# All Employees: Ambulatory Health Care Services — San Jose-Sunnyvale-Santa Clara, CA (NSA)

All Employees: Ambulatory Health Care Services — San Jose-Sunnyvale-Santa Clara, CA (NSA) was up 5.7% year on year in September 2026, compared with 6.5% in August 2026.
The level stood at 57.30 thousands.
Over the past ten years it has ranged from −19.1% (Apr 2020) to 29.0% (Apr 2021), averaging 3.3%.

- Source agency: U.S. Bureau of Labor Statistics (flat files)
- Makrognosis code: `US-41940.PAYEMS.M.NSA.IND-65621000`
- Frequency: monthly
- Units: thousands
- Coverage: 1990-01-01 to 2026-09-01 (441 observations)
- Page: https://makrognosis.robomacro.com/data/united-states/all-employees-ambulatory-health-care-services-san-jose-sunnyvale-santa

## Recent data

| Period | Value | Y/Y % |
|---|---:|---:|
| September 2026 | 57.30 thousands | 5.7 |
| August 2026 | 57.60 thousands | 6.5 |
| July 2026 | 56.70 thousands | 6.8 |
| June 2026 | 55.90 thousands | 7.5 |
| May 2026 | 57.70 thousands | 7.9 |
| April 2026 | 57.30 thousands | 7.7 |
| March 2026 | 57.30 thousands | 7.1 |
| February 2026 | 56.50 thousands | 5.8 |
| January 2026 | 56.30 thousands | 6.8 |
| December 2025 | 56.00 thousands | 5.9 |
| November 2025 | 55.40 thousands | 4.5 |
| October 2025 | 55.10 thousands | 4.4 |
| September 2025 | 54.20 thousands | 3.4 |
| August 2025 | 54.10 thousands | 4.0 |
| July 2025 | 53.10 thousands | 2.1 |
| June 2025 | 52.00 thousands | 2.4 |
| May 2025 | 53.50 thousands | 3.3 |
| April 2025 | 53.20 thousands | 3.3 |
| March 2025 | 53.50 thousands | 3.3 |
| February 2025 | 53.40 thousands | 3.3 |
| January 2025 | 52.70 thousands | 2.7 |
| December 2024 | 52.90 thousands | 3.5 |
| November 2024 | 53.00 thousands | 5.0 |
| October 2024 | 52.80 thousands | 3.9 |

## API

```
curl -H "X-API-Key: $MAKROGNOSIS_KEY" \
  "https://makrognosis.robomacro.com/v1/series/US-41940.PAYEMS.M.NSA.IND-65621000"

# Python
import requests
r = requests.get("https://makrognosis.robomacro.com/v1/series/US-41940.PAYEMS.M.NSA.IND-65621000",
                 headers={"X-API-Key": KEY})
obs = r.json()["observations"]
```
