Liabilities / Assets
12th percentile
Higher debt load relative to assets than 12% of similar nonprofits.
Upstream USA Inc
EIN 35-2581424 • 501(c)3 • Boston, MA
Profile
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.
Siviq Scores
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
0.01x
Liabilities / Revenue
15th percentile
Higher debt load relative to revenue than 15% of similar nonprofits.
Net Margin
8th percentile
Higher net margin than 8% of similar nonprofits.
Top Officer Pay
56th percentile
Higher top officer pay than 56% of similar nonprofits.
Top officer pay equals 1.4% of source-year revenue.
Asset Growth
83rd percentile
Faster asset growth than 83% of similar nonprofits.
Revenue Growth
6th percentile
Faster revenue growth than 6% of similar nonprofits.
Balance Sheet
Assets
Down$242,356,291
Down $8,546,971 (-3.4%) from 2023
Liabilities
Down$3,526,433
Down $949,526 (-21%) from 2023
Net Assets
Down$238,829,858
Down $7,597,445 (-3.1%) from 2023
Revenue
Down$38,703,079
Down $83,043,452 (-68%) from 2023
Expenses
Up$47,863,156
Up $2,417,911 (+5.3%) from 2023
Net Income
Down-$9,160,077
Down $85,461,363 (-112%) from 2023
Trend Graphs
Filings
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $242,356,291
- Liabilities
- $3,526,433
- Net assets
- $238,829,858
- Revenue
- $38,703,079
- Expenses
- $47,863,156
- Net income
- -$9,160,077
Latest Filing Detail
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2024 to Dec 31, 2024
- Signed
- Jun 23, 2025
- Return Version
- 2024v5.1
- Gross Receipts
- $39,186,516
Mission and Program Overview
Mission
Upstream's mission is to expand opportunity by reducing unplanned pregnancy across the U.S. To this end, Upstream provides training and technical assistance to health centers, increasing equitable access to the full range of contraceptive options.
Upstreams mission is to ensure that patient-centered contraceptive care is basic healthcare.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $214,710,701 | $215,606,727 | ▲ $896,026 |
| Pledges and Grants Receivable | $29,585,048 | $23,769,288 | ▼ $5,815,760 |
| Savings and Temporary Cash Investments | $3,418,311 | $0 | ▼ $3,418,311 |
| Cash and Non-Interest-Bearing Accounts | $373,502 | $1,317,736 | ▲ $944,234 |
| Prepaid Expenses and Deferred Charges | $1,068,112 | $686,658 | ▼ $381,454 |
| Land, Buildings, and Equipment, Net | $528,504 | $343,399 | ▼ $185,105 |
| Accounts Receivable | $0 | $0 | → $0 |
| Other Notes and Loans Receivable, Net | $0 | $0 | → $0 |
| Receivable From Disqualified Prsn | $0 | $0 | → $0 |
| Receivables From Officers Etc | $0 | $0 | → $0 |
| Investments Other Securities | $0 | $0 | → $0 |
| Investments Program Related | $0 | $0 | → $0 |
| Intangible Assets | $0 | $0 | → $0 |
| Inventories for Sale or Use | $0 | $0 | → $0 |
| Loans From Officers Directors | $0 | $0 | → $0 |
| Total Assets | $250,903,262 | $242,356,291 | ▼ $8,546,971 |
| Other Assets Total | $1,219,084 | $632,483 | ▼ $586,601 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $3,489,281 | $3,210,767 | ▼ $278,514 |
| Other Liabilities | $986,678 | $315,666 | ▼ $671,012 |
| Grants Payable | $0 | $0 | → $0 |
| Mortgage Notes Payable Secured by Investment Property | $0 | $0 | → $0 |
| Unsecured Notes Loans Payable | $0 | $0 | → $0 |
| Deferred Revenue | $0 | $0 | → $0 |
| Escrow Account Liability | $0 | $0 | → $0 |
| Tax Exempt Bond Liabilities | $0 | $0 | → $0 |
| Total Liabilities | $4,475,959 | $3,526,433 | ▼ $949,526 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $217,517,575 | $235,222,911 | ▲ $17,705,336 |
| Net Assets With Donor Restrictions | $28,909,728 | $3,606,947 | ▼ $25,302,781 |
| Total Net Assets Fund Balance | $246,427,303 | $238,829,858 | ▼ $7,597,445 |
| Total Liabilities and Net Assets / Fund Balance | $250,903,262 | $242,356,291 | ▼ $8,546,971 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $343,399 | $161,876 | $505,275 |
| Buildings | $0 | $0 | $0 |
| Other Land Buildings | $0 | $0 | $0 |
| Land | $0 | - | $0 |
| Leasehold Improvements | $0 | $0 | $0 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Mark Edwards | Co-Founder | FT | $453,861 | $90,456 | $544,317 |
| Nicole Mckinney | Chief of Organizational Effectiveness and Culture | FT | $328,966 | $43,191 | $372,157 |
| Jessica Greenfield | CFO and Treasurer | FT | $327,379 | $34,409 | $361,788 |
| Lisa Goldthwaite | Clinical Advisor | PT | $291,332 | $41,344 | $332,676 |
| Sarah Pierson | Chief Dev and External Affairs Officer | FT | $272,864 | $35,162 | $308,026 |
| Elizabeth Kaltman | Lead Clinical Advisor | PT | $273,008 | $17,257 | $290,265 |
| Keshia Hughston | VP People and Culture | FT | $247,207 | $41,213 | $288,420 |
| Jessica Beaman | Lead Clinical Trainer | PT | $265,162 | $20,238 | $285,400 |
| Jessica Foster | President from 12-05-2024 | FT | $224,936 | $37,911 | $262,847 |
| John Ho | Assistant Secretary | FT | $142,738 | $19,696 | $162,434 |
Board Members and Trustees
| Name | Title |
|---|---|
| Howard Stevenson | Audit Committee Chair |
| Mark Perry | Chair from 12-05-24 and Prog Comm Chair |
| Anita Bekenstein | Chair to 12-05-2024 and Comp Comm Chair |
| Paul Gannon | Finance Committee Chair |
| Keith Higgins | Secretary and Nominating Gov Comm Chair |
| Sarah Brown | Vice-Chair to 12-05-24 |
| Ann Starrs | Board Member |
| Donella Rapier | Board Member |
| Krishna White | Board Member |
| Lauren Schadt Baker | Board Member |
| Scott Ransom | Board Member |
| Thea James | Board Member |
Highest Paid Contractors
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Azara Healthcare LLC | Data Extraction/Analysis | 70 Blanchard Rd Suite 401, Suite 1100, Burlington, MA 01803 | $1,395,936 |
| LinkedIn Corporation | Marketing/Paid Media | 1000 W Maude Avenue, Sunnyvale, CA 94085 | $542,017 |
| Daniel J Edelman Inc dba Edelman | Marketing/PR Services | 111 N Canal Street, Chicago, IL 60606 | $417,831 |
| Effective Spend Media LLC dba Optimal Media LLC | Creative Design Services | 2000 E Martin Luther King Jr Blvd, Austin, TX 78702 | $365,944 |
| Perfect Search Corporation IMAT Solutions | Data Extraction/Analysis | 565 East Technology Agenue, Orem, UT 84097 | $308,651 |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $29,176,478
- Program Service Revenue
- $0
- Investment Income
- $9,611,750
- Other Revenue
- $-85,149
- All Other Contributions
- $28,694,912
- Change in Net Assets
- $-9,160,077
Noncash Contribution Practices
- Property subject to holding requirements
- No
- Reviewed unusual noncash gifts
- Yes
- Third parties used for noncash contributions
- No
Noncash Contributions
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Securities Publicly Traded | 3 | $611,572 | Fair Market Value (FMV) |
| Total Noncash Contributions | 3 | $611,572 | - |
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $39,103,029
- Revenue Not Reported on Financial Statements
- $-399,950
- Revenue Not Reported on Form 990
- $1,565,237
- Other Revenue Adjustments
- $-483,437
- Total Revenue per Audited Statements
- $40,668,266
- Total Revenue per Form 990
- $38,703,079
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $33,571,447 |
| Other Expenses | $11,211,071 |
| Total Fundraising Expense | $4,176,240 |
| Grants and Similar Amounts Paid | $3,080,638 |
| Professional Fundraising Fees | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $19,417,934 | $3,484,298 | $2,218,320 | $25,120,552 |
| Other Employee Benefits | $2,671,090 | $480,455 | $421,432 | $3,572,977 |
| Grants to Domestic Orgs | $3,080,638 | - | - | $3,080,638 |
| Fees for Services Other | $1,626,840 | $259,680 | $186,570 | $2,073,090 |
| Payroll Taxes | $1,571,154 | $313,639 | $178,194 | $2,062,987 |
| Information Technology | $1,642,711 | $316,075 | $94,910 | $2,053,696 |
| Advertising | $1,697,229 | $96 | $78 | $1,697,403 |
| Current Officers, Directors, Trustees, and Key Employees | $346,782 | $645,535 | $686,249 | $1,678,566 |
| Travel | $1,221,678 | $214,208 | $150,688 | $1,586,574 |
| Pension Plan Contributions | $891,105 | $170,839 | $74,421 | $1,136,365 |
| Fees for Services Legal | $21,350 | $399,894 | $0 | $421,244 |
| Occupancy | $300,130 | $51,502 | $40,544 | $392,176 |
| Insurance | $24,627 | $163,646 | $2,726 | $190,999 |
| Depreciation Depletion | $142,309 | $23,545 | $19,251 | $185,105 |
| Conferences and Meetings | $149,282 | $10,379 | $6,767 | $166,428 |
| Other Expenses | $119,522 | $16,251 | $14,577 | $150,350 |
| Office Expenses | $101,027 | $18,993 | $9,956 | $129,976 |
| Fees for Service Investment Mgmnt Fees | $0 | $83,487 | $0 | $83,487 |
| Fees for Services Accounting | $0 | $52,905 | $0 | $52,905 |
| All Other Expenses | $0 | $34,140 | $0 | $34,140 |
| Total Functional Expenses | $36,793,392 | $6,893,524 | $4,176,240 | $47,863,156 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $48,265,711 |
| Total Expenses per Form 990 | $47,863,156 |
| Expenses per Audited Statements | $47,779,669 |
| Expenses Not Reported on Form 990 | $486,042 |
| Expenses Not Reported on Financial Statements | $83,487 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Womens Health and Family Planning Association of Texas | Austin, TX | 501(c)(3) | Contraceptive Coverage | $800,000 |
| AllianceChicago - Illinois Contraceptive Access Now | Chicago, IL | 501(c)(3) | Contraceptive Coverage | $203,500 |
| Massachusetts League of Community Health Centers Inc | Boston, MA | 501(c)(3) | Contraceptive Coverage | $150,000 |
| Washington Association for Community Health | Olympia, WA | 501(c)(3) | Reproductive Health Program Training | $100,188 |
| 504HealthNet Inc | Metairie, LA | 501(c)(3) | Reproductive Health Program Training | $100,000 |
| Caring for Colorado Centennial Fund | Denver, CO | 501(c)(3) | Reproductive Health Program Training | $75,000 |
| Unity Healthcare Inc | Washington, DC | 501(c)(3) | Reproductive Health Program Training | $75,000 |
| Charles River Community Health Inc | Brighton, MA | 501(c)(3) | Reproductive Health Program Training | $50,000 |
| Codman Square Health Center Inc | Dorchester, MA | 501(c)(3) | Reproductive Health Program Training | $50,000 |
| Community Health Center of Cape Cod | Mashpee, MA | 501(c)(3) | Reproductive Health Program Training | $50,000 |
| NorthShore Health Centers Inc | Portage, IN | 501(c)(3) | Reproductive Health Program Training | $41,000 |
| The Regents of the University of California dba UCSF | San Francisco, CA | 501(c)(3) | Reproductive Health Program Training | $40,000 |
| Clinica Colorado | Westminster, CO | 501(c)(3) | Reproductive Health Program Training | $37,500 |
| Jane Pauley Community Health Center Inc | Indianapolis, IN | 501(c)(3) | Reproductive Health Program Training | $37,500 |
| Asian American Health Coalition of the Greater Houston Area | Houston, TX | 501(c)(3) | Reproductive Health Program Training | $35,000 |
| Community Health of Central Washington | Yakima, WA | 501(c)(3) | Reproductive Health Program Training | $35,000 |
| Family Health Services Corporation | Twin Falls, ID | 501(c)(3) | Reproductive Health Program Training | $35,000 |
| Ibn Sina Foundation Inc | Houston, TX | 501(c)(3) | Reproductive Health Program Training | $35,000 |
| Seattle Children s Hospital | Seattle, WA | 501(c)(3) | Reproductive Health Program Training | $35,000 |
| The Community Clinic Inc | Silver Spring, MD | 501(c)(3) | Reproductive Health Program Training | $35,000 |
| Tyler Family Circle of Care | Tyler, TX | 501(c)(3) | Reproductive Health Program Training | $35,000 |
| Valley Wide Health Systems Inc | Alamosas, CO | 501(c)(3) | Reproductive Health Program Training | $35,000 |
| Colorado Coalition for the Homeless | Denver, CO | 501(c)(3) | Reproductive Health Program Training | $30,000 |
| Alliance Community Healthcare Inc | Jersey City, NJ | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| Boston Medical Center Corporation | Boston, MA | - | Contraceptive Coverage | $25,000 |
| Community Health Programs Inc | Great Barrington, MA | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| Doctors Care | Littleton, CO | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| DotHouse Health Inc | Dorchester, MA | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| Jefferson Community Health Care Centers Inc | Avondale, LA | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| Lowell Community Health Center | Lowell, MA | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| Mattapan Community Health Center Inc | Mattapan, MA | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| Pace Community Action Agency Inc | Vincennes, IN | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| Patient-Centered Primary Care Foundation | Washington, DC | - | Reproductive Health Program Training | $25,000 |
| South Boston Community Health Center | Boston, MA | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| Stanley Street Treatment and Resources Inc | Fall River, MA | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| United Health Centers of San Joaquin Valley | Fresno, CA | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| Your Health Clinic | Sherman, TX | 501(c)(3) | Reproductive Health Program Training | $25,000 |
| Finger Lakes Migrant Health Care Project Inc | Penn Yan, NY | - | Reproductive Health Program Training | $24,000 |
| The Wright Center Medical Group | Scranton, PA | 501(c)(3) | Reproductive Health Program Training | $23,000 |
| LifeSpring Inc | Jeffersonville, IN | 501(c)(3) | Reproductive Health Program Training | $22,500 |
| Lewis County Community Health Services | Chehalis, WA | 501(c)(3) | Reproductive Health Program Training | $22,000 |
| Start Corporation | Houma, LA | 501(c)(3) | Reproductive Health Program Training | $22,000 |
| Baton Rouge Primary Care Collarborative Inc | Baton Rouge, LA | 501(c)(3) | Reproductive Health Program Training | $20,000 |
| Kids First Health Care | Commerce City, CO | 501(c)(3) | Reproductive Health Program Training | $20,000 |
| Konza Prairie Community Health Center Inc | Junction City, KS | 501(c)(3) | Reproductive Health Program Training | $20,000 |
| Lone Star Community Health Center Inc | Conroe, TX | 501(c)(3) | Reproductive Health Program Training | $20,000 |
| The Rhode Island Public Health Foundation | Providence, RI | - | Reproductive Health Program Training | $20,000 |
| Triangle Area Network Inc | Beaumont, TX | 501(c)(3) | Reproductive Health Program Training | $20,000 |
| West Alabama Women s Center Inc | Tuscaloosa, AL | 501(c)(3) | Reproductive Health Program Training | $20,000 |
| LCH Health and Community Services | Kennett Square, PA | 501(c)(3) | Reproductive Health Program Training | $18,000 |
| Caldwell County | Lenoir, NC | 501(c)(3) | Reproductive Health Program Training | $16,000 |
| Appalachian Mountain Community Health Centers | Asheville, NC | 501(c)(3) | Reproductive Health Program Training | $15,000 |
| Care Ring Inc | Charlotte, NC | 501(c)(3) | Reproductive Health Program Training | $15,000 |
| Talbot County Health Department | Easton, MA | 501(c)(3) | Reproductive Health Program Training | $15,000 |
| Rockbrige Area Free Clinic | Lexington, VA | 501(c)(3) | Reproductive Health Program Training | $14,500 |
| Kinston Community Health Center Inc | Kinston, NC | 501(c)(3) | Reproductive Health Program Training | $13,075 |
| Adams County Colorado | Brighton, CO | 501(c)(3) | Reproductive Health Program Training | $13,000 |
| Gaston Family Health Services Inc | Gastonia, NC | 501(c)(3) | Reproductive Health Program Training | $13,000 |
| Arapahoe County Government | Littleton, CO | 501(c)(3) | Reproductive Health Program Training | $12,500 |
| La Clinica Tepeyac Inc | Denver, CO | 501(c)(3) | Reproductive Health Program Training | $12,500 |
| Samuel U Rodgers Health Center Inc | Kansas City, MO | 501(c)(3) | Reproductive Health Program Training | $12,500 |
| Outer Cape Health Services Inc | Boston, MA | 501(c)(3) | Reproductive Health Program Training | $12,000 |
| The Providence Community Health Centers Inc | Providence, RI | 501(c)(3) | Reproductive Health Program Training | $12,000 |
| Douglas County and Unincorporated Towns | Minden, NV | 501(c)(3) | Reproductive Health Program Training | $10,000 |
| Generations Family Health Center Inc | Willimatic, CT | 501(c)(3) | Reproductive Health Program Training | $10,000 |
| HealthFirst Family Care Center Inc | Fall River, MA | 501(c)(3) | Reproductive Health Program Training | $10,000 |
| HealthFirst Network Inc | Wausau, WI | 501(c)(3) | Reproductive Health Program Training | $10,000 |
| Hospital Service District 1A of the Parish of Richland State of LA | Delhi, LA | 501(c)(3) | Reproductive Health Program Training | $10,000 |
| Odyssey House Louisiana Inc | New Orleans, LA | 501(c)(3) | Reproductive Health Program Training | $10,000 |
| Peak Vista Community Health Centers | Colorado Springs, CO | 501(c)(3) | Reproductive Health Program Training | $10,000 |
| South Plains Public Health District | Brownfield, TX | 501(c)(3) | Reproductive Health Program Training | $10,000 |
| Berks Community Health Center | Reading, PA | 501(c)(3) | Reproductive Health Program Training | $8,000 |
| Hilltown Community Health Centers Inc | Worthington, MA | 501(c)(3) | Reproductive Health Program Training | $8,000 |
| Wood River Health Services Inc | Hope Valley, RI | 501(c)(3) | Reproductive Health Program Training | $8,000 |
| Baystate Medical Practices Inc | Springfield, MA | - | Reproductive Health Program Training | $7,375 |
| Comprehensive Community Action Inc | Cranston, RI | - | Reproductive Health Program Training | $6,000 |
| Creek Valley Health Clinic | Hildale, UT | - | Reproductive Health Program Training | $6,000 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $0 |
| Fundraising Gross Income | $0 |
| Gaming Direct Expenses | $0 |
| Gaming Gross Income | $0 |
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- Yes
- Subject to proxy tax
- No
Insider Transactions and Loans
Loans and Receivables
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Loans from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
| Receivables from Disqualified Persons | $0 | $0 | → $0 |
| Receivables from Officers, Directors, Trustees, and Key Employees | $0 | $0 | → $0 |
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Operating Lease Liability | $315,666 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- Yes
- Backup withholding compliance
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- No
- Management duties delegated
- No
Governance Explanations
Part VI, 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.”
Part VI, Line 12C
“The Board authorizes and oversees an annual review of the administration of Upstreams 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 Boards Governance and Nominating Committee.”
Part VI, Line 15
“The Compensation Committee of the Board of Directors none of whom have a conflict of interest is charged with overseeing Upstreams management compensation policies and practices including making recommendations to the independent members of the Board of Directors with respect to compensation of the CEO on an annual basis reviewing the compensation of the Organizations other officers managers and employees who have substantial influence over the affairs of the organization on an annual basis of which the CFO qualified under this category in the Committees most recent review. The 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 2024 for the CEO and CFO roles. The CEOs 360 performance evaluations and the comparability data are reviewed by the Committee before forming recommendations around changes in compensation to the Board of Directors. The Board of Directors reviews the Committees recommendation and votes on it. The CEO who is 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 2024 and again in 2025.”
Part VI, Line 19
“Upstreams governing documents conflict of interest policy and financial statements are available to the public upon request.”
Part VI Line 17
“| Explanation:| States with which a copy of this Form 990 is required to be filed: AK AL AR AZ CA CO CT DC FL GA HI IL KS KY MA MK ME MI MN MS NC ND NH NJ NM,NV NY OH OK OR PA RI SC TN UT VA WA WI WV.”
Filing and Contact Details
Filer
- Filer Name
- Upstream USA Inc
- EIN
- 35-2581424
- In Care Of
- % Mark Edwards
- Phone
- 7039674878
- Address
- 2 OLIVER ST SUITE 402, Boston, MA 02109
Signing Officer
- Name
- Jessica Greenfield
- Title
- Treasurer and CFO
- Signed
- 2025-06-23
Organization Details
- Principal Officer
- Mark Edwards
- Formed
- 2017
- Legal Domicile
- De
- Voting Board Members
- 12
- Independent Board Members
- 11
- Employees
- 207
- Volunteers
- 11
Supplemental Narrative
Additional Explanations
Part XII, Line 2C
“The process has not changed from the prior year.”
Financial Statement Notes
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 2024 and 2023.”
Part XI, line 4B
“This reconciling item is the rental expense included in Part VIII line 4b that is associated with the sublease of Upstream office space. Expenses include rent and the legal expenses for the sublease and commissions”
Part XII, line 2D
“This reconciling item is the rental expense included in Part VIII line 6b that is associated with the sublease of Upstream office space. Expenses include rent and the legal expenses for the sublease and commissions.”
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 96 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 1697229 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 1697403 |
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| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 34140 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 34140 |
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| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BackupWthldComplianceInd | 0 | true |
| IRS990/BenefitsToMembersGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/BenefitsToMembersGrp/TotalAmt | 0 | 0 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Sheri Wilson |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6176559864 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2 Oliver Street |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine2Txt | 0 | Suite 402 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Boston |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 02109 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | false |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 373502 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1317736 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompCurrentOfcrDirectorsGrp/FundraisingAmt | 0 | 686249 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 645535 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 346782 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 1678566 |
| IRS990/CompDisqualPersonsGrp/FundraisingAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 6767 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 10379 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 149282 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 166428 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 1395936 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 542017 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 417831 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 365944 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 308651 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 70 Blanchard Rd Suite 401 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1000 W Maude Avenue |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 111 N Canal Street |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 2000 E Martin Luther King Jr Blvd |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 565 East Technology Agenue |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine2Txt | 0 | Suite 1100 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | Burlington |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | Sunnyvale |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | Chicago |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | Austin |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | Orem |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | MA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | IL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | TX |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | UT |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 01803 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 94085 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 60606 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 78702 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 84097 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | Azara Healthcare LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | LinkedIn Corporation |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | Daniel J Edelman Inc dba Edelman |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | Effective Spend Media LLC dba Optimal Media LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | Perfect Search Corporation IMAT Solutions |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | Data Extraction/Analysis |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | Marketing/Paid Media |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | Marketing/PR Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | Creative Design Services |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | Data Extraction/Analysis |
| IRS990/ContriRptFundraisingEventAmt | 0 | 0 |
| IRS990/CostOfGoodsSoldAmt | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 29176478 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 3080638 |
| IRS990/CYInvestmentIncomeAmt | 0 | 9611750 |
| IRS990/CYOtherExpensesAmt | 0 | 11211071 |
| IRS990/CYOtherRevenueAmt | 0 | -85149 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -9160077 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 33571447 |
| IRS990/CYTotalExpensesAmt | 0 | 47863156 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 4176240 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 38703079 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | true |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 0 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/DepreciationDepletionGrp/FundraisingAmt | 0 | 19251 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 23545 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 142309 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 185105 |
| IRS990/Desc | 0 | Upstream is working to achieve impact at scale across the United States. In 2024 Upstream continued to expand nationally toward our goal to reach 5 million patients with the addition of 53 new partnerships serving 398,000 patients of reproductive age. As of the end of 2024 Upstream has established partnerships with healthcare organizations in 34 states and DC: Alabama Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Iowa Idaho Illinois Indiana Kansas Louisiana Massachusetts Maryland Michigan Missouri Mississippi North Carolina New Jersey New Mexico Nevada New York Ohio Oregon Pennsylvania Rhode Island South Dakota Texas Utah Virginia Washington and Wisconsin. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonatedServicesAndUseFcltsAmt | 0 | 0 |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 28909728 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 3606947 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 207 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 36793392 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FederatedCampaignsAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 52905 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 52905 |
| IRS990/FeesForServicesLegalGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 399894 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 21350 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 421244 |
| IRS990/FeesForServicesLobbyingGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesManagementGrp/TotalAmt | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 186570 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 259680 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 1626840 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 2073090 |
| IRS990/FeesForServicesProfFundraising/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesProfFundraising/TotalAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 83487 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 83487 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignGrantsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/ForeignGrantsGrp/TotalAmt | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282FiledCnt | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 24.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 32.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 12 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 48634 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 41404 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 33255 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 39523 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 15436 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 33341 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 18417 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 24052 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 37363 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 18497 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Mark Edwards |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Nicole Mckinney |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Jessica Greenfield |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Lisa Goldthwaite |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Elizabeth Kaltman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Sarah Pierson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Jessica Beaman |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Keshia Hughston |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Jessica Foster |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | John Ho |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | Anita Bekenstein |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | Sarah Brown |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | Keith Higgins |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | Mark Perry |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | Paul Gannon |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | Howard Stevenson |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | Lauren Schadt Baker |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | Thea James |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | Scott Ransom |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | Donella Rapier |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | Ann Starrs |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | Krishna White |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 494861 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 329966 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 327712 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 292332 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 274008 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 273864 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 266162 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 263546 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 224936 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 143238 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | Co-Founder |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Chief of Organizational Effectiveness and Culture |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | CFO and Treasurer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Clinical Advisor |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Lead Clinical Advisor |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Chief Dev and External Affairs Officer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Lead Clinical Trainer |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VP People and Culture |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | President from 12-05-2024 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Assistant Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Chair to 12-05-2024 and Comp Comm Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Vice-Chair to 12-05-24 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | Secretary and Nominating Gov Comm Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Chair from 12-05-24 and Prog Comm Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Finance Committee Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Audit Committee Chair |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | Board Member |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | Board Member |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2017 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | true |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/FundraisingAmt | 0 | 0 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 12763 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GamingDirectExpensesAmt | 0 | 0 |
| IRS990/GamingGrossIncomeAmt | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GovernmentGrantsAmt | 0 | 481566 |
| IRS990/GrantAmt | 0 | 3080638 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 0 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 0 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 3080638 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 3080638 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | true |
| IRS990/GrantToRelatedPersonInd | 0 | false |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 12763 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 39186516 |
| IRS990/GrossRentsGrp/PersonalAmt | 0 | 0 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 398288 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 0 |
| IRS990/GroupReturnForAffiliatesInd | 0 | false |
| IRS990/IncludeFIN48FootnoteInd | 0 | true |
| IRS990/IncmFromInvestBondProceedsGrp/ExclusionAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/RelatedOrExemptFuncIncomeAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/IncmFromInvestBondProceedsGrp/UnrelatedBusinessRevenueAmt | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | true |
| IRS990/IndependentVotingMemberCnt | 0 | 11 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 135 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/FundraisingAmt | 0 | 94910 |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 316075 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 1642711 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 2053696 |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 2726 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 163646 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 24627 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 190999 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 0 |
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