You built a practice.
We built a birth center.
Transitions Birth Center operates an open model. Bring your clients. Keep everything else.
A birth center without the overhead.
You did not become a midwife to manage a facility. The licensing, the equipment, the staffing, the maintenance, the compliance — it is a second full-time job. Most midwives who want to offer their clients a birth center option never get there because the barrier is simply too high.
Transitions Birth Center exists so you do not have to build it yourself.
We operate an open birth center model — the same model hospitals use when they grant privileges to physicians. You are credentialed at TBC. You bring your clients. You provide the care. We handle the rest.
What affiliation actually means
Your practice stays yours.
Your clients, your fees, your schedule. TBC does not employ you, manage you, or take a cut of your professional fees. You practice independently — we provide the facility.
Call coverage, finally.
Burnout is real. Solo practice is isolating. TBC affiliated midwives participate in reciprocal call coverage — so you can sleep, travel, and take care of yourself without leaving your clients without a provider.
A space that reflects your standard of care.
Two private birth suites, hydrotherapy tubs, a fully equipped workroom, emergency medications, and neonatal resuscitation equipment. Everything in place when you arrive.
A safety net your clients can trust.
St. Vincent Southside is directly across the street. HCA Memorial is nearby. Our Clinical Director holds privileges at both for continuity of care if a transfer is needed.
Community, not competition.
TBC is building a collegial network of Jacksonville-area midwives. Referrals, coverage, collaboration — we are stronger together than we are alone.
No facility to own or operate.
Licensing, maintenance, staffing, compliance — that is our responsibility, not yours. You show up, do what you do best, and go home.
What we ask in return
We keep the bar high because our clients deserve it — and so do you.
- ·Current CNM, CM, or CPM license in good standing in Florida
- ·Current CPR and NRP certification
- ·Professional liability insurance — malpractice coverage is required, no exceptions
- ·Participation in reciprocal call coverage with other affiliated midwives
- ·Completion of TBC credentialing and privileges process
- ·Agreement to TBC facility use policies and quality standards
Why the open model matters
Birth centers that operate on an open model consistently demonstrate better outcomes — more access to care, lower cost for families, and stronger continuity because clients stay with the provider they trust. For midwives, the open model means lower burnout, stronger referral networks, and a sustainable practice that does not require you to own and operate the facility yourself.
The American Association of Birth Centers has documented the impact of open access models on maternal outcomes and midwifery workforce sustainability. Learn more at birthcenters.org →
Ready to explore affiliation?
Come see the space.
Ask every question.
We will walk you through the credentialing process, show you both birth suites and the workroom, and answer every question honestly. No pressure. Just a conversation between midwives.
Start the Conversationprogramdirector@midwifeme.org