WASHINGTON, D.C. — Reproductive Health and Freedom Watch (RHFW) today released a new analysis finding that the unregulated pregnancy clinic (UPC, AKA crisis pregnancy center/pregnancy resource center) industry has surpassed $2 billion in annual revenue for the first time, as recent federal and state policy developments position the industry for even greater public investment and influence over reproductive healthcare systems across the U.S.
Recent developments only raise the stakes: in just the last several weeks, the federal government launched Moms.gov, placing UPCs alongside regulated healthcare providers in a national maternal health resource portal; a new notice of funding opportunity for upcoming Title X funding appears to create pathways for UPCs in all fifty states to access family planning funding; and state legislatures appropriated more taxpayer funding to the UPC industry this year than at any point in history.
Drawing on federal IRS Forms 990 for fiscal year 2024, RHFW finds the UPC industry reported:
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$2.0 billion in annual revenue
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$1.8 billion in expenditures
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$2.7 billion in assets
“The scale of this industry is staggering,” said Mika Matsuno, Director of Research and Strategy at Reproductive Health and Freedom Watch. “Unregulated pregnancy clinics are no longer small volunteer operations operating on the margins of the healthcare system. This is now a multi-billion-dollar industry receiving growing taxpayer support while continuing to resist transparency, oversight, and independent evaluation.”
“With ample data from the UPC industry itself showing persistent misalignment between community needs and the industry’s service delivery model, taxpayers deserve clear answers about what services are actually being delivered, how many unique clients are being served, and if lawmakers and regulators have seriously evaluated whether investing ever increasing sums in UPCs is the most efficient and effective way to meet the needs of struggling pregnant women and young families,” Matsuno said.
Highlights:
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UPC industry revenue has increased 81% since 2019
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RHFW projects UPC industry revenue could reach $2.6 billion by FY2026
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More than $917 million in state legislative appropriations have flowed to the UPC industry since 2021
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18 state legislatures appropriated at least $203 million to UPCs for FY2026–2027, the highest level of annual taxpayer support for the industry on record
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Approximately 13% of UPC funding appears to come from publicly disclosed institutional grantmaking.
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Recent changes to the federal Title X Family Planning program could open pathways for UPCs nationwide to access millions in new federal dollars.
The analysis also documents a growing pattern of UPC industry opposition to transparency and oversight measures, including litigation challenging state efforts to study or regulate UPC practices. Read the full memo here: https://
RHFW has also updated UPCFinanceWatch.com with the latest revenue, expense, and asset data for each UPC in its database.