# All Employees: Ambulatory Health Care Services — MI (statewide) (NSA)

All Employees: Ambulatory Health Care Services — MI (statewide) (NSA) was down 0.4% year on year in September 2026, compared with −0.1% in August 2026.
The level stood at 226.9 thousands.
That is the lowest reading since March 2021.
Over the past ten years it has ranged from −27.0% (Apr 2020) to 34.9% (Apr 2021), averaging 1.5%.

- Source agency: U.S. Bureau of Labor Statistics (flat files)
- Makrognosis code: `US-MI.PAYEMS.M.NSA.IND-65621000`
- Frequency: monthly
- Units: thousands
- Coverage: 2001-01-01 to 2026-09-01 (309 observations)
- Page: https://makrognosis.robomacro.com/data/united-states/all-employees-ambulatory-health-care-services-mi-statewide-nsa

## Recent data

| Period | Value | Y/Y % |
|---|---:|---:|
| September 2026 | 226.9 thousands | −0.4 |
| August 2026 | 229.6 thousands | −0.1 |
| July 2026 | 230.2 thousands | 0.4 |
| June 2026 | 230.5 thousands | 0.6 |
| May 2026 | 231.2 thousands | 1.0 |
| April 2026 | 231.1 thousands | 1.6 |
| March 2026 | 229.2 thousands | 1.1 |
| February 2026 | 228.7 thousands | 0.8 |
| January 2026 | 229.4 thousands | 1.1 |
| December 2025 | 231.0 thousands | 1.9 |
| November 2025 | 230.3 thousands | 1.7 |
| October 2025 | 230.1 thousands | 1.9 |
| September 2025 | 227.9 thousands | 1.7 |
| August 2025 | 229.9 thousands | 2.3 |
| July 2025 | 229.3 thousands | 2.4 |
| June 2025 | 229.1 thousands | 2.6 |
| May 2025 | 228.9 thousands | 2.8 |
| April 2025 | 227.5 thousands | 2.7 |
| March 2025 | 226.8 thousands | 2.6 |
| February 2025 | 226.8 thousands | 2.4 |
| January 2025 | 226.8 thousands | 3.0 |
| December 2024 | 226.6 thousands | 2.1 |
| November 2024 | 226.5 thousands | 2.4 |
| October 2024 | 225.8 thousands | 2.7 |

## API

```
curl -H "X-API-Key: $MAKROGNOSIS_KEY" \
  "https://makrognosis.robomacro.com/v1/series/US-MI.PAYEMS.M.NSA.IND-65621000"

# Python
import requests
r = requests.get("https://makrognosis.robomacro.com/v1/series/US-MI.PAYEMS.M.NSA.IND-65621000",
                 headers={"X-API-Key": KEY})
obs = r.json()["observations"]
```
