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Industry Focus: Ambulatory Health Care Services in Michigan

The Ambulatory health care services industry, classified under the North American Industry Classification System, is a subsector of Health care and social assistance. This industry has experienced a rise in its workforce in Michigan and is expected to continue its positive career outlook. It consists of businesses that typically provide a wide range of medical specialties that offer more convenient options for patients to get the care they need without hospitalization. Some of these services include diagnostics, preventative care, treatment, rehabilitation, therapeutics, and surgical procedures.   

Employment and Wages

According to the U.S. Bureau of Labor Statistics, private employers in the Ambulatory health care services industry employed approximately 225,000 workers in Michigan, accounting for 5.0 percent of all private employment in the state. Nationally, the industry accounted for 6.7 percent of all occupations in the country. Between December 2023 and December 2024, this industry added around 4,200 employees, a 1.9 percent increase. The median hourly wage for this industry was $23.70 in Michigan, which was lower than the national average of $25.10.

Number of Businesses

There were roughly 18,000 private establishments categorized to the Ambulatory health care services industry in 2024. There were 17,200 small establishments with less than 50 employees, employing 107,000 workers or 47.6 percent of this industry. Medium-sized firms consisting of 50 to 499 workers totaled 700 and employed 90,000 workers, holding a 40.0 percent share of this industry’s employment.  Meanwhile, 29 large firms with 500 or more employees provided jobs for 28,000 individuals, representing 12.4 percent of the Ambulatory health care services industry.

Top Detailed Sectors with the most Employees as of December 2024

  • Office of physicians: 75,300 jobs
  • Home health care services: 42,900 jobs
  • Office of other health practitioners: 36,400 jobs     
  • Office of dentists: 33,200 jobs   

Most Prevalent Occupations with the Most Workers in 2024

  • Home health and personal care aides: 22,700 workers, median hourly wage: $31.10
  • Medical assistants: 16,500 workers, median hourly wage: $26.40
  • Registered nurses: 15,500 workers, median hourly wage: $38.90

Industry Outlook

Private employment in Michigan’s Ambulatory health care services industry is projected to grow by 13.1 percent between 2022 and 2032, adding approximately 27,000 jobs. This translates to an average annual growth rate of 1.2 percent—nearly double the projected rate for the broader Health care and social assistance sector (0.7 percent annually) and much higher than the pace of the overall statewide industry average (0.1 percent annually). This strong growth highlights the industry’s expanding role in Michigan’s labor market and its increasing demand for health-related services.

An infographic showing key labor market data for Ambulatory Health Care Services in Michigan.

Source: 2022-2032 Michigan Long-Term Employment Projections, Michigan Center for Data and Analytics; Occupational Employment and Wage Statistics, U.S. Bureau of Labor Statistics; Quarterly Census of Employment and Wages, U.S. Bureau of Labor Statistics

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