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NonprofitTruth

Updated June 2026

Efficiency Grade

Grade 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.

Reviewed by NonprofitTruth Editorial Team · Updated
133
Nonprofits
$405.8B
Combined Revenue
64/100
Site Average

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

HealthCalifornia
$75.1B
A

Mass General Brigham Incorporated And Affiliates Group Rtn

HealthMassachusetts
$22.7B
A

New York University

EducationNew York
$10.5B
A

The New York And Presbyterian Hospital

HealthNew York
$10.3B
A

Northwestern Memorial Healthcare

HealthIllinois
$9.1B
A

Nyu Langone Hospitals

HealthNew York
$8.9B
A

Memorial Hermann Health System

HealthTexas
$7.6B
A

Hackensack Meridian Health Inc

HealthNew Jersey
$7.5B
A

Rwj Barnabas Health Inc

HealthNew Jersey
$7.1B
A

Vanderbilt University Medical Center

HealthTennessee
$6.9B
A

Northside Hospital Inc

HealthGeorgia
$6.8B
A

Bjc Health System

HealthMissouri
$6.7B
A

Adventist Health System Sunbelt Inc

HealthFlorida
$6.3B
A

Ucare Minnesota

HealthMinnesota
$6.2B
A

University Of Miami

EducationFlorida
$5.9B
A

Kaiser Foundation Health Plan Of The Mid Atlantic States Inc

HealthMaryland
$5.9B
A

Inova Health Care Services

HealthVirginia
$5.7B
A

Providence Health & Services Oregon

HealthWashington
$5.5B
A

University Hospitals Health System Inc

HealthOhio
$5.3B
A

Sentara Health Plans

HealthVirginia
$5.2B
A

Metroplus Health Plan Inc

HealthNew York
$5.2B
A

Ochsner Clinic Foundation

HealthLouisiana
$5.1B
A

Sutter Valley Hospitals

HealthCalifornia
$4.7B
A

Mercy Health

HealthOhio
$4.6B
A

Multicare Health System

HealthWashington
$4.5B
A

Henry Ford Health System

HealthMichigan
$4.5B
A

Orlando Health Inc

HealthFlorida
$4.2B
A

Yale New Haven Hospital

HealthConnecticut
$4.2B
A

Icahn School Of Medicine At Mount Sinai

EducationNew York
$4.2B
A

Long Island Jewish Medical Center

HealthNew York
$4.1B
A

Scripps Health

HealthCalifornia
$4.1B
A

Sentara Hospitals

HealthVirginia
$4.0B
A

Mount Sinai Hospital

HealthNew York
$3.9B
A

Texas Childrens Hospital

HealthTexas
$3.8B
A

Umass Memorial Health Care Inc

HealthMassachusetts
$3.7B
A

North Shore University Hospital

HealthNew York
$3.7B
A

A Mainehealth Hcsr

HealthMaine
$3.7B
A

The Childrens Hospital Of Philadelphia

HealthPennsylvania
$3.4B
A

Dana Farber Cancer Institute

Medical ResearchMassachusetts
$3.4B
A

Lehigh Valley Hospital

HealthPennsylvania
$3.2B
A

Texas Childrens Health Plan Inc

HealthTexas
$3.1B
A

Swedish Health Services

HealthWashington
$3.0B
A

Norton Hospitals Inc

HealthKentucky
$3.0B
A

Honorhealth

HealthArizona
$2.9B
A

University Of Chicago Medical Center

HealthIllinois
$2.9B
A

Beth Israel Deaconess Medical Center Inc

HealthMassachusetts
$2.7B
A

Miltons S Hershey Medical Center

HealthPennsylvania
$2.6B
A

Hartford Hospital

HealthConnecticut
$2.6B
A

Lucile Salter Packard Childrens Hospital At Stanford

HealthCalifornia
$2.6B
A

Commonwealth Care Alliance Inc

HealthMassachusetts
$2.6B
A

Thomas Jefferson University Hospital

HealthPennsylvania
$2.6B
A

City Of Hope National Medical Center

HealthCalifornia
$2.5B
A

Fresno Community Hospital And Medical Center

HealthCalifornia
$2.5B
A

Careoregon Inc

HealthOregon
$2.5B
A

Froedtert Memorial Lutheran Hospital Inc

HealthWisconsin
$2.5B
A

Kaiser Foundation Health Plan Of Georgia Inc

HealthGeorgia
$2.4B
A

Boston Medical Center Corporation

HealthMassachusetts
$2.4B
A

Florida Health Sciences Center Inc

HealthFlorida
$2.4B
A

Fred Hutchinson Cancer Center

HealthWashington
$2.3B
A

Shands Teaching Hospital And Clinics Inc

HealthFlorida
$2.3B
A

Southern Baptist Hospital Of Florida Inc

HealthFlorida
$2.2B
A

Community Health Network Inc

HealthIndiana
$2.2B
A

West Virginia University Hospitals Inc

HealthWest Virginia
$2.1B
A

University Of Vermont Medical Center Inc

HealthVermont
$2.1B
A

The Nebraska Medical Center

HealthNebraska
$2.1B
A

Wakemed

HealthNorth Carolina
$2.1B
A

Temple University Hospital Inc

HealthPennsylvania
$2.1B
A

Cooper Health System A New Jersey Non Profit Corporation

HealthNew Jersey
$2.0B
A

H Lee Moffitt Cancer Center And Research Institute Hospital Inc

HealthFlorida
$2.0B
A

Mary Hitchcock Memorial Hospital

HealthNew Hampshire
$2.0B
A

Lenox Hill Hospital

HealthNew York
$2.0B
A

Keck Medical Center Of Usc

HealthCalifornia
$1.9B
A

Parkview Hospital Inc

HealthIndiana
$1.9B
A

Cook Childrens Medical Center

HealthTexas
$1.9B
A

Childrens Hospital Colorado

HealthColorado
$1.9B
A

Hoag Memorial Hospital Presbyterian

HealthCalifornia
$1.8B
A

Kennestone Hospital Inc

HealthGeorgia
$1.8B
A

Southern New Hampshire University

EducationNew Hampshire
$1.4B
A

Idea Public Schools

EducationTexas
$1.0B
A

Nova Southeastern University Inc

EducationFlorida
$937.8M
A

Harmony Public Schools

EducationTexas
$548.9M
A

Kipp Texas Inc

EducationTexas
$484.5M
A

Somerset Academy Inc

EducationTexas
$372.1M
A

University Of New Haven

EducationConnecticut
$344.7M
A

Uplift Education

EducationTexas
$304.7M
A

Crystal Stairs Inc

Arts, Culture & HumanitiesCalifornia
$297.8M
A

Merrimack College

EducationMassachusetts
$291.2M
A

The Health Science Center At

EducationNew York
$280.6M
A

Yes Prep Public Schools Inc

EducationTexas
$263.0M
A

Edward Via Virginia College Of Osteopathic Medicine

EducationVirginia
$254.8M
A

Delaware State University

EducationDelaware
$250.4M
A

Noble Network Of Charter Schools

EducationIllinois
$240.9M
A

Lincoln Memorial University

EducationTennessee
$225.1M
A

Kipp Socal Public Schools

EducationCalifornia
$213.6M
A

Trine University Inc

EducationIndiana
$211.6M
A

Rutgers University Foundation

EducationNew Jersey
$208.6M
A

Yeled V Yalda Early Childhood Center Inc

EducationNew York
$202.7M
A

Jacksonville University

EducationFlorida
$190.9M
A

Point Loma Nazarene University

EducationCalifornia
$178.0M
A

Rocketship Education

EducationCalifornia
$173.9M
A

Best Friends Animal Society

Environment & AnimalsUtah
$173.5M
A

Basis Charter Schools Inc

EducationArizona
$171.6M
A

T H I N K Together

EducationCalifornia
$168.1M
A

Gannon University

EducationPennsylvania
$166.0M
A

Foundation For California Community Colleges

EducationCalifornia
$157.7M
A

Team Academy Charter School Inc

EducationNew Jersey
$156.9M
A

Kipp Nyc Public Charter Schools Ii

EducationNew York
$149.0M
A

Friendship Public Charter School

EducationDistrict of Columbia
$146.9M
A

Dallas Baptist University

EducationTexas
$145.7M
A

Bellevue University

EducationNebraska
$145.5M
A

Highlands Adult & Community Charter School

EducationCalifornia
$137.4M
A

Pinecrest Academy Inc

EducationFlorida
$137.1M
A

Campbellsville University Inc

EducationKentucky
$133.1M
A

National Louis University

EducationIllinois
$126.8M
A

Internews Network

Arts, Culture & HumanitiesCalifornia
$123.9M
A

Great Hearts America Texas

Environment & AnimalsTexas
$110.8M
A

Social And Environmental Entrepreneurs Inc

Environment & AnimalsCalifornia
$87.5M
A

Multiplier

Environment & AnimalsCalifornia
$75.0M
A

San Diego Humane Society And S P C A

Environment & AnimalsCalifornia
$67.2M
A

Wildlife Conservation Network Inc

Environment & AnimalsCalifornia
$52.5M
A

National Trust For Local News

Arts, Culture & HumanitiesColorado
$46.1M
A

Great Basin Institute

Environment & AnimalsNevada
$44.2M
A

Partnership Project Inc

Environment & AnimalsDistrict of Columbia
$41.1M
A

American Conservation

Environment & AnimalsArizona
$41.0M
A

Open Technology Fund

Arts, Culture & HumanitiesDistrict of Columbia
$38.0M
A

International Sustainable Energy Foundation

Environment & AnimalsTexas
$36.9M
A

The Wild Animal Sanctuary A Colorado Non Profit Corporation

Environment & AnimalsColorado
$33.9M
A

Health Education Learning Project H E L P

Arts, Culture & HumanitiesTexas
$33.6M
A

California Waterfowl Association

Environment & AnimalsCalifornia
$27.0M
A

Clasp

Environment & AnimalsDistrict of Columbia
$26.3M
A

Neighborhood Recycling Corporation

Environment & AnimalsMinnesota
$22.7M
A

National Association Of Conservation Districts Inc

Environment & AnimalsDistrict of Columbia
$20.0M
A

Lifeline Animal Project Inc

Environment & AnimalsGeorgia
$19.2M
A

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.