Alma Midwifery

What Alma Midwifery does

Alma Midwifery is a founder-owned, licensed midwifery practice and freestanding birth center headquartered in Portland, Oregon, founded in 2004 by Laura Erickson. The practice delivers a full episode of maternity care: comprehensive prenatal care (monthly through 32 weeks, twice-monthly to 36, weekly until birth, with 45-60 minute visits), birth attendance at either the four-suite birth center or in clients' homes in the Portland area, and postpartum care spanning 5-6 visits through six weeks including home visits on days 1 and 3. Services are led by certified midwives (CPM, CNM) supported by an in-house lab, nitrous oxide administration, water birth infrastructure, handheld Doppler fetal monitoring, and emergency resuscitation equipment, with hospital transfer pathways established with local Portland hospitals.

The company has expanded its clinical surface beyond maternity care to include well-person gynecology (annual exams, contraception, IUD services), the Alma Doula Collective of certified birth and postpartum doulas, and a menopause and perimenopause care program launched in 2024 with telehealth delivery for Oregon residents. The practice is in-network with eight major insurance carriers (Regence BCBS, United Healthcare, Moda Health, PacificSource, UMR, First Choice Health, CHM, CareOregon) and also bills out-of-network, with OHP/AppleCare access and interest-free payment plans supporting affordability.

Commercially, Alma operates a direct-to-consumer, community-led go-to-market model with no paid advertising: open house tours Tuesday and Wednesday evenings by appointment serve as the primary conversion event, supplemented by community referrals, blog/SEO content, Instagram, and a newsletter. The practice has been recognized in PDX Parent Picks Top 5 Best Hospital & Birth Center for nine consecutive years (2017-2025) and has welcomed over 1,000 babies since opening. Current operational capacity is 15-20 births per month with 3-4 primary midwives.

Name

Alma Midwifery

Legal name

Alma Midwifery

Website

https://almamidwifery.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

11–50 employees

Short description

Alma Midwifery is a Portland, Oregon-based licensed midwifery practice and freestanding birth center founded in 2004, serving expectant families with prenatal, birth center, home birth, and postpartum care, plus gynecology, doula, and menopause services, accepting in-network insurance across eight major carriers.

Ownership category

akta.pro rank

Product category

Maternity and Midwifery Healthcare Services

NAICS

Ambulatory Health Care Services (621), Offices of Physicians (6211)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Home Health Care Services (8082)

akta.pro primary industry

Midwifery & Birth Centers (HLAFAJAC)

akta.pro secondary industries

General Obstetrics (Prenatal/Antepartum Care) (HLAKAJAA), Menopause & Midlife Women’s Health (HLAKAJAH), Obstetrics & Gynecology (OB/GYN) Clinics (HLAFAJAA)

Keywords

• Midwifery services
• Prenatal care
• Birth center
• Home birth services
• Postpartum care

Headquarters

HQ city

Portland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Others

Revenue model

1. Birth Center Birth Services: Professional midwifery services for low-risk births at the Alma Birth Center facility. Revenue generated through insurance billing and out-of-pocket payments. Includes prenatal care, birth attendance, and postpartum support.
2. Home Birth Services: Midwifery attendance at home births in the Portland area (not Washington). Additional fee for birth tub rental. Services include home visits, birth attendance, and postpartum care.
3. Prenatal Care Services: Comprehensive prenatal care including monthly visits until 32 weeks, twice monthly from 32-36 weeks, and weekly from 36 weeks until birth. Each visit lasts up to an hour including labs, ultrasounds, and personalized discussions.
4. Postpartum Care Services: 5-6 postpartum visits including Day 1 and Day 3 home visits, Week 1 (optional), Week 2, Week 4, and Week 6 visits. Includes well-baby care, breastfeeding support, and emotional check-ins through 6 weeks postpartum.
5. Doulas Collective: Alma Doula Collective provides certified birth and postpartum doulas who work alongside Alma midwives. Individual doulas set their own pricing ($1,000-$2,600 range). Some doulas can bill OHP Medicaid.
6. Well Care and Gynecology: Annual exams, gynecological care, contraceptive services including IUD insertion/removal, and preconception care. Services provided to broader patient population beyond pregnant clients.
7. Menopause and Midlife Care: Perimenopause and menopause care services including hormone therapy, metabolic management, lifestyle guidance, and preventive healthcare. Provided by Brooke Bina, CNM, MSCP (Menopause Society Certified Practitioner). Telehealth available for Oregon residents.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels7 records

Core offering

Alma Midwifery is a Portland, Oregon freestanding birth center and midwifery practice delivering comprehensive out-of-hospital maternity care: prenatal visits, birth center or home birth attendance with water birth and nitrous oxide options, and postpartum care through six weeks. The practice also provides gynecological well-woman care, menopause and perimenopause care (including telehealth), and an affiliated Alma Doulas Collective for labor support.

Product overview

Alma Midwifery offers a unified midwifery care platform centered around pregnancy, birth, and reproductive healthcare services. The core product portfolio consists of Prenatal Care (scheduled visits throughout pregnancy), Birth Center Birth (freestanding birth center with four themed suites), and Home Birth services, all supported by Postpartum Care extending through six weeks. The practice also offers Alma Doulas as an integrated add-on for additional labor support, Well Care for annual gynecological services, and Menopause and Perimenopause Care for midlife health management. The birth center and home birth services represent the primary delivery options, while prenatal and postpartum care provide continuity throughout the childbearing year. All services are delivered by licensed midwives (CPM, CNM) with malpractice insurance and in-network insurance billing capabilities.

Differentiator

Problem solved

Functional benefit

Brands

• Alma Doula Collective: A collective of certified birth and postpartum doulas offering compassionate support, childbirth education, and personalized guidance for families in Portland, OR, including Medicaid-billing doulas.

Products and services

• Prenatal Care Comprehensive midwifery-led prenatal care with monthly visits until 32 weeks, twice-monthly visits from 32–36 weeks, and weekly visits from 36 weeks until birth. Each visit lasts up to an hour and includes standard clinical care, labs, ultrasounds, genetic screening options, and personalized discussions for low-risk pregnant individuals and families.
• Birth Center Birth
• Home Birth
• Postpartum Care
• Alma Doulas Collective
• Well-Woman Care and Gynecology
• Menopause and Perimenopause Care Comprehensive midlife and menopause services including hormone therapy (FDA-approved bioidentical options), metabolic and weight management, lifestyle and nutrition guidance, and preventive healthcare. Provided by Brooke Bina, CNM, MSCP via in-person visits at the Portland location and telehealth for Oregon residents.

Quantifiable outcome

• Cesarean rate of 10% or less (compared to national rate of 30%+)
• +3 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Four partnerships are on record, tiered core and minor.

• American Association of Birth Centers (AABC)coreStrategic or Co-development Partner · 9 November 2018Alma Midwifery is affiliated with the American Association of Birth Centers, which sets national standards for birth center operation and promotes licensure and accreditation. The AABC was awarded the Strong Start for Mothers and Newborns grant (2013-2017) to study birth center outcomes, and Alma participates in this evidence base demonstrating birth center safety and effectiveness.
• Rose City WellnessminorStrategic or Co-development PartnerRose City Wellness (acupuncture practice led by Sivan Dirks LAc) is a new sister business welcomed into the expanded Alma clinic space following renovation of the wall between the Alma Clinic and adjacent office.
• Insurance Networks (Regence BCBS, UHC, Moda, PacificSource, UMR, First Choice Health, CHM, CareOregon)coreChannel Partner/ Reseller/ DistributorAlma Midwifery is in-network with multiple major insurance providers enabling direct billing and expanded access for families. They also bill out-of-network for other plans. Insurance partnerships are critical to making services financially accessible.
• Local HospitalscoreStrategic or Co-development PartnerAlma maintains working relationships with local Portland hospitals to ensure seamless transfer if complications arise during pregnancy, labor, or postpartum. Midwives continue to provide support during hospital transport and resume postpartum care upon discharge.

Scale indicators5 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Andaluz Waterbirth Center: Portland-based freestanding birth center offering midwifery-led prenatal, birth, and postpartum care with water birth — directly comparable to Alma's core offering in the same metro.
• Mountain Midwifery Center: Freestanding birth center in Colorado offering the same combination of midwifery-led prenatal, birth-center, and postpartum care with strong clinical-outcomes positioning.
• Sacred Roots Birth & Wellness: Pacific Northwest midwifery practice providing home and birth-center births with comparable model-of-care philosophy and similar insurance-friendly billing model.

Regional players

• The Oregon Clinic (OB/GYN division): Portland multi-specialty clinic with OB/GYN providers; one of Alma's midwives previously worked there. Competes for insured maternity patients within the Portland market.
• Women's Healthcare Associates: Large Portland-area OB/GYN group practice providing prenatal and gynecologic care — adjacent competitor with overlap in well-woman services but no out-of-hospital birth offering.

Others

• National Association of Birth Centers of Excellence / AABC-affiliated centers: Industry body and affiliated freestanding birth centers across the US operating under the same American Association of Birth Centers standards Alma is affiliated with — useful as a category benchmark rather than a direct competitor.

Broad incumbents

• Providence Health & Services (Portland): Large regional health system whose Portland OB service line competes with Alma for low-risk maternity patients, increasingly via low-intervention and midwifery options.
• Legacy Health: Portland-based hospital system with active midwifery and low-intervention birth offerings, competing for the same insured patient pool Alma targets.
• OHSU (Oregon Health & Science University): Major academic health system in Portland operating OB/GYN and midwifery groups — competes with Alma for Portland maternity patients but as a broad multi-specialty provider rather than a birth-center specialist.

Emerging players

• Commonsense Childbirth Inc. National midwifery-led birth-center operator with strong outcomes focus and value-based-care contracting — comparable operating model at a more national/multiple-site scale.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xtwitter.com/almamidwifery
• Facebookfacebook.com/almamidwiferyservices
• Instagraminstagram.com/almamidwifery
• LinkedInlinkedin.com/company/alma-midwifery

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

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 Alma Midwifery