HEALTHGUARD ESSENTIALS INC.

Surgical and Medical Instrument Manufacturing

This includes establishments primarily engaged in manufacturing medical, surgical, ophthalmic, and veterinary instruments and apparatus (except electrotherapeutic, electromedical, and irradiation apparatus). Examples of products made by these establishments are syringes, hypodermic needles, anesthesia apparatus, blood transfusion equipment, catheters, surgical clamps, and medical thermometers.

Surgical Appliance and Supplies Manufacturing

This includes establishments primarily engaged in manufacturing surgical appliances and supplies. Examples of products made by these establishments are orthopedic devices, prosthetic appliances, surgical dressings, crutches, surgical sutures, personal industrial safety devices (except protective eyewear), hospital beds, and operating room tables.

Dental Equipment and Supplies Manufacturing

This includes establishments primarily engaged in manufacturing dental equipment and supplies used by dental laboratories and offices of dentists, such as dental chairs, dental instrument delivery systems, dental hand instruments, dental impression material, and dental cements.

Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers

Establishments in this category are primarly engaged in the merchant wholesale distribution of professional medical equipment, instruments, and supplies (except ophthalmic equipment and instruments and goods used by ophthalmologists, optometrists, and opticians).

Illustrative Examples:

Dental equipment and supplies merchant wholesalers
Surgical dressings merchant wholesalers
Electromedical equipment merchant wholesalers
Patient monitoring equipment merchant wholesalers
Hospital beds merchant wholesalers
Prosthetic appliances and supplies merchant wholesalers
Hospital furniture merchant wholesalers
Surgical instruments and apparatus merchant wholesalers
Medical and dental X-ray machines and parts merchant wholesalers
First-aid kits (except household) merchant wholesalers
Surgical and medical masks merchant wholesalers

Pharmacies and Drug Retailers

This category includes establishments generally known as pharmacies and drug retailers engaged in retailing prescription or nonprescription drugs and medicines.

Home Health Equipment Rental

This includes establishments primarily engaged in renting home-type health and invalid equipment, such as wheelchairs, hospital beds, oxygen tanks, walkers, and crutches.

Offices of Physicians (except Mental Health Specialists)

This includes establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathic Medicine) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers.

Kidney Dialysis Centers

This includes establishments with medical staff primarily engaged in providing outpatient kidney or renal dialysis services.

Freestanding Ambulatory Surgical and Emergency Centers

This includes establishments with physicians and other medical staff primarily engaged in (1) providing surgical services (e.g., orthoscopic and cataract surgery) on an outpatient basis or (2) providing emergency care services (e.g., setting broken bones, treating lacerations, or tending to patients suffering injuries as a result of accidents, trauma, or medical conditions necessitating immediate medical care) on an outpatient basis. Outpatient surgical establishments have specialized facilities, such as operating and recovery rooms, and specialized equipment, such as anesthetic or X-ray equipment.

Illustrative Examples:

Freestanding ambulatory surgical centers and clinics
Freestanding emergency medical centers and clinics
Freestanding trauma centers (except hospitals)
Urgent medical care centers and clinics (except hospitals)

All Other Outpatient Care Centers

This includes establishments with medical staff primarily engaged in providing general or specialized outpatient care (except family planning centers, outpatient mental health and substance abuse centers, HMO medical centers, kidney dialysis centers, and freestanding ambulatory surgical and emergency centers). Centers or clinics of health practitioners with different degrees from more than one industry practicing within the same establishment (e.g., Doctor of Medicine and Doctor of Dental Medicine) are included in this industry.

Illustrative Examples:

Outpatient biofeedback centers and clinics
Outpatient pain therapy centers and clinics
Outpatient community health centers and clinics
Outpatient sleep disorder centers and clinics

Home Health Care Services

Establishments in this category are primarly engaged in providing skilled nursing services in the home, along with a range of the following: personal care services; homemaker and companion services; physical therapy; medical social services; medications; medical equipment and supplies; counseling; 24-hour home care; occupation and vocational therapy; dietary and nutritional services; speech therapy; audiology; and high-tech care, such as intravenous therapy.

Illustrative Examples:

Home health care agencies
Visiting nurse associations
Home infusion therapy services
In-home hospice care services

All Other Miscellaneous Ambulatory Health Care Services

This includes establishments primarily engaged in providing ambulatory health care services (except offices of physicians, dentists, and other health practitioners; outpatient care centers; medical and diagnostic laboratories; home health care providers; ambulances; and blood and organ banks).

Illustrative Examples:

Health screening services (except by offices of health practitioners)
Physical fitness evaluation services (except by offices of health practitioners)
Hearing testing services (except by offices of audiologists)
Smoking cessation programs
Pacemaker monitoring services

General Medical and Surgical Hospitals

This category includes establishments known and licensed as general medical and surgical hospitals primarily engaged in providing diagnostic and medical treatment (both surgical and nonsurgical) to inpatients with any of a wide variety of medical conditions. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. These hospitals have an organized staff of physicians and other medical staff to provide patient care services. These establishments usually provide other services, such as outpatient services, anatomical pathology services, diagnostic X-ray services, clinical laboratory services, operating room services for a variety of procedures, and pharmacy services.

Psychiatric and Substance Abuse Hospitals

This category includes establishments known and licensed as psychiatric and substance abuse hospitals primarily engaged in providing diagnostic, medical treatment, and monitoring services for inpatients who suffer from mental illness or substance abuse disorders. The treatment often requires an extended stay in the hospital. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. They have an organized staff of physicians and other medical staff to provide patient care services. Psychiatric, psychological, and social work services are available at the facility. These hospitals usually provide other services, such as outpatient services, clinical laboratory services, diagnostic X-ray services, and electroencephalograph services.

Nursing Care Facilities (Skilled Nursing Facilities)

Establishments in this category are primarly engaged in providing inpatient nursing and rehabilitative services. The care is generally provided for an extended period of time to individuals requiring nursing care. These establishments have a permanent core staff of registered or licensed practical nurses who, along with other staff, provide nursing and continuous personal care services.

Illustrative Examples:

Convalescent homes or convalescent hospitals (except psychiatric)
Nursing homes
Rest homes with nursing care
Assisted living facilities (without nursing facilities) for the elderly with nursing care
Inpatient care hospices