Updated June 2026
Efficiency GradeGrade A, Top Tier on the Efficiency Score
133 nonprofits earn an Efficiency Score grade of A on NonprofitTruth, with combined revenue of $405.8B. Nonprofits scoring 80–100 on the NonprofitTruth Efficiency Score. Form 990 filings show healthy operating reserves, consistent multi-year revenue growth, and current-officer 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 133 organizations that earn an A combine healthy operating reserves with consistent multi-year revenue growth and current-officer 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 financial reserves, revenue-growth consistency, and officer-comp ratio drawn from the 990, not the social impact of the work.
The 133 grade A nonprofits in this view together report $405.8B in combined annual revenue on their most recent IRS Form 990 filings. Median revenue is $2.1B, and the simple average is $3.1B — 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 133 grade A nonprofits we track, 133 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 financial reserves, revenue-growth consistency, and officer-comp ratio drawn from each organization's most recent Form 990.
Across the grade A nonprofits where Schedule J compensation is reported, the average top executive received $9.0M in total compensation in the most recent filing year. The 990's Part VII and Schedule J break out base pay, bonuses, deferred compensation, retirement plan contributions, and non-taxable benefits separately.
Kaiser Foundation Health Plan Inc
Mass General Brigham Incorporated And Affiliates Group Rtn
New York University
The New York And Presbyterian Hospital
Northwestern Memorial Healthcare
Nyu Langone Hospitals
Memorial Hermann Health System
Hackensack Meridian Health Inc
Rwj Barnabas Health Inc
Vanderbilt University Medical Center
Northside Hospital Inc
Bjc Health System
Adventist Health System Sunbelt Inc
Ucare Minnesota
University Of Miami
Kaiser Foundation Health Plan Of The Mid Atlantic States Inc
Inova Health Care Services
Providence Health & Services Oregon
University Hospitals Health System Inc
Sentara Health Plans
Metroplus Health Plan Inc
Ochsner Clinic Foundation
Sutter Valley Hospitals
Mercy Health
Multicare Health System
Henry Ford Health System
Orlando Health Inc
Yale New Haven Hospital
Icahn School Of Medicine At Mount Sinai
Long Island Jewish Medical Center
Scripps Health
Sentara Hospitals
Mount Sinai Hospital
Texas Childrens Hospital
Umass Memorial Health Care Inc
North Shore University Hospital
A Mainehealth Hcsr
The Childrens Hospital Of Philadelphia
Dana Farber Cancer Institute
Lehigh Valley Hospital
Texas Childrens Health Plan Inc
Swedish Health Services
Norton Hospitals Inc
Honorhealth
University Of Chicago Medical Center
Beth Israel Deaconess Medical Center Inc
Miltons S Hershey Medical Center
Hartford Hospital
Lucile Salter Packard Childrens Hospital At Stanford
Commonwealth Care Alliance Inc
Thomas Jefferson University Hospital
City Of Hope National Medical Center
Fresno Community Hospital And Medical Center
Careoregon Inc
Froedtert Memorial Lutheran Hospital Inc
Kaiser Foundation Health Plan Of Georgia Inc
Boston Medical Center Corporation
Florida Health Sciences Center Inc
Fred Hutchinson Cancer Center
Shands Teaching Hospital And Clinics Inc
Southern Baptist Hospital Of Florida Inc
Community Health Network Inc
West Virginia University Hospitals Inc
University Of Vermont Medical Center Inc
The Nebraska Medical Center
Wakemed
Temple University Hospital Inc
Cooper Health System A New Jersey Non Profit Corporation
H Lee Moffitt Cancer Center And Research Institute Hospital Inc
Mary Hitchcock Memorial Hospital
Lenox Hill Hospital
Keck Medical Center Of Usc
Parkview Hospital Inc
Cook Childrens Medical Center
Childrens Hospital Colorado
Hoag Memorial Hospital Presbyterian
Kennestone Hospital Inc
Southern New Hampshire University
Idea Public Schools
Nova Southeastern University Inc
Harmony Public Schools
Kipp Texas Inc
Somerset Academy Inc
University Of New Haven
Uplift Education
Crystal Stairs Inc
Merrimack College
The Health Science Center At
Yes Prep Public Schools Inc
Edward Via Virginia College Of Osteopathic Medicine
Delaware State University
Noble Network Of Charter Schools
Lincoln Memorial University
Kipp Socal Public Schools
Trine University Inc
Rutgers University Foundation
Yeled V Yalda Early Childhood Center Inc
Jacksonville University
Point Loma Nazarene University
Rocketship Education
Best Friends Animal Society
Basis Charter Schools Inc
T H I N K Together
Gannon University
Foundation For California Community Colleges
Team Academy Charter School Inc
Kipp Nyc Public Charter Schools Ii
Friendship Public Charter School
Dallas Baptist University
Bellevue University
Highlands Adult & Community Charter School
Pinecrest Academy Inc
Campbellsville University Inc
National Louis University
Internews Network
Great Hearts America Texas
Social And Environmental Entrepreneurs Inc
Multiplier
San Diego Humane Society And S P C A
Wildlife Conservation Network Inc
National Trust For Local News
Great Basin Institute
Partnership Project Inc
American Conservation
Open Technology Fund
International Sustainable Energy Foundation
The Wild Animal Sanctuary A Colorado Non Profit Corporation
Health Education Learning Project H E L P
California Waterfowl Association
Clasp
Neighborhood Recycling Corporation
National Association Of Conservation Districts Inc
Lifeline Animal Project Inc
How to Read a Grade A Result
The grade is a starting point. For any organization in the list above, the three factors that compose the score — financial health / operating reserves, revenue-growth consistency, and current-officer-comp ratio — are reported separately on the profile page. Reading those three 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 three signals the IRS Form 990 feed actually reports: financial health and months of operating reserves on the balance sheet (40% of the score), revenue-growth consistency over multiple years (35%), and current-officer compensation as a share of revenue (25%). It does not include a program-spending ratio — total program service expenses are not exposed by the ProPublica Nonprofit Explorer feed, and we do not estimate that figure. 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 healthy operating reserves, consistent multi-year revenue growth, and current-officer compensation in proportion to revenue.
How is the grade calculated?
The Efficiency Score is a 0–100 composite of three Form 990 signals: financial health / months of operating reserves on the balance sheet (40% weight), revenue-growth consistency over multiple years (35%), and current-officer compensation as a share of revenue (25%). It does not include a program-spending ratio, which our data source does not provide. 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 the level of unrestricted reserves on the balance sheet, the steadiness of multi-year revenue, the timing of capital expenditures, or one-time deferred-compensation events. Reading the three-factor breakdown on each organization’s profile page — financial health / operating reserves, revenue-growth consistency, and officer-comp ratio — 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.
133 nonprofits earn an Efficiency Score grade of A on NonprofitTruth, with combined revenue of $405.8B. Nonprofits scoring 80–100 on the NonprofitTruth Efficiency Score. Form 990 filings show healthy operating reserves, consistent multi-year revenue growth, and current-officer compensation in proportion to revenue.