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.

About Upstream USA

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

  • Audacious Project funding targets 5M women by 2030, expanding into abortion-restricted states with highest need.
  • New UCSF Fresno and Mass League partnerships signal institutional validation and primary care integration momentum.
  • Jessica Foster's April 2024 appointment as President/COO brings operational expertise for national scaling.
  • Post-Dobbs environment increases demand for contraceptive access in conservative states, expanding addressable market.

What critics are saying

  • 2024 expenses of $47.9M exceed revenues of $38.7M, depleting reserves and forcing asset liquidation.
  • Federal Title X funding cuts under new HHS leadership eliminate safety-net clinic training dependencies.
  • Conservative backlash in North Carolina and Rhode Island triggers donor defunding of statewide initiatives.
  • Competitor Power to Decide poaches health center partners through superior digital advocacy campaigns.
  • Founder exits by Belden and Edwards create operational disruptions stalling new partnerships like UCSF.

What makes Upstream USA unique

  • Free, evidence-based training transforms entire health teams to deliver full-spectrum contraceptive care sustainably.
  • Proven 23% reduction in unplanned pregnancies in Delaware within three years demonstrates measurable impact.
  • Statewide partnership model scales across 36 states, serving 270+ organizations and 1M+ patients annually.

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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

Company News

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

Why Mass League partnered with Upstream.

KMPH Fox 26
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 USA
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 USA
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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