SIGNATURE HEALTHCARE STAFFING SERVICES L.L.C.

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.

Offices of Physical, Occupational and Speech Therapists, and Audiologists

This category includes establishments of independent health practitioners primarily engaged in one of the following: (1) providing physical therapy services to patients who have impairments, functional limitations, disabilities, or changes in physical functions and health status resulting from injury, disease or other causes, or who require prevention, wellness or fitness services; (2) planning and administering educational, recreational, and social activities designed to help patients or individuals with disabilities regain physical or mental functioning or adapt to their disabilities; and (3) diagnosing and treating speech, language, or hearing problems. 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:

Audiologists' offices
Recreational (e.g., art, dance, music) therapists' offices
Industrial therapists' offices
Speech pathologists' offices
Occupational therapists' offices
Physical therapists' offices

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

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.

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

Residential Intellectual and Developmental Disability Facilities

This category includes establishments (e.g., group homes, hospitals, intermediate care facilities) primarily engaged in providing residential care services for persons with intellectual and developmental disabilities. These facilities may provide some health care, though the focus is room, board, protective supervision, and counseling.

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

Continuing Care Retirement Communities

This includes establishments primarily engaged in providing a range of residential and personal care services with on-site nursing care facilities for (1) the elderly and other persons who are unable to fully care for themselves and/or (2) the elderly and other persons who do not desire to live independently. Individuals live in a variety of residential settings with meals, housekeeping, social, leisure, and other services available to assist residents in daily living. Assisted living facilities with on-site nursing care facilities are included in this industry.

Assisted Living Facilities for the Elderly

This includes establishments primarily engaged in providing residential and personal care services without nursing care for (1) the elderly or other persons who are unable to fully care for themselves and/or (2) the elderly or other persons who do not desire to live independently. The care typically includes room, board, supervision, and assistance in daily living, such as housekeeping services.

Illustrative Examples:

Assisted living facilities for the elderly without nursing care
Rest homes without nursing care

Other Residential Care Facilities

Establishments in this category are primarly engaged in providing residential care (except residential intellectual and developmental disability facilities, residential mental health and substance abuse facilities, continuing care retirement communities, and assisted living facilities for the elderly). These establishments also provide supervision and personal care services.

Illustrative Examples:

Boot or disciplinary camps (except correctional) for delinquent youth
Group homes for the hearing or visually impaired
Child group foster homes
Delinquent youth halfway group homes
Halfway group homes for delinquents or ex-offenders
Homes for unwed mothers
Group homes for the disabled without nursing care
Orphanages

Services for the Elderly and Persons with Disabilities

Establishments in this category are primarly engaged in providing nonresidential social assistance services to improve the quality of life for the elderly or persons with intellectual and/or developmental disabilities. These establishments provide for the welfare of these individuals in such areas as day care, non-medical home care or homemaker services, social activities, group support, and companionship.