VITAL CUSTODIAL SOLUTIONS LLC

All Other Business Support Services

This includes establishments primarily engaged in providing business support services (except secretarial and other document preparation services; telephone answering and telemarketing services; private mail services or document copying services conducted as separate activities or in conjunction with other office support services; monetary debt collection services; credit reporting services; repossession services; and court reporting and stenotype recording services).

Illustrative Examples:

Address bar coding services
Charitable fundraising campaign organization services on a contract or fee basis
Bar code imprinting services
Mail presorting services

Janitorial Services

Establishments in this category are primarly engaged in cleaning building interiors, interiors of transportation equipment (e.g., aircraft, rail cars, ships), and/or windows.

Illustrative Examples:

Custodial services
Service station cleaning and degreasing services
Housekeeping (i.e., cleaning) services
Washroom sanitation services
Maid (i.e., cleaning) services

Other Services to Buildings and Dwellings

Establishments in this category are primarly engaged in providing services to buildings and dwellings (except exterminating and pest control; janitorial; landscaping care and maintenance; and carpet and upholstery cleaning).

Illustrative Examples:

Building exterior cleaning services (except sandblasting, window cleaning)
Swimming pool cleaning and maintenance services
Chimney cleaning services
Ventilation duct cleaning services
Drain or gutter cleaning services

All Other Support Services

Establishments in this category are primarly engaged in providing day-to-day business and other organizational support services (except office administrative services, facilities support services, employment services, business support services, travel arrangement and reservation services, security and investigation services, services to buildings and other structures, packaging and labeling services, and convention and trade show organizing services).

Illustrative Examples:

Bartering services
Flagging (i.e., traffic control) services
Bottle exchanges
Float decorating services
Inventory taking services
Contract meter reading services
Lumber grading services
Diving services on a contract or fee basis

All Other Miscellaneous Schools and Instruction

This includes establishments primarily engaged in offering instruction (except academic schools, colleges, and universities; business, computer, and management instruction; technical and trade instruction; and fine arts, sports, recreation, language, exam preparation, tutoring, and automobile driving instruction).

Illustrative Examples:

Public speaking training
Survival training
Speed reading instruction
Yoga instruction, camps or schools

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 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

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

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.

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.