American Family Care Franchise Cost, Revenue & Review 2026
- Investment
- $956K – $1.5M
- Disclosed sales
- $1.8M
- gross sales, not profit
- SBA charge-off
- Limited · 121 loans
Data from FDD filing + SBA 7(a) records
Analysis by FranchiseVerdict Research · Methodology
American Family Care (AFC) is an urgent-care franchise providing walk-in treatment for minor illness and injury, diagnostics, and minor procedures. Franchisees run clinics managing medical and admin staff, patient intake, and insurance billing.
FranchiseVerdict summary · 2026
A American Family Care franchise requires a total initial investment of $956K – $1.5M, including a $60K franchise fee and an ongoing 6.0% royalty[2]. Per the 2025 FDD, average unit revenue was $1.8M[2]. FranchiseVerdict grade: A (Strongest tier), an editorial assessment, not investment advice. Run a live ROI scan →
Sources, dates and evidence
FDD issued: 2025 filing · Data extracted: · Last cited check: · Staleness risk: medium - a newer filing may exist
Evidence: strong✓ Investment (Item 7)✓ Item 19 status✓ Units and owners (Item 20)✓ SBA loan coverage✓ Litigation (Item 3)✓ Financial statements (Item 21)✓ Franchisor identityhow this is scored8 of 8 headline figures on this page cite a page of the filing.
Overview
- Investment
- $956K – $1.5M
- 81st pct Healthcare
- Avg gross sales
- $1.8M
- Net sales25th pct Healthcare
- Royalty
- 6.0%
- 14th pct Healthcare
- Units
- 386
- 75th pct Healthcare
- SBA charge-off
- N/A
Quick verdict · Healthcare · color = vs category peers
Green = favorable by >10% vs Healthcare median · No shading = within ±10% · Red = unfavorable by >10% · Source: FDD filings + SBA 7(a)
Data from public FDD filings and SBA records. Not financial advice. Methodology
Bottom line
- COSTTotal investment $956K – $1.5M including a $60K franchise fee, 6.0% ongoing royalty.
- RETURNSAverage unit revenue of $1.8M/year (median $1.6M).
- RISKVerdict A (Strongest tier), verdict score 76/100 (higher is better).
- GROWTHPositive: net +29 franchised outlets in the latest year (37 opened, 8 closed); 98 signed but not yet open (Item 20).
- GROWTHSystem growing at 40.1% CAGR over 3 years with 386 total units. Strong expansion trajectory.
Item 1 · who you're contracting with
The Franchisor
Corporate structure & franchisor financials
- Legal entity
- AFC Franchising, LLC
- Parent company
- American Family Care, LLC (AFCLLC)
- FDD Item 1, page 9 of the 2025 FDD
- Ultimate parent
- AFC Parent Holdings, LLC
- FDD Item 1, page 9 of the 2025 FDD
- Predecessor
- Doctors Express Franchising, LLC
- Prior franchisor entity
- CEO title
- Chief Executive Officer
- Jeremy Morgan
- Incorporated in
- AL
- HQ
- 3700 Cahaba Beach Road, Birmingham, Alabama 35242
- Auditor
- Grant Thornton LLP
- Audited financials
- Franchisor revenue
- $39.5M
- Most recent fiscal year
Overview
About
- CEO
- Jeremy Morgan
- Headquarters
- AL
- Founded
- 2013
- FDD year
- 2025
- States available
- 29
Can you afford it, and what does the money buy?
Entry cost runs 286% above the typical healthcare franchise.
Source: FDD 2025 · Items 5–7
FDD Item 7 · 2025 filing
Initial investment breakdown
| Cost component | Low | High |
|---|---|---|
| Initial franchise fee | $60K | $60K |
| Working capital (3–6 mo) | $200K | $500K |
| Equipment, build-out, other | $696K | $960K |
| Total initial investment | $956K | $1.5M |
Source: American Family Care 2025 FDD, Items 5 and 7[2]. “Equipment, build-out, other” is computed as total minus disclosed line items above.
Item 7 · what it costs to open + operate
The Vitals
- Total investment
- $956K – $1.5M
- Bottom third — review vs category
- Liquid capital req'd
- $200K – $500K
- Bottom third — review vs category
- Franchise fee
- $60K – $60K
- Middle of category vs category
- Royalty
- 6.0%
- typical 6–8%
- Ad fund
- 1.0%
- typical 3–5%
- Total fee load
- 7.0%
- vs 9–13% typical
Ongoing fees · Item 6
| Fee | Amount |
|---|---|
| Royalty | 6.0% of net sales |
| Marketing / ad fund | 1.0% |
| Technology fee | $275 |
| Transfer fee | $10K |
| Renewal fee | $6K |
| Total fee load | 7.0% of rev |
What do units actually make?
Average unit sales run 163% above the healthcare norm.
Reported as net sales, not gross sales
Source: FDD 2025 · Item 19
Single-unit · not modelled
Returns at a glance
An FDD discloses gross sales, not profit, and the operating costs that turn one into the other are in no filing. We publish no modelled return for American Family Care until someone supplies them — yours, in the models below.
—
Not modelled yet
An FDD discloses gross sales, not profit. We hold no sourced figure for COGS, labour, rent / occupancy and other operating costs, and will not substitute an assumed one. Enter your own and the model runs on your assumptions.
Total invested capital · disclosed
$1.6M
Item 7 initial investment plus working capital, as filed — the one figure here that needs no assumption.
ROI & LBO modelsSingle-unit · 25-unit portfolio · editable
What one unit earns on your invested capital
Model A · Single-Unit Return
Computes unlevered return on invested capital (ROIC) for a single franchise unit, read against the 30–60% reference band · Yale SOM, Post-MBA Path Exhibit 2 (2023). Below that band a passive index fund likely outperforms; above it the franchisor has pricing power you're subsidizing.
Note: Item 19 revenue is what the franchisor discloses, and it is the top line only — gross sales are not profit. No FDD discloses the operating costs that turn one into the other, so those fields start empty and nothing is modelled until you supply them from your own lease quote, labor market and build-out budget.
Returns model · single-unit ROIC
What would one American Family Care unit return on the cash you put in?
Illustrative category typicals — not sourced to any filing, survey or sample. Replace them with figures from franchisee validation calls before you rely on the output.
Unlevered ROIC · per unit
Your modelled return on total invested capital, before any debt financing.
—
An FDD discloses gross sales, not profit. We hold no sourced figure for COGS, labour, rent / occupancy and other operating costs, and will not substitute an assumed one. Enter your own and the model runs on your assumptions.
What 25 units return when you use SBA financing
Model B · Return on Equity: Debt-Financed Acquisition
Models a 25-unit portfolio acquisition financed with an SBA 7(a) loan. Shows equity IRR (your return on cash invested), DSCR (how safely the cash flow covers debt service), and the capital stack (SBA + seller + equity breakdown).
This is the “search fund” or “entrepreneurship through acquisition” scenario: you buy an existing multi-unit operator, use leverage to amplify returns, and either operate or hire management. The 25-unit size is the typical minimum for an SBA-backed franchise portfolio acquisition to pencil as a full-time income.
What “return on equity” means here: if you put in $500K of your own cash and the business generates enough EBITDA to pay down debt and grow, your equity IRR is the annual return on that $500K, including the value created when you eventually sell. Target IRR for a search fund is typically 25–35%.
Not modelled yet
An FDD discloses gross sales, not profit. We hold no sourced figure for COGS, labour, rent / occupancy and other operating costs, and will not substitute an assumed one. Enter your own and the model runs on your assumptions.
A 25-unit return is built on a per-unit EBITDA. Fill in the operating costs in Model A above and this model runs on that figure, or take the whole scenario to the full ROI workbench, where the portfolio and LBO models accept your own per-unit economics directly.
These models are for research and scenario planning only. Not investment advice. Actual results depend on your specific location, management, and market conditions. Consult a franchise attorney and accountant before signing any franchise agreement.
Item 19 · Source: 2025 FDD
Financial Performance
Reported as net sales, not gross sales
- Avg gross sales
- $1.8M
- Per unit, per year
- Median gross sales
- $1.6M
Gross sales are revenue before expenses — not profit. Actual owner earnings depend on rent, labor, royalties, marketing fees, and debt service.
- Item 19 type
- net sales
- Sample size
- 270 outlets
- vs category median 20 · large
- Range (low → high)
- $134K→$4.8MCited, not corroborated — printed on page 53 of the 2025 FDD. Nothing else in our record independently restates or re-derives it.
- Cohort dispersion (min → max)
- Reporting year
- 2024
- Fiscal year the figures cover
- Source filing
- FDD 2025
- Disclosed in the 2025 filing, covering 2024
- Transparency
- 4 / 10
- vs category median 3 / 10 · above
Compared against 162 Healthcare brands
Operator outlook
What the numbers say
Data-driven interpretation of this brand's financial disclosures, fee structure, and system trajectory.
Unit economics
Average unit generates $1.8M/year in gross sales. Revenue-to-investment ratio: 1.4x.
Fee burden
Total ongoing fee load of 7.0% (near the Healthcare median).
Disclosure
Transparency score 4/10 — this franchisor discloses detailed breakdowns (quartiles, segments, or cohort data). Buyers can model unit economics with higher confidence.
Operator retention
System expanding at 40.1% CAGR over 3 years across 386 units — operators are staying and new ones are joining.
Source: FDD Item 19 financial performance representations and publicly filed FDD data. Past performance is not indicative of future results. Verify all figures with the franchisor and current franchisees before making any investment decision.
vs Healthcare medians
How American Family Care Compares
Category median of published Healthcare brands that report the figure; the middle half spans the 25th to 75th percentile and n counts the brands behind it. Medians are used because a few very large systems pull an average far from the typical brand. Revenue is disclosed gross sales, not profit.
Is the system healthy?
Source: FDD 2025 · Item 20
Unit growth
Item 20 · unit dynamics
The Growth Chart
- Total units
- 386
- Opened
- 37
- Last reporting year
- Closed
- 8
- Terminated
- 7
- Franchisor ended the franchise (per Item 20)
- Non-renewed
- 0
- Term expired, not renewed (per Item 20)
- Turnover rate
- 2.1%
- Company-owned
- 82
- Corporate units in the system
- % franchised
- 79%
- vs corporate-owned
- Net growth (3-yr)
- +40.1%
- Net unit change over 3 years
- 3-yr CAGR
- +40.1%
- Compounded over last 3 years
Last fiscal year · Item 20 exits and transfers
- Terminated
- 7
- Not renewed
- 0
- Transferred
- 8
- Reacquired
- 0
- Franchisor bought back
- Signed, not yet open
- 98
- 0.25 per open outlet · Item 20 Table 5
- Projected new
- 38
- Franchisor's next-year forecast
Year-over-year franchised unit counts and net change. Source: FDD Item 20.
Item 20 · 31 states with active franchisees
The Territory Map
Derived from franchisee contact records. Shows states with at least one current operator. Not where the franchisor is registered to sell new units (that data is re-extracting in a future refresh).
States derived from franchisee contact records (FDD Item 20). Shows states with at least one current operator on file. Full state registration data (Item 12) will appear on a future FDD refresh.
Where the owners are · Item 20 owner list
367 current owners across 30 states; 11 former (terminated, transferred or not renewed) listed separately.
- NJ 52
- CA 36
- TX 34
- NY 33
- PA 30
- CO 27
- NC 23
- MA 21
- FL 17
- SC 17
- TN 14
- VA 13
- +18 more states
Counts only, from the list the franchisor prints in Item 20. Names and phone numbers are for your own due diligence and are not shown here.
SBA loan performance
Government records
SBA Loan Data
Aggregated from SBA 7(a) and 504 loan disclosures, public data unique to FranchiseVerdict.
- Total loans
- 121
- Loan volume
- $140.4M
- Median loan
- $1.2M
- average
- Charge-off rate
- Limited · 121 loans
- Limited SBA coverage: 121 loans, rate hidden until 10 have resolved and loans reach 2% of franchised units
Historical SBA 7(a) lending data, not predictive of future performance. How SBA charge-off rates are calculated
- Repayment rate (PIF)
- Limited · 121 loans
- 5-yr charge-off
- 0.0%
- Loans approved 2021+
- Active lenders
- 27
- Defaults
- 0
Vintage analysis
American Family Care charge-off rate by loan vintage
Top lenders financing American Family Care franchisees
Showing 3 of 27 lenders. The full breakdown — every lender, state distribution, interest rates & risk ratings — is in the SBA Lending Report below.
Explore lender portfolios on Bank Reports or regional data on State Reports.
Lender network · 7(a) + 504
SBA Lending Report
Full lending analysis for American Family Care from SBA 7(a) FOIA data.
Top SBA lenders
| # | Lender | Loans | Volume | Default % |
|---|---|---|---|---|
| 1 | Citizens Bank | 19 | $29.9M | 0.0% |
| 2 | United Community Bank | 17 | $17.9M | 0.0% |
| 3 | Webster Bank National Association | 17 | $17.1M | N/A |
| 4 | The Huntington National Bank | 11 | $10.4M | N/A |
| 5 | Customers Bank | 9 | $8.2M | N/A |
| 6 | LendingClub Bank, National Association | 6 | $4.6M | 0.0% |
| 7 | Brookline Bank, a Division of Beacon Bank and Trust | 4 | $3.6M | 0.0% |
| 8 | TD Bank, National Association | 4 | $4.5M | 0.0% |
| 9 | First Business Bank | 4 | $8.4M | 0.0% |
| 10 | Wilmington Savings Fund Society FSB | 4 | $4.1M | N/A |
Geographic failure vector
| State | Loans | Defaults | Rate |
|---|---|---|---|
| NJNew Jersey | 23 | 0 | 0.0% |
| CACalifornia | 17 | 0 | 0.0% |
| PAPennsylvania | 15 | 0 | 0.0% |
| NCNorth Carolina | 12 | 0 | 0.0% |
| FLFlorida | 9 | 0 | 0.0% |
| VAVirginia | 9 | 0 | 0.0% |
| COColorado | 8 | 0 | 0.0% |
| NYNew York | 8 | 0 | -- |
| TXTexas | 5 | 0 | -- |
| ILIllinois | 3 | 0 | -- |
Source: SBA 7(a) + 504 FOIA loan-level data, matched by FranchiseVerdict
What could kill this investment?
Source: SBA 7(a) FOIA · FDD Items 3, 21
Risk analysis
FranchiseVerdict rating + FDD Items 3, 4, 8, 16, 21
Risk & Legal
Moderate-to-high risk: Healthcare franchise with active litigation, missing profitability disclosure, regulatory history (False Claims Act), and slowing unit growth masking unclear unit economics.
Why this reads harsher than the A grade: the grade weighs financial health, unit economics, unit growth, scale, legal, and transparency across the whole filing, while this summary lists individual flags without that weighting. The flags are worth checking with current owners; neither is investment advice.
Litigation (Item 3)
Subject: the franchisor is a named party (defendant).
1 pending action (franchisor v. former franchisee for non-compete enforcement, currently stayed due to bankruptcy filing); 3 prior actions settled including False Claims Act qui tam ($1.41M total settlement), master development agreement dispute ($1M), and master development agreement fraud claim ($6.5M)
Largest disclosed settlement: $6,500,000
Bankruptcy (Item 4)
None disclosed
Audited financials (Item 21)
Yes · Grant Thornton LLP
Franchisor revenue (Item 21)
Franchisor entity revenue (not unit-level)
Audited statement of income for the thirteen-month period ended December 31, 2024 (fiscal year changed from Nov 30 to calendar year). Gross revenue $39,497,984 (royalties $31,971,840, marketing $5,494,309, initial franchise fees $2,031,835); net revenue after commissions and bad debt was $31,745,283; net income $19,085,802 including $263,032 other income.
Supplier relationship · Items 8 & 16
- Franchisor sells you products: Yes
- Kickbacks from required suppliers: Yes
- Must buy proprietary products: Yes
- Restricted to system-approved products: Yes
- Can negotiate own supplier terms: No
Score breakdown · what drove the 76 / 100 verdict
- 01MEDNo Item 19 (Average Net Income) disclosed—impossible to validate 1.77M revenue translates to acceptable profit after 6% royalty, labor, and overhead in urgent care model
- 02HIGHActive litigation on franchise termination and contract breach (Boni-Graceful, Trovato) suggests franchisor enforcement issues or franchisee performance disputes
- 03MINORPrior False Claims Act settlement (Salters) indicates potential billing/compliance issues in healthcare vertical—critical regulatory risk
- 04MINORUnit growth of 10.5% YoY is modest for urgent care franchise (2023-2024 healthcare franchises averaged 12-15%); may indicate saturation or quality concerns
- 05MINORExclusivity dispute history (Purugganan) and master developer termination (Lavender) suggest franchisor-franchisee alignment issues and territorial conflicts
Severity inferred from the FDD text · not a regulatory classification
Litigation case detail4 matters · Item 3
Litigation cases
The franchisor
Pending (1)
AFC Franchising, LLC v Trovato Medical Group, Inc. and Parmjit M. Singh, MD
pendingBrought against a franchisee · filed 2023-04-21 · Circuit Court of Jefferson County, Alabama; removed to US District Court for the Northern District of Alabama · CV-2023-901311 (removed: 2:23-cv-684)
“AFC Franchising, LLC v Trovato Medical Group, Inc. and Parmjit M. Singh, MD Circuit Court of Jefferson County, Alabama, Case No. CV-2023-901311, filed April 21, 2023 now moved to US District Court for the Northern District of Alabama (Case No. 2:23-cv-684). We filed this complaint against our former franchisee, Trovato Medical Group, Inc.”Page 14 of the 2025 FDD, Item 3
Concluded (3)
Lavender Health Care, LLC vs. AFC Franchising, LLC
settledBrought by a franchisee · filed 2022-01-14 · Circuit Court of Shelby County, Alabama (originally Circuit Court of Manatee County, Florida) · CV-2019-900415.00-LMA
“Lavender Health Care, LLC vs. AFC Franchising, LLC. Circuit Court of Shelby County, Alabama, Case No. CV-2019-900415.00-LMA, filed January 14, 2022. The plaintiff filed its original complaint in the Circuit Court of Manatee County, Florida on February 6, 2019, with regard to Richard Kimsey’s master developer agreement with Doctors Express Franchising, LLC which was later assigned to us”Page 15 of the 2025 FDD, Item 3
Outcome:“This case was settled by the parties on May 30, 2024 and we paid the plaintiff $1,000,000.”
Danilo Purugganan v AFC Franchising, LLC
settledBrought against a franchisee · filed 2020-03-06 · Circuit Court of Shelby County, Alabama; removed to US District Court for the Northern District of Alabama; related action in US District Court for the District of Connecticut · CV-2020-900226 (removed: 2:20-cv-456; related: 3:20-cv-360-KAD)
“Danilo Purugganan v AFC Franchising, LLC. Circuit Court of Shelby County, Alabama, Case No. CV-2020-900226, filed March 6, 2020. We initiated this case to seek declaratory judgment to enforce the forum selection and limited exclusivity clauses in the master developer agreement between Danilo Purugganan (“Purugganan”) and Doctors Express Franchising, LLC, which was later assigned to us.”Page 15 of the 2025 FDD, Item 3
Outcome:“This case was settled by the parties on September 18, 2024 and we paid Purugganan $6,500,000.”
United States of America ex rel., Anita C. Salters, Plaintiffs vs. American Family Care, Inc., Defendant
settledGovernment or regulatory action · filed 2010-10-20 · United States District Court, Northern District of Alabama, Northeastern Division · 5:10-CV-2843-IPJ
“United States of America ex rel., Anita C. Salters, Plaintiffs vs. American Family Care, Inc., Defendant. United States District Court, Northern District of Alabama, Northeastern Division, Civil Action No. 5:10-CV-2843-IPJ. On October 20, 2010, Relator Anita C. Salters filed a qui tam action against AFCLLC (then known as American Family Care, Inc.”Page 14 of the 2025 FDD, Item 3
Outcome:“The defendant vigorously defended the allegations under the False Claims Act. In July 2017, the parties entered into a settlement agreement under which, without admitting any wrongdoing, the defendant paid $210,000 in exchange for the plaintiff releasing all claims against the defendant and its affiliates and dismissing the complaint. The complaint was dismissed in July 2017.” (page 15)
Item 3 lists the litigation the franchisor must disclose; a matter against a parent, an affiliate or a named officer is not a matter against the franchisor, and pending claims are allegations, not findings.
What are you signing up for?
Ongoing fees run about 7.0% of sales (royalty + ad fund), before rent and labor.
Source: FDD 2025 · Items 11, 12, 17
FDD Items 12, 15, 17 · continued from Risk & Legal
Contract & Territory Detail
| Initial term | 10 years |
|---|---|
| Renewal term | 5 years |
| Allowed renewalsℹ | 4 |
| Territory type | Protected territory |
| Protected territory | Yes |
| Exclusive territoryℹ | No |
| Territory population | 50,000 |
| Online sales rightsℹ | Restricted |
| Franchisor can compete | Yes |
| Hire a manager? | Allowed |
| Owner-operator | Required |
| Non-compete (years)ℹ | 2 years |
| Non-compete (miles)ℹ | 10 mi |
| Right of first refusalℹ | Yes |
| Transfer requires consent | Yes |
| Termination notice | 30 days |
| Curable defaultsℹ | 9 |
| Mandatory arbitration | Yes |
| Arbitration location | Hoover, Alabama (within 50 miles of principal place of business) |
| Jury trial waiver | Yes |
| Governing law | AL |
| Litigation count | 4 |
View Item 3 litigation summary
1 pending action (franchisor v. former franchisee for non-compete enforcement, currently stayed due to bankruptcy filing); 3 prior actions settled including False Claims Act qui tam ($1.41M total settlement), master development agreement dispute ($1M), and master development agreement fraud claim ($6.5M)
Items 10, 11
Training & Operations
- Classroom training
- 20 hrs
- On-the-job training
- 78 hrs
- Training location
- Birmingham, Alabama (headquarters)
- Ongoing training
- Required
- Time to open
- 9 mo
- From signing to launch
- Site selection
- franchisee with franchisor approval
- Franchisor financing
- Not offered
- Item 10
- POS system
- Experity
- Operating tech stack
Items 5 & 11
Franchisor Support
Technology: Experity
Item 20 · call current owners
Franchisee Contacts
378 owners to call
Name · phone · city · state. Extracted from FDD Item 20
Frequently asked questions
Frequently Asked Questions
How much does it cost to open a American Family Care franchise?
The total investment to open a American Family Care franchise ranges from $956K – $1.5M, with an initial franchise fee of $60K. This includes real estate, equipment, inventory, and working capital as disclosed in their Franchise Disclosure Document (FDD).
What do American Family Care franchise owners earn?
According to Item 19 of the American Family Care FDD, the average gross sales per unit is $1.8M. The median is $1.6M. Important context: Reported as net sales, not gross sales. Note: this is gross revenue, not profit. Actual owner earnings vary based on location, operating costs, and management.
Who owns American Family Care?
American Family Care is franchised by AFC Franchising, LLC. Its parent company is American Family Care, LLC (AFCLLC). The ultimate parent named in the FDD is AFC Parent Holdings, LLC. Source: FDD Item 1, 2025 filing.
What is Item 19 in the American Family Care FDD?
The FDD section where a franchisor may disclose financial performance of its outlets. Disclosure is optional and formats vary; figures are typically gross sales, which is revenue before expenses, not profit. FranchiseVerdict extracts these figures directly from the American Family Care FDD and qualifies whose outlets they describe.
What is American Family Care's franchise failure rate?
SBA 7(a) loan charge-off data is not available for American Family Care (fewer than 10 loans on file). Charge-off rates are one way to gauge franchise risk, but not all franchise loans go through the SBA program. We recommend reviewing turnover and closure data in the FDD and speaking with current franchisees.
How many American Family Care franchise locations are there?
As of their most recent FDD filing, American Family Care has 386 total units in the United States, including 304 franchised units and 82 company-owned units. 37 new units were opened in the latest reporting year.
Is American Family Care a good franchise to buy?
FranchiseVerdict rates American Family Care as a A-grade franchise with a verdict score of 76 out of 100 (higher is better). The grade is a deterministic score built from six weighted dimensions — financial health, unit economics, unit growth, scale, legal, and transparency — then calibrated against SBA loan charge-off rates and FDD age. Transparency is one of the six, so a filing that discloses less scores lower on that dimension than one that discloses more. Our rating is based solely on publicly available FDD and government data; we recommend speaking with current franchisees before making any investment decision. This is not investment advice.
Data sourced from public FDD filings and SBA 7(a) FOIA records. Not financial advice.
For franchisors
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Data extracted from public FDD filings and SBA 7(a) loan disclosures (FOIA). This information is provided for research purposes only and does not constitute financial, legal, or investment advice. Verify all figures with the franchisor's current Franchise Disclosure Document before making any investment decision.