We underwrite and support the delivery of value-based care for older patients and people living with chronic conditions. By working in partnership with healthcare practices and clinics we offer a comprehensive risk-free solution for physicians that finances, delivers and sustains better outcomes for everyone.

UpStream is the fastest-growing primary healthcare solution provider in the country.

our beliefs

Our ambition is guided by our three core beliefs: Independence, Inclusion and Innovation.


We believe that good health is a state of independence, where each person has the capacity to live a long, happy and active life on their own terms.


We believe that everyone should enjoy the services and benefits that we offer and we work relentlessly to remove barriers such as cost or location.


We believe that there are new and better ways to deliver effective, efficient and sustainable services that support long, happy and independent lives.

Our Transformative Leadership Team

Our Senior Executive Team

Sanjay Doddamani

Chief Executive Officer

Steve Neorr

Chief Operating Officer

David Grapey

Chief Medical Officer

Valinda Rutledge

Chief Corporate Affairs Officer

Steve Abramson

SVP, Chief Market & Payor Relations Officer

Will Chang

Chief Legal Officer and Corporate Secretary

Laurie Borgerding Johnson

Chief Compliance Officer

Thomas Tran

Chief Financial Officer

Jane Price

Chief People Officer

Angelo Sinopoli

Chief Network Officer

Danielle Phelps Swartz

SVP of Care Management

Nathan Hemberg

Chief Practice Officer

John Supra

Chief Data Science & Analytics Officer

Lucas Sahm

Chief Information Officer

Mark Reardon

Chief Quality Officer

Our Board

Fergus Hoban


Nick Loporcaro

Board Chair

Sanjay Doddamani

Chief Executive Officer

Valinda Rutledge

Chief Corporate Affairs Officer

Thomas Tran

Chief Financial Officer

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