Updated April 2026
Efficiency GradeGrade A, Top Tier on the Efficiency Score
347 nonprofits earn an Efficiency Score grade of A on NonprofitTruth, with combined revenue of $580.3B. Nonprofits scoring 80–100 on the NonprofitTruth Efficiency Score. Form 990 filings show high program-spending ratios, healthy reserves, consistent revenue growth, and CEO compensation in proportion to revenue.
What a Grade A Looks Like
An A grade — Efficiency Score 80 or higher — is the top tier of the distribution. The 347 organizations that earn an A combine high program-spending ratios with healthy reserves, consistent multi-year revenue growth, and CEO compensation that scales reasonably with revenue. Many are mature mid-sized to large nonprofits with audited financials and stable programs.
Grade A groups every organization whose Efficiency Score lands in this band. The grade is descriptive — it summarizes the combination of program ratio, reserves, growth consistency, and CEO-comp ratio drawn from the 990, not the social impact of the work.
The 347 grade A nonprofits in this view together report $580.3B in combined annual revenue on their most recent IRS Form 990 filings. Median revenue is $283.3M, and the simple average is $1.7B — a gap that reflects the long-tail distribution typical of the nonprofit sector, where a handful of large organizations account for most aggregate dollars.
Across the 347 grade A nonprofits we track, 347 earn an A and 0 earn a B on the Efficiency Score (combined 100% in the top two tiers, with A-grade organizations alone at 100%). Another 0 land at C, 0 at D, and 0 at F — a combined 0% in the bottom two tiers based on program ratio, reserves, growth consistency, and CEO-comp ratio drawn from each organization's most recent Form 990.
Executive compensation detail is reported on Schedule J of the Form 990 and is not always present for every organization in this list — particularly the smaller filers using Form 990-EZ.
Mass General Brigham Incorporated And Affiliates Group Rtn
Cleveland Clinic Foundation
Mayo Clinic Group Return
New York University
Corewell Health
The New York And Presbyterian Hospital
Ihc Health Services Inc
Banner Health
Northwestern Memorial Healthcare
Nyu Langone Hospitals
Bon Secours Mercy Health Inc
Memorial Hermann Health System
Hackensack Meridian Health Inc
Memorial Sloan Kettering Cancer Center
Rwj Barnabas Health Inc
Stanford Health Care 227
Vanderbilt University Medical Center
Advocate Health And Hospitals Corporation
Northside Hospital Inc
Bjc Health System
Adventist Health System Sunbelt Inc
University Of Miami
Kaiser Foundation Health Plan Of The Mid Atlantic States Inc
Indiana University Health Inc
Inova Health Care Services
Providence Health & Services Oregon
University Of Rochester
Allina Health System
University Hospitals Health System Inc
Sutter Bay Hospitals
Ochsner Clinic Foundation
Montefiore Medical Center
Fairview Health Services
Duke University Health System Inc
Sutter Valley Hospitals
Mercy Health
Ohiohealth Corporation Grant Riverside Doctors Dublin Met
Multicare Health System
Henry Ford Health System
Kaiser Foundation Health Plan Of Colorado
Orlando Health Inc
Kaiser Foundation Health Plan Of Washington
Yale New Haven Hospital
Icahn School Of Medicine At Mount Sinai
Long Island Jewish Medical Center
Scripps Health
Novant Health Inc
Sentara Hospitals
Mount Sinai Hospital
California Institute Of Technology
Commonspirit Health
Texas Childrens Hospital
Umass Memorial Health Care Inc
North Shore University Hospital
Baptist Healthcare System Inc
A Mainehealth Hcsr
Dignity Community Care
Franciscan Alliance Inc
Sutter Bay Medical Foundation
Emory
The Childrens Hospital Of Philadelphia
Osf Healthcare System
Dana Farber Cancer Institute
Peacehealth
Lehigh Valley Hospital
The Johns Hopkins Hospital
Trinity Health Michigan
Swedish Health Services
Norton Hospitals Inc
Honorhealth
Corewell Health
University Of Chicago Medical Center
Prisma Health Upstate
Memorial Health Services Group Return
Christiana Care Health Services Inc
Beth Israel Deaconess Medical Center Inc
Rush University Medical Center
Miltons S Hershey Medical Center
Catholic Health Initiatives Colorado
Northeastern University
Hartford Hospital
Lucile Salter Packard Childrens Hospital At Stanford
Baylor College Of Medicine
Thomas Jefferson University Hospital
City Of Hope National Medical Center
Fresno Community Hospital And Medical Center
Careoregon Inc
Froedtert Memorial Lutheran Hospital Inc
St Lukes Regional Medical Center
Presbyterian Healthcare Services
Boston Medical Center Corporation
Florida Health Sciences Center Inc
Fred Hutchinson Cancer Center
Shands Teaching Hospital And Clinics Inc
Baptist Hospital Of Miami Inc
Uc Healthcare System
University Of Maryland Medical System Corporation
Southern Baptist Hospital Of Florida Inc
Community Health Network Inc
Ssm Health Care St Louis
West Virginia University Hospitals Inc
University Of Vermont Medical Center Inc
The Nemours Foundation
The Nebraska Medical Center
Wakemed
Childrens Mercy Hospital
Cooper Health System A New Jersey Non Profit Corporation
Northeast Georgia Medical Center Inc
Mayo Clinic
Rhode Island Hospital
Mary Hitchcock Memorial Hospital
Presbyterian Hospital
Lenox Hill Hospital
Keck Medical Center Of Usc
Parkview Hospital Inc
Cook Childrens Medical Center
St Elizabeth Medical Center Inc
Methodist Hospitals Of Dallas
Bon Secours Richmond Health System
Childrens Hospital Colorado
Ohiohealth Corporation
Geisinger Medical Center
Kennestone Hospital Inc
John Muir Health
Pitt County Memorial Hospital Inc
Grand Canyon University
The Administrators Of The Tulane Educational Fund
Southern New Hampshire University
Ohio State University Physicians Inc
Fordham University
Idea Public Schools
Nova Southeastern University Inc
University Of Dayton
Depaul University
Embry Riddle Aeronautical
Pace University
Western Governors University
Hofstra University
University Of Louisville Research Foundation Inc
Everglades College Inc
Open University
Universite De Sherbrooke
University Of San Francisco
Harmony Public Schools
Public Broadcasting Service
The Trustees Of The Stevens Institute Of Technology
Kipp Texas Inc
University Of Kentucky Research Foundation
California Baptist University
The Corporation Of Mercer University
Commonwealth Charter Academy Charter School
Success Academy Charter Schools Nyc
Albert Einstein College Of Medicine
Renaissance Charter School Inc
American Society For The Prevention Of Cruelty To Animals
Stephen Siller Tunnel To Towers Foundation
Somerset Academy Inc
University Medical Service Association Inc
Touro University
Illinois Institute Of Technology
New York Institute Of Technology
University Of New Haven
Xavier University
Aspire Public Schools
Harvard Business School Publishing Corporation
Adelphi University
Uplift Education
Metropolitan Opera Association Inc
National Public Radio Inc
Azusa Pacific University
Trust For Public Land
Merrimack College
Brock University
Alliance College Ready Public Schools
Association Of American Medical Colleges
The Health Science Center At
Responsive Ed Texas
Monmouth University Inc
University Of The Incarnate Word
University Of Hartford
South University Member Inc
Morehouse School Of Medicine Inc
Bryant & Stratton Inc
Yes Prep Public Schools Inc
Drake University
University Of Scranton
Edward Via Virginia College Of Osteopathic Medicine
Delaware State University
Widener University
Noble Network Of Charter Schools
Intermediaryed
Scholarship America Inc
Gallaudet University
Columbia College Chicago
Iso New England Inc
Roger Williams University
Mater Academy Inc
Manhattan University
Lincoln Memorial University
Energy Trust Of Oregon Inc
Florida Institute Of Technology Inc
Pennsylvania Cyber Charter School
Green Dot Public Schools
Kipp Socal Public Schools
Kipp Dc Public Charter Schools
San Diego State University Foundation
Windward Fund
Trine University Inc
Siena University
Rutgers University Foundation
The Cedarville University
Sistema Universitario Ana G Mendez Incorporado
Yeled V Yalda Early Childhood Center Inc
Wentworth Institute Of Technology
University Of Indianapolis
Jacksonville University
Lewis University
Donorschoose Org
Oral Roberts University
Wikimedia Foundation Org
Pacific University
University Of Ontario Institute Of Technology
Point Loma Nazarene University
West Virginia University Research Corporation
University Of Detroit Mercy
Marian University
Rocketship Education
Best Friends Animal Society
Philadelphia College Of Osteopathic Medicine
Aurora University
Basis Charter Schools Inc
Herzing University Ltd
Milwaukee School Of Engineering
Rfe Rl Inc
Western New England University
Wingate University
St Marys College Of California
Concordia University Inc
Gannon University
Florida Southern College
Queens Borough Public Library
Philadelphia University
Brooklyn Public Library
Uncommon New York City Charter Schools
Regis University
Molloy University
Pacific Lutheran University Inc
Stevenson University Inc
Foundation For California Community Colleges
Team Academy Charter School Inc
Niagara University
Arcadia University
Springfield College
Maryville University Of St Louis
George Fox University
Shenandoah University
Baldwin Wallace University
Friendship Public Charter School
University Of Findlay
Lynn University Inc
Dallas Baptist University
Bellevue University
Art Center College Of Design
Friends Of United Hatzalah Inc
Colorado Christian University
Messiah University
Eckerd College
Greater Washington Educational Telecommunications Association Inc
Highlands Adult & Community Charter School
Pinecrest Academy Inc
Georgia State University Research Foundation Inc
Bellarmine University
Campbellsville University Inc
Kipp Bay Area Schools
Anderson University
Desales University
National Louis University
Hawaii Pacific University
Massachusetts Society For The Prevention Of Cruelty To Animals
National Wildlife Federation
Florida Charter Educational Foundation Inc
National Arbor Day Foundation
Urban Land Institute
Social And Environmental Entrepreneurs Inc
Great Lakes Fishery Commission
Alliance To End Plastic Waste Inc
Paintcare Inc
Manhattan School Of Music
Multiplier
Academy Of Mathematics & Science South Inc
Wolf Trap Foundation For The Performing Arts
People For The Ethical Treatment Of Animals Inc
San Diego Humane Society And S P C A
Woodland Park Zoological Society
Petsmart Charities Inc
Polynesian Cultural Center
Ressler Gertz Foundation
Pro Publica Inc
Detroit Zoological Society
Fort Worth Zoological Association Inc
Kaizen Educational Foundation
Wildlife Conservation Network Inc
National Inventors Hall Of Fame Inc
Ocean Conservancy Inc
Oceana Inc
National Trust For Local News
North Shore Animal League America Inc
Mann Center For The Performing Arts
Partnership Project Inc
Florida Aquarium Inc
Open Technology Fund
The Recycling Partnership Inc
International Sustainable Energy Foundation
Defenders Of Wildlife
Elemental Excelerator Inc
International Fund For Animal Welfare Inc
Earth Island Institute Inc
Center For Biological Diversity Inc
The Wild Animal Sanctuary A Colorado Non Profit Corporation
African Wildlife Foundation
Health Education Learning Project H E L P
Marine Stewardship Council
Product Care Association
National Football Museum Inc
Tennessee Performing Arts Center Management Corporation
Overture Center Foundation Inc
Michigan Humane Society
Austin Theatre Alliance
Jane Goodall Institute For Wildlife Research Education & Conservation
California Waterfowl Association
Water Environment Federation
Wvc
Clasp
Nia Tero Foundation
American Humane Association
American Forests
Commemorative Air Force
Highlander Research & Education Center Inc
Neighborhood Recycling Corporation
Bonneville Environmental Foundation
Jazz At Aspen Snowmass
Point Reyes Bird Observatory
Western Reserve Land Conservancy
New England Interstate Water Pollution Control Commission
Conservation Law Foundation Inc
Ubongo International
Earthshare
How to Read a Grade A Result
The grade is a starting point. For any organization in the list above, the four factors that compose the score — program ratio, revenue-growth consistency, reserves, and CEO-comp ratio — are reported separately on the profile page. Reading those four numbers tells you which dimension drove the grade, which is usually more useful than the headline letter on its own.
The NonprofitTruth Efficiency Score is a 0–100 composite that summarizes four signals from the Form 990: program-spending ratio (50% of the score), revenue-growth consistency over multiple years (20%), months of fund reserves on the balance sheet (20%), and CEO compensation as a share of revenue (10%). The grade A–F mapping is purely descriptive — it summarizes the financial structure that the 990 reveals, not the social impact, program quality, or outcomes of the work the organization does. Donors evaluating impact should pair these financial signals with program-level evaluations from sources like Charity Navigator, GiveWell, or the organization's own audited reports.
Top-tier scores often correlate with mature operations and stable programs. They do not guarantee impact — that is a separate question that program evaluators address better than the 990 alone.
Source Data and Verification
All financials on this page come from each organization's IRS Form 990 — the federal information return that 501(c)(3) public charities, private foundations, and most other tax-exempt organizations must file annually. The Form 990 is a public document. We ingest it primarily through the ProPublica Nonprofit Explorer feed, which mirrors the IRS Tax-Exempt Organization Search dataset. Original e-file XML and PDF copies of any return can be looked up directly at the IRS, ProPublica, or the Candid (formerly GuideStar) directory.
Each organization in this grade band has its underlying Form 990 available free of charge from the IRS Tax Exempt Organization Search, the ProPublica Nonprofit Explorer, or the Candid (GuideStar) directory.
Frequently Asked Questions
What does a grade of A mean?
Nonprofits scoring 80–100 on the NonprofitTruth Efficiency Score. Form 990 filings show high program-spending ratios, healthy reserves, consistent revenue growth, and CEO compensation in proportion to revenue.
How is the grade calculated?
The Efficiency Score is a 0–100 composite of four Form 990 signals: program-spending ratio (50% weight), revenue-growth consistency over multiple years (20%), months of fund reserves on the balance sheet (20%), and CEO compensation as a share of revenue (10%). The 0–100 score maps to a letter grade — A for 80+, B for 65–79, C for 50–64, D for 35–49, F under 35.
Does grade A mean a charity is great?
No — the grade is descriptive of financial structure on the IRS Form 990, not of program impact. A grade A organization may run highly effective programs that this score cannot measure, or may have a structural reason for its score (capital campaign, young reserves, sector classification) that does not reflect performance. Always pair the grade with program-level evidence from sources like Charity Navigator program reviews, GiveWell impact evaluations, or the organization’s own annual report.
Why might similar nonprofits have different grades?
Two same-category, same-revenue-tier organizations can land at different grades because of differences in program-vs-overhead classification on Form 990 Part IX, the timing of capital expenditures, the level of unrestricted reserves on the balance sheet, or one-time deferred-compensation events. Reading the four-factor breakdown on each organization’s profile page shows which dimension is driving the grade.
Where can I see the original Form 990?
Click any organization on this page to open its profile. The profile cites the source filing year and links to the original return on the IRS Tax Exempt Organization Search and the ProPublica Nonprofit Explorer.
347 nonprofits earn an Efficiency Score grade of A on NonprofitTruth, with combined revenue of $580.3B. Nonprofits scoring 80–100 on the NonprofitTruth Efficiency Score. Form 990 filings show high program-spending ratios, healthy reserves, consistent revenue growth, and CEO compensation in proportion to revenue.