 2026) + 4.45 points of equity premium. The rate you require is yours to set.

Enter a price above to run it.

Implied by the price
Owner-earnings growth · ’21→’25+249%/yr
Owner-earnings growth · ’16→’25+11%/yr
Owner-earnings yield
P/E (3-yr earnings ’23–’25)
P/B
Graham’s price gate

Graham capped the multiple at 15×; Buffett and Munger let that rule go: a wonderful business can deserve 50× if the thesis holds. The gate marks the bargain-hunter's floor.

Against a high-grade bond: Graham’s yardstick bond yield%

Prefilled with the 10-year Treasury (4.55%, as of Jul 15, 2026). Edit it for today’s exact figure, or a AAA corporate yield.

Graham measured a stock against the bond you could own instead, the heart of his margin of safety. Enter a price above to weigh the owner-earnings yield against this bond.

Owner earnings $168M on 16M shares outstanding, per the 10-Q cover, as of 2026-04-30; net cash $187M. The base opens on the through-cycle figure (the latest year sits above the record’s own median, and Graham’s averaging cuts both ways); clear Normalize to use the year as filed. Net of stock comp treats option pay as the expense it is. The dials set the multiple a growth belief justifies; the price, and every dollar on this page, is yours.

Cite: Owner Scorecard, "National HealthCare Corporation (NHC), the owner's record," https://ownerscorecard.com/c/NHC, data as of 2026-07-09.

Manual order: ← NGVT its page in the Manual NHI →

Industry order: ← MD the Health Care Providers & Services chapter OMDA →