NEED TO KNOW

• Planned Parenthood performed a record 434,450 abortions in 2023–24, an 8% increase from the prior year
• The organization received $832 million in government funding — $2.3 million per day — representing 39% of its total revenue
• Congress defunded PP via the One Big Beautiful Bill, but the provision expires July 4, leaving the policy fight unresolved

WASHINGTON, D.C. (TDR) — Planned Parenthood's 2024–25 annual report shows a record number of abortions and the organization's highest-ever government funding — released as a congressional defunding provision prepares to expire July 4.

The big picture: The report covers the fiscal year ending June 30, 2025 — days before Trump signed the One Big Beautiful Bill Act, which included a one-year provision blocking Medicaid funds from health providers that also perform abortions.

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• Planned Parenthood was not named in the provision but sued, arguing it was effectively singled out; courts allowed it to take effect
• The $832 million government funding figure predates the defunding provision, reflecting prior-year Medicaid reimbursements and grants
• The provision expires July 4, 2026 — one year to the day after it took effect — setting up an immediate congressional decision on renewal

Why it matters: The report's numbers are live ammunition in the fight over reproductive access, taxpayer funding, and what "women's health care" means in practice.

• Planned Parenthood's government funding has grown 50% since 2014, even as the total number of patients served has fallen 16%
• Cancer screenings dropped to 389,449 — down from 426,268 the prior year and down 43% since 2014, per the Charlotte Lozier Institute analysis of PP's own data
• The organization reported a net loss of $29.3 million — the first time in recent years expenses exceeded revenue — against nearly $2.5 billion in total net assets

Driving the news: Abortion volume and funding moved in opposite directions from what each side wants to see.

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• Abortions increased 34% since 2014; of pregnant patients in 2023–24, 97% received an abortion rather than prenatal care, miscarriage care, or an adoption referral
• Total services rose just 5% over the same decade-long period
• Private donations hit $728.2 million — up 6% — suggesting the defunding pressure has energized PP's donor base

What they're saying: Both sides are reading the same report and reaching opposite conclusions.

• Alexis McGill Johnson, president and CEO of Planned Parenthood Federation of America, addressed the defunding fight in the report's opening — "PPFA is not only weathering this storm — we're looking beyond it. Because it will end."
• Tessa Cox, senior research associate at the Charlotte Lozier Institute — "Yet again, abortions performed by Planned Parenthood hit a record high, demonstrating that abortion remains a top priority for the organization."- Marjorie Dannenfelser, president of Susan B. Anthony Pro-Life America — "Taxpayer dollars should never be used to fund Planned Parenthood, a business that profits off of killing hundreds of thousands of unborn children every single year."

Yes, but: Federal law already prohibits using Medicaid funds directly for abortion — a distinction central to the debate that neither side fully acknowledges.

• Supporters argue PP's public funding covers cancer screenings, contraception, and STI testing — not abortion — and that the organization serves patients in areas with few alternatives
• Opponents argue funds are fungible and that subsidizing any part of PP's operations effectively subsidizes its abortion services
• The report's own data — non-abortion services falling while abortion volume climbs — complicates the "comprehensive health care provider" framing without resolving the fungibility question

Between the lines: The defunding provision's July 4 expiration is the story almost no one is covering — and Congress has no announced plan.

• Renewing the provision requires an act of Congress; letting it lapse restores Medicaid reimbursements automatically
• Planned Parenthood's net loss and rising private donations suggest the organization has stress-tested its finances for this moment
• The annual report dropped April 10 — in the middle of congressional recess, with the July 4 deadline 85 days out

What's next:

• One Big Beautiful Bill defunding provision expires July 4 — Congress must act to renew or it lapses
• Planned Parenthood's Medicaid litigation remains active in federal courts
• Next PP annual report will reflect the first full fiscal year under defunding conditions

If government funding for Planned Parenthood is rising even as non-abortion services decline, what accountability standard — if any — should determine whether that funding continues?

Sources

This report was compiled using information from Planned Parenthood's 2024–25 Annual Report, the Charlotte Lozier Institute, OSV News, and public statements from Susan B. Anthony Pro-Life America.

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