Puget Sound Midwives & Birth Center

What Puget Sound Midwives & Birth Center does

Puget Sound Midwives & Birth Center is a privately held midwifery practice and freestanding birth center headquartered at 13128 Totem Lake Blvd NE in Kirkland, Washington, operating continuously since 1996. The practice delivers the full prenatal-to-postpartum midwifery arc for low-risk pregnancies, with services spanning prenatal care (regular monitoring, labs, ultrasound referrals), labor and birth care at the birth center or in clients' homes, and up to eight weeks of postpartum care for the parent and two weeks for the newborn. It maintains three birth suites equipped with tubs for water labor and birth (approximately 1 in 4 clients), offers client-controlled nitrous oxide analgesia, and provides first-line lactation support. Core clinical technology is the Midwives Model of Care© delivered by licensed midwives (LM/CPM), supported by handheld Doppler fetal monitoring and ClientCareWest.net electronic medical records with client-facing access.

The center operates as a community-led, direct-to-consumer service. Pricing is insurance-bundled rather than à la carte, with all major Washington carriers plus Apple Health (Medicaid) and many out-of-state policies accepted; billing is outsourced to Island Billing Services. Customer acquisition is dominated by word-of-mouth from over 6,000 served families, supplemented by free consultations, virtual tours, WIC referrals, and cooperative relationships with Evergreen Hospital (located blocks away for emergency transfers) and Bastyr University's Department of Midwifery (which supplies student midwives). The facility holds Washington State licensure, national accreditation from the Commission for the Accreditation of Birth Centers (CABC) since 2014 as the first and only such center in Greater Seattle, and a National Perinatal Task Force Perinatal Safe Spot designation. The business is co-owned by Heike Hornsby (née Doyle) and Ali Toperosky (Tromblay), with a stated staff of 11-15 including five midwives, a director, an office manager, and a receptionist.

Name

Puget Sound Midwives & Birth Center

Legal name

Puget Sound Midwives & Birth Center

Website

https://birthcenter.com

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

11–50 employees

Short description

Puget Sound Midwives & Birth Center is a privately held, CABC-accredited freestanding birth center in Kirkland, WA, founded 1996, delivering low-intervention prenatal, birth, and postpartum midwifery care to low-risk families across Greater Seattle.

Ownership category

akta.pro rank

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Midwifery & Birth Centers (HLAFAJAC)

akta.pro secondary industry

Lactation, Postpartum & Perinatal Support Services (HLAFAJAN)

Keywords

• Midwifery care services
• Birth center care
• Prenatal and postpartum care
• Home birth services
• Water birth and lactation

Headquarters

HQ city

Kirkland

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Midwifery Care Services: Prenatal, labor & birth, and postpartum care services for low-risk pregnant people; covered by insurance including all Washington-based carriers and many out-of-state policies
2. Home Birth Supply Kits: Referrals to Cascade for home birth kit supplies for clients choosing home birth

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels5 records

Core offering

Puget Sound Midwives & Birth Center provides full-scope midwifery care for low-risk pregnant people, including prenatal care, labor and birth care, and postpartum care delivered at a freestanding birth center in Kirkland, WA and in clients' homes. The practice offers water labor and birth, nitrous oxide analgesia, lactation support, and personalized continuous care following the Midwives Model of Care. Insurance is accepted from all Washington-based carriers and many out-of-state policies.

Product overview

Puget Sound Midwives & Birth Center offers a unified midwifery care service combining two birth settings—its freestanding Kirkland birth center and home births. Core services include prenatal care, labor and birth care, and postpartum care (up to 8 weeks). The birth center provides specialized offerings such as water labor and birth (approximately 1 in 4 births), nitrous oxide for pain management, and first-line lactation support. The facility features birth suites with tubs and emphasizes low-intervention, family-centered care following the Midwives Model of Care©.

Differentiator

Problem solved

Functional benefit

Named customers5 records

Segments1 record

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Six partnerships are on record, tiered core and minor.

• Island Billing ServicescoreImplementation/ SI/ Consulting PartnerBilling specialist Ingrid handles insurance verification, estimates, and claims processing for clients; supports all insurance carriers including Apple Health and out-of-state policies
• Evergreen HospitalcoreStrategic or Co-development PartnerCooperative relationship with hospital located blocks from birth center; ready access to emergency medical services; smooth hospital transfer processes when needed
• Bastyr University's Department of MidwiferycoreStrategic or Co-development PartnerCo-owner Ali Toperosky serves as adjunct faculty; clinical training site for midwifery students; education partnership for next generation of midwives
• ClientCareWest.netcoreTechnology or IntegrationElectronic medical record system; clients can access appointment write-ups, lab results, and medical records online
• Cascade Health ServicesminorChannel Partner/ Reseller/ DistributorHome birth kit supplier; referred to clients planning home births for birth supplies
• Washington State Department of Health WIC ProgramminorStrategic or Co-development PartnerReferral partnership for clients who may benefit from WIC nutrition program for pregnant people, new moms, and children under five

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• Mountain Midwifery Center: A Colorado-based freestanding birth center providing midwife-led prenatal, birth, and postpartum care. Operates with a similar model of accredited birth suites, water birth options, and integrated postpartum care that mirrors PSBC's offering.
• BirthCare & Women's Health: An Alexandria, VA-based freestanding birth center offering midwife-led prenatal care, birth center delivery, and home birth services. Comparable to PSBC in model of care, insurance coverage breadth, and integration of midwifery training programs.
• The Midwife Center (Pittsburgh): One of the longest-running freestanding birth centers in the U.S., offering midwife-attended birth center and home birth services. Comparable to PSBC in operating history, accreditation posture, and integrated midwifery model serving low-risk pregnancies.
• The Birth Center (Boulder, CO): A long-established freestanding birth center in Boulder, Colorado offering midwife-led prenatal, birth, and postpartum care with birth suites and home birth services. Directly comparable to PSBC in service model, accreditation posture, and target clientele seeking low-intervention out-of-hospital birth.
• Minnesota Birth Center: A multi-location freestanding birth center chain in the Twin Cities offering midwife-led prenatal, labor, birth, and postpartum care. Closely matches PSBC's service model and midwifery-led positioning, with a similar emphasis on water birth and physiologic birth options.

Emerging players

• Oula Health: A venture-backed modern midwifery startup operating in New York City that combines midwife-led care with technology-enabled patient experience. Represents an emerging tech-enabled midwifery model that competes for the same low-intervention-minded patient demographic as PSBC.
• Diana Health: A tech-enabled midwifery practice partnering with hospital systems to offer collaborative maternity care. Comparable to PSBC in midwifery-led care philosophy but competes through hospital partnerships and digital infrastructure rather than standalone birth center operations.

Broad incumbents

• New Birth Company: A multi-state network of freestanding birth centers offering midwifery-led prenatal, birth, and postpartum care across multiple locations. While PSBC operates a single site, New Birth Company represents the broader incumbent model that PSBC would compete with if it expanded regionally.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/watch?v=CI5-fFSjW-Q

Revenue estimate

Valuation estimate

Number of profiles

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 Puget Sound Midwives & Birth Center