Table 5. Number of private sector establishments by direction of employment change, seasonally adjusted Ambulatory Health Care Services Establishments gaining jobs Establishments losing jobs Year 3 months ended Net change(1) Total Expanding Opening Total Contracting Closing establishments establishments establishments establishments 1992 September 1,055 91,682 79,678 12,004 80,866 69,917 10,949 December 1,448 88,943 77,671 11,272 79,703 69,879 9,824 1993 March 1,261 91,866 80,163 11,703 80,330 69,888 10,442 June 145 91,196 80,096 11,100 79,164 68,209 10,955 September 1,885 93,237 80,775 12,462 81,285 70,708 10,577 December 425 89,935 79,084 10,851 82,502 72,076 10,426 1994 March 37 90,248 78,882 11,366 83,979 72,650 11,329 June -29 94,481 82,239 12,242 82,658 70,387 12,271 September 1,356 97,142 84,298 12,844 83,028 71,540 11,488 December -722 92,069 80,932 11,137 85,560 73,701 11,859 1995 March 717 97,172 84,886 12,286 83,712 72,143 11,569 June -45 95,992 83,611 12,381 84,812 72,386 12,426 September -1,115 96,349 84,137 12,212 87,283 73,956 13,327 December -918 94,872 82,641 12,231 88,236 75,087 13,149 1996 March 727 96,631 83,051 13,580 87,891 75,038 12,853 June -588 96,733 83,771 12,962 88,251 74,701 13,550 September 813 99,153 85,118 14,035 88,519 75,297 13,222 December 68 98,463 85,442 13,021 88,850 75,897 12,953 1997 March 1,291 101,015 86,802 14,213 89,456 76,534 12,922 June -257 99,743 86,509 13,234 89,807 76,316 13,491 September -150 101,089 87,290 13,799 91,220 77,271 13,949 December -1,317 98,745 85,407 13,338 94,175 79,520 14,655 1998 March 1,189 100,121 85,033 15,088 93,007 79,108 13,899 June 1,953 102,135 86,861 15,274 92,371 79,050 13,321 September -402 100,767 86,595 14,172 95,412 80,838 14,574 December -1,625 101,282 87,957 13,325 94,708 79,758 14,950 1999 March 916 102,769 88,249 14,520 93,548 79,944 13,604 June -188 104,768 89,966 14,802 94,762 79,772 14,990 September -522 104,359 89,910 14,449 95,856 80,885 14,971 December -501 104,363 90,419 13,944 94,965 80,520 14,445 2000 March 2,073 105,864 90,620 15,244 94,830 81,659 13,171 June 994 106,480 92,404 14,076 94,715 81,633 13,082 September 1,030 106,769 91,824 14,945 96,196 82,281 13,915 December 404 104,898 91,111 13,787 96,421 83,038 13,383 2001 March 2,061 108,491 93,858 14,633 92,764 80,192 12,572 June 1,492 108,533 94,046 14,487 93,455 80,460 12,995 September 1,309 106,972 92,088 14,884 96,480 82,905 13,575 December 1,700 107,854 93,459 14,395 93,675 80,980 12,695 2002 March 2,702 109,357 94,149 15,208 92,945 80,439 12,506 June 3,348 109,419 93,681 15,738 94,261 81,871 12,390 September 2,993 109,282 94,080 15,202 95,199 82,990 12,209 December 1,907 109,021 94,350 14,671 96,828 84,064 12,764 2003 March 2,790 108,354 92,467 15,887 99,065 85,968 13,097 June 2,319 110,221 95,156 15,065 96,811 84,065 12,746 September 2,671 109,378 93,974 15,404 99,000 86,267 12,733 December 1,612 109,197 94,100 15,097 100,150 86,665 13,485 2004 March 2,511 111,642 95,630 16,012 100,313 86,812 13,501 June 1,472 110,962 95,301 15,661 101,285 87,096 14,189 September 1,349 112,077 95,733 16,344 102,666 87,671 14,995 December 2,582 114,065 97,394 16,671 102,817 88,728 14,089 2005 March 2,257 113,521 96,564 16,957 105,189 90,489 14,700 June 2,617 116,168 98,807 17,361 103,748 89,004 14,744 September 1,988 116,518 99,809 16,709 104,436 89,715 14,721 December 2,423 115,650 98,609 17,041 108,207 93,589 14,618 2006 March 1,479 117,562 100,978 16,584 105,833 90,728 15,105 June 2,835 118,383 101,050 17,333 107,392 92,894 14,498 September 889 116,334 100,294 16,040 108,066 92,915 15,151 December 2,132 118,875 101,302 17,573 109,624 94,183 15,441 2007 March 1,292 121,868 104,656 17,212 109,046 93,126 15,920 June 893 120,589 103,877 16,712 110,938 95,119 15,819 September 1,945 119,823 102,494 17,329 111,546 96,162 15,384 December 2,841 122,911 104,827 18,084 110,582 95,339 15,243 2008 March 378 121,177 104,376 16,801 111,887 95,464 16,423 June 388 119,648 102,398 17,250 114,481 97,619 16,862 September 1,265 119,411 102,349 17,062 112,253 96,456 15,797 December 1,960 120,007 101,788 18,219 113,613 97,354 16,259 2009 March -412 115,390 98,784 16,606 112,916 95,898 17,018 June 1,729 118,708 101,194 17,514 108,523 92,738 15,785 September -1,056 116,168 100,331 15,837 110,437 93,544 16,893 December 3,889 121,440 101,497 19,943 110,020 93,966 16,054 2010 March 66 116,674 99,415 17,259 113,718 96,525 17,193 June 1,389 117,808 100,322 17,486 114,403 98,306 16,097 September 205 117,783 100,618 17,165 113,290 96,330 16,960 December 3,009 124,065 104,190 19,875 112,596 95,730 16,866 2011 March 307 121,943 104,373 17,570 113,529 96,266 17,263 June -854 122,099 103,837 18,262 115,874 96,758 19,116 September 2,124 125,681 106,908 18,773 113,240 96,591 16,649 December 1,246 123,778 104,626 19,152 115,239 97,333 17,906 2012 March -405 127,537 109,498 18,039 115,259 96,815 18,444 June 1,037 125,176 106,755 18,421 116,897 99,513 17,384 September -80 124,377 106,756 17,621 117,260 99,559 17,701 December 1,778 128,584 109,047 19,537 115,708 97,949 17,759 2013 March -320 127,877 109,785 18,092 119,051 100,639 18,412 June 157 124,966 107,235 17,731 120,550 102,976 17,574 September 702 126,974 109,113 17,861 117,861 100,702 17,159 December 388 128,980 109,996 18,984 119,355 100,759 18,596 2014 March -1,743 127,053 110,421 16,632 119,566 101,191 18,375 June -1,467 127,622 110,353 17,269 122,402 103,666 18,736 September -1,492 128,717 111,976 16,741 118,964 100,731 18,233 December -604 132,594 114,159 18,435 118,114 99,075 19,039 2015 March -839 128,943 111,071 17,872 122,035 103,324 18,711 June -1,117 130,640 113,334 17,306 121,614 103,191 18,423 September -2,320 130,890 113,740 17,150 121,543 102,073 19,470 December 393 137,457 116,880 20,577 123,365 103,181 20,184 2016 March -1,237 133,594 115,005 18,589 122,756 102,930 19,826 June -3,293 132,398 113,242 19,156 129,799 107,350 22,449 September 658 137,571 117,569 20,002 121,660 102,316 19,344 December -808 133,898 113,866 20,032 127,413 106,573 20,840 2017 March -233 136,995 117,165 19,830 124,875 104,812 20,063 June 210 135,003 115,375 19,628 129,014 109,596 19,418 September -1,814 132,859 114,186 18,673 129,049 108,562 20,487 December -714 138,409 117,534 20,875 126,504 104,915 21,589 2018 March -22 139,347 118,509 20,838 127,588 106,728 20,860 June -340 137,081 116,370 20,711 132,493 111,442 21,051 September -733 138,032 117,719 20,313 131,361 110,315 21,046 December 524 142,598 119,477 23,121 130,160 107,563 22,597 2019 March 359 144,928 122,695 22,233 128,541 106,667 21,874 June -1,138 138,345 116,903 21,442 137,820 115,240 22,580 September 390 140,690 119,528 21,162 130,295 109,523 20,772 December 2,089 144,836 120,382 24,454 129,716 107,351 22,365 2020 March -4,378 134,638 113,510 21,128 143,630 118,124 25,506 June -11,816 113,276 86,750 26,526 228,414 190,072 38,342 September 8,608 187,403 153,273 34,130 120,979 95,457 25,522 December 2,782 159,495 132,496 26,999 124,651 100,434 24,217 2021 March 6,090 157,186 129,995 27,191 125,732 104,631 21,101 June 528 147,719 122,497 25,222 141,205 116,511 24,694 September 144 154,028 126,763 27,265 141,791 114,670 27,121 December 3,835 160,534 130,766 29,768 139,595 113,662 25,933 2022 March 2,391 158,712 130,562 28,150 139,519 113,760 25,759 June 3,639 152,385 123,759 28,626 149,967 124,980 24,987 September 332 162,551 136,567 25,984 139,204 113,552 25,652 December -382 154,682 127,620 27,062 145,269 117,825 27,444 2023 March 2,214 164,568 135,603 28,965 138,681 111,930 26,751 June 3,091 161,438 131,452 29,986 147,697 120,802 26,895 September -213 156,091 129,064 27,027 144,860 117,620 27,240 December 2,727 162,137 131,987 30,150 144,109 116,686 27,423 2024 March 1,184 157,933 131,228 26,705 141,918 116,397 25,521 June -3,879 155,709 126,772 28,937 158,322 125,506 32,816 September -1,918 159,909 132,488 27,421 147,805 118,466 29,339 (1) Net change is the difference between the number of opening establishments and the number of closing establishments.