Every year, the majority of abortions are performed by independent abortion clinics. Now, these bedrock providers are struggling to stay open, according to a new report. About 23 independent clinics have closed in 2025 as of October, nearly double the total 12 clinic closures in 2024 and on par with the 23 closures in 2023, according to the Dec. 9 Communities Need Clinics report from the Abortion Care Network (ACN), a national membership and advocacy organization for independent clinics not affiliated with a larger organization like Planned Parenthood. The current 396 brick-and-mortar and 244 online-only independent clinics provide 58% of abortions nationwide, not including abortions performed under shield laws in states where abortion care is illegal, the report says. (The list of independent clinics grew YoY, but that reflects more clinics self-reporting, not necessarily a net growth in clinic openings, ACN spokesperson Jay Thibodeau told us.) “Even with a high level of stress, we are still here. We’re constantly showing up,” Dabbie Phonekeo, clinic director of Affiliated Medical Services in Milwaukee, Wisconsin, said during a Dec. 3 ACN forum. Here’s what the indie abortion care landscape looks like lately.—CC | 
