Family Planning Centers NAICS 621410
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Industry Summary
The 2,700 family planning centers in the US provide a variety of outpatient services, including contraceptive services, genetic and prenatal counseling, voluntary sterilization, and therapeutic and medically-induced termination of pregnancy. Although the majority of clients at family planning centers are women, most establishments offer services for men also. Non-profit organizations account for 75% of establishments and 55% of revenue.
Controversial Services
Certain services offered by family planning centers are controversial and have been the topic of debate for decades.
Competition From Alternative Service Providers
Family planning centers face competition from a variety of alternative service providers, including state and local health departments, physicians, hospitals, general health clinics, school clinics, urgent care clinics, and other health care providers.
Recent Developments
Nov 7, 2025 - Government Funding Is Decreasing
- The government funding landscape for family planning fundamentally changed in 2025, according to healthcare policy research organization KFF. The US federal government, the largest donor to family planning in the world, has instituted significant changes to global health programs including freezing, and then cancelling, most global family planning projects; restricting allowable activities; rescinding family planning funding previously provided by US Congress for 2025; and seeking to eliminate family planning funding in 2026. These actions have significantly driven down disbursements. In addition, the Organization for Economic Co-operation and Development projects that total international assistance from donor governments will have decreased in 2025 as other large donors to family planning including the Netherlands, United Kingdom, and Canada have also signaled reductions in their development assistance budgets.
- Infant mortality has risen in states that enacted tighter abortion restrictions following the June 2022 Dobbs v. Jackson Women’s Health decision, according to "Abortion Restrictions and Infant Mortality in the United States, 2018–2023", a study published in the American Journal of Public Health. Higher mortality occurs for newborns – those less than a day old – as well as older infants – those 1 month to 1 year old. States with new restrictions that include health exceptions, which permit an abortion to be performed to save the life of the mother or in the case of life-limiting fetal abnormality, experience a similar increase in infant deaths. States with abortion restrictions enacted after Dobbs saw a 7.2% increase in infant deaths – an increase of roughly 30 deaths per year in children up to age 1. These deaths did not exclusively occur among newborns in their first day of life. Much of the disparity was concentrated among infants between 1 month and 1 year old, who suffered a 9.3% increase in excess deaths.
- The number of family planning clients served by the Federal Title X program has not yet recovered from 2019 federal regulations that resulted in a mass exodus of sites from the program, according to health policy research organization KFF. The regulations prohibited Title X clinics from referring for abortion services and required physical separation of family planning and abortion services, effectively disqualifying all family planning clinics that also provided or referred their patients for abortions. The policy resulted in the withdrawal of 1,000 clinics from the Title X program and 6 states being left without a Title X network. Title X had consistently supported around 4,000 clinics and 4 million low-income or uninsured clients, but the number of clinics decreased to 3,031 clinics serving just 1.54 million clients in 2020, losses that were compounded by the pandemic. The Biden Administration reversed the Trump era regulations in November 2021, but it has taken time to bring grantees and clinics back into the network. The number of clinics in the network in 2023 approached the 2018 level, but only 2.8 million clients were served by the program.
- Family planning center industry employment and average wages for nonsupervisory employees increased slightly during the first seven months of 2025, according to the US Bureau of Labor Statistics. Family planning industry sales are forecast to decrease at a 1.46% compounded annual rate from 2025 to 2029, slower than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund, Inc.
Industry Revenue
Family Planning Centers
Industry Structure
Industry size & Structure
The average family planning center employs 17 workers and generates $2.2 million annually.
- The family planning center industry consists of about 2,700 establishments that employ 29,500 workers and generate nearly $4 billion annually.
- Nonprofit organizations account for 75% of establishments and 55% of revenue. For-profit organizations account for 25% of establishments and 45% of revenue.
- Organizations that offer family planning services include federally qualified health centers (FQHC) and clinics, state health departments, Planned Parenthood affiliates, and other independent agencies, such as family planning councils.
- The industry is concentrated at the top and fragmented at the bottom; the top 50 organizations account for 55% of industry revenue.
Industry Forecast
Industry Forecast
Family Planning Centers Industry Growth
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