Five takeaways from Planned Parenthood’s 2019-2020 Annual Report

By Dave Andrusko

As per usual, NRL Director of Education & Research Dr. Randall K. O’Bannon provided the definitive analysis of Planned Parenthood’s 2019-2020 Annual Report. I would highly recommend you take the time to read it not once but twice.

Five is an arbitrary number. We could discuss ten takeaways from the latest 45 page self-congratulatory puff piece provided by this gigantic death-dealing “non-profit”. 

But five will do for starters. 

To be clear about what timeframe we are talking about, Michael Haynes helpfully noted, “The report documents the ‘patient care’ provided by Planned Parenthood (PP) from October 1, 2018 until September 30, 2019, and presents the financial statistics for the year ending on June 30, 2020.”

On to our five takeaways.

#1. Planned Parenthood is a monopoly in the making. PPFA already annihilates more than 41% of the babies aborted in the United States –their “market share” was just 14% in 1999–but they lust for more. That’s why they close smaller clinics, such as in Fairview Heights, Illinois, that performed only chemically-induced abortions, and build a behemoth 18,000 square foot facility. The megaclinic pulls double duty by attracting women from nearby Missouri, a very pro-life state.

This aggressive outreach and consolidation  is why, even as the overall number of abortions in the United States thankfully goes down, the 354,871 abortions PPFA performed in 2019 was not only a 2.6% increase from 2018 but the greatest number ever for the “nation’s largest abortion provider.”

PPFA used to make a pass at being something more than just an assembly-line abortion machine. But as Dr. O’Bannon wrote yesterday, “Prenatal services and adoption referrals, already rare at Planned Parenthood, were down again for 2019.  Just 8,626 women received prenatal care at Planned Parenthood clinics in 2019, and organization wide, just 2,667 women were referred for adoptions. 

“That means there were more than 41 abortions at Planned Parenthood for every prenatal visit and Planned Parenthood took the lives of 133 unborn children for every mother they sent to some sort of adoption agency.” (See #3 below for more on this.)

#2. Let’s bunch three components together and see what they tell us. “Nearly one out of every six female clients visiting Planned Parenthood had an abortion,” Carole Novielli writes. “Taxpayer funding to Planned Parenthood increased from $616.8 million to $618.1 million in 2019-2020 [roughly a  third of PPFA’s  $1.6414 billion in revenues]. That’s $1.7 million taxpayer dollars daily.” 

Noteworthy, as Dr. O’Bannon wrote, “While several Planned Parenthood clinics actually closed during the pandemic, Planned Parenthood made it a point to keep many of its abortion clinics open or to reopen them as soon as possible.”

This tells us (a) that abortion truly is PPFA’s “identity” and no mere pandemic would stop them aborting helpless babies; defunding Planned Parenthood hasn’t and won’t be easy but well worth the effort; and (c) NRLC is correct when it says “When you think Planned Parenthood, think abortion.”

#3. How do other services rank in priority? Dr. O’Bannon wrote

Services in general were up at Planned Parenthood, reaching above ten million again for the first time since 2013, but only the number of abortions were at their highest. Some genuine health services were up slightly but far lower than they were previously while others continued to decline in number.

For example, “Cancer screenings” rose by about 32,000 but were still not even a third what they were ten years ago.  Contraceptive services, Planned Parenthood’s signature product, rose, but by less than 10,000, so they were still 1.4 million shy of their 2006 peak.

Novielli observed

Manual breast exams (Planned Parenthood does not perform mammograms) rose 1.75% from 265,028 in 2018 to 269,669 in 2019-2020. In the past decade, breast exams have fallen 68% from 830,312 in 2009 and over 75% from 1,086,654 in 2000.

#4. Lost in the gushy “Message from Our Leadership”–Alexis McGill Johnson, Planned Parenthood’s president, and Aimee Cunningham, board chair–is this extremely revealing paragraph:

This year has affirmed for Planned Parenthood that we can’t afford to be incremental, and that all of us have to show up to this work as our authentic selves. The mission demands us to act boldly. Planned Parenthood is 104 years old, and we’re committed to addressing structural racism, both historic and current, in the federation. We’re driven by shared aspirations, not held back by fear and anxiety.

For those who haven’t kept track, these last few years, this past one most of all , have seen PPFA rocked by scandal after scandal. PPFA, for example, finally had to admit to its founder infatuation with eugenics. PPFA’s largest affiliate—Planned Parenthood of New York—decided to remove Margaret Sanger’s name from its Manhattan health clinic. 

But there is more, as the New York Times’ Nikita Stewart wrote when she broke the story

The New York affiliate’s effort to disavow Ms. Sanger comes as it wrestles with internal turmoil, including the recent ouster of its executive director, Laura McQuade, in part because of complaints that she had mistreated Black employees. 

Merle  McGee [the New York chapter’s chief equity and engagement officer] said there was no connection between Ms. McQuade’s departure and the decision to remove Ms. Sanger’s name. The move, she said, arose out of a three-year effort to tackle racism internally and to improve relationships with groups led by Black women who have been wary of Planned Parenthood’s origins.

This acknowledgement in the opening Message is an attempt to make lemonade out of lemons. PPFA has had this ongoing fight for years; it only became public recently. If I were to quote from one of the “Open Letters,” you’d see how much bitterness and resentment there is toward leadership. And

#5. Political muscle is the name of the game for Planned Parenthood. They brag incessantly about how much money they will—or have—spend to elect sympathetic candidates. To quote Dr. O’Bannon one more time

Planned Parenthood does not address it directly in this report, but the group’s political arm was quite active in the past election.  According to the election spending watchdog group,, we have a record that they spent at least $27.4 million.

If they followed through with plans announced earlier, much of this spending was concentrated in states such as Pennsylvania, Arizona, Georgia, Nevada, Wisconsin, and North Carolina where there was a close presidential contest or a key Senate race.

Planned Parenthood’s happiness at the election of pro-abortion President Joe Biden and pro-abortion Vice President Kamala Harris is palpable. While not mentioning the new pro-abortion Democrat administration by name, the opening note from leadership gloats that “Now, champions for sexual and reproductive health are in the White House. We’re entering a new era where we can not only undo the damage of the last four years, but move policy, and collective imagination, forward.”

Our task is to minimize the death-dealing damage Planned Parenthood is eager to administer. An essential part of that capacity to combat and roll back is that we know thoroughly an organization that performs one abortion every 89 seconds.