Pregnancy centers continue to surpass brick-and-mortar abortion businesses

Pro-life pregnancy help centers (PHCs) — often referred to as "crisis pregnancy centers" or "pregnancy resource centers" — now outnumber abortion facilities by a ratio of more than 4 to 1, according to figures gathered from pro-life and pro-abortion sources.

Over the past few decades, more than 220 abortion facilities have closed their doors.

These figures are likely perceived as a significant threat to the abortion industry, and are one of the reasons why pro-abortion groups and media have pummeled pregnancy centers with a slew of coordinated and relentless attacks.

Key Takeaways:

• Pro-life pregnancy help centers now outnumber brick-and-mortar abortion facilities by a ratio of more than 4 to 1.

• A new report found 2,775 pregnancy centers in the U.S. in 2024; another survey found 657 abortion businesses operating in 37 states plus D.C. in 2025.

• Despite this, abortions have increased in the U.S. as abortion pill providers have moved business online.

The Numbers:

Abortion Facilities: 657

Operation Rescue’s 2025 Annual Survey revealed that "there are currently 657 abortion facilities operating in 37 states and the District of Columbia" in 2025.

Pregnancy Help Centers: 2,775

A report from the Charlotte Lozier Institute (CLI) which analyzed national survey data from pregnancy centers in all 50 states found 2,775 centers in the U.S. in 2024.

Ratio of 4:1

Pro-life pregnancy help centers now outnumber brick-and-mortar abortion facilities by a ratio of more than 4 to 1. This is an increase from a ratio of 3:1 previously documented by The Alliance, a pro-abortion organization.

Abortion business closures:

54 Abortion Facilities Closed in 2025

"54 clinics closed or halted abortions, with 44 clinics opening or resuming abortions," Operation Rescue's (OR) report claimed. "Of those 54 closures, 36 (67%) were pill-only clinics, and 18 (33%) were surgical clinics," they reported.

OR added:

Planned Parenthood, in particular, saw a mammoth number of closings – 64 in total, so far. Of those closures, 36 were abortion facilities, and 28 more were referral locations. In addition, there are now 4 states that have zero Planned Parenthood locations in operation.

Notable closures highlighted by OR included:

• Planned Parenthood's mega center location in Houston, Texas

• The "infamous Margaret Sanger building, located at 26 Bleecker Street in New York – Planned Parenthood’s most symbolic flagship"

• Warren Hern's late term abortion facility in Boulder, Colorado, which closed after being opened since 1975 and killing and estimated 42,000 preborn babies

• Pro-life activism and legal efforts which helped usher in the closure of Cesare Santangelo's late-term Washington Surgi-Clinic in D.C.

23 Independent Abortion Facilities Closed

A 2025 report by the Abortion Care Network (ACN), which tracks non-Planned Parenthood facilities categorized as Independent Abortion Clinics (ICN's), claimed that "[o]pening an abortion clinic is exceedingly difficult, time-intensive, and expensive."

ACN wrote:

When Abortion Care Network started tracking clinic closures in 2012, we identified 510 independent abortion clinics open in the U.S. As of October 2025, ACN identified 396 brick-and-mortar independent abortion clinics, as well as 244 online-only clinics. While many online only clinics and a handful of brick-and-mortar clinics have opened over the years, the overall number of brick-and-mortar independent clinics in the U.S. has decreased by 22 percent since 2012.

ACN claimed, "60 independent brick-and-mortar clinics have opened" in 16 states since Roe fell (2022 to 2025). In that same time frame, "100 independent abortion clinics [IAC] have been forced to close or stop providing abortion care."

Dave Andrusko at NRL News previously documented that while ACN noted there were "12 independent clinics closed in 2024," they found that as of October 2025, "there have been 23 confirmed independent clinic closures in 2025."

Andrusko noted that the ACN report closed by admitting, "Once a clinic closes, it’s very unlikely to reopen, leaving lasting gaps in abortion access."

Independents provide approximately 58% of all abortions nationwide, while Planned Parenthood alone commits approximately 40% of the national abortion market share each year.

"Independent clinics represent 68 percent of all clinics that provide care at and after 16 weeks of pregnancy, 71 percent of clinics providing care at and after 19 weeks of pregnancy, and 85 percent of clinics that provide care at or after 22 weeks of pregnancy. After 26 weeks of pregnancy, the only clinics that provide abortion care are independent," ACN wrote.

Virtual Abortion Facilities

The "majority of abortions in 2024 were still provided via brick-and-mortar facilities," Guttmacher claimed in April.

#WeCount's June 2025 report claimed, "Nationally, the majority of abortions still occurred in-person. The number of abortions delivered via telehealth has continued to increase. In the first half of 2025, 27% of all abortions within the US healthcare system were provided via telehealth. Shield laws continue to facilitate abortion access, with nearly 15,000 abortions per month provided under shield laws by June 2025."

But Operation Rescue documented that, "[a]fter almost tripling in number between 2023 and 2024, virtual suppliers showed a small net loss of 4 suppliers in 2025, dropping from 58 to 54 in number."

OR added:

To break that net loss down a little more succinctly, 10 online providers closed down, either permanently or temporarily, while 8 more expanded to in-person chemical abortions committed in brick-and-mortar buildings.

This expansion moved them from the “virtual-only” category to the “brick-and-mortar” survey.

Meanwhile, 14 new virtual back-alley abortion operations cropped up or resumed selling abortion pills after halting in 2024.

Of those 14, eight were Planned Parenthood virtual clinics (57%), showing the abortion giant is attempting to expand its profits from mail-order pills, likely to make up for recent losses in funding.

Though counted separately, when rolled into the total number of abortion clinics in America, virtual suppliers make up 7.6% of places women might seek first-trimester abortions in the nation, a minor decrease from 2024, when virtuals would have made up 8% of places women might seek first trimester abortions.

64 Planned Parenthood Facilities Closed

Planned Parenthood facilities have remained at around 600 nationwide for the past several years, according to the organization’s (2023-2024) annual report, released the spring of 2025. That report indicated that the organization's facilities have fallen nearly 29% (28.57%) in the past decade, down from 840 facilities in 2009, and down 33.33% from a high of 900 in 1996-1997.

In July, the "Big Beautiful Bill" defund measure was signed into law by President Trump (removing Medicaid dollars from prohibited entities that provided abortion). Despite Planned Parenthood predicting the defund would shutter 200 facilities nationwide, Live Action News found that 24 out of 47 Planned Parenthood affiliates showed some sort of financial deficit in the most recently reported year.

In September, the organization wrote, "Since the beginning of 2025, nearly 50 Planned Parenthood facilities," however, since then, Operation Rescue's analysis found that so far this year, 64 Planned Parenthood centers have closed nationwide —36 which committed abortions.

OR added:

Of the total number of brick-and-mortar closures, Planned Parenthood racked up well over half, a total of 67%. And, for the clinics that either opened, reopened, or resumed abortions, Planned Parenthood only made up 43%.

This represents a clear reversal of last year’s numbers, when Planned Parenthood made up only 45% of closures and an overwhelming 70% of openings.

Additionally, Planned Parenthood experienced a 5% decline in its market share of pill-only clinics, dropping from 78% of all pill-only clinics in 2024 to 73% in 2025.

Perhaps to compensate for those losses, Planned Parenthood has significantly expanded its market share of virtual suppliers. Making up just 33% of virtuals in 2024, Planned Parenthood has increased that hold by ten, now representing 43% of virtual suppliers.

In fact, Planned Parenthood accounts for over half of the new virtuals uncovered in 2025 (57%).

This lines up with what Live Action News previously warned — that as Planned Parenthood shutters brick-and-mortar facilities, it is driving clients to its new online services business model which increasingly relies upon telehealth — including the mailing of abortion pills. Its “Virtual Health Centers (VHCs)” are popping up across the country as part of a larger restructuring plan put in place years ago.

Planned Parenthood is replaceable. Federally Qualified Health Centers (FQHCs) and Pregnancy Help Centers (PHC), which do not commit abortions, could be receiving the millions of taxpayer dollars instead.

Hundreds of Abortion Facilities Closed Since Roe

The number of stand-alone abortion facilities skyrocketed over 212% just after the Roe v. Wade Supreme Court ruling decriminalized abortion; however, there have been hundreds of closures since.

Live Action News previously documented that as unscrupulous abortion profiteers began opening across the country, these stand-alone facilities grew from from 284 in 1974 to 885 in 1988, the highest recorded year before decreasing nearly 11% to 789 by 1982.

Today, according to Guttmacher, " brick-and-mortar facilities still account for more than 80% of clinician-provided abortions." And in June of 2024, Guttmacher reported that while stand-alone abortion facilities had increased to 807 in 2020, they fell to 765 in March 2024.

This decline was "a net loss of 42 clinics. In March 2024, there were no clinics providing abortion care in the 14 states with total abortion bans in effect at that time," Guttmacher reiterated in November of 2025.

By December, Guttmacher recorded "13 states" had "total abortion bans in place" and "an additional 28 states have bans based on gestational duration that fall somewhere between six weeks and viability."

Operation Rescue's 2025 analysis reveals that between 1988 (885) and 2025 (657), an estimated 228 brick-and-mortar abortion facilities have been shuttered — a nearly 26% decline.

Consistent Pro-life Work:

Consistent prayer, activism, and sidewalk advocacy outside abortion facilities have no doubt played a significant role in shuttering abortion facilities, as have Sanctuary Cities for the Unborn measures, medical malpractice lawsuits, outreach to abortion workers, and campaigns to educate the public on the horrors of abortion.

The hard work of lawmakers enacting pro-life protections into law, court rulings upholding those protections, enforcement of state and federal standards, and legal strategies which place abortion facilities on notice have also likely attributed to the success.

The Bottom Line:

Today, abortion numbers continue their tragic rise in this country, which is why pro-life work is more essential than ever before.