Upstream USA is a national nonprofit organization dedicated to ensuring equitable, patient-centered contraceptive care is accessible to all individuals as an integral aspect of basic healthcare. The organization aims to transform contraceptive services across the United States by partnering with healthcare organizations, offering training, education, and technical assistance at no cost. Upstream envisions a future where all patients receive unbiased, trauma-informed contraceptive counseling tailored to their needs and are empowered to select the contraceptive methods that work best for them. With a commitment to reach five million patients by 2030, Upstream is funded primarily through philanthropic contributions and operates without ties to pharmaceutical companies. The organization fosters an inclusive culture, focusing on equity, diversity, and inclusion in its workforce and programs, ensuring that all voices are respected and celebrated.