The most recent report, released late last month, found a decrease in overall services from July 1, 2014, through last June 30.
It performed 123,226 fewer breast exams during that time than it had in the previous year.
The number of abortions, birth control, and cancer screenings decreased markedly.
Its prenatal services continued its downward trend, as well, from 18,684 to 17,419.
The group performed 718 female sterilizations and 3,445 vasectomies last year, another downturn.
One area that showed a modest increase was adoption referrals - 2,024, up from 1,880 in 2013. That means the organization performed 160 abortions for every child referred for adoption.
Yet the new report hails a series of "breakthroughs," particularly its legislative lobbying efforts.
"We protected and expanded access to abortion," one headline in the report says.
The group spent $39.3 million on "public policy," another $16.7 million to "engage communities," and $4.6 million to "refresh our brand."
"Our advocacy efforts never slow down," the report states. "We are constantly working hard to deepen our partnerships with allies, lobby in state legislatures, and fight in the courts when access to safe and legal abortion is threatened."
It credited a bill it supported, a
California law allowing non-physicians to perform abortions, with "raising abortion access to a gold standard."