Planned Parenthood Killed 402,000 Babies. It’s Just an Abortion Business

Many wondered what would become of Planned Parenthood when Roe fell, when Dobbs declared that the day of judicially mandated abortion availability was finally over.  Would Planned Parenthood shut down, close down the clinics, stop living off of taxpayer funds, pack up its abortion pills and go home?

Well, the latest Planned Parenthood Annual Report is out, finally giving some hard numbers and some hard answers to some of those questions.  According to the 2023-2024 Annual Report, “A Force for Hope,” Planned Parenthood is still very much alive, still performing abortions, and still raking in the cash.

Doing what is necessary to keep abortion business going and growing

Planned Parenthood’s killing centers were still very much operational after Dobbs, performing a record 402,230 abortions, despite ceasing abortion operations in many newly pro-life states and closing more than fifty clinics since 2020. For details, see May 2025 NRL News.

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How’d they accomplish this? By shifting a lot of business to virtual clinics or telehealth operations and essentially turning a lot of old clinics into travel agencies.

Planned Parenthood admits this without shame or apology. They almost seem to congratulate themselves on finding a way to beat the system and continue to bring “hope” to those seeking abortions.

The report touts its new “virtual health centers” enabling women in 23 states to access telehealth services and its new smart phone app called “PPDirect.” Available in 42 states and the District of Columbia, this app “allows patients to use a mobile device to request prescriptions for birth control pills, patches, rings, emergency contraception, and treatment for urinary tract infections.”

In case that sounds innocent enough for that broad section of society which learned to use telehealth during COVID, Planned Parenthood helpfully points out that “This year PPDirect expanded the array of services Planned Parenthood health center providers offer, including medication abortion through telehealth in states where it is legally permitted.”

Planned Parenthood doesn’t tell how many of these “virtual abortions” it facilitated. But in a country where nearly two thirds of all abortions are now “medication” or chemical abortions, the zealously pro-abortion Biden administration made it legal to prescribe mifepristone online and ship to women’s home. This represents a substantial and lucrative business venture.

Planned Parenthood also wants to draw attention to its “Direct Patient Assistance for Travel and Related Expenses” and “Patient Navigation” programs.

PPFA provided affiliates with $3.4 million through direct patient assistance funding, which helped more than 12,500 patients who were forced to travel for their abortion care. Nationwide, recipients on average received $275 to cover logistical needs such as transportation, accommodations, meals, and dependent care during travel.

More than money was involved, however.

PPFA’s patient navigation program has grown to include more than 90 patient navigators across the country. Patient navigators help people seeking abortion overcome logistical barriers by connecting them with transportation and travel support, financial assistance, and referral services. We estimate that Planned Parenthood affiliate abortion patient navigators have assisted more than 100,000 people access care in the last year.

If this involved giving assistance and referrals to women in pro-life states so that they could be sent for abortions to Planned Parenthood clinics in neighboring states (an outcome Planned Parenthood has clearly planned for), this would mean as many as a quarter of Planned Parenthood’s abortions in the first full year post Dobbs were women and babies who would have been spared that fate if they had stayed home.

Other non-abortion services remain low or show decline

It is interesting, and sad, to note that while abortions at Planned Parenthood once again hit an all-time record, other services continued to decline. The cancer screens Planned Parenthood make so much about in advertisements and political statements?  Down again in the group’s most recent report, to 426,268.

For reference, remember that Planned Parenthood did more than 2 million cancer screenings twenty years ago, in 2005.  Also recall that, for all its cash, there is still no mention of any Planned Parenthood affiliate springing for a mammogram machine.

Even birth control, Planned Parenthood’s signature product, isn’t selling like it used to. Not counting 2020, the COVID year, the 2,223,680 contraceptive “services” it provided between October 1, 2022, and September 30, 2023, represent the lowest total in least twenty years. The number was close to 4 million in 2006, nearly double the current figure.

Prenatal services and adoption referrals were slightly up but still remain so small in comparison to abortion as to be largely inconsequential to Planned Parenthood.  The annual report says 7,008 women received prenatal services in its 2023 service year, but this still meant they were outnumbered by abortion by a more than 57 to 1 margin.

The group made 2,148 adoption referrals in 2023, up 427 from the previous year (from women in pro-life states who turned down the offer of free abortion travel?). But that still means Planned Parenthood sold abortions to 99.5% of those pregnant women faced with those two “options.”

Huge revenues sustained by substantial government support

Planned Parenthood’s revenues suffered a bit in its second fiscal year post Dobbs, dropping ever so slightly, from $2.0543 billion in fiscal 2023 to $2.0261 billion in fiscal 2024. (There appears to be a typo in the Annual Report as currently posted. Though listed in the header as the fiscal year ending June 30, 2023, this is the same date given in last year’s report, while this year’s notes page refers to figures through June 30, 2024.)

In any case, the federation still took in at least $27 million more than it spent, hardly signs of an organization in financial crisis.  How does this comport with news stories of overworked, underpaid staff, ill-equipped facilities?

One does well to recall that the above-mentioned New York Times exposé  revealed that a lot of the money Planned Parenthood took in went to legal support and “public campaigns to expand abortion access and subsidies for patient navigators who help patients access abortions.”  As Katie Benner reported, Planned Parenthood “repeatedly prioritized the fight for abortion rights over clinics because the political fight was fundamental to the organization’s ability to operate.”

It is interesting to see how these more recent revenues compare to last year’s. While overall just about $28 million less, the big drop came in terms of “Private Contributions & Bequests” which fell more than $300 million since last year’s report.

If these years are tracked correctly (see the note on the typo in the report above), that means that, financially speaking, this is in the second full year past Dobbs.  So the “sky is falling” rhetoric, which helped them (and many abortion funds) raise so much money in the wake of Roe’s fall, seems to have peaked and fallen off as time went on.

Private abortion funds also saw a big fall off after people began to see what Dobbs did and didn’t do. Obviously, private donors simply weren’t buying the hype as much.

With “Non-Government Health Services Revenue” staying about the same ($372 million in fiscal 2023 versus $350.5 million in 2024), most of the deficit was made up for by “Government Health Services Reimbursements & Grants.”  Just under $700 million in fiscal 2023, it busted through that barrier in 2024, hitting $792.2 million. That’s coming from taxpayers’ pockets!

Planned Parenthood doesn’t spell it out here, but while some of that comes from federal family planning grants like Title X, the vast majority of it comes from state Medicaid reimbursements.  And though federal money, because of the Hyde amendment, is not allowed to go directly to abortion (though it helps keep Planned Parenthood open), many of the very abortion-friendly states where Planned Parenthood does business do allow state Medicaid funds to cover abortion.

At retail prices starting at around $600 for a standard first- trimester surgical abortion (and maybe slightly more for a chemical one), the revenues Planned Parenthood pulls in from abortion likely easily dwarf the reimbursements the organization gets from states for much cheaper services like contraception.

In any case, the reimbursements Planned Parenthood gets from states ultimately come from you and me, in taxes levied by state and federal governments.  With 39% of its revenues coming from government sources, and so much of its money and so much of its energy going to the promotion and performance of abortion, it is worth asking whether Planned Parenthood could survive or stay in business without government funding.

If it did, it would have to be a far different business with a much different focus than what we see today.

Hoping for something better

Planned Parenthood starts its 2023-2024 Annual Report by saying

Every time a patient walks through the doors of a Planned Parenthood health center, it is an act of hope — hope that they’ll get the care they need, that their decisions about their own bodies will be honored, that they’ll be truly seen.

It may be an “act of hope” for Planned Parenthood, which hopes it will sell her an abortion and get her money, but calling this an act of hope for the young mom and her baby is cruel.

Most women who seek abortions say it is not so much because they just don’t want a child. Rather it is because they just can’t see how to financially make it; how to continue their schooling or career; or how to maintain their other significant relationships. Your typical Planned Parenthood doesn’t offer her any real support or practical services in that regard. They don’t really “see” or care for her or her circumstances and certainly don’t see or care for her baby.

Parenthood is in their name, but it’s certainly not in their hearts or their corporate vision.

Here’s hoping that Planned Parenthood, or at least the people who support them, will finally truly see the woman and the unborn children that they’re supposed to be serving. Instead of another 402,230 dead babies, Planned Parenthood could offer them real help and real hope, and not just another bloody, expensive encounter where they are processed and sent away with an empty womb, a broken heart, and a lighter wallet.

LifeNews.com Note: Randall O’Bannon, Ph.D., is the director of education and research for the National Right to Life Committee.

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