HEARTLAND CLINICS OF AMERICA, INC

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

All Other Health and Personal Care Retailers

This includes establishments primarily engaged in retailing specialized lines of health and personal care merchandise (except drugs, medicines, cosmetics, beauty supplies, perfumes, optical goods, and food supplement products).

Illustrative Examples:

Convalescent supply retailers
Sick room supply retailers
Hearing aid retailers
Wheelchair retailers

Health and Welfare Funds

This category includes legal entities (i.e., funds, plans, and/or programs) organized to provide medical, surgical, hospital, vacation, training, and other health- and welfare-related employee benefits exclusively for the sponsor's employees or members.

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.

Offices of Physicians, 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 psychiatry or psychoanalysis. 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.

Offices of Mental Health Practitioners (except Physicians)

This category includes establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. 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.

Offices of All Other Miscellaneous Health Practitioners

This includes establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). 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.

Illustrative Examples:

Acupuncturists' (except MDs or DOs) offices
Hypnotherapists' offices
Dental hygienists' offices
Inhalation or respiratory therapists' offices
Denturists' offices
Midwives' offices
Dietitians' offices
Naturopaths' offices
Homeopaths' offices
Registered or licensed practical nurses' offices

Outpatient Mental Health and Substance Abuse Centers

This category includes establishments with medical staff primarily engaged in providing outpatient services related to the diagnosis and treatment of mental health disorders and alcohol and other substance abuse. These establishments generally treat patients who do not require inpatient treatment. They may provide a counseling staff and information regarding a wide range of mental health and substance abuse issues and/or refer patients to more extensive treatment programs, if necessary.

Illustrative Examples:

Outpatient alcoholism treatment centers and clinics (except hospitals)
Outpatient mental health centers and clinics (except hospitals)
Outpatient detoxification centers and clinics (except hospitals)
Outpatient substance abuse treatment centers and clinics (except hospitals)
Outpatient drug addiction treatment centers and clinics (except hospitals)

HMO Medical Centers

This includes establishments with physicians and other medical staff primarily engaged in providing a range of outpatient medical services to the health maintenance organization (HMO) subscribers with a focus generally on primary health care. These establishments are owned by the HMO. Included in this industry are HMO establishments that both provide health care services and underwrite health and medical insurance policies.

Medical Laboratories

This includes establishments known as medical laboratories primarily engaged in providing analytic or diagnostic services, including body fluid analysis, generally to the medical profession or to the patient on referral from a health practitioner.

Illustrative Examples:

Blood analysis laboratories
Medical pathology laboratories
Medical bacteriological laboratories
Medical testing laboratories
Medical forensic laboratories

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.

Residential Mental Health and Substance Abuse Facilities

Establishments in this category are primarly engaged in providing residential care and treatment for patients with mental health and substance abuse illnesses. These establishments provide room, board, supervision, and counseling services. Although medical services may be available at these establishments, they are incidental to the counseling, mental rehabilitation, and support services offered. These establishments generally provide a wide range of social services in addition to counseling.

Illustrative Examples:

Alcoholism or drug addiction rehabilitation
facilities (except licensed hospitals)
Psychiatric convalescent homes or hospitals
Mental health halfway houses
Residential group homes for the emotionally disturbed