Upstream USA Inc is a 501(c)(3) nonprofit organization based in Boston, Massachusetts, focused on expanding access to patient-centered contraceptive care across the United States. The organization works in partnership with healthcare providers, including hospital systems, state and local health departments, Federally Qualified Health Centers (FQHCs), Planned Parenthoods, and community agencies, to strengthen reproductive care and increase equitable access to the full range of contraceptive options.
Financial Overview
From 2024 IRS Form 990-PF · View filing
Total Assets
$242.4M
-3.4% YoY
Annual Giving
$3.0M
+17.6% YoY
Grant Count
77
+10.0% YoY
Avg Grant Size
$39K
+6.9% YoY
Mission & Focus Areas
Mission: Upstream's mission is to ensure that patient-centered contraceptive care is basic healthcare.
The organization addresses the gap in contraceptive care access in the United States, where an estimated 19 million women lack reasonable access to high-quality contraceptive care. Research cited by the organization indicates that 70% of women reported they would have preferred receiving additional information prior to making a contraceptive decision, and 45% of adults reported barriers to receiving reproductive healthcare, including 28% reporting access-related barriers.
Upstream provides comprehensive, evidence-based training and technical assistance to healthcare organizations. As of 2023, the organization had added 58 new partnerships serving 310,000 patients of reproductive age, with projections to deliver interventions to healthcare organizations serving 1.2 million patients of reproductive age by mid-2026.
Grantmaking
Upstream USA makes grants to support contraceptive coverage and related initiatives. Recent grants documented include:
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Geographic Focus
Where this funder awards grants
Upstream's work spans multiple states across the United States. The organization has expanded its reach through partnerships in states including Delaware, Rhode Island, North Carolina, Massachusetts, Colorado, and Texas.
Grant Distribution by State
States
Cities
Financial History
Multi-year comparison from IRS filings
2023 Financial Data:
- Total revenues: $121,746,531
- Total expenses: $45,445,245
- Total assets: $250,903,262
- Number of employees: 206
2022 Financial Data:
- Revenue: $80,222,610
- Expenses: $29,801,749
- Assets: $172,642,723
Organization Status:
- EIN: 35-2581424
- Tax-exempt since: May 2017
- Founded: 2014
- IRS ruling year: 2017
| Metric | 2024 | 2023 | 2022 |
|---|---|---|---|
| Total Assets | $242,356,291 | $250,903,262 | $172,642,723 |
| Revenue | $38,703,079 | $121,746,531 | $80,222,610 |
| Expenses | $47,863,156 | $45,445,245 | $29,801,749 |
| Qualifying Distributions | — | — | — |
| Net Investment Income | $9,611,750 | $6,695,562 | $1,245,738 |
| Distributable Amount | — | — | — |
Giving Over Time
Total grant dollars and number of grants per year
Grant Insights
How this funder distributes its grants
Top Recipients
Top 10 recipients in 2024
Grant Size Distribution
154 grants across all recorded years
Giving History
Grant recipients and amounts by year
No grants recorded for .
Leadership & Key People
Leadership team and compensation from IRS filings
Mark Edwards serves as CEO and Co-Founder of Upstream USA Inc.
Compensation Overview
From 2024 IRS filing
From 2024 filing
| Name | Title | Hours | Compensation |
|---|---|---|---|
| Mark Edwards | Co-Founder | 40 | $494,861 |
| Nicole Mckinney | Chief of Organizational Effectiveness and Culture | 40 | $329,966 |
| Jessica Greenfield | CFO and Treasurer | 40 | $327,712 |
| Lisa Goldthwaite | Clinical Advisor | 32 | $292,332 |
| Elizabeth Kaltman | Lead Clinical Advisor | 24 | $274,008 |
| Sarah Pierson | Chief Dev and External Affairs Officer | 40 | $273,864 |
| Jessica Beaman | Lead Clinical Trainer | 32 | $266,162 |
| Keshia Hughston | VP People and Culture | 40 | $263,546 |
| Jessica Foster | President from 12-05-2024 | 40 | $224,936 |
| John Ho | Assistant Secretary | 40 | $143,238 |
| Anita Bekenstein | Chair to 12-05-2024 and Comp Comm Chair | 1 | — |
| Sarah Brown | Vice-Chair to 12-05-24 | 1 | — |
| Keith Higgins | Secretary and Nominating Gov Comm Chair | 1 | — |
| Mark Perry | Chair from 12-05-24 and Prog Comm Chair | 1 | — |
| Paul Gannon | Finance Committee Chair | 1 | — |
| Howard Stevenson | Audit Committee Chair | 1 | — |
| Lauren Schadt Baker | Board Member | 1 | — |
| Thea James | Board Member | 1 | — |
| Scott Ransom | Board Member | 1 | — |
| Donella Rapier | Board Member | 1 | — |
| Ann Starrs | Board Member | 1 | — |
| Krishna White | Board Member | 1 | — |
Recent Activity
Recent developments and announcements
In 2021, Upstream forged three new partnerships with health centers in Rhode Island and North Carolina, extending their reach to more women of reproductive age. A Centers for Disease Control and Prevention report on Upstream USA's statewide initiative in Delaware found a 25 percent drop in the share of births from unwanted pregnancies, from 35.5 percent in 2014 to 27 percent in 2017.
Upstream Launches Bold Initiative to Eliminate Single-use Waste with GrantSubject Areas
Focus areas based on grantmaking activity
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Data last updated April 2026. Sourced from IRS Form 990-PF filings. Research dossier generated April 2026.
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