Census Bureau

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1999 Service Annual Survey:

Health Care and Social Assistance

Survey Questionnaires

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Note - The following Service Annual Survey questionnaires were mailed to companies in April 2000 to collect 1999 and 1998 financial information. The following forms collect data on a North American Industry Classfication System (NAICS)basis for the health care and social assistance sector:



621111 - Offices of Physicians (except Mental Health Specialists)

621112 - Offices of Physicians, Mental Health Specialists

621210 - Offices of Dentists

621310 - Offices of Chiropractors

621320 - Offices of Optometrists

621330 - Offices of Mental Health practitioners (except Physicians)

621340 - Offices of Physical, Occupational and Speech Therapists and Aud.

621391 - Offices of Podiatrists

621399 - Offices of All Other Miscellaneous Health Practitioners

621410t - Family Planning Centers (for taxable firms)

621410e - Family Planning Centers (for tax-exempt firms)

621420t - Outpatient Mental Health and Substance Abuse Centers (for taxable firms)

621420e - Outpatient Mental Health and Substance Abuse Centers (for tax-exempt firms)

621491t - HMO Medical Centers (for taxable firms)

621491e - HMO Medical Centers (for tax-exempt firms)

621492t - Kidney Dialysis Centers (for taxable firms)

621492e - Kidney Dialysis Centers (for tax-exempt firms)

621210 - Offices of Dentists

621493t - Freestanding Ambulatory Surgical and Emergency Centers (for taxable firms)

621493e - Freestanding Ambulatory Surgical and Emergency Centers (for tax-exempt firms)

621498t - All Other Outpatient Care Centers (for taxable firms)

621498e - All Other Outpatient Care Centers (for tax-exempt firms)

621511 - Medical Laboratories

621512 - Diagnostic Imaging Centers

621610 - Home Health Care Services

621910t - Ambulance Services (for taxable firms)

621910e - Ambulance Services (for tax-exempt firms)

621991t - Blood and Organ Banks (for taxable firms)

621991e - Blood and Organ Banks (for tax-exempt firms)

62211t - General Medical and Surgical Hospitals (for taxable firms)

62211e - General Medical and Surgical Hospitals (for tax-exempt firms)

62221t - Psychiatric and Substance Abuse Hospitals (for taxable firms)

62221e - Psychiatric and Substance Abuse Hospitals (for tax-exempt firms)

62231t - Specialty (except Psychiatric and Substance Abuse) Hospital (for taxable firms)

62231e - Specialty (except Psychiatric and Substance Abuse) Hospital (for tax-exempt firms)

623110t - Nursing Care Facilities (for taxable firms)

623110e - Nursing Care Facilities (for tax-exempt firms)

623210t - Residential Mental Retardation Facilities (for taxable firms)

623210e - Residential Mental Mental Retardation Facilities (for tax-exempt firms)

623220t - Residential Mental Health and Substance Abuse Facilities (for taxable firms)

623220e - Residential Mental Health and Substance Abuse Facilities (for tax-exempt firms)

623311t - Continuing Care Retirement Communities (for taxable firms)

623311e - Continuing Care Retirement Communities (for tax-exempt firms)

623312t - Homes for the Elderly (for taxable firms)

623312e - Homes for the Elderly (for tax-exempt firms)

623990t - Other Residential Care Facilities (for taxable firms)

623990e - Other Residential Care Facilities (for tax-exempt firms)

624110t - Child and Youth Services (for taxable firms)

624110e - Child and Youth Services (for tax-exempt firms)

624120t - Services for the Elderly and Persons with Disabilities (for taxable firms)

624120e - Services for the Elderly and Persons with Disabilities (for tax-exempt firms)

624190t - Other Individual and Family Services (for taxable firms)

624190e - Other Individual and Family Services (for tax-exempt firms)

624210t - Community Food Services (for taxable firms)

624210e - Community Food Services (for tax-exempt firms)

624221t - Temporary Shelters (for taxable firms)

624221e - Temporary Shelters (for tax-exempt firms)

624229t - Other Community Housing Services (for taxable firms)

624229e - Other Community Housing Services (for tax-exempt firms)

624230t - Emergency and Other Relief Services (for taxable firms)

624230e - Emergency and Other Relief Services (for tax-exempt firms)

624310t - Vocational Rehabilitation Services(for taxable firms)

624310e - Vocational Rehabilitation Services (for tax-exempt firms)

624410t - Child Day Care Services (for taxable firms)

624410e - Child Day Care Services (for tax-exempt firms)


Feedback: svsd@census.gov

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Source: U.S. Census Bureau, SSSD
Last Revised: 03/23/2001


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