A partnership between AHS’s Department of Obstetrics, Midwifery, and Gynecology and the Alameda County Public Health Department (ACPHD), BElovedBIRTH Black Centering (BBBC) is an evidence-based, midwife-led, anti-racist perinatal program designed by and for Black birthing people. This bold, innovative program honors and celebrates Black birthing people. It addresses the serious inequities in maternal and infant health experienced by Black mothers, birthing people, and their babies, which result in disproportionately high rates of preventable morbidity and mortality in pregnancy and birth. The underlying cause of these inequities is racism: structural, institutional, and interpersonal. A racially-concordant adaptation of the CenteringPregnancy model supplemented with extensive wrap-around social support provided by ACPHD and local Black-led community organizations and Black-owned businesses, BBBC uses an all-Black team—including midwives, family support advocates, doulas, breastfeeding specialists, doctors, nutritionists, and psychologists—to care for cohorts of all Black participants.