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

All Employees: Ambulatory Health Care Services — VA (statewide) (NSA) was up 2.0% year on year in September 2026, compared with 1.3% in August 2026.
The level stood at 240.8 thousands.
Over the past ten years it has ranged from −13.8% (Apr 2020) to 19.4% (Apr 2021), averaging 3.3%.

- Source agency: U.S. Bureau of Labor Statistics (flat files)
- Makrognosis code: `US-VA.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-va-statewide-nsa

## Recent data

| Period | Value | Y/Y % |
|---|---:|---:|
| September 2026 | 240.8 thousands | 2.0 |
| August 2026 | 240.1 thousands | 1.3 |
| July 2026 | 240.4 thousands | 1.6 |
| June 2026 | 238.3 thousands | 0.6 |
| May 2026 | 238.9 thousands | 0.8 |
| April 2026 | 239.4 thousands | 1.7 |
| March 2026 | 237.0 thousands | 1.6 |
| February 2026 | 236.9 thousands | 1.8 |
| January 2026 | 234.8 thousands | 1.3 |
| December 2025 | 235.9 thousands | 2.4 |
| November 2025 | 236.9 thousands | 2.6 |
| October 2025 | 236.8 thousands | 3.0 |
| September 2025 | 236.1 thousands | 3.5 |
| August 2025 | 237.1 thousands | 4.4 |
| July 2025 | 236.6 thousands | 4.8 |
| June 2025 | 236.8 thousands | 5.8 |
| May 2025 | 236.9 thousands | 5.9 |
| April 2025 | 235.3 thousands | 5.6 |
| March 2025 | 233.2 thousands | 5.5 |
| February 2025 | 232.6 thousands | 5.3 |
| January 2025 | 231.9 thousands | 5.5 |
| December 2024 | 230.3 thousands | 4.6 |
| November 2024 | 230.8 thousands | 4.8 |
| October 2024 | 229.9 thousands | 4.5 |

## API

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

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