Upstream USA

Upstream USA

Nonprofit expands contraceptive access via partnerships

Overview

Upstream USA is a nonprofit that reduces unplanned pregnancies by expanding access to a full range of contraceptive options. It partners with healthcare centers nationwide to improve how reproductive care is delivered and to support patient autonomy and choice. The organization works by training healthcare providers, offering technical resources, and streamlining clinic workflows so patients can receive effective contraceptive care—often during a single visit, including long-acting options like IUDs and implants. It differentiates itself by pursuing large-scale systems changes within the healthcare infrastructure using a data-driven approach to measure impact, ensuring improvements are sustainable beyond initial training. Its goal is to lower the rate of unplanned pregnancies across the United States, thereby expanding life opportunities for individuals to decide if and when to become pregnant.

Significant Headcount Growth

About Upstream USA

Simplify's Rating
Why Upstream USA is rated
B
Rated B on Competitive Edge
Rated A on Growth Potential
Rated C on Differentiation

Industries

Data & Analytics

Consulting

Social Impact

Healthcare

Company Size

201-500

Company Stage

N/A

Total Funding

N/A

Headquarters

Oakland, California

Founded

2014

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Simplify's Take

What believers are saying

  • August 2025, Upstream expanded primary care association grants to $10,000–$75,000.
  • November 2025, Upstream's website showed active work across Washington, Massachusetts, North Carolina, Rhode Island.
  • Audacious Project says Upstream will scale from 130 to 700 healthcare organizations.

What critics are saying

  • Abortion-rights politics and contraceptive backlash can cut state contracts quickly.
  • If large funders like MacKenzie Scott pull back, 2024's $47.9 million budget tightens fast.
  • A failed HHS partnership or partner-state rollout would expose a fragile grant-dependent model.

What makes Upstream USA unique

  • Upstream USA runs statewide contraceptive training, not clinic-by-clinic charity work.
  • Its free 12–18 month model embeds into healthcare systems, then continues independently.
  • By 2024, Upstream aimed to reach practices serving over 1 million women yearly.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Company Match

401(k) Retirement Plan

Unlimited Paid Time Off

Paid Vacation

Paid Sick Leave

Paid Holidays

Parental Leave

Professional Development Budget

Phone/Internet Stipend

Growth & Insights and Company News

Headcount

6 month growth

7%

1 year growth

7%

2 year growth

7%
Upstream
Aug 26th, 2025
Expanding Contraceptive Care Through Primary Care Associations: Lessons from Mass League

Why Mass League partnered with Upstream.

Sinclair Broadcast Group
May 20th, 2024
HHS Secretary Xavier Becerra tours UCSF Fresno

UCSF School of Medicine and its regional campus here in Fresno announced a new partnership with Upstream USA.

Upstream
May 20th, 2024
UCSF School of Medicine, UCSF Fresno, and Upstream USA Collaborate to Expand Access to Patient-Centered Contraceptive Care for Fresno County

Through this new partnership with Upstream and for the first time ever, Mobile HeaL will expand their services to offer contraceptive care.

Upstream
Feb 7th, 2024
Upstream USA Hires New President and COO Jessica Foster

Boston MA, February 7, 2024 - Upstream USA (Upstream), a national nonprofit dedicated to ensuring that equitable, patient-centered contraceptive care is basic healthcare, has named Jessica Foster as President and COO, effective April 29th, 2024.

Codman Square Health Center
Dec 5th, 2023
Codman Seeks Patient Input to Improve Contraceptive Care

Codman is partnering with Upstream USA to ensure that its contraceptive counseling and care is working well for your patients.

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