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        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
        <TotalAmt>3000000</TotalAmt>
      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>4500000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
        <CurrentYearMinus3Amt>0</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>2096</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>44406</CurrentYearMinus1Amt>
        <CurrentYearAmt>137094</CurrentYearAmt>
        <TotalAmt>183596</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>0</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>750000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1125000</GrassrootsCeilingAmt>
      <AvgGrassrootsLobbyingExpendGrp>
        <CurrentYearMinus3Amt>0</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>0</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>428</CurrentYearMinus1Amt>
        <CurrentYearAmt>141</CurrentYearAmt>
        <TotalAmt>569</TotalAmt>
      </AvgGrassrootsLobbyingExpendGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule C, Part II-A, Line 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>Upstream made its first §501(h) election in the tax year ending December 31, 2020. The election has not been revoked.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="R000005" softwareId="22015720" softwareVersionNum="v1.00">
      <LandGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <BookValueAmt>0</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>73401</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>45611</DepreciationAmt>
        <BookValueAmt>27790</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>1114503</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>475710</DepreciationAmt>
        <BookValueAmt>638793</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <InvestmentCostOrOtherBasisAmt>0</InvestmentCostOrOtherBasisAmt>
        <OtherCostOrOtherBasisAmt>0</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>0</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>666583</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Lease Liability - Operating Lease</Desc>
        <Amt>1876295</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>1876295</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>81060618</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>42649</NetUnrealizedGainsInvstAmt>
      <DonatedServicesAndUseFcltsAmt>122154</DonatedServicesAndUseFcltsAmt>
      <RecoveriesPriorYearGrantsAmt>0</RecoveriesPriorYearGrantsAmt>
      <OtherRevenueAmt>0</OtherRevenueAmt>
      <RevenueNotReportedAmt>164803</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>80895815</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>23560</InvestmentExpensesNotIncldAmt>
      <OtherRevenuesNotIncludedAmt>-696765</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>-673205</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>80222610</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>30597108</TotExpnsEtcAuditedFinclStmtAmt>
      <DonatedServicesUseFcltsAmt>122154</DonatedServicesUseFcltsAmt>
      <PriorYearAdjustmentsAmt>0</PriorYearAdjustmentsAmt>
      <LossesReportedAmt>0</LossesReportedAmt>
      <OtherExpensesIncludedAmt>696765</OtherExpensesIncludedAmt>
      <ExpensesNotReportedAmt>818919</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>29778189</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>23560</InvestmentExpensesNotIncld2Amt>
      <OtherExpensesNotIncludedAmt>0</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>23560</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>29801749</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2022 and 2021.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>This reconciling item is the rental expense included on Part VIII, line 6b that is associated with the sublease of Upstream office space. Expenses include rent expenses for the sublease and commissions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>This reconciling item is the rental expense included on Part VIII, line 6b that is associated with the sublease of Upstream office space. Expenses include rent expenses for the sublease and commissions.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="R000006" softwareId="22015720" softwareVersionNum="v1.00">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Boston Health Care for the Homeless Program Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>780 Albany Street</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02118</ZIPCd>
        </USAddress>
        <RecipientEIN>043160480</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cambridge Public Health Commission</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>dba Cambridge Health Alliance</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>350 Main Street</AddressLine1Txt>
          <AddressLine2Txt>Suite 31</AddressLine2Txt>
          <CityNm>Malden</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>021485111</ZIPCd>
        </USAddress>
        <RecipientEIN>043320571</RecipientEIN>
        <IRCSectionDesc>Governmental</IRCSectionDesc>
        <CashGrantAmt>13000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Charlotte Community Health Clinic Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>8401 Medical Plaza Drive</AddressLine1Txt>
          <AddressLine2Txt>Suite 300</AddressLine2Txt>
          <CityNm>Charlotte</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28262</ZIPCd>
        </USAddress>
        <RecipientEIN>562274174</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>41500</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Centered Youth Clinic and Consulting PLLC</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>Chinwe Efuribe</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>14008 Shadowglen Blvd Suite 300</AddressLine1Txt>
          <CityNm>Manor</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78653</ZIPCd>
        </USAddress>
        <RecipientEIN>861309570</RecipientEIN>
        <CashGrantAmt>41340</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Converge MS Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>715 S Pear Orchard Road</AddressLine1Txt>
          <AddressLine2Txt>Suite 402</AddressLine2Txt>
          <CityNm>Ridgeland</CityNm>
          <StateAbbreviationCd>MS</StateAbbreviationCd>
          <ZIPCd>39157</ZIPCd>
        </USAddress>
        <RecipientEIN>834473044</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>275000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Contraceptive Coverage</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>County of Wake</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>301 S McDowell St</AddressLine1Txt>
          <CityNm>Maleigh</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27601</ZIPCd>
        </USAddress>
        <RecipientEIN>566000347</RecipientEIN>
        <IRCSectionDesc>Wake County</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Creek Valley Health Clinic</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1065 North Hildale Street</AddressLine1Txt>
          <AddressLine2Txt>PO Box 41</AddressLine2Txt>
          <CityNm>Hildale</CityNm>
          <StateAbbreviationCd>UT</StateAbbreviationCd>
          <ZIPCd>84784</ZIPCd>
        </USAddress>
        <RecipientEIN>833039533</RecipientEIN>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Hilltown Community Health Centers Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>58 Old North Road</AddressLine1Txt>
          <CityNm>Worthington</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01098</ZIPCd>
        </USAddress>
        <RecipientEIN>042161484</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Holyoke Health Center Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>230 Maple Street</AddressLine1Txt>
          <AddressLine2Txt>PO Box 6260</AddressLine2Txt>
          <CityNm>Holyoke</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01040</ZIPCd>
        </USAddress>
        <RecipientEIN>042492730</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Lewis County Community Health Services</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>dba Valley View Health Center</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>2690 NE Kresky Avenue</AddressLine1Txt>
          <CityNm>Chehalis</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>985322412</ZIPCd>
        </USAddress>
        <RecipientEIN>421599749</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Massachusetts League of Community Health Centers Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>40 Court Street 10th Floor</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02108</ZIPCd>
        </USAddress>
        <RecipientEIN>042507409</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>150000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MultiCare Health System</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>PO Box 5299</AddressLine1Txt>
          <CityNm>Tacoma</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98415</ZIPCd>
        </USAddress>
        <RecipientEIN>911352172</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>20000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>North End Community Health Committee Inc dba NEW Health</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>dba NEW Health</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>332 Hanover Street</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>021131901</ZIPCd>
        </USAddress>
        <RecipientEIN>237089746</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>North Shore Community Health Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>27 Congress St Suite 513</AddressLine1Txt>
          <CityNm>Salem</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01970</ZIPCd>
        </USAddress>
        <RecipientEIN>042610447</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>9000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Pacific County Health and Human Services</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1216 Robert Bush Dr</AddressLine1Txt>
          <CityNm>South Bend</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98586</ZIPCd>
        </USAddress>
        <RecipientEIN>916001356</RecipientEIN>
        <IRCSectionDesc>Pacific County</IRCSectionDesc>
        <CashGrantAmt>16000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Public Health Authority of Cabarrus County</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>DBA Cabarrus Health Alliance</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>300 Mooresville Road</AddressLine1Txt>
          <CityNm>Kannapolis</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>28081</ZIPCd>
        </USAddress>
        <RecipientEIN>562016594</RecipientEIN>
        <IRCSectionDesc>Cabarrus County</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>South Boston Community Health Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>409 West Broadway</AddressLine1Txt>
          <CityNm>Boston</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>02127</ZIPCd>
        </USAddress>
        <RecipientEIN>042682152</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>25000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Community Health Center of Franklin County Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>102 Main Street</AddressLine1Txt>
          <CityNm>Greenfield</CityNm>
          <StateAbbreviationCd>MA</StateAbbreviationCd>
          <ZIPCd>01301</ZIPCd>
        </USAddress>
        <RecipientEIN>043312968</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>8000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Moses H Cone Memorial Hospital</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>dba Cone Health</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1200 N Elm St</AddressLine1Txt>
          <CityNm>Greensboro</CityNm>
          <StateAbbreviationCd>NC</StateAbbreviationCd>
          <ZIPCd>27401</ZIPCd>
        </USAddress>
        <RecipientEIN>581588823</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>31000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Union Gospel Mission of Yakima Wash</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>dba Yakima Union Gospel Mission</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1300 N First Street</AddressLine1Txt>
          <CityNm>Yakima</CityNm>
          <StateAbbreviationCd>WA</StateAbbreviationCd>
          <ZIPCd>98901</ZIPCd>
        </USAddress>
        <RecipientEIN>237050061</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>16000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Womens Health and Family Planning Association of Texas</BusinessNameLine1Txt>
          <BusinessNameLine2Txt>dba Every Body TX</BusinessNameLine2Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>314 E Highland Mall Blvd</AddressLine1Txt>
          <CityNm>Austin</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>78752</ZIPCd>
        </USAddress>
        <RecipientEIN>741936078</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>50000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Contraceptive Coverage</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Wood River Health Services Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>823 Main St</AddressLine1Txt>
          <CityNm>Hope Valley</CityNm>
          <StateAbbreviationCd>RI</StateAbbreviationCd>
          <ZIPCd>02832</ZIPCd>
        </USAddress>
        <RecipientEIN>050378071</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6000</CashGrantAmt>
        <ValuationMethodUsedDesc>Cash</ValuationMethodUsedDesc>
        <PurposeOfGrantTxt>Reproductive Health Program Training</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>20</Total501c3OrgCnt>
      <TotalOtherOrgCnt>2</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>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 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 2022 and will be compiled again in 2023. 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 2022.</ExplanationTxt>
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        <ExplanationTxt>Upstream's governing documents, conflict of interest policy, and financial statements are available to the public upon request.</ExplanationTxt>
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