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Slide Notes


We advise. We guide. We watch. We reassure. Rarely, we rescue.

S-Corp: independent entity from shareholders, tax savings, protection from personal assets. Longer life span compared to LLC

B Corp Certification: higher standards of transparency, accountability, and performance in the business world.

Board of advisers incuding financial, medical, legal, entrepreneural community members
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A Gentle Beginning, S-Corp

Published on Nov 18, 2015

A Midwifery-Led Women, Family, Community, and Birth Center

PRESENTATION OUTLINE

A Gentle Beginning, S-Corp

midwifery service-A family and birth center

We advise. We guide. We watch. We reassure. Rarely, we rescue.

S-Corp: independent entity from shareholders, tax savings, protection from personal assets. Longer life span compared to LLC

B Corp Certification: higher standards of transparency, accountability, and performance in the business world.

Board of advisers incuding financial, medical, legal, entrepreneural community members
Photo by Vvillamon

25% of birthers

want birth centers
25% of total 2014 vaginal births in 3 counties surrounding Portland, OR that AGB serves= 3,789

1 small CABC certified birth centers currently serving these women in one year. 3 other BCs with inconsistent reputation and professionalism.

I chose '350' as a good number to estimate our first year's potential orientation families. 9% of potentials

Year 1 births= 130
Year 2 births=256
Year 3 births=320
(Declercq, 2007; Oregon Vital Records, 2015)
Photo by rabble

Midwifery-led Birth Centers

desired, safe, cost-effective
Photo by Jason Lander

Mission and Core Values

Provide a safe and comfortable place for women grow their babies and families.

A place where people want to be.

A place where professional and admin. staff feel acknowledged and valued.

A place for the community to meet and learn.

Consistent with ACNMs Philosophy of Care and Hallmarks of Midwifery (ACNM, 2015)
Photo by Duke Geren

Outstanding midwifery care

women, babies, families
We trust and respect the cycles of womanhood by providing preventative well-women care and family planning counseling and services. (Hallmark of Midwifery)
CNM Fellowship, 1 yr. training program to assist shortage of out-of-hospital training sites, and aid
Breastfeeding support with IBCLC trained nurses and doulas

Doula training program, 24hr. doula service


Photo by matheuslotero

Evidence based practice

integrative therapies
Community kitchen and classroom space/yoga studio

Centered Birthing classes
Prenatal Yoga
New Mother's Yoga with Babies

2 exam rooms available for counseling/acupuncture/ massage therapies, rent as added revenue

Quality Improvement team
Skills & Drills & Continuing Ed. stipends
Photo by Dustin Quasar

Pregnancy and Birth is normal

let's collaborate
Trust physiologic birth

Shared decision making
Photo by bengrey

Relationships

matter
We collaborate with expert consultants when expertise is required using clear communication

Professional relationship with receiving hospitals/consultants in case of AP or IP transfer.

Initiate case reviews quarterly, inviting all members involved in care

Celebrate consultants with annual dinner

Photo by santheo

balanced

intentional, energetic
A healthy, balanced and well-rested midwife is a safe and intentional midwife. Model what we teach.

Benefits include stipend towards wellness class of choice for all staff.

Sustainable midwifery care. Rotating CNM coverage for extended vacations (4 wks) and other un-paid leaves (eg. volunteer service abroad)
Photo by Andrew Nourse

First year:  2 FTE CNM's, 4 RN's

1 FTE admin. support, 1 star-biller, 1 hsk
Also CNM and RN float pool for vacations, retreats, conferences.

Total Revenue Year 1

Based on current AGB numbers

60% Managed Care Plans, paying $7000 global fee

16% Medicaid-Oregon Health Plans, paying $5000 global

24% Self-pay, paying $7000 global

Gyn/pediatrics/fertility/ND services 5/wk in-network averaged $300/visit

Sub-Let to integrative therapies
Placenta encaps/classes/medicinary

Profit

  • Year 1 Profit
  • Year 3 Profit
  • Year 3 Profit

Year 3 profit

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