SIGMA MULTISERVICE LLC

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

Interurban and Rural Bus Transportation

Establishments in this category are primarly engaged in providing bus passenger transportation over regular routes and on regular schedules, principally outside a single metropolitan area and its adjacent nonurban areas.

Freight Transportation Arrangement

Establishments in this category are primarly engaged in arranging transportation of freight between shippers and carriers. These establishments are usually known as freight forwarders, marine shipping agents, or customs brokers and offer a combination of services spanning transportation modes but do not directly provide shipping services.

Packing and Crating

This includes establishments primarily engaged in packing, crating, and otherwise preparing goods for transportation.

Process, Physical Distribution, and Logistics Consulting Services

This includes establishments primarily engaged in providing operating advice and assistance to businesses and other organizations in: (1) manufacturing operations improvement; (2) productivity improvement; (3) production planning and control; (4) quality assurance and quality control; (5) inventory management; (6) distribution networks; (7) warehouse use, operations, and utilization; (8) transportation and shipment of goods and materials; and (9) materials management and handling.

Illustrative Examples:

Freight rate or tariff rate consulting services
Productivity improvement consulting services
Manufacturing management consulting services
Inventory planning and control management consulting services
Transportation management consulting services

Facilities Support Services

Establishments in this category are primarly engaged in providing operating staff to perform a combination of support services within a client's facilities. Establishments in this industry typically provide a combination of services, such as janitorial, maintenance, trash disposal, guard and security, mail routing, reception, laundry, and related services to support operations within facilities. These establishments provide operating staff to carry out these support activities, but are not involved with or responsible for the core business or activities of the client. Establishments providing facilities (except computer and/or data processing) operation support services and establishments providing private jail services or operating correctional facilities (i.e., jails) on a contract or fee basis are included in this industry.

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

Solid Waste Collection

This includes establishments primarily engaged in one or more of the following: (1) collecting and/or hauling nonhazardous solid waste (i.e., garbage) within a local area; (2) operating nonhazardous solid waste transfer stations; and (3) collecting and/or hauling mixed recyclable materials within a local area.

Hazardous Waste Treatment and Disposal

This includes establishments primarily engaged in (1) operating treatment and/or disposal facilities for hazardous waste or (2) the combined activity of collecting and/or hauling of hazardous waste materials within a local area and operating treatment or disposal facilities for hazardous waste.

Septic Tank and Related Services

This includes establishments primarily engaged in (1) pumping (i.e., cleaning) septic tanks and cesspools and/or (2) renting and/or servicing portable toilets.

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

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

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.

Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance

Establishments in this category are primarly engaged in the repair and maintenance of commercial and industrial machinery and equipment. Establishments in this industry either sharpen/install commercial and industrial machinery blades and saws or provide welding (e.g., automotive, general) repair services; or repair agricultural and other heavy and industrial machinery and equipment (e.g., forklifts and other material handling equipment, machine tools, commercial refrigeration equipment, construction equipment, and mining machinery).