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
May 15, 2025 - States Sue Trump Administration Over HHS Changes
- Nineteen states and the District of Columbia filed a lawsuit against the federal government to block the Trump administration’s restructuring of the US Department of Health and Human Services (HHS). The plaintiffs argue that the restructuring is an “unconstitutional and illegal dismantling of the department.” They contend that the government has violated hundreds of laws and bypassed congressional authority by enacting the plan, leaving HHS unable to execute many vital functions. The plaintiffs also said that the restructuring has significantly hindered mental health and substance use services, HIV/AIDS response efforts, maternal mortality monitoring and disability support, among other key services.
- President Trump signed an executive order requiring all agencies to review grants and contracts for wasteful spending, fraud, and abuse. The majority of family planning centers are nonprofit organizations that are heavily dependent on government health programs for funding. The order also directed agency leaders to build a payment and contract recording system alongside employees of the Department of Government Efficiency (DOGE). Teams of DOGE personnel have been assigned to each agency to develop the system, which will be used to review and justify all expenditures made by employees.
- 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 three 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 59% of industry revenue.
Industry Forecast
Industry Forecast
Family Planning Centers Industry Growth
Source: Vertical IQ and Inforum
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