1997 NAICS

Sector 62--Health Care and Social Assistance - NAICS

The Sector as a Whole

The Health Care and Social Assistance sector comprises establishments providing health care and social assistance for individuals. The sector includes both health care and social assistance because it is sometimes difficult to distinguish between the boundaries of these two activities. The industries in this sector are arranged on a continuum starting with those establishments providing medical care exclusively, continuing with those providing health care and social assistance, and finally finishing with those providing only social assistance. The services provided by establishments in this sector are delivered by trained professionals. All industries in the sector share this commonality of process, namely, labor inputs of health practitioners or social workers with the requisite expertise. Many of the industries in the sector are defined based on the educational degree held by the practitioners included in the industry.

Excluded from this sector are aerobic classes in Subsector 713, Amusement, Gambling and Recreation Industries and nonmedical diet and weight reducing centers in Subsector 812, Personal and Laundry Services. Although these can be viewed as health services, these services are not typically delivered by health practitioners.

621 Ambulatory Health Care Services

Industries in the Ambulatory Health Care Services subsector provide health care services directly or indirectly to ambulatory patients and do not usually provide inpatient services. Health practitioners in this subsector provide outpatient services, with the facilities and equipment not usually being the most significant part of the production process.

6211 Offices of Physicians

62111 Offices of Physicians

This industry comprises establishments of health practitioners having the degree of M.D. (Doctor of medicine) or D.O. (Doctor of osteopathy) primarily engaged in the independent practice of general or specialized medicine (e.g., anesthesiology, oncology, ophthalmology, psychiatry) 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.

Cross-References.

• Medical centers primarily engaged in providing emergency medical care for accident or trauma victims and ambulatory surgical centers primarily engaged in providing surgery on an outpatient basis are classified in Industry 62149, Other Outpatient Care Centers;
• Establishments of oral pathologists are classified in Industry 62121, Offices of Dentists; and
• Establishments of speech or voice pathologists are classified in Industry 62134, Offices of Physical, Occupational and Speech Therapists, and Audiologists.

621111 Offices of Physicians (except Mental Health Specialists)^US

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of medicine) or D.O. (Doctor of osteopathy) 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.

Cross-References.

• Establishments of physicians primarily engaged in the independent practice of psychiatry or psychoanalysis are classified in U.S. Industry 621112, Offices of Physicians, Mental Health Specialists;
• Freestanding medical centers primarily engaged in providing emergency medical care for accident or catastrophe victims and freestanding ambulatory surgical centers primarily engaged in providing surgery on an outpatient basis are classified in U.S. Industry 621493, Freestanding Ambulatory Surgical and Emergency Centers;
• Establishments of oral pathologists are classified in Industry 621210, Offices of Dentists; and
• Establishments of speech or voice pathologists are classified in Industry 621340, Offices of Physical, Occupational and Speech Therapists, and Audiologists.

621112 Offices of Physicians, Mental Health Specialists^US

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of medicine) or D.O. (Doctor of osteopathy) 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.

6212 Offices of Dentists

62121 Offices of Dentists

See industry description for 621210 below.

621210 Offices of Dentists

This industry comprises establishments of health practitioners having the degree of D.M.D. (Doctor of dental medicine), D.D.S. (Doctor of dental surgery), or D.D.Sc. (Doctor of dental science) primarily engaged in the independent practice of general or specialized dentistry or dental 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. They can provide either comprehensive preventive, cosmetic, or emergency care, or specialize in a single field of dentistry.

Cross-References.

• Establishments known as dental laboratories primarily engaged in making dentures, artificial teeth, and orthodontic appliances to order for dentists are classified U.S. Industry 339116, Dental Laboratories; and
• Establishments of dental hygienists primarily engaged in cleaning teeth and gums or establishments of denturists primarily engaged in taking impressions for and fitting dentures are classified in U.S. Industry 621399, Offices of All Other Miscellaneous Health Practitioners.

6213 Offices of Other Health Practitioners

This industry group comprises establishments of independent health practitioners (except physicians and dentists).

62131 Offices of Chiropractors

See industry description for 621310 below.

621310 Offices of Chiropractors

This industry comprises establishments of health practitioners having the degree of D.C. (Doctor of chiropractic) primarily engaged in the independent practice of chiropractic. These practitioners provide diagnostic and therapeutic treatment of neuromusculoskeletal and related disorders through the manipulation and adjustment of the spinal column and extremities, and 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.

62132 Offices of Optometrists

See industry description for 621320 below.

621320 Offices of Optometrists

This industry comprises establishments of health practitioners having the degree of O.D. (Doctor of optometry) primarily engaged in the independent practice of optometry. These practitioners provide eye examinations to determine visual acuity or the presence of vision problems and to prescribe eyeglasses, contact lenses, and eye exercises. They 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, and may also provide the same service as opticians, such as selling and fitting prescription eyeglasses and contact lenses.

Cross-References. Establishments of--

• Opticians primarily engaged in selling and fitting prescription eyeglasses and contact lenses--are classified in Industry 446130, Optical Goods Stores; and
• Physicians primarily engaged in the independent practice of ophthalmology--are classified in U.S. Industry 621111, Offices of Physicians (except Mental Health Specialists).

62133 Offices of Mental Health Practitioners (except Physicians)

See industry description for 621330 below.

621330 Offices of Mental Health Practitioners (except Physicians)

This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. 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.

Cross-References.

Establishments of psychiatrists, psychoanalysts, and psychotherapists having the degree of M.D. (Doctor of medicine) or D.O. (Doctor of osteopathy) are classified in U.S. Industry 621112, Offices of Physicians, Mental Health Specialists.

62134 Offices of Physical, Occupational and Speech Therapists, and Audiologists

See industry description for 621340 below.

621340 Offices of Physical, Occupational and Speech Therapists, and Audiologists

This industry comprises establishments of independent health practitioners primarily engaged in one of the following: (1) administering medically prescribed physical therapy treatment for patients suffering from injuries or muscle, nerve, joint, and bone disease; (2) planning and administering educational, recreational, and social activities designed to help patients or individuals with disabilities, regain physical or mental functioning or to 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:

62139 Offices of All Other Health Practitioners

This industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; and audiologists). 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:

Cross-References. Establishments primarily engaged in--

• The independent practice of medicine (i.e., physicians)--are classified in Industry 62111, Offices of Physicians;
• The independent practice of dentistry--are classified in Industry 62121, Offices of Dentists;
• The independent practice of chiropractic--are classified in Industry 62131, Offices of Chiropractors;
• The independent practice of optometry--are classified in Industry 62132, Offices of Optometrists;
• The independent practice of mental health (except physicians)--are classified in Industry 62133, Offices of Mental Health Practitioners (except Physicians); and
• The independent practice of physical, occupational, and speech therapy and audiology--are classified in Industry 62134, Offices of Physical, Occupational and Speech Therapists, and Audiologists.

621391 Offices of Podiatrists^US

This U.S. industry comprises establishments of health practitioners having the degree of D.P. (Doctor of podiatry) primarily engaged in the independent practice of podiatry. These practitioners diagnose and treat diseases and deformities of the foot and 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.

621399 Offices of All Other Miscellaneous Health Practitioners^US

This U.S. industry comprises 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:

Cross-References. Establishments primarily engaged in--

• The independent practice of medicine (i.e., physicians)--are classified in Industry 62111, Offices of Physicians;
• The independent practice of dentistry--are classified in Industry 621210, Offices of Dentists;
• The independent practice of chiropractic--are classified in Industry 621310, Offices of Chiropractors;
• The independent practice of optometry--are classified in Industry 621320, Offices of Optometrists;
• The independent practice of mental health (except physicians)--are classified in Industry 621330, Offices of Mental Health Practitioners (except Physicians);
• The independent practice of physical, occupational, and speech therapy, and audiology--are classified in Industry 621340, Offices of Physical, Occupational and Speech Therapists, and Audiologists; and
• The independent practice of podiatry--are classified in U.S. Industry 621391, Offices of Podiatrists.

6214 Outpatient Care Centers

62141 Family Planning Centers

See industry description for 621410 below.

621410 Family Planning Centers

This industry comprises establishments with medical staff primarily engaged in providing a range of family planning services on an outpatient basis, such as contraceptive services, genetic and prenatal counseling, voluntary sterilization, and therapeutic and medically indicated termination of pregnancy.

Illustrative Examples:

62142 Outpatient Mental Health and Substance Abuse Centers

See industry description for 621420 below.

621420 Outpatient Mental Health and Substance Abuse Centers

This industry comprises 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:

Cross-References.

• Establishments known and licensed as hospitals primarily engaged in the inpatient treatment of mental health and substance abuse illnesses with an emphasis on medical treatment and monitoring are classified in Industry 622210, Psychiatric and Substance Abuse Hospitals; and
• Establishments primarily engaged in the inpatient treatment of mental health and substance abuse illness with an emphasis on residential care and counseling rather than medical treatment are classified in Industry 623220, Residential Mental Health and Substance Abuse Facilities.

62149 Other Outpatient Care Centers

This industry comprises establishments with medical staff primarily engaged in providing general or specialized outpatient care (except family planning centers and outpatient mental health and substance abuse centers). Centers or clinics of health practitioners with different degrees from more than one industry practicing within the same establishment (i.e., Doctor of medicine and Doctor of dental medicine) are included in this industry.

Illustrative Examples:

Cross-References.

• Physician walk-in centers are classified in Industry 62111, Offices of Physicians;
• Centers and clinics of health practitioners from the same industry primarily engaged in the independent practice of their profession are classified in Industry 62111, Offices of Physicians; Industry 62121, Offices of Dentists; and Industry Group 6213, Offices of Other Health Practitioners;
• Family planning centers are classified in Industry 62141, Family Planning Centers;
• Outpatient mental health and substance abuse centers are classified in Industry 62142, Outpatient Mental Health and Substance Abuse Centers;
• HMO establishments (except those providing health care services) primarily engaged in underwriting health and medical insurance policies are classified in Industry 52411, Direct Life, Health, and Medical Insurance Carriers; and
• Establishments known and licensed as hospitals that also perform ambulatory surgery and emergency room services are classified in Subsector 622, Hospitals.

621491 HMO Medical Centers^US

This U.S. industry comprises establishments with physicians and other medical staff primarily engaged in providing a range of outpatient medical services to the health maintenance organization (HMO) subscribers with a focus generally on primary health care. These establishments are owned by the HMO. Included in this industry are HMO establishments that both provide health care services and underwrite health and medical insurance policies.

Cross-References.

• Health practitioners or health practitioner groups contracting to provide their services to subscribers of prepaid health plans are classified in Industry 62111, Offices of Physicians; Industry 621210, Offices of Dentists; and Industry Group 6213, Offices of Other Health Practitioners; and
• HMO establishments (except those providing health care services) primarily engaged in underwriting and administering health and medical insurance policies are classified in U.S. Industry 524114, Direct Health and Medical Insurance Carriers.

621492 Kidney Dialysis Centers^US

This U.S. industry comprises establishments with medical staff primarily engaged in providing outpatient kidney or renal dialysis services.

621493 Freestanding Ambulatory Surgical and Emergency Centers^US

This U.S. industry comprises 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:

Cross-References.

• Physician walk-in centers are classified in U.S. Industry 621111, Offices of Physicians (except Mental Health Specialists); and
• Establishments known and licensed as hospitals that also perform ambulatory surgery and emergency room services are classified in Subsector 622, Hospitals.

621498 All Other Outpatient Care Centers^US

This U.S. industry comprises 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 (i.e., Doctor of medicine and Doctor of dental medicine) are included in this industry.

Illustrative Examples:

Cross-References. Establishments primarily engaged in--

• Physician walk-in centers are classified in U.S. Industry 621111, Offices of Physicians (except Mental Health Specialists);
• Centers and clinics of health practitioners from the same industry primarily engaged in the independent practice of their profession are classified in Industry 62111, Offices of Physicians; Industry 621210, Offices of Dentists; and Industry Group 6213, Offices of Other Health Practitioners;
• Family planning centers are classified in Industry 621410, Family Planning Centers;
• Outpatient mental health and substance abuse centers are classified in Industry 621420, Outpatient Mental Health and Substance Abuse Centers;
• HMO medical centers are classified in U.S. Industry 621491, HMO Medical Centers;
• Dialysis centers are classified in U.S. Industry 621492, Kidney Dialysis Centers; and
• Freestanding ambulatory surgical and emergency centers are classified in U.S. Industry 621493, Freestanding Ambulatory Surgical and Emergency Centers.

6215 Medical and Diagnostic Laboratories

62151 Medical and Diagnostic Laboratories

This industry comprises establishments known as medical and diagnostic laboratories primarily engaged in providing analytic or diagnostic services, including body fluid analysis and diagnostic imaging, generally to the medical profession or to the patient on referral from a health practitioner.

Illustrative Examples:

Cross-References.

Establishments, such as dental, optical, and orthopedic laboratories, primarily engaged in providing the following activities to the medical profession, respectively: making dentures, artificial teeth, and orthodontic appliances to prescription; grinding of lenses to prescription; and making orthopedic or prosthetic appliances to prescription are classified in Industry 33911, Medical Equipment and Supplies Manufacturing.

621511 Medical Laboratories^US

This U.S. industry comprises 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:

Cross-References.

• Establishments known as dental laboratories primarily engaged in making dentures, artificial teeth, and orthodontic appliances to prescription are classified in U.S. Industry 339116, Dental Laboratories;
• Establishments known as optical laboratories primarily engaged in grinding of lenses to prescription are classified in U.S. Industry 339115, Ophthalmic Goods Manufacturing; and
• Establishments known as orthopedic laboratories primarily engaged in making orthopedic or prosthetic appliances to prescription are classified in U.S. Industry 339113, Surgical Appliance and Supplies Manufacturing.

621512 Diagnostic Imaging Centers^US

This U.S. industry comprises establishments known as diagnostic imaging centers primarily engaged in producing images of the patient generally on referral from a health practitioner.

Illustrative Examples:

6216 Home Health Care Services

62161 Home Health Care Services

See industry description for 621610 below.

621610 Home Health Care Services

This industry comprises establishments primarily 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:

Cross-References.

• In-home health services provided by establishments of health practitioners and others primarily engaged in the independent practice of their profession are classified in Industry 62111, Offices of Physicians; Industry 621210, Offices of Dentists; and Industry Group 6213, Offices of Other Health Practitioners; and U.S. Industry 621999, All Other Miscellaneous Ambulatory Health Care Services; and
• Establishments primarily engaged in renting or leasing products for home health care are classified in U.S. Industry 532291, Home Health Equipment Rental.

6219 Other Ambulatory Health Care Services

This industry group comprises establishments primarily engaged in providing ambulatory health care services (except offices of physicians, dentists, and other health practitioners; outpatient care centers; medical laboratories and diagnostic imaging centers; and home health care providers).

62191 Ambulance Services

See industry description for 621910 below.

621910 Ambulance Services

This industry comprises establishments primarily engaged in providing transportation of patients by ground or air, along with medical care. These services are often provided during a medical emergency but are not restricted to emergencies. The vehicles are equipped with lifesaving equipment operated by medically trained personnel.

Cross-References.

Establishments primarily engaged in providing transportation of the disabled or elderly (without medical care) are classified in U.S. Industry 485991, Special Needs Transportation.

62199 All Other Ambulatory Health Care Services

This industry comprises establishments primarily engaged in providing ambulatory health care services (except office physicians, dentists, and other health practitioners; outpatient care centers; medical and diagnostic laboratories; home health care providers; and ambulances).

Illustrative Examples:

Cross-References.

• Establishments primarily engaged in the independent practice of medicine are classified in Industry 62111, Offices of Physicians;
• Establishments primarily engaged in the independent practice of dentistry are classified in Industry 62121, Offices of Dentists;
• Establishments primarily engaged in the independent practice of health care (except offices of physicians and dentists) are classified in Industry Group 6213, Offices of Other Health Practitioners;
• Establishments primarily engaged in providing general or specialized outpatient care services are classified in Industry Group 6214, Outpatient Care Centers;
• Establishments primarily engaged in providing home health care services are classified in Industry 62161, Home Health Care Services;
• Establishments primarily engaged in transportation of patients by ground or air, along with medical care are classified in Industry 62191, Ambulance Services; and
• Establishments known as medical and diagnostic laboratories primarily engaged in providing analytic or diagnostic services are classified in Industry 62151, Medical and Diagnostic Laboratories.

621991 Blood and Organ Banks^US

This U.S. industry comprises establishments primarily engaged in collecting, storing, and distributing blood and blood products and storing and distributing body organs.

621999 All Other Miscellaneous Ambulatory Health Care Services^US

This U.S. industry comprises 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:

Cross-References.

• Establishments primarily engaged in the independent practice of medicine are classified in Industry 62111, Offices of Physicians;
• Establishments primarily engaged in the independent practice of dentistry are classified in Industry 621210, Offices of Dentists;
• Establishments primarily engaged in the independent practice of health care (except offices of physicians and dentists) are classified in Industry Group 6213, Offices of Other Health Practitioners;
• Establishments primarily engaged in providing general or specialized outpatient care services are classified in Industry Group 6214, Outpatient Care Centers;
• Establishments primarily engaged in providing home health care services are classified in Industry 621610, Home Health Care Services;
• Establishments primarily engaged in the transportation of patients by ground or air, along with medical care are classified in Industry 621910, Ambulance Services;
• Establishments known as medical and diagnostic laboratories primarily engaged in providing analytic or diagnostic services are classified in Industry 62151, Medical and Diagnostic Laboratories; and
• Blood and organ banks are classified in U.S. Industry 621991, Blood and Organ Banks.

622 Hospitals

Industries in the Hospitals subsector provide medical, diagnostic, and treatment services that include physician, nursing, and other health services to inpatients and the specialized accommodation services required by inpatients. Hospitals may also provide outpatient services as a secondary activity. Establishments in the Hospitals subsector provide inpatient health services, many of which can only be provided using the specialized facilities and equipment that form a significant and integral part of the production process.

6221 General Medical and Surgical Hospitals

62211 General Medical and Surgical Hospitals

See industry description for 622110 below.

622110 General Medical and Surgical Hospitals

This industry comprises 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.

6222 Psychiatric and Substance Abuse Hospitals

62221 Psychiatric and Substance Abuse Hospitals

See industry description for 622210 below.

622210 Psychiatric and Substance Abuse Hospitals

This industry comprises 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.

Cross-References.

• Establishments primarily engaged in providing treatment of mental health and substance abuse illnesses on an exclusively outpatient basis are classified in Industry 621420, Outpatient Mental Health and Substance Abuse Centers;
• Establishments referred to as hospitals but are primarily engaged in providing inpatient treatment of mental health and substance abuse illness with the emphasis on counseling rather than medical treatment are classified in Industry 623220, Residential Mental Health and Substance Abuse Facilities; and
• Establishments referred to as hospitals but are primarily engaged in providing residential care for persons diagnosed with mental retardation are classified in Industry 623210, Residential Mental Retardation Facilities.

6223 Specialty (except Psychiatric and Substance Abuse) Hospitals

62231 Specialty (except Psychiatric and Substance Abuse) Hospitals

See industry description for 622310 below.

622310 Specialty (except Psychiatric and Substance Abuse) Hospitals

This industry consists of establishments known and licensed as specialty hospitals primarily engaged in providing diagnostic and medical treatment to inpatients with a specific type of disease or medical condition (except psychiatric or substance abuse). Hospitals providing long-term care for the chronically ill and hospitals providing rehabilitation, restorative, and adjustive services to physically challenged or disabled people are included in this industry. 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. These hospitals may provide other services, such as outpatient services, diagnostic X-ray services, clinical laboratory services, operating room services, physical therapy services, educational and vocational services, and psychological and social work services.

Cross-References.

• Establishments known and licensed as hospitals primarily engaged in providing diagnostic and therapeutic inpatient services for a variety of medical conditions, both surgical and nonsurgical, are classified in Industry 622110, General Medical and Surgical Hospitals;
• Establishments known and licensed as hospitals primarily engaged in providing diagnostic and treatment services for inpatients with psychiatric or substance abuse illnesses are classified in Industry 622210, Psychiatric and Substance Abuse Hospitals;
• Establishments referred to as hospitals but are primarily engaged in providing inpatient nursing and rehabilitative services to persons requiring convalescence are classified in Industry 623110, Nursing Care Facilities;
• Establishments referred to as hospitals but are primarily engaged in providing residential care of persons diagnosed with mental retardation are classified in Industry 623210, Residential Mental Retardation Facilities; and
• Establishments referred to as hospitals but are primarily engaged in providing inpatient treatment for mental health and substance abuse illnesses with the emphasis on counseling rather than medical treatment are classified in Industry 623220, Residential Mental Health and Substance Abuse Facilities.

623 Nursing and Residential Care Facilities

Industries in the Nursing and Residential Care Facilities subsector provide residential care combined with either nursing, supervisory, or other types of care as required by the residents. In this subsector, the facilities are a significant part of the production process and the care provided is a mix of health and social services with the health services being largely some level of nursing services.

6231 Nursing Care Facilities

62311 Nursing Care Facilities

See industry description for 623110 below.

623110 Nursing Care Facilities

This industry comprises establishments primarily 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:

Cross-References.

• Assisted-living facilities with on-site nursing care facilities are classified in U.S. Industry 623311, Continuing Care Retirement Communities; and
• Psychiatric convalescent homes are classified in Industry 623220, Residential Mental Health and Substance Abuse Facilities.

6232 Residential Mental Retardation, Mental Health and Substance Abuse Facilities

This industry group comprises establishments primarily engaged in providing residential care (but not licensed hospital care) to people with mental retardation, mental illness, or substance abuse problems.

62321 Residential Mental Retardation Facilities

See industry description for 623210 below.

623210 Residential Mental Retardation Facilities

This industry comprises establishments (e.g., group homes, hospitals, intermediate care facilities) primarily engaged in providing residential care services for persons diagnosed with mental retardation. These facilities may provide some health care, though the focus is room, board, protective supervision, and counseling.

Cross-References.

• Establishments primarily engaged in providing inpatient treatment of mental health and substance abuse illnesses with an emphasis on counseling rather than medical treatment are classified in Industry 623220, Residential Mental Health and Substance Abuse Facilities;
• Establishments primarily engaged in providing treatment of mental health and substance abuse illnesses on an exclusively outpatient basis are classified in Industry 621420, Outpatient Mental Health and Substance Abuse Centers; and
• Establishments known and licensed as hospitals primarily engaged in providing inpatient treatment of mental health and substance abuse illnesses with an emphasis on medical treatment and monitoring are classified in Industry 622210, Psychiatric and Substance Abuse Hospitals.

62322 Residential Mental Health and Substance Abuse Facilities

See industry description for 623220 below.

623220 Residential Mental Health and Substance Abuse Facilities

This industry comprises establishments primarily 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:

Cross-References.

• Establishments primarily engaged in providing treatment of mental health and substance abuse illnesses on an exclusively outpatient basis are classified in Industry 621420, Outpatient Mental Health and Substance Abuse Centers;
• Establishments primarily engaged in providing residential care for persons diagnosed with mental retardation are classified in Industry 623210, Residential Mental Retardation Facilities; and
• Establishments known and licensed as hospitals primarily engaged in providing inpatient treatment of mental health and substance abuse illnesses with an emphasis on medical treatment and monitoring are classified in Industry 622210, Psychiatric and Substance Abuse Hospitals.

6233 Community Care Facilities for the Elderly

62331 Community Care Facilities for the Elderly

This industry comprises establishments primarily engaged in providing residential and personal care services 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. The care typically includes room, board, supervision, and assistance in daily living, such as housekeeping services. In some instances these establishments provide skilled nursing care for residents in separate on-site facilities.

Illustrative Examples:

Cross-References.

• Establishments primarily engaged in providing inpatient nursing and rehabilitative services are classified in Industry 62311, Nursing Care Facilities; and
• Apartment or condominium complexes where people live independently in rented housing units are classified in Industry 53111, Lessors of Residential Buildings and Dwellings.

623311 Continuing Care Retirement Communities^US

This U.S. industry comprises 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.

Cross-References.

• Establishments primarily engaged in providing inpatient nursing and rehabilitative services are classified in Industry 623110, Nursing Care Facilities;
• Assisted-living facilities without on-site nursing care facilities are classified in U.S. Industry 623312, Homes for the Elderly; and
• Apartment or condominium complexes where people live independently in rented housing units are classified in Industry 531110, Lessors of Residential Buildings and Dwellings.

623312 Homes for the Elderly^US

This U.S. industry comprises establishments primarily engaged in providing residential and personal care services (i.e., without on-site nursing care facilities) 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:

Cross-References.

• Assisted-living facilities with on-site nursing care facilities are classified in U.S. Industry 623311, Continuing Care Retirement Communities;
• Homes for the elderly with nursing care or rest homes with nursing care are classified in Industry 623110, Nursing Care Facilities; and
• Apartment or condominium complexes where people live independently in rented or owned housing units are classified in Industry 53111, Lessors of Residential Buildings and Dwellings.

6239 Other Residential Care Facilities

This industry group comprises establishments of residential care facilities (except residential mental retardation, mental health, and substance abuse facilities and community care facilities for the elderly).

62399 Other Residential Care Facilities

See industry description for 623990 below.

623990 Other Residential Care Facilities

This industry comprises establishments primarily engaged in providing residential care (except residential mental retardation facilities, residential health and substance abuse facilities, continuing care retirement communities, and homes for the elderly). These establishments also provide supervision and personal care services.

Illustrative Examples:

Cross-References.

• Residential mental retardation facilities are classified in Industry 623210, Residential Mental Retardation Facilities;
• Continuing care retirement communities are classified in U.S. Industry 623311, Continuing Care Retirement Communities;
• Residential mental health and substance abuse facilities are classified in 623220, Residential Mental Health and Substance Abuse Facilities;
• Homes for the elderly without nursing care are classified in U.S. Industry 623312, Homes for the Elderly;
• Establishments primarily engaged in providing inpatient nursing and rehabilitative services are classified in Industry 623110, Nursing Care Facilities;
• Establishments primarily engaged in providing temporary shelter are classified in U.S. Industry 624221, Temporary Shelters; and
• Correctional camps are classified in Industry 922140, Correctional Institutions.

624 Social Assistance

Industries in the Social Assistance subsector provide a wide variety of social assistance services directly to their clients. These services do not include residential or accommodation services, except on a short stay basis.

6241 Individual and Family Services

62411 Child and Youth Services

See industry description for 624110 below.

624110 Child and Youth Services

This industry comprises establishments primarily engaged in providing nonresidential social assistance services for children and youth. These establishments provide for the welfare of children in such areas as adoption and foster care, drug prevention, life skills training, and positive social development.

Illustrative Examples:

Cross-References.

• Youth recreational centers are classified in Industry 713940, Fitness and Recreational Sports Centers;
• Youth recreational sports teams and leagues are classified in Industry 713990, All Other Amusement and Recreation Industries;
• Scouting organizations are classified in Industry 813410, Civic and Social Organizations; and
• Establishments primarily engaged in providing day care services for children are classified in Industry 624410, Child Day Care Services.

62412 Services for the Elderly and Persons with Disabilities

See industry description for 624120 below.

624120 Services for the Elderly and Persons with Disabilities

This industry comprises establishments primarily engaged in providing nonresidential social assistance services to improve the quality of life for the elderly, persons diagnosed with mental retardation, or persons with disabilities. These establishments provide for the welfare of these of individuals in such areas as day care, nonmedical home care or homemaker services, social activities, group support, and companionship.

Cross-References. Establishments primarily engaged in--

• Providing job training for persons diagnosed with mental retardation or persons with disabilities--are classified in Industry 624310, Vocational Rehabilitation Services;
• Providing residential care for the elderly, persons diagnosed with mental retardation, or persons with disabilities--are classified in Subsector 633, Nursing and Residential Care Facilities; and
• Providing in-home health care services--are classified in Subsector 621, Ambulatory Health Care Services.

62419 Other Individual and Family Services

See industry description for 624190 below.

624190 Other Individual and Family Services

This industry comprises establishments primarily engaged in providing nonresidential individual and family social assistance services (except those specifically directed toward children, the elderly, persons diagnosed with mental retardation, or persons with disabilities).

Illustrative Examples:

Cross-References. Establishments primarily engaged in--

• Providing clinical psychological and psychiatric social counseling services--are classified in Industry 621330, Offices of Mental Health Practitioners (except Physicians);
• Providing child and youth social assistance services (except daycare)--are classified in Industry 624110, Child and Youth Services;
• Providing child day care services--are classified in Industry 624410, Child Day Care Services;
• Providing social assistance services for the elderly, persons diagnosed with mental retardation, and persons with disabilities--are classified in Industry 624120, Services for the Elderly and Persons with Disabilities;
• Community action advocacy--are classified in U.S. Industry 813319, Other Social Advocacy Organizations; and
• Providing in-home health care services--are classified in Subsector 621, Ambulatory Health Care Services.

6242 Community Food and Housing, and Emergency and Other Relief Services

62421 Community Food Services

See industry description for 624210 below.

624210 Community Food Services

This industry comprises establishments primarily engaged in the collection, preparation, and delivery of food for the needy. Establishments in this industry may also distribute clothing and blankets to the poor. These establishments may prepare and deliver meals to persons who by reason of age, disability, or illness are unable to prepare meals for themselves; collect and distribute salvageable or donated food; or prepare and provide meals at fixed or mobile locations. Food banks, meal delivery programs, and soup kitchens are included in this industry.

62422 Community Housing Services

This industry comprises establishments primarily engaged in providing one or more of the following community housing services: (1) short term emergency shelter for victims of domestic violence, sexual assault, or child abuse; (2) temporary residential shelter for the homeless, runaway youths, and patients and families caught in medical crises; (3) transitional housing for low-income individuals and families; (4) volunteer construction or repair of low cost housing, in partnership with the homeowner who may assist in construction or repair work; and (5) repair of homes for elderly or disabled homeowners. These establishments may operate their own shelter; or may subsidize housing using existing homes, apartments, hotels, or motels; or may require a low-cost mortgage or work (sweat) equity.

Cross-References.

Central offices of government housing programs are classified in Industry 92511, Administration of Housing Programs.

624221 Temporary Shelters^US

This U.S. industry comprises 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.

Cross-References.

Establishments primarily engaged in providing emergency shelter for victims of domestic or international disasters or conflicts are classified in Industry 624230, Emergency and Other Relief Services.

624229 Other Community Housing Services^US

This U.S. industry comprises establishments primarily engaged in providing one or more of the following community housing services: (1) transitional housing to low-income individuals and families; (2) volunteer construction or repair of low-cost housing, in partnership with the homeowner who may assist in the construction or repair work; and (3) the repair of homes for elderly or disabled homeowners. These establishments may subsidize housing using existing homes, apartments, hotels, or motels or may require a low-cost mortgage or sweat equity. These establishment may also provide low-income families with furniture and household supplies.

Cross-References.

Central offices of government housing programs are classified in Industry 925110, Administration of Housing Programs.

62423 Emergency and Other Relief Services

See industry description for 624230 below.

624230 Emergency and Other Relief Services

This industry comprises establishments primarily engaged in providing food, shelter, clothing, medical relief, resettlement, and counseling to victims of domestic or international disasters or conflicts (e.g., wars).

6243 Vocational Rehabilitation Services

62431 Vocational Rehabilitation Services

See industry description for 624310 below.

624310 Vocational Rehabilitation Services

This industry comprises (1) establishments primarily engaged in providing vocational rehabilitation or habilitation services, such as job counseling, job training, and work experience, to unemployed and underemployed persons, persons with disabilities, and persons who have a job market disadvantage because of lack of education, job skill, or experience and (2) establishments primarily engaged in providing training and employment to persons with disabilities. Vocational rehabilitation job training facilities (except schools) and sheltered workshops (i.e., work experience centers) are included in this industry.

Cross-References.

• Schools (except high schools) primarily engaged in providing vocational training are classified in Industry 61151, Technical and Trade Schools;
• Vocational high schools are classified in Industry 611110, Elementary and Secondary Schools; and
• Establishments primarily engaged in providing career and vocational counseling (except rehabilitative) are classified in Industry 611710, Educational Support Services.

6244 Child Day Care Services

62441 Child Day Care Services

See industry description for 624410 below.

624410 Child Day Care Services

This industry comprises establishments primarily engaged in providing day care of infants or children. These establishments generally care for preschool children, but may care for older children when they are not in school and may also offer prekindergarten educational programs.

Illustrative Examples:

Cross-References.

Establishments primarily engaged in offering kindergarten educational programs are classified in Industry 611110, Elementary and Secondary Schools.

US—United States industry only. CAN—United States and Canadian industries are comparable.
When neither US nor CAN appears, Canadian, Mexican, and United States industries are comparable.