Upstream USA works to expand opportunity by reducing unplanned pregnancy across the U.S. We work in partnership with health centers to strengthen reproductive care and autonomy by increasing equitable access to the full range of contraceptive options. Founded in 2014, Upstream is on track to achieve nationwide impact at scale. Our goal through 2024 is to partner with health centers that serve over 1 million women across four states. This ambitious plan for growth has received generous support from philanthropic individuals and foundations, including a $60 million lead investment by Blue Meridian Partners. Our unique approach has been featured in The New York Times, Washington Post, the Atlantic, CNN, Vox, and Marie Claire. Following our first statewide intervention in Delaware, a leading national research center estimates a 24% decrease in unplanned pregnancies among Title X patients between 2014 and 2017. Patient surveys conducted at our partner healthcare centers affirm that Upstream-trained providers are empowering patients to make their own decisions about their contraceptive care.