2024-05-29T13:44:55-07:00 2023-12-31 990 2023-01-01 352581424 UPSTREAM USA INC UPST 6176559864 2 Oliver Street Suite 402 Boston MA 02109 Jessica Greenfield Treasurer and CFO 6176559864 2024-05-29 Jessica Greenfield 999009999 1 1 11 1 AAL2 X 2023 2023-04-26 12:10:37Z Mark Edwards 2 Oliver Street Suite 402 Boston MA 02109 152370185 0 X https://www.upstream.org X 2017 DE Upstream's mission is to ensure that equitable, patient-centered contraceptive care is basic healthcare. 12 11 206 12 0 0 79083681 115210916 0 0 1245738 6695562 -106809 -159947 80222610 121746531 904113 2517487 0 0 21868856 29550928 0 0 3261911 7028780 13376830 29801749 45445245 50420861 76301286 172642723 250903262 4498840 4475959 168143883 246427303 Upstream's mission is to ensure that equitable, patient-centered contraceptive care is basic healthcare. Upstream works with private and public healthcare leaders to make contraceptive care more affordable, and more accessible for millions of people around the US. 0 0 35775968 2517487 0 In 2023, Upstream provided comprehensive, evidence-based training and technical assistance to healthcare organizations across the United States. With the addition of 58 new partnerships serving 310,000 patients of reproductive age, Upstream is on track to deliver our intervention with healthcare organizations that serve 1.2 million patients of reproductive age by mid-2026. 0 0 0 35775968 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 84 0 1 206 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AK AL AR AZ CA CO CT FL GA HI IL KS KY MA MD ME MI MN MS NC ND NH NJ NM NV NY OH OK OR PA RI SC TN UT VA WA WI WV X Sheri Wilson 6176559864 2 Oliver Street Suite 402 Boston MA 02109 Mark Edwards Co-Founder, CEO 40 0 X X 507362 0 43624 Ann Quandt COO, Treasurer to 11/16/23 40 0 X 342732 0 16500 Nicole Mckinney Chief of Org. Eff. and Cult. 40 0 X 283016 0 39098 Lisa Goldthwaite Clinical Advisor 32 0 X 273644 0 38207 Kelleen Kay Senior Research Advisor 40 0 X 247688 0 44358 Elizabeth Kaltman Lead Clinical Advisor 24 0 X 267698 0 15325 Andrew Meyer Chief Growth Officer 40 0 X 263238 0 19654 Sarah Pierson Asst Sec to 11/16/23, Chief Dev. & Ext. Aff. Off. 40 0 X 252831 0 26395 Jessica Greenfield CFO, Treasurer from 11/16/23 40 0 X 58918 0 7188 John Ho Asst Sec from 11/16/23, Dir. of Exec. & Board Op. 40 0 X 55998 0 8088 Anita Bekenstein Chair 1 0 X X 0 0 0 Sarah Brown Vice Chair 1 0 X X 0 0 0 Paul Gannon Compensation Committee Chair 1 0 X 0 0 0 Mark Perry Finance Committee Chair 1 0 X 0 0 0 Howard H Stevenson Audit Committee Chair 1 0 X 0 0 0 Lauren Baker Board Member 1 0 X 0 0 0 Thea James Board Member 1 0 X 0 0 0 Krishna White Board Member 1 0 X 0 0 0 Keith Higgins Secretary, Nominating/Governance Comm. Chair 1 0 X X 0 0 0 Scott Ransom Board Member 1 0 X 0 0 0 Ann Starrs Board Member 1.0 0 X 0 0 0 2553125 0 258437 114 0 1 0 Azara Healthcare LLC 70 Blanchard Rd Suite 401 Burlington MA 01803 Data extraction and analysis 871113 Nonprofit HR Solutions LLC 1441 L Street NW Suite 620 Washington DC 20005 HR support 188276 TeamLogic IT of Mountain View 883 N Shoreline Blvd Ste B110 Mountain View CA 94043 IT consulting 165152 Prince Lobel Tye LLP One International Place Suite 3700 Boston MA 02110 Legal consulting 145487 4 0 0 0 0 1926264 113284652 27512958 115210916 0 5992875 0 0 5992875 0 0 0 0 0 0 0 0 605144 0 765091 0 -159947 0 -159947 0 0 -159947 30561250 0 29858563 0 702687 0 702687 0 0 702687 0 0 121746531 0 0 6535615 2517487 2517487 0 0 0 0 0 0 1330319 532381 262865 535073 0 0 0 0 22047728 17181389 3325303 1541036 949005 737031 145813 66161 3402579 2647705 472026 282848 1821297 1385761 276253 159283 0 0 0 0 128212 10118 118094 0 50355 0 50355 0 87250 87250 0 0 0 0 74935 0 74935 0 3998573 3034507 571655 392411 2208767 2208027 601 139 119533 82282 32266 4985 1002729 683187 284287 35255 606798 412877 149746 44175 1623370 1308259 214069 101042 172396 160926 10338 1132 199353 199353 0 0 178427 29096 145987 3344 Measurement and Evaluation 1406175 1406175 0 0 Trainings and Events 971005 813678 98764 58563 Learning and Staff Development 154359 104580 36519 13260 Equipment 303471 232946 47321 23204 91122 953 90169 0 45445245 35775968 6407366 3261911 1381625 373502 22278136 3418311 7252447 29585048 857189 1068112 1240397 711893 666583 528504 134931450 214710701 5275293 1219084 172642723 250903262 2622545 3489281 1876295 986678 4498840 4475959 X 126109843 217517575 42034040 28909728 168143883 246427303 172642723 250903262 76301286 1982134 0 0 0 0 X X 0 1 X 1 0 X 55862738 60537887 35079687 79083681 115210916 345774909 0 0 0 0 0 0 0 0 0 0 0 0 55862738 60537887 35079687 79083681 115210916 345774909 25678496 320096413 1221856 643735 555035 1835694 7300706 11557026 0 0 0 0 0 0 0 0 0 0 0 0 357331935 0 0.89580 0.95369 X Schedule A, Part II, Line 1 Schedule A Part II Lines 1 and 5f are presented using the accrual basis of accounting, net of discounts, as presented in our audited financial statements. Schedule A, Part II, Line 5(f) Schedule A Part II Lines 1 and 5f are presented using the accrual basis of accounting, net of discounts, as presented in our audited financial statements. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 130032 130032 46080304 46210336 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 2096 44406 137094 130032 313628 250000 250000 250000 250000 1000000 1500000 0 428 141 0 569 Schedule C, Part II-A, Line 2a Upstream made its first §501(h) election in the tax year ending December 31, 2020. The election has not been revoked. 0 0 0 0 0 0 0 0 71666 58527 13139 0 1168731 653366 515365 0 0 0 0 528504 0 Operating Lease Liability 986678 986678 X 124610682 1982134 191860 0 1 2173995 122436687 74935 -765091 -690156 121746531 46327262 191860 0 0 765091 956951 45370311 74935 -1 74934 45445245 Schedule D, Part X, Line 2 Upstream accounts for uncertainty in income taxes in accordance with ASC Topic, Income Taxes. This standard clarifies the accounting for uncertainty in tax positions, and prescribes a recognition threshold and measurement attribute for the financial statements regarding a tax position taken or expected to be taken in a tax return. Upstream has determined that there are no uncertain tax positions which qualify for either recognition or disclosure in the financial statements at December 31, 2023 and 2022. Schedule D, Part XI, Line 2d Revenue rounding difference Schedule D, Part XI, Line 4b This reconciling item is the rental expense included on Part VIII, line 6b that is associated with the sublease of Uptream office space. Expenses include rent and legal expenses for the sublease and commissions. Schedule D, Part XII, Line 2d This reconciling item is the rental expense included on Part VIII, line 6b that is associated with the sublease of Uptream office space. Expenses include rent and legal expenses for the sublease and commissions. Schedule D, Part XII, Line 4b Expenses rounding difference 1 Womens Health and Family Planning Association of Texas dba Every Body TX 314 E Highland Mall Blvd Austin TX 78752 741936078 501(c)(3) 628387 0 Cash 0 Contraceptive Coverage AllianceChicago - Illinois Contraceptive Access Now ICAN 225 W Illinois Street Chicago IL 60654 815434098 501(c)(3) 203500 0 Cash 0 Contraceptive Coverage Massachusetts League of Community Health Centers Inc 40 Court Street Boston MA 02108 042507409 501(c)(3) 150000 0 Cash 0 Contraceptive Coverage Caring Health Center 1049 Main Street Springfield MA 01103 042620040 Corporation 75000 0 Cash 0 Reproductive Health Program Training North End Community Health Committee Inc dba NEW Health 332 Hanover St Boston MA 02113 237089746 Corporation 75000 0 Cash 0 Reproductive Health Program Training Washington Association for Community Health 101 Capitol Way North Suite 200 Olympia WA 98501 911323282 501(c)(3) 70436 0 Cash 0 Reproductive Health Program Training Creek Valley Health Clinic 1065 North Hildale Street Hildale UT 84784 833039533 Corporation 66500 0 Cash 0 Reproductive Health Program Training Jefferson Co Public Hospital District 2 dba Jefferson Healthcare 834 Sheridan St Port Townsend WA 98368 910928081 Corporation 44500 0 Cash 0 Reproductive Health Program Training The Moses H Cone Memorial Hospital dba Cone Health 1200 N Elm Street Greensboro NC 27401 581588823 Corporation 42000 0 Cash 0 Reproductive Health Program Training Odyssey House Louisiana Inc 1125 North Tonti Street New Orleans LA 70119 720743677 501(c)(3) 40000 0 Cash 0 Reproductive Health Program Training HealthFirst Network Inc 216 S 3rd Ave Wausau WI 54401 391206364 501(c)(3) 40000 0 Cash 0 Reproductive Health Program Training Whidbey Island Public Hospital District 101 North Main Street Coupeville WA 98239 910843135 501(c)(3) 37276 0 Cash 0 Reproductive Health Program Training Cambridge Public Health Commission dba Cambridge Health Alliance 350 Main Street Malden MA 021485111 043320571 Government 37000 0 Cash 0 Reproductive Health Program Training Kinston Community Health Center Inc 324 N Queen Street Kinston NC 28501 561833275 501(c)(3) 32000 0 Cash 0 Reproductive Health Program Training Project Vida Health Center 3607 Rivera Ave El Paso TX 79905 680541648 Corporation 31000 0 Cash 0 Reproductive Health Program Training Lone Star Community Health Center Inc 605 S Conroe Medical Drive Conroe TX 77304 300038860 Corporation 30000 0 Cash 0 Reproductive Health Program Training LCH Health and Community Services 731 West Cypress Street Kennett Square PA 19348 232041915 501(c)(3) 28000 0 Cash 0 Reproductive Health Program Training Samuel U Rodgers Health Center Inc 825 Euclid Avenue Kansas City MO 64124 430899356 Corporation 26000 0 Cash 0 Reproductive Health Program Training Caldwell County 905 West Avenue NW Lenoir NC 28645 566001967 Government 25000 0 Cash 0 Reproductive Health Program Training Charles River Community Health Inc 495 Western Avenue Brighton MA 02135 237221597 501(c)(3) 25000 0 Cash 0 Reproductive Health Program Training Codman Square Health Center Inc 637 Washington Street Attn Finance Dorchester MA 02124 042678774 501(c)(3) 25000 0 Cash 0 Reproductive Health Program Training Colorado Coalition for the Homeless 2111 Champa St Denver CO 80205 840951575 501(c)(3) 25000 0 Cash 0 Reproductive Health Program Training Community Health Center of Cape Cod 107 Commercial St Mashpee MA 02649 043370560 Corporation 25000 0 Cash 0 Reproductive Health Program Training Community Health Programs Inc PO Box 30 Great Barrington MA 01230 042582119 501(c)(3) 25000 0 Cash 0 Reproductive Health Program Training DotHouse Health Inc 1353 Dorchester Avenue Dorchester MA 02122 237125970 Corporation 25000 0 Cash 0 Reproductive Health Program Training Family Health Services Corporation 794 Eastland Dr Twin Falls ID 83301 820371093 Corporation 25000 0 Cash 0 Reproductive Health Program Training High Country Community Health PO Box 1490 Boone NC 28607 273033445 501(c)(3) 25000 0 Cash 0 Reproductive Health Program Training International Community Health Services PO Box 3007 Seattle WA 981143007 910947084 Corporation 25000 0 Cash 0 Reproductive Health Program Training Jefferson Community Health Care Centers Inc dba InclusivCare 4028 US Highway 90 W Avondale LA 70094 562439708 501(c)(3) 25000 0 Cash 0 Reproductive Health Program Training Lowell Community Health Center 161 Jackson St Lowell MA 01852 042881348 501(c)(3) 25000 0 Cash 0 Reproductive Health Program Training Mattapan Community Health Center Inc 1575 Blue Hill Drive Mattapan MA 02126 042544151 Corporation 25000 0 Cash 0 Reproductive Health Program Training Oakland Integrated Healthcare Network dba Honor Community Health PO Box 430150 Pontiac MI 48343 383844634 Corporation 25000 0 Cash 0 Reproductive Health Program Training South Boston Community Health Center 409 West Broadway Boston MA 02127 042682152 501(c)(3) 25000 0 Cash 0 Reproductive Health Program Training Southeastern Regional Medical Center dba UNC Health Southeastern 300 West 27th Street Lumberton NC 28358 560530233 Corporation 25000 0 Cash 0 Reproductive Health Program Training The Community Clinic Inc dba CCI Health Services 8665 Georgia Avenue Silver Springs MD 20910 520988386 Corporation 25000 0 Cash 0 Reproductive Health Program Training The Wright Center Medical Group dba The Wright Center for Community Health 501 South Washington Ave Suite 1000 Scranton PA 18505 232772504 501(c)(3) 25000 0 Cash 0 Reproductive Health Program Training Whittier Street Health Center Committee Inc 1290 Tremont St Roxbury MA 02120 042619517 501(c)(3) 25000 0 Cash 0 Reproductive Health Program Training The Providence Community Health Centers Inc 375 Allens Ave Providence RI 02905 050368134 501(c)(3) 23000 0 Cash 0 Reproductive Health Program Training Manet Community Health Center 110 West Squantum Street Quincy MA 02171 042646695 501(c)(3) 21000 0 Cash 0 Reproductive Health Program Training Appalachian Mountain Community Health Centers 141 Asheland Ave Asheville NC 28801 463984362 501(c)(3) 20000 0 Cash 0 Reproductive Health Program Training County of Alamance 124 West Elm Street Graham NC 27253 566000271 Government 20000 0 Cash 0 Reproductive Health Program Training Greater New Bedford Community Health Center Inc 874 Purchase St New Bedford MA 02740 042675800 501(c)(3) 20000 0 Cash 0 Reproductive Health Program Training Midway Family Planning Services Inc dba Midway Family Planning 1500 Terrace Brownwood TX 76801 752890955 Corporation 20000 0 Cash 0 Reproductive Health Program Training Comprehensive Community Action Inc 311 Doric Ave Cranston RI 02910 056018801 501(c)(3) 19000 0 Cash 0 Reproductive Health Program Training County of Buncombe dba Buncombe County Health and Human Services PO Box 7526 Asherville NC 28802 566000279 Government 18000 0 Cash 0 Reproductive Health Program Training County of Guilford PO Box 3427 Greensboro NC 27401 566000305 Government 18000 0 Cash 0 Reproductive Health Program Training Asian American Health Coalition of the Greater Houston Are dba HOPE Clinic 13930 Bellaire Blvd Houston TX 77038 311756818 501(c)(3) 15000 0 Cash 0 Reproductive Health Program Training Harbor Health Services Inc 1135 Morton Street Mattapan MA 02126 237100550 Corporation 15000 0 Cash 0 Reproductive Health Program Training HealthFirst Family Care Center Inc 387 Quarry Street Fall River MA 02723 042503444 501(c)(3) 15000 0 Cash 0 Reproductive Health Program Training Konza Prairie Community Health Center Inc 361 Grant Ave Junction City KS 66441 481150706 501(c)(3) 15000 0 Cash 0 Reproductive Health Program Training La Clinica Tepeyac Inc dba Tepeyac Community Health Center 4725 High St Denver CO 80216 841285505 501(c)(3) 15000 0 Cash 0 Reproductive Health Program Training Mecklenburg County PO Box 34486 Charlotte NC 282344486 566000319 Government 15000 0 Cash 0 Reproductive Health Program Training NorthShore Health Centers Inc PO Box 1430 Portage IN 46368 352028588 Corporation 15000 0 Cash 0 Reproductive Health Program Training Rockbrige Area Free Clinic dba Rockbridge Area Health Center 25 Northridge Lane Lexington VA 24450 541642220 501(c)(3) 15000 0 Cash 0 Reproductive Health Program Training North Shore Community Health Inc 27 Congress St Salem MA 01970 042610447 Corporation 14000 0 Cash 0 Reproductive Health Program Training Charlotte Community Health Clinic Inc 8401 Medical Plaza Drive Charlotte NC 28262 562274144 501(c)(3) 13000 0 Cash 0 Reproductive Health Program Training Outer Cape Health Services Inc Department 3180 Boston MA 022986500 042509828 Corporation 13000 0 Cash 0 Reproductive Health Program Training Wood River Health Services Inc 823 Main St Hope Valley RI 02832 050378071 Corporation 12600 0 Cash 0 Reproductive Health Program Training Seattle Children's Hospital PO Box 5371 Seattle WA 98145 910564747 Corporation 12500 0 Cash 0 Reproductive Health Program Training Hilltown Community Health Centers Inc 58 Old North Road Worthington MA 01098 042161484 Corporation 11000 0 Cash 0 Reproductive Health Program Training Care Ring Inc 601 E 5th Stret Suite 140 Charlotte NC 28202 560621073 501(c)(3) 10000 0 Cash 0 Reproductive Health Program Training Clinica Colorado 8300 Alcott ST Suite 300 Westminster CO 800314030 273794068 501(c)(3) 10000 0 Cash 0 Reproductive Health Program Training Coastal Medical Physicians Inc dba Coastal Medical 10 Davol Square Suite 300 Providence RI 02903 844944884 Corporation 10000 0 Cash 0 Reproductive Health Program Training Triangle Area Network Inc PO Box 12279 Beaumont TX 77726 760226835 501(c)(3) 10000 0 Cash 0 Reproductive Health Program Training Tri-County Community Action Agency 1126 Hartford Ave Johnston RI 02919 050309695 501(c)(3) 8500 0 Cash 0 Reproductive Health Program Training Gaston Family Health Services Inc dba Kintegra Health 200 East Second Ave Gastonia NC 28052 581958398 501(c)(3) 7000 0 Cash 0 Reproductive Health Program Training Texas Association of Community Health Centers 5900 Southwest Parkway Building 3 Austin TX 78735 742308695 Corporation 7000 0 Cash 0 Reproductive Health Program Training Pacific County Health and Human Services 1216 Robert Bush Dr South Bend WA 98586 916001356 Government 6000 0 Cash 0 Reproductive Health Program Training Start Corporation dba Start Community Health Center PO Box 1065 Houma LA 70361 581687098 Partnership/LLC 6000 Cash 0 Reproductive Health Program Training VICTA LLC 110 Elmwood Ave Providence RI 02907 822674235 Partnership/LLC 5300 0 Cash 0 Reproductive Health Program Training 42 28 Schedule I, Part I, Line 2 Upstream works in partnership with organizations receiving grants to determine the recipient organization's progress toward the grant agreement goals. Upstream holds regular discussions with grant recipients for a formal update on the project and to review the organization's progress. For grant agreements that include milestones, payments are initiated once the milestones are met. These milestones are documented and agreed to in a memorandum of understanding between Upstream and the organization receiving the grant. When a milestone is reached, Upstream reviews and verifies supporting documentation, such as a training roster or evidence of an organization's expenditure, before issuing the grant payment. X X X X X 1 0 0 0 0 0 0 0 0 Mark Edwards Co-Founder, CEO 407362 0 100000 0 0 0 16500 0 27958 0 551820 0 0 0 Ann Quandt COO, Treasurer to 11/16/23 341732 0 1000 0 0 0 16500 0 0 0 359232 0 0 0 Nicole Mckinney Chief of Org. Eff. and Cult. 283016 0 0 0 0 0 14260 0 24837 0 322113 0 0 0 Lisa Goldthwaite Clinical Advisor 262142 0 11502 0 0 0 13747 0 24460 0 311851 0 0 0 Kelleen Kay Senior Research Advisor 235753 0 11935 0 0 0 12502 0 32669 0 292859 0 0 0 Elizabeth Kaltman Lead Clinical Advisor 262744 0 4954 0 0 0 13293 0 2032 0 283023 0 0 0 Andrew Meyer Chief Growth Officer 115681 0 0 0 147557 0 5921 0 13733 0 282892 0 0 0 Sarah Pierson Asst Sec to 11/16/23, Chief Dev. & Ext. Aff. Off. 252831 0 0 0 0 0 12757 0 13638 0 279226 0 0 0 Jessica Greenfield CFO, Treasurer from 11/16/23 58918 0 0 0 0 0 0 0 7188 0 66106 0 0 0 John Ho Asst Sec from 11/16/23, Dir. of Exec. & Board Op. 55998 0 0 0 0 0 2827 0 5262 0 64087 0 0 0 Schedule J, Part I, Line 4 Andrew Meyer transitioned out of the organization with 26 weeks transition pay, $147,556.76. X 4 27512958 FMV 0 0 1 0 Schedule M, Part I, Line 9 In column (b), Upstream is reporting the number of stock donations received in 2023. Form 990, Part VI, Section A, Line 6 As a non-stock, non-profit Delaware corporation, Upstream has members, but the governing documents state that the members shall consist of those persons serving as directors. Members have no right to vote on any matter other than the election and removal of directors. Form 990, Part VI, Section B, Line 11b The Form 990 is prepared by the Upstream accounting team and then reviewed closely by AAFCPAs, Upstream's tax advisor, and Upstream's Treasurer. This draft is then provided to the Audit Committee of the Board for their review and approval. Finally, the Form 990 is provided to the full Board of Directors prior to filing. Any and all questions and comments are addressed by the Upstream Director of Accounting and Treasurer who engage AAFCPAs in the discussion whenever relevant or necessary. Form 990, Part VI, Section B, Line 12c The Board authorizes and oversees an annual review of the administration of Upstream's conflict of interest policy. The review may be written or oral. The review shall consider the level of compliance with the policy, the continuing suitability of the policy, and whether the policy should be modified and improved. The process occurs each year during a scheduled meeting of the Upstream Board Form 990, Part VI, Section B, Line 15 The Compensation Committee of the Board of Directors, none of whom have a conflict of interest, is charged with 1) overseeing Upstream's management compensation policies and practices including making recommendations to the independent members of the Board of Directors with respect to compensation of the person serving in the position of CEO on an annual basis, 2) reviewing the compensation of the Organization's other officers, managers and employees who have substantial influence over the affairs of the organization ("key executives") on an annual basis, and 3) reviewing and approving incentive compensation policies and programs. The Compensation Committee meets at least two times per year and additionally as circumstances dictate. Comparability data for similarly qualified persons in functionally comparable positions at similarly situated organizations are prepared by a compensation consultant on a regular basis. This data was last compiled in 2023 and will be compiled again in 2024. The CEO's 360 performance evaluations, and the comparability data, in the years in which it is compiled, are reviewed by the Compensation Committee before forming recommendations around changes in compensation to the Board of Directors. The Board of Directors reviews the Committee's recommendation and votes on it. The CEO, who is also a member of the Board of Directors, is recused from this review and vote. These deliberations and decisions are documented in the minutes contemporaneously. This recommendation, review, and vote occur annually and were last completed in 2023 and again in 2024. Form 990, Part VI, Section C, Line 19 Upstream's governing documents, conflict of interest policy, and financial statements are available to the public upon request. Form 990, Part XII, Line 2c The process has not changed from the prior year.