What Preterm does

Preterm (legal name Preterm Cleveland, Inc.) is a 501(c)(3) nonprofit organization founded in 1974 in Cleveland, Ohio, operating Ohio's only independent, nonprofit abortion clinic. The licensed ambulatory surgery facility occupies a single site at 12000 Shaker Boulevard (LEED-EB silver certified) and provides surgical abortion through 21 weeks of gestation and medication abortion through 10 weeks, with multiple sedation options ranging from local anesthetic to general anesthesia. Core clinical offerings are augmented by options counseling, miscarriage management, fetal anomaly care, and a Single-Appointment Abortion Care service model launched in August 2024 following a Franklin County judge's preliminary injunction against Ohio's 24-hour waiting period. Ancillary programs include a Financial Assistance Program providing nearly $1 million annually (with 95% of abortion patients receiving some aid), the Patients to Advocates fellowship (with Abortion Forward, New Voices for Reproductive Justice, and Faith Choice Ohio), medical resident training, and the Reproductive Health Community Needs Assessment (RHCNA) covering eight Northeast Ohio counties through October 2026.

The business model combines two revenue streams: per-procedure patient service fees ranging from $665 (first-trimester surgical with ibuprofen/acetaminophen) to $1,775 (21-week surgical abortion with anesthesia), and tax-deductible donations structured as one-time gifts, monthly "Preterm Access Community" recurring gifts, stock gifts, donor-advised fund gifts, and planned giving. The organization does not accept government funding. Non-managerial staff are unionized with SEIU Local 1199, and the executive director is Bethany Lewis, LISW-S. Patient acquisition runs through phone-based scheduling (216-991-4000, 10-15 minute intake) plus referral channels via the National Network of Abortion Funds and regional partners (Abortion Fund of Ohio, Aggie Fund, The Jubilee Fund, Elevated Access, Ohio Women's Alliance MAP, Faith Choice Ohio). Marketing channels include community outreach, organic social (Facebook, Instagram, LinkedIn), the "Beyond the Waiting Room" newsletter, and educational content. The clinic is accredited by AAAHC and affiliated with the National Abortion Federation, Abortion Care Network, and National Network of Abortion Funds.

Name

Preterm

Legal name

Preterm Cleveland, Inc.

Website

https://preterm.org

Company type

Private

Founded year

1974

Operating status

Operating

Headcount range

101–250 employees

Short description

Preterm Cleveland, Inc. is a 501(c)(3) nonprofit, Ohio's only independent abortion clinic, providing surgical abortion through 21 weeks and medication abortion through 10 weeks at a single Cleveland facility, serving Northeast Ohio patients with financial aid and community programs.

Ownership category

akta.pro rank

Headquarters

HQ city

Cleveland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Others

Revenue model

1. Patient Service Fees: Fees for abortion services including surgical and medication abortions at various gestational ages with multiple sedation options. Fees range from $665 to $1,775 depending on procedure type and gestational age.
2. Donations and Charitable Contributions: As a 501(c)(3) nonprofit organization, Preterm relies on donor contributions. Accepts one-time donations, monthly gifts (Preterm Access Community), stock gifts, donor-advised fund gifts, and planned giving.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Preterm is a non-profit licensed ambulatory surgery facility that provides direct reproductive health services to patients, including surgical abortion up to 21 weeks, medication abortion up to 10 weeks, options counseling, miscarriage management, and fetal anomaly care. It also offers a financial assistance program, training and education services, and a patient advocacy fellowship to support access to reproductive care.

Product overview

Preterm operates as a single-site independent nonprofit abortion clinic providing comprehensive reproductive healthcare services. The core clinical offerings consist of surgical abortion (available through 21 weeks) and medication abortion (through 10 weeks), supplemented by support services including options counseling, miscarriage management, fetal anomaly care, and same-day appointment options. Preterm also provides financial assistance to nearly all patients, operates a paid fellowship program for abortion patients to become advocates, and conducts community health research through its Reproductive Health Community Needs Assessment. Additional services include medical training for healthcare professionals and participation in clinical research trials.

Differentiator

Problem solved

Functional benefit

Products and services

• Surgical Abortion Care Surgical abortion care available up to 21 weeks of pregnancy, delivered at Preterm's licensed ambulatory surgery facility in Cleveland, Ohio, for individual patients seeking abortion care.
• Medication Abortion Care Medication abortion care available up to 10 weeks of pregnancy for individual patients seeking non-surgical abortion options at Preterm's Cleveland clinic.
• Options Counseling Counseling service that supports patients in making informed decisions about pregnancy options, including parenting, adoption, and abortion.
• Miscarriage Management Clinical care for patients experiencing miscarriage, provided by Preterm's licensed ambulatory surgery facility.
• Fetal Anomaly Care Specialized care for patients facing fetal anomaly diagnoses, delivered at Preterm's Cleveland clinic.
• Single-Appointment Abortion Care Streamlined single-appointment abortion care model launched in August 2024 to reduce the number of visits required for patients.
• Financial Assistance Program Assistance program providing nearly $1 million annually in financial aid, with 95% of abortion patients receiving support to access care.
• Training and Education Services Education and training programs for clinicians and advocates delivered by Preterm to support reproductive health workforce development.
• Patients to Advocates Fellowship Fellowship program that trains former patients to serve as reproductive health advocates within their communities.

Quantifiable outcome

• Nearly $1 million in financial assistance provided annually
• +2 more outcomes

Named customers1 record

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

13 partnerships are on record, tiered core and major.

• Abortion Care NetworkcoreStrategic or Co-development PartnerProfessional association and community of independent abortion clinics. Preterm is affiliated with and accredited by this organization.
• Accreditation Association for Ambulatory Health Care (AAAHC)coreStrategic or Co-development PartnerPreterm is accredited by AAAHC as an ambulatory surgery facility meeting high standards of patient care and safety.
• National Abortion FederationcoreStrategic or Co-development PartnerLeading professional association for abortion providers. Preterm is affiliated with and accredited by NAF.
• National Network of Abortion FundscoreChannel Partner/ Reseller/ DistributorNational organization connecting patients to abortion funds. Preterm partners with this network to help patients access care.
• Abortion Fund of Ohio (AFO)coreChannel Partner/ Reseller/ DistributorOhio-based abortion fund providing financial support to help patients access abortion care at Preterm.
• Ohio Women's Alliance MAPcoreChannel Partner/ Reseller/ DistributorOhio-based organization providing travel and support resources to help patients reach abortion appointments.
• Aggie FundmajorChannel Partner/ Reseller/ DistributorRegional abortion fund providing financial assistance to patients seeking abortion care.
• The Jubilee FundmajorChannel Partner/ Reseller/ DistributorRegional abortion fund providing financial assistance to patients seeking abortion care.
• Elevated AccessmajorChannel Partner/ Reseller/ DistributorOrganization providing travel support for patients accessing abortion care.
• Faith Choice OhiomajorChannel Partner/ Reseller/ DistributorFaith-based organization providing travel and support resources for abortion access in Ohio.
• Abortion ForwardmajorStrategic or Co-development PartnerCollaborative partner in the Patients to Advocates fellowship program preparing people who have had abortions for civic engagement.
• New Voices for Reproductive JusticemajorStrategic or Co-development PartnerCollaborative partner in the Patients to Advocates fellowship program, focused on reproductive justice for communities of color.
• SEIU Local 1199coreOthersNon-managerial positions at Preterm are unionized with SEIU Local 1199, providing collective bargaining rights for staff.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Whole Woman's Health: Independent, multi-state abortion clinic operator with a comparable nonprofit-adjacent advocacy mission and similar service mix (surgical/medication abortion, counseling). Closest functional analog to Preterm as a community-rooted independent provider.
• Choices Women's Medical Center: Long-standing independent New York-based clinic offering medication and surgical abortion, options counseling, and gynecologic services. Closely comparable single-site independent abortion provider with a similar service menu and patient-support orientation.
• A Woman's Choice: Multi-location independent abortion clinic operator in the southeastern U.S. offering medication and surgical abortion. Comparable single-specialty independent clinic operator with similar service menu and patient-support positioning.

Broad incumbents

• Planned Parenthood Federation of America: The dominant U.S. reproductive-health nonprofit with affiliated clinics offering surgical/medication abortion and broad sexual-health services. Overlaps directly with Preterm on abortion delivery but operates at much larger scale and as a federated network rather than a single independent clinic.

Regional players

• Trust Women: Independent nonprofit abortion clinic network founded in Wichita, Kansas, providing medication and surgical abortion plus reproductive healthcare in restrictive Midwestern states. Highly comparable mission and operating model to Preterm, though operating in a different restrictive-state geography.
• Allegheny Reproductive Health Center: Independent nonprofit abortion clinic in Pittsburgh providing medication and surgical abortion, options counseling, and reproductive healthcare. Comparable regional independent nonprofit provider in a neighboring Midwestern/Appalachian market.
• Buffalo Women's Services: Independent abortion clinic in Buffalo, NY providing medication and surgical abortion plus gynecologic care. Similar independent clinic operating model and service mix to Preterm, with a comparable patient population in a nearby regional market.

Emerging players

• carafem: Modern abortion-care provider combining physical clinics with telehealth medication abortion and a strong patient-experience focus. Comparable to Preterm on core service line while bringing a younger, tech-enabled delivery model.
• Hey Jane: Telehealth medication-abortion platform providing asynchronous online consultations and mail-order medication abortion in states where legal. Comparable to a subset of Preterm's medication-abortion offering but delivered entirely via telemedicine, representing a disruptive delivery model.
• Aid Access: Online medication-abortion service staffed by licensed clinicians, including serving patients in U.S. states with restricted access. Directly comparable to Preterm's medication-abortion service from a patient-outcomes standpoint, but operates via remote/telehealth model.

Market position

Strengths5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/Preterm.Cleveland
• LinkedInlinkedin.com/company/preterm
• Instagraminstagram.com/pretermclevelandohio
• Xx.com/PretermCLE

Compliance7 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Preterm