Upstream USA Inc is a 501(c)(3) organization based in Boston, Massachusetts, registered in 2017, with $38,703,079 in FY2024 revenue. CharityIndex grades it B+, and it directs about 77% of spending to programs.
Revenue (FY2024)
$38.7M
▼ 68.2% vs prior year
Health median: $840K
Expenses (FY2024)
$47.9M
Net assets
$238.8M
Employees
207
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Upstream USA Inc: 77% to programs · $14 to raise $100 earns a B+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Upstream USA Inc: 60 mo reserves · -24% margin earns a C+ on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Upstream USA Inc: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Upstream USA Inc: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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Upstreams mission is to ensure that patient-centered contraceptive care is basic healthcare.
In 2021, upstream formalized four new partnerships with health centers in washington. with the addition of these partners, the total number of women of reproductive age reached annually by health centers that will have received upstream's training and technical assistance is 219,000. upstream projects to reach 350,000 women of reproductive age through partner agencies across washington by 2024.
In 2021, upstream formalized four new partnerships with health centers in massachusetts. with the addition of these partners, the total number of women of reproductive age reached annually by health centers that will have received upstream's training and technical assistance is 97,000. upstream projects to reach 240,000 women of reproductive age through agency partnerships across massachusetts by 2024.
In 2021, upstream formalized three new partnerships with health centers in rhode island. with the addition of these partners, the total number of women of reproductive age reached annually by health centers that will have received upstream's training and technical assistance is 85,500. upstream projects to reach 86,000 women of reproductive age through agency partnerships across rhode island by 2024. while our program formally concluded in delaware in 2019, we continued monitoring and evaluating data for evidence of the sustainability of our program throughout 2021.
Revenue grew from $9.4M (FY2017) to $38.7M (FY2024) across 8 reported years.
Financial snapshot
Operating margin
-23.7%
Spent more than it raised in the latest fiscal year.
Total assets
$242.4M
Total liabilities
$3.5M
Net assets
$238.8M
Salaries & benefits
$33.6M
70% of expenses
Board members
12
11 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $38,703,079▼68.2% | $47,863,156▲5.3% | $238,829,858▼3.1% | $242,356,291▼3.4% | 990 |
| 2023 | $121,746,531▲51.8% | $45,445,245▲52.5% | $246,427,303▲46.6% | $250,903,262▲45.3% | 990 |
| 2022 | $80,222,610▲127% | $29,801,749▲9.7% | $168,143,883▲42.9% | $172,642,723▲43.2% | 990 |
| 2021 | $35,269,071▼42.1% | $27,165,278▼14.5% | $117,680,373▲7.4% | $120,584,353▲6.8% | 990 |
| 2020 | $60,941,598▲7.2% | $31,753,852▲31.2% | $109,576,580▲36.3% | $112,954,355▲35.9% | 990 |
| 2019 | $56,846,671▲40.1% | $24,199,405▲92.1% | $80,388,834▲68.4% | $83,094,600▲71.8% | 990 |
| 2018 | $40,573,031▲333% | $12,594,294▲48.7% | $47,741,568▲142% | $48,359,362▲137% | 990 |
| 2017 | $9,372,774 | $8,471,485 | $19,762,845 | $20,431,806 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Mark Edwards — $494,861 (1.03% of total expenses)
| Name | Title | Hours/week | 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 | — |
| Ann Starrs | Board Member | 1 | — |
| Donella Rapier | Board Member | 1 | — |
| Howard Stevenson | Audit Committee Chair | 1 | — |
| Keith Higgins | Secretary and Nominating Gov Comm Chair | 1 | — |
| Krishna White | Board Member | 1 | — |
| Lauren Schadt Baker | Board Member | 1 | — |
| Mark Perry | Chair From 12-05-24 and Prog Comm Chair | 1 | — |
| Paul Gannon | Finance Committee Chair | 1 | — |
| Sarah Brown | Vice-chair To 12-05-24 | 1 | — |
| Contractor | Services | Paid |
|---|---|---|
| Azara Healthcare LLC | Data Extraction/analysis | $1,395,936 |
| Linkedin Corporation | Marketing/paid Media | $542,017 |
| Daniel J Edelman Inc DBA Edelman | Marketing/pr Services | $417,831 |
| Effective Spend Media LLC DBA Optimal Media LLC | Creative Design Services | $365,944 |
| Perfect Search Corporation Imat Solutions | Data Extraction/analysis | $308,651 |
100 grants to Upstream USA Inc totaling $289.2M, reported by foundations on their Schedule I filings — showing the 15 most recent.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| Silicon Valley Community Foundation | Health | 2024 | $2,000,000 |
| Robin Hood Foundation | Poverty relief | 2024 | $1,000,000 |
| Greater Washington Community Foundation | General support | 2024 | $10,000 |
| Paypal Charitable Giving Fund | General support | 2024 | $6,031 |
| Silicon Valley Community Foundation | Health | 2023 | $15,025,000 |
| Gs Donor Advised Philanthropy Fund For Wealth Management Inc | Medical / public services | 2023 | $12,000,000 |
| Blue Meridian Partners Inc | To support scaling plan | 2023 | $7,200,000 |
| Fidelity Investments Charitable Gift Fund | For grant recipient's exempt purposes | 2023 | $3,672,887 |
| Vanguard Charitable Endowment Program | For recipient's exempt purpose | 2023 | $2,221,000 |
| Donor Advised Charitable Giving | Health | 2023 | $532,950 |
| Boston Foundation Inc | Operating support/annual fund | 2023 | $360,000 |
| Robin Hood Foundation | Poverty relief | 2023 | $250,000 |
| Combined Jewish Philanthropies of Greater Boston Inc | Daf - social services | 2023 | $250,000 |
| The Bessemer Giving Fund | General support | 2023 | $100,000 |
| American Endowment Foundation | General operating support | 2023 | $100,000 |
77 grants totaling $3.0M in FY2024 — showing the 15 largest. All grants made by Upstream USA Inc →
| Recipient | Purpose | Amount |
|---|---|---|
| Womens Health and Family Planning Association of Texas | Contraceptive coverage | $800,000 |
| Alliancechicago | Contraceptive coverage | $203,500 |
| Massachusetts League of Community Health Centers Inc | Contraceptive coverage | $150,000 |
| Washington Association For Community Health | Reproductive health program training | $100,188 |
| 504healthnet | Reproductive health program training | $100,000 |
| Unity Health Care Inc | Reproductive health program training | $75,000 |
| Caring For Colorado Centennial Fund | Reproductive health program training | $75,000 |
| Codman Square Health Center Inc | Reproductive health program training | $50,000 |
| Community Health Center of Cape Cod Inc | Reproductive health program training | $50,000 |
| Charles River Community Health Inc | Reproductive health program training | $50,000 |
| Northshore Health Centers Inc | Reproductive health program training | $41,000 |
| University of California San Francisco | Reproductive health program training | $40,000 |
| Clinica Colorado | Reproductive health program training | $37,500 |
| Jane Pauley Community Health Center Inc | Reproductive health program training | $37,500 |
| Asian American Health Coalition of the Greater Houston Area | Reproductive health program training | $35,000 |
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Data for Upstream USA Inc (EIN 35-2581424) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.