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NonprofitTruth

Updated April 2026

Efficiency Grade

Grade 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.

347
Nonprofits
$580.3B
Combined Revenue
74/100
Site Average

What a Grade A Looks Like

An A grade — Efficiency Score 80 or higher — is the top tier of the distribution. The 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

HealthMassachusetts
$22.7B
A

Cleveland Clinic Foundation

HealthOhio
$15.6B
A

Mayo Clinic Group Return

HealthMinnesota
$14.0B
A

New York University

EducationNew York
$10.5B
A

Corewell Health

HealthMichigan
$10.4B
A

The New York And Presbyterian Hospital

HealthNew York
$10.3B
A

Ihc Health Services Inc

HealthUtah
$9.6B
A

Banner Health

HealthArizona
$9.5B
A

Northwestern Memorial Healthcare

HealthIllinois
$9.1B
A

Nyu Langone Hospitals

HealthNew York
$8.9B
A

Bon Secours Mercy Health Inc

HealthOhio
$8.7B
A

Memorial Hermann Health System

HealthTexas
$7.6B
A

Hackensack Meridian Health Inc

HealthNew Jersey
$7.5B
A

Memorial Sloan Kettering Cancer Center

HealthNew York
$7.5B
A

Rwj Barnabas Health Inc

HealthNew Jersey
$7.1B
A

Stanford Health Care 227

HealthCalifornia
$7.0B
A

Vanderbilt University Medical Center

HealthTennessee
$6.9B
A

Advocate Health And Hospitals Corporation

HealthIllinois
$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

University Of Miami

EducationFlorida
$5.9B
A

Kaiser Foundation Health Plan Of The Mid Atlantic States Inc

HealthMaryland
$5.9B
A

Indiana University Health Inc

HealthIndiana
$5.8B
A

Inova Health Care Services

HealthVirginia
$5.7B
A

Providence Health & Services Oregon

HealthWashington
$5.5B
A

University Of Rochester

EducationNew York
$5.4B
A

Allina Health System

HealthMinnesota
$5.4B
A

University Hospitals Health System Inc

HealthOhio
$5.3B
A

Sutter Bay Hospitals

HealthCalifornia
$5.2B
A

Ochsner Clinic Foundation

HealthLouisiana
$5.1B
A

Montefiore Medical Center

HealthNew York
$5.1B
A

Fairview Health Services

HealthMinnesota
$4.7B
A

Duke University Health System Inc

HealthNorth Carolina
$4.7B
A

Sutter Valley Hospitals

HealthCalifornia
$4.7B
A

Mercy Health

HealthOhio
$4.6B
A

Ohiohealth Corporation Grant Riverside Doctors Dublin Met

HealthOhio
$4.5B
A

Multicare Health System

HealthWashington
$4.5B
A

Henry Ford Health System

HealthMichigan
$4.5B
A

Kaiser Foundation Health Plan Of Colorado

HealthColorado
$4.3B
A

Orlando Health Inc

HealthFlorida
$4.2B
A

Kaiser Foundation Health Plan Of Washington

HealthWashington
$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

Novant Health Inc

HealthNorth Carolina
$4.0B
A

Sentara Hospitals

HealthVirginia
$4.0B
A

Mount Sinai Hospital

HealthNew York
$3.9B
A

California Institute Of Technology

EducationCalifornia
$3.9B
A

Commonspirit Health

HealthColorado
$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

Baptist Healthcare System Inc

HealthKentucky
$3.7B
A

A Mainehealth Hcsr

HealthMaine
$3.7B
A

Dignity Community Care

HealthCalifornia
$3.6B
A

Franciscan Alliance Inc

HealthIndiana
$3.5B
A

Sutter Bay Medical Foundation

Medical ResearchCalifornia
$3.5B
A

Emory

EducationGeorgia
$3.5B
A

The Childrens Hospital Of Philadelphia

HealthPennsylvania
$3.4B
A

Osf Healthcare System

HealthIllinois
$3.4B
A

Dana Farber Cancer Institute

Medical ResearchMassachusetts
$3.4B
A

Peacehealth

HealthWashington
$3.3B
A

Lehigh Valley Hospital

HealthPennsylvania
$3.2B
A

The Johns Hopkins Hospital

HealthMaryland
$3.2B
A

Trinity Health Michigan

HealthMichigan
$3.0B
A

Swedish Health Services

HealthWashington
$3.0B
A

Norton Hospitals Inc

HealthKentucky
$3.0B
A

Honorhealth

HealthArizona
$2.9B
A

Corewell Health

HealthMichigan
$2.9B
A

University Of Chicago Medical Center

HealthIllinois
$2.9B
A

Prisma Health Upstate

HealthSouth Carolina
$2.9B
A

Memorial Health Services Group Return

HealthCalifornia
$2.7B
A

Christiana Care Health Services Inc

HealthDelaware
$2.7B
A

Beth Israel Deaconess Medical Center Inc

HealthMassachusetts
$2.7B
A

Rush University Medical Center

HealthIllinois
$2.7B
A

Miltons S Hershey Medical Center

HealthPennsylvania
$2.6B
A

Catholic Health Initiatives Colorado

HealthColorado
$2.6B
A

Northeastern University

EducationMassachusetts
$2.6B
A

Hartford Hospital

HealthConnecticut
$2.6B
A

Lucile Salter Packard Childrens Hospital At Stanford

HealthCalifornia
$2.6B
A

Baylor College Of Medicine

EducationTexas
$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

St Lukes Regional Medical Center

HealthIdaho
$2.5B
A

Presbyterian Healthcare Services

HealthNew Mexico
$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

Baptist Hospital Of Miami Inc

HealthFlorida
$2.3B
A

Uc Healthcare System

HealthOhio
$2.3B
A

University Of Maryland Medical System Corporation

HealthMaryland
$2.2B
A

Southern Baptist Hospital Of Florida Inc

HealthFlorida
$2.2B
A

Community Health Network Inc

HealthIndiana
$2.2B
A

Ssm Health Care St Louis

HealthMissouri
$2.2B
A

West Virginia University Hospitals Inc

HealthWest Virginia
$2.1B
A

University Of Vermont Medical Center Inc

HealthVermont
$2.1B
A

The Nemours Foundation

HealthFlorida
$2.1B
A

The Nebraska Medical Center

HealthNebraska
$2.1B
A

Wakemed

HealthNorth Carolina
$2.1B
A

Childrens Mercy Hospital

HealthMissouri
$2.0B
A

Cooper Health System A New Jersey Non Profit Corporation

HealthNew Jersey
$2.0B
A

Northeast Georgia Medical Center Inc

HealthGeorgia
$2.0B
A

Mayo Clinic

HealthMinnesota
$2.0B
A

Rhode Island Hospital

HealthRhode Island
$2.0B
A

Mary Hitchcock Memorial Hospital

HealthNew Hampshire
$2.0B
A

Presbyterian Hospital

HealthNorth Carolina
$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

St Elizabeth Medical Center Inc

HealthKentucky
$1.9B
A

Methodist Hospitals Of Dallas

HealthTexas
$1.9B
A

Bon Secours Richmond Health System

HealthOhio
$1.9B
A

Childrens Hospital Colorado

HealthColorado
$1.9B
A

Ohiohealth Corporation

HealthOhio
$1.9B
A

Geisinger Medical Center

HealthPennsylvania
$1.9B
A

Kennestone Hospital Inc

HealthGeorgia
$1.8B
A

John Muir Health

HealthCalifornia
$1.8B
A

Pitt County Memorial Hospital Inc

HealthNorth Carolina
$1.8B
A

Grand Canyon University

EducationArizona
$1.7B
A

The Administrators Of The Tulane Educational Fund

EducationLouisiana
$1.7B
A

Southern New Hampshire University

EducationNew Hampshire
$1.4B
A

Ohio State University Physicians Inc

EducationOhio
$1.0B
A

Fordham University

EducationNew York
$1.0B
A

Idea Public Schools

EducationTexas
$1.0B
A

Nova Southeastern University Inc

EducationFlorida
$937.8M
A

University Of Dayton

EducationOhio
$911.4M
A

Depaul University

EducationIllinois
$848.4M
A

Embry Riddle Aeronautical

EducationFlorida
$703.0M
A

Pace University

EducationNew York
$682.6M
A

Western Governors University

EducationUtah
$654.4M
A

Hofstra University

EducationNew York
$653.5M
A

University Of Louisville Research Foundation Inc

EducationKentucky
$631.9M
A

Everglades College Inc

EducationPR
$598.7M
A

Open University

EducationUnknown
$584.9M
A

Universite De Sherbrooke

EducationUnknown
$580.4M
A

University Of San Francisco

EducationCalifornia
$575.5M
A

Harmony Public Schools

EducationTexas
$548.9M
A

Public Broadcasting Service

Arts, Culture & HumanitiesVirginia
$544.0M
A

The Trustees Of The Stevens Institute Of Technology

EducationNew Jersey
$505.9M
A

Kipp Texas Inc

EducationTexas
$484.5M
A

University Of Kentucky Research Foundation

EducationKentucky
$463.0M
A

California Baptist University

EducationCalifornia
$439.7M
A

The Corporation Of Mercer University

EducationGeorgia
$434.7M
A

Commonwealth Charter Academy Charter School

EducationPennsylvania
$420.8M
A

Success Academy Charter Schools Nyc

EducationNew York
$417.6M
A

Albert Einstein College Of Medicine

EducationNew York
$411.4M
A

Renaissance Charter School Inc

EducationFlorida
$389.7M
A

American Society For The Prevention Of Cruelty To Animals

Environment & AnimalsNew York
$379.3M
A

Stephen Siller Tunnel To Towers Foundation

EducationNew York
$373.0M
A

Somerset Academy Inc

EducationTexas
$372.1M
A

University Medical Service Association Inc

EducationFlorida
$370.1M
A

Touro University

EducationNew York
$367.3M
A

Illinois Institute Of Technology

EducationIllinois
$364.5M
A

New York Institute Of Technology

EducationNew York
$352.2M
A

University Of New Haven

EducationConnecticut
$344.7M
A

Xavier University

EducationOhio
$332.2M
A

Aspire Public Schools

EducationCalifornia
$327.0M
A

Harvard Business School Publishing Corporation

Arts, Culture & HumanitiesMassachusetts
$319.0M
A

Adelphi University

EducationNew York
$317.6M
A

Uplift Education

EducationTexas
$304.7M
A

Metropolitan Opera Association Inc

Arts, Culture & HumanitiesNew York
$303.1M
A

National Public Radio Inc

Arts, Culture & HumanitiesDistrict of Columbia
$302.5M
A

Azusa Pacific University

EducationCalifornia
$301.8M
A

Trust For Public Land

Environment & AnimalsCalifornia
$297.4M
A

Merrimack College

EducationMassachusetts
$291.2M
A

Brock University

EducationUnknown
$286.9M
A

Alliance College Ready Public Schools

EducationCalifornia
$283.3M
A

Association Of American Medical Colleges

EducationDistrict of Columbia
$281.5M
A

The Health Science Center At

EducationNew York
$280.6M
A

Responsive Ed Texas

EducationTexas
$278.3M
A

Monmouth University Inc

EducationNew Jersey
$274.8M
A

University Of The Incarnate Word

EducationTexas
$274.6M
A

University Of Hartford

EducationConnecticut
$269.3M
A

South University Member Inc

EducationGeorgia
$266.7M
A

Morehouse School Of Medicine Inc

EducationGeorgia
$264.3M
A

Bryant & Stratton Inc

EducationNew York
$263.7M
A

Yes Prep Public Schools Inc

EducationTexas
$263.0M
A

Drake University

EducationIowa
$259.1M
A

University Of Scranton

EducationPennsylvania
$257.5M
A

Edward Via Virginia College Of Osteopathic Medicine

EducationVirginia
$254.8M
A

Delaware State University

EducationDelaware
$250.4M
A

Widener University

EducationPennsylvania
$243.6M
A

Noble Network Of Charter Schools

EducationIllinois
$240.9M
A

Intermediaryed

EducationIowa
$240.7M
A

Scholarship America Inc

EducationMinnesota
$240.3M
A

Gallaudet University

EducationDistrict of Columbia
$239.4M
A

Columbia College Chicago

EducationIllinois
$239.2M
A

Iso New England Inc

Environment & AnimalsMassachusetts
$235.6M
A

Roger Williams University

EducationRhode Island
$232.0M
A

Mater Academy Inc

EducationFlorida
$227.4M
A

Manhattan University

EducationNew York
$226.8M
A

Lincoln Memorial University

EducationTennessee
$225.1M
A

Energy Trust Of Oregon Inc

Environment & AnimalsOregon
$222.7M
A

Florida Institute Of Technology Inc

EducationFlorida
$222.5M
A

Pennsylvania Cyber Charter School

EducationPennsylvania
$220.9M
A

Green Dot Public Schools

EducationCalifornia
$214.4M
A

Kipp Socal Public Schools

EducationCalifornia
$213.6M
A

Kipp Dc Public Charter Schools

EducationDistrict of Columbia
$212.6M
A

San Diego State University Foundation

EducationCalifornia
$212.4M
A

Windward Fund

Environment & AnimalsDistrict of Columbia
$212.4M
A

Trine University Inc

EducationIndiana
$211.6M
A

Siena University

EducationNew York
$210.1M
A

Rutgers University Foundation

EducationNew Jersey
$208.6M
A

The Cedarville University

EducationOhio
$206.7M
A

Sistema Universitario Ana G Mendez Incorporado

EducationPR
$204.5M
A

Yeled V Yalda Early Childhood Center Inc

EducationNew York
$202.7M
A

Wentworth Institute Of Technology

EducationMassachusetts
$193.5M
A

University Of Indianapolis

EducationIndiana
$192.8M
A

Jacksonville University

EducationFlorida
$190.9M
A

Lewis University

EducationIllinois
$189.0M
A

Donorschoose Org

EducationNew York
$187.3M
A

Oral Roberts University

EducationOklahoma
$184.0M
A

Wikimedia Foundation Org

EducationCalifornia
$180.2M
A

Pacific University

EducationOregon
$179.4M
A

University Of Ontario Institute Of Technology

EducationUnknown
$178.0M
A

Point Loma Nazarene University

EducationCalifornia
$178.0M
A

West Virginia University Research Corporation

EducationWest Virginia
$176.8M
A

University Of Detroit Mercy

EducationMichigan
$176.1M
A

Marian University

EducationIndiana
$175.7M
A

Rocketship Education

EducationCalifornia
$173.9M
A

Best Friends Animal Society

Environment & AnimalsUtah
$173.5M
A

Philadelphia College Of Osteopathic Medicine

EducationPennsylvania
$173.2M
A

Aurora University

EducationIllinois
$172.8M
A

Basis Charter Schools Inc

EducationArizona
$171.6M
A

Herzing University Ltd

EducationWisconsin
$171.4M
A

Milwaukee School Of Engineering

EducationWisconsin
$171.1M
A

Rfe Rl Inc

Arts, Culture & HumanitiesDistrict of Columbia
$170.9M
A

Western New England University

EducationMassachusetts
$169.8M
A

Wingate University

EducationNorth Carolina
$167.7M
A

St Marys College Of California

EducationCalifornia
$166.5M
A

Concordia University Inc

EducationWisconsin
$166.3M
A

Gannon University

EducationPennsylvania
$166.0M
A

Florida Southern College

EducationFlorida
$164.8M
A

Queens Borough Public Library

EducationNew York
$163.6M
A

Philadelphia University

EducationPennsylvania
$163.5M
A

Brooklyn Public Library

EducationNew York
$163.2M
A

Uncommon New York City Charter Schools

EducationNew York
$162.2M
A

Regis University

EducationColorado
$162.1M
A

Molloy University

EducationNew York
$159.2M
A

Pacific Lutheran University Inc

EducationWashington
$158.6M
A

Stevenson University Inc

EducationMaryland
$158.0M
A

Foundation For California Community Colleges

EducationCalifornia
$157.7M
A

Team Academy Charter School Inc

EducationNew Jersey
$156.9M
A

Niagara University

EducationNew York
$156.3M
A

Arcadia University

EducationPennsylvania
$155.4M
A

Springfield College

EducationMassachusetts
$154.9M
A

Maryville University Of St Louis

EducationMissouri
$154.6M
A

George Fox University

EducationOregon
$151.7M
A

Shenandoah University

EducationVirginia
$149.2M
A

Baldwin Wallace University

EducationOhio
$147.0M
A

Friendship Public Charter School

EducationDistrict of Columbia
$146.9M
A

University Of Findlay

EducationOhio
$146.3M
A

Lynn University Inc

EducationFlorida
$146.0M
A

Dallas Baptist University

EducationTexas
$145.7M
A

Bellevue University

EducationNebraska
$145.5M
A

Art Center College Of Design

EducationCalifornia
$145.0M
A

Friends Of United Hatzalah Inc

Arts, Culture & HumanitiesNew York
$144.9M
A

Colorado Christian University

EducationColorado
$144.8M
A

Messiah University

EducationPennsylvania
$144.4M
A

Eckerd College

EducationFlorida
$143.9M
A

Greater Washington Educational Telecommunications Association Inc

Arts, Culture & HumanitiesVirginia
$141.1M
A

Highlands Adult & Community Charter School

EducationCalifornia
$137.4M
A

Pinecrest Academy Inc

EducationFlorida
$137.1M
A

Georgia State University Research Foundation Inc

EducationGeorgia
$136.5M
A

Bellarmine University

EducationKentucky
$135.9M
A

Campbellsville University Inc

EducationKentucky
$133.1M
A

Kipp Bay Area Schools

EducationCalifornia
$132.1M
A

Anderson University

EducationSouth Carolina
$131.2M
A

Desales University

EducationPennsylvania
$129.5M
A

National Louis University

EducationIllinois
$126.8M
A

Hawaii Pacific University

EducationHawaii
$126.6M
A

Massachusetts Society For The Prevention Of Cruelty To Animals

Environment & AnimalsMassachusetts
$120.3M
A

National Wildlife Federation

Environment & AnimalsVirginia
$117.9M
A

Florida Charter Educational Foundation Inc

EducationFlorida
$114.6M
A

National Arbor Day Foundation

Environment & AnimalsNebraska
$99.1M
A

Urban Land Institute

Environment & AnimalsDistrict of Columbia
$95.6M
A

Social And Environmental Entrepreneurs Inc

Environment & AnimalsCalifornia
$87.5M
A

Great Lakes Fishery Commission

Environment & AnimalsMichigan
$82.1M
A

Alliance To End Plastic Waste Inc

Environment & AnimalsTexas
$80.1M
A

Paintcare Inc

Environment & AnimalsDistrict of Columbia
$78.8M
A

Manhattan School Of Music

Arts, Culture & HumanitiesNew York
$75.5M
A

Multiplier

Environment & AnimalsCalifornia
$75.0M
A

Academy Of Mathematics & Science South Inc

Arts, Culture & HumanitiesArizona
$73.8M
A

Wolf Trap Foundation For The Performing Arts

Arts, Culture & HumanitiesVirginia
$72.6M
A

People For The Ethical Treatment Of Animals Inc

Environment & AnimalsVirginia
$69.9M
A

San Diego Humane Society And S P C A

Environment & AnimalsCalifornia
$67.2M
A

Woodland Park Zoological Society

Environment & AnimalsWashington
$64.7M
A

Petsmart Charities Inc

Environment & AnimalsArizona
$61.9M
A

Polynesian Cultural Center

Arts, Culture & HumanitiesHawaii
$58.2M
A

Ressler Gertz Foundation

EducationCalifornia
$58.2M
A

Pro Publica Inc

Arts, Culture & HumanitiesNew York
$58.0M
A

Detroit Zoological Society

Environment & AnimalsMichigan
$54.3M
A

Fort Worth Zoological Association Inc

Environment & AnimalsTexas
$53.1M
A

Kaizen Educational Foundation

Arts, Culture & HumanitiesArizona
$52.6M
A

Wildlife Conservation Network Inc

Environment & AnimalsCalifornia
$52.5M
A

National Inventors Hall Of Fame Inc

Arts, Culture & HumanitiesOhio
$49.3M
A

Ocean Conservancy Inc

Environment & AnimalsDistrict of Columbia
$48.6M
A

Oceana Inc

Environment & AnimalsDistrict of Columbia
$46.5M
A

National Trust For Local News

Arts, Culture & HumanitiesColorado
$46.1M
A

North Shore Animal League America Inc

Environment & AnimalsNew York
$45.1M
A

Mann Center For The Performing Arts

Arts, Culture & HumanitiesPennsylvania
$41.7M
A

Partnership Project Inc

Environment & AnimalsDistrict of Columbia
$41.1M
A

Florida Aquarium Inc

Environment & AnimalsFlorida
$40.7M
A

Open Technology Fund

Arts, Culture & HumanitiesDistrict of Columbia
$38.0M
A

The Recycling Partnership Inc

Environment & AnimalsDistrict of Columbia
$37.1M
A

International Sustainable Energy Foundation

Environment & AnimalsTexas
$36.9M
A

Defenders Of Wildlife

Environment & AnimalsDistrict of Columbia
$35.9M
A

Elemental Excelerator Inc

Environment & AnimalsHawaii
$35.7M
A

International Fund For Animal Welfare Inc

Environment & AnimalsMassachusetts
$35.2M
A

Earth Island Institute Inc

Environment & AnimalsCalifornia
$34.9M
A

Center For Biological Diversity Inc

Environment & AnimalsArizona
$34.5M
A

The Wild Animal Sanctuary A Colorado Non Profit Corporation

Environment & AnimalsColorado
$33.9M
A

African Wildlife Foundation

Environment & AnimalsDistrict of Columbia
$33.7M
A

Health Education Learning Project H E L P

Arts, Culture & HumanitiesTexas
$33.6M
A

Marine Stewardship Council

Environment & AnimalsUnknown
$33.6M
A

Product Care Association

Environment & AnimalsUnknown
$32.8M
A

National Football Museum Inc

Arts, Culture & HumanitiesOhio
$32.5M
A

Tennessee Performing Arts Center Management Corporation

Arts, Culture & HumanitiesTennessee
$30.4M
A

Overture Center Foundation Inc

Arts, Culture & HumanitiesWisconsin
$28.9M
A

Michigan Humane Society

Environment & AnimalsMichigan
$27.8M
A

Austin Theatre Alliance

Arts, Culture & HumanitiesTexas
$27.5M
A

Jane Goodall Institute For Wildlife Research Education & Conservation

Environment & AnimalsDistrict of Columbia
$27.4M
A

California Waterfowl Association

Environment & AnimalsCalifornia
$27.0M
A

Water Environment Federation

Environment & AnimalsVirginia
$26.8M
A

Wvc

Environment & AnimalsNevada
$26.5M
A

Clasp

Environment & AnimalsDistrict of Columbia
$26.3M
A

Nia Tero Foundation

Environment & AnimalsWashington
$26.2M
A

American Humane Association

Environment & AnimalsDistrict of Columbia
$25.9M
A

American Forests

Environment & AnimalsDistrict of Columbia
$24.3M
A

Commemorative Air Force

Arts, Culture & HumanitiesTexas
$23.9M
A

Highlander Research & Education Center Inc

Environment & AnimalsTennessee
$23.7M
A

Neighborhood Recycling Corporation

Environment & AnimalsMinnesota
$22.7M
A

Bonneville Environmental Foundation

Environment & AnimalsOregon
$22.1M
A

Jazz At Aspen Snowmass

Arts, Culture & HumanitiesColorado
$21.2M
A

Point Reyes Bird Observatory

Environment & AnimalsCalifornia
$20.7M
A

Western Reserve Land Conservancy

Environment & AnimalsOhio
$19.2M
A

New England Interstate Water Pollution Control Commission

Environment & AnimalsMassachusetts
$19.2M
A

Conservation Law Foundation Inc

Environment & AnimalsMassachusetts
$16.5M
A

Ubongo International

Arts, Culture & HumanitiesTexas
$10.3M
A

Earthshare

Environment & AnimalsDistrict of Columbia
$8.8M
A

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.