ORCHARD INC

Temporary Help Services

Establishments in this category are primarly engaged in supplying workers to clients' businesses for limited periods of time to supplement the working force of the client. The individuals provided are employees of the temporary help services establishment. However, these establishments do not provide direct supervision of their employees at the clients' work sites.

Illustrative Examples:

Help supply services
Model supply services
Labor (except farm) contractors (i.e., personnel suppliers)
Temporary employment or temporary staffing services
Manpower pools

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 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)

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

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.

Other Individual and Family Services

Establishments in this category are primarly engaged in providing nonresidential individual and family social assistance services (except those specifically directed toward children, the elderly, or persons with intellectual and/or developmental disabilities).

Illustrative Examples:

Community action services agencies
Marriage counseling services (except by offices of mental health practitioners)
Crisis intervention centers
Multi-purpose social services centers
Family social services agencies
Family welfare services
Self-help organizations (except for disabled persons, the elderly)
Suicide crisis centers
Hotline centers
Telephone counseling services

Temporary Shelters

This includes establishments primarily engaged in providing (1) short-term emergency shelter for victims of domestic violence, sexual assault, or child abuse and/or (2) temporary residential shelter for homeless individuals or families, runaway youth, and patients and families caught in medical crises. These establishments may operate their own shelters or may subsidize housing using existing homes, apartments, hotels, or motels.

Emergency and Other Relief Services

Establishments in this category are primarly engaged in providing food, shelter, clothing, medical relief, resettlement, and counseling to victims of domestic or international disasters or conflicts (e.g., wars).