Family Planning Centers

Industry Profile Report

Dive Deep into the industry with a 25+ page industry report (pdf format) including the following chapters

Industry Overview Industry Structure, How Firms Opertate, Industry Trends, Credit Underwriting & Risks, and Industry Forecast.

Call Preparation Quarterly Insight, Call Prep Questions, Industry Terms, and Weblinks.

Financial Insights Working Capital, Capital Financing, Business Valuation, and Financial Benchmarks.

Industry Profile Excerpts

Industry Overview

The 2,300 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.

Dependence On Government Funding

The majority of family planning centers are non-profit organizations that are heavily dependent on government health programs for funding.

Industry size & Structure

The average family planning center employs 15-16 workers and generates $1.4 million annually.

    • The family planning center industry consists of about 2,300 establishments that employ 23,500 workers and generate over $3 billion annually.
    • Non-profit 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
                                Family Planning Centers Industry Growth
                                Source: Vertical IQ and Inforum

                                Coronavirus Update

                                May 4, 2022 - Leaked Opinion Suggests Overturn Of Roe v. Wade
                                • The US Supreme Court confirmed on May 4 that a leaked draft opinion suggesting that the high court plans to overturn Roe v. Wade was "authentic." The court maintained, however, that the draft does not represent the final opinion of members or of the full court. Nearly two dozen states are likely to ban abortions or severely restrict access to the procedure if Roe v. Wade is overturned, according to NBC News. Thirteen states have “trigger laws” that would ban abortion almost immediately, according to an NBC News analysis of data from the Center for Reproductive Rights. The legality of abortion would be left up to individual states if the US Supreme Court overturns Roe v Wade.
                                • There was less of a pandemic-related baby bust than expected, but experts say that it doesn't reflect changing family planning dynamics in the US. It's more likely to be indicative of shrinking access to abortions and birth control across the country, especially for low-income women, according to the National Bureau for Economic Research. Access to contraception and abortion fell in 2020 as reproductive health centers temporarily closed or reduced capacity. Researchers also noted the impact of changes made in 2019 to the Title X Public Health Care Service Act that were likely to have restricted access to reproductive services.
                                • More than half of recent abortions in the US were carried out with abortion pills rather than a surgical procedure, according to a report issued by the Guttmacher Institute, a research organization that supports abortion rights. Some experts say that the finding is a sign that medication has increasingly become the most accessible and preferred method for terminating pregnancy.
                                • The US Department of Health & Human Services (HHS) renewed the Public Health Emergency (PHE) declaration for COVID 19, extending it through July 15, 2022. The emergency measure linked to the PHE that may be of most interest to family planning centers is coverage of telehealth services. The Biden administration lifted in 2021 restrictions on dispensing abortion pills by mail during the Covid-19 pandemic. Medicare and Medicaid coverage of telehealth services was extended immediately. A public health emergency has existed since January 27, 2020.
                                • PHE renewals keep in place flexibilities under Section 1135 waivers, such as the expanded use of telehealth. They also extend public aid programs. Industry experts say that waiver of cost-sharing for medical and behavioral telehealth services by health insurers is likely to be extended again by insurers who have done so for earlier PHE renewals. Industry stakeholders should remember that HHS retains the discretion to terminate the PHE at any time.
                                • Pregnant women are more prone to COVID-19 infection than other women, according to the Centers for Disease Control and Prevention. The risk of developing serious illness is low, however, and symptoms are typically mild. Women infected with Covid-19 during pregnancy are more likely to deliver a preterm baby. Infection during pregnancy may also increase complications during pregnancy or may result in stillbirths.
                                • The Food and Drug Administration (FDA) permanently removed a long-standing federal requirement that abortion pills be picked up in person. A prescription can be obtained via an online consultation and pills may be delivered through the mail. Experts cite pandemic-related lockdowns that reduced access as a key driver of the decision to remove the requirement. FDA officials said that a scientific review supported broadening access, including no longer limiting dispensing to a small number of specialty clinics and doctor’s offices. Pills will not be available immediately, however as prescribers must undergo certification and training. Dispensing pharmacies will have to be certified too. The effective date may also vary by state, as more than a dozen have passed measures that limit access to the pills, including outlawing delivery by mail.
                                • Digital abortion options like Just the Pill, Hey Jane, Abortion on Demand, and Choix have proliferated during the coronavirus pandemic. These firms mail abortion pills to patients in many states after a telemedicine visit. Experts say that these services can be a lifeline for patients who haven’t hit the 10- or 11-week threshold typically used for medical abortion and who can’t get to a clinic or need a less expensive choice. But reproductive health advocates worry that telemedicine abortion options could be endangering brick-and-mortar clinics by siphoning away the first-trimester visits that make up more than 90% of abortions. “If [clinics] lose a considerable amount of the clientele for first-trimester abortions, they might have to close, or some of them will,” said Carole Joffe, a professor focusing on reproductive health at the University of California-San Francisco. “Potentially, we see people needing second-trimester procedures, not to mention even later ones, with literally nowhere to go.”
                                • All fifty states and DC had expanded telehealth access to family planning services for Medicaid beneficiaries. North Carolina is allowing both traditional Medicaid beneficiaries and beneficiaries of its family planning Medicaid program to receive select family planning services via telehealth. State officials have also expanded Medicaid-covered telehealth service delivery to include perinatal care, maternal support services, and postpartum depression screening. Alaska has begun allowing direct entry midwives to provide some services using telehealth. Many state Medicaid programs are waiving potential penalties for HIPAA violations for the duration of the emergency.
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