Updated April 2026
Efficiency GradeGrade B, Strong Tier on the Efficiency Score
629 nonprofits earn an Efficiency Score grade of B on NonprofitTruth, with combined revenue of $504.4B. Nonprofits scoring 65–79 on the Efficiency Score. Above-average program ratios and reserves, with reasonable comp-to-revenue ratios on the Form 990.
What a Grade B Looks Like
A B grade — Efficiency Score 65 to 79 — describes organizations whose Form 990 financials are solidly above the median. The 629 organizations in this tier typically post program ratios in the high 70s to mid-80s, healthy reserves, and CEO comp ratios within typical ranges for their revenue tier.
Grade B 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 629 grade B nonprofits in this view together report $504.4B in combined annual revenue on their most recent IRS Form 990 filings. Median revenue is $149.3M, and the simple average is $801.9M — 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 629 grade B nonprofits we track, 0 earn an A and 629 earn a B on the Efficiency Score (combined 100% in the top two tiers, with A-grade organizations alone at 0%). 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.
Kaiser Foundation Health Plan Inc
Kaiser Foundation Hospitals
Healthfirst Phsp Inc
Johns Hopkins University
Trustees Of The University Of Pennsylvania
Dignity Health
Providence Health & Services Washington
Caresource Ohio Inc
The Board Of Trustees Of The Leland Stanford Junior University
The Cleveland Clinic Foundation
Mayo Clinic
Trustees Of Columbia University
Yale University
Global Fund To Fight Aids Tuberculosis And Malaria
Emory University
Ucare Minnesota
President And Fellows Of Harvard College
Cornell University
Sentara Health Plans
Metroplus Health Plan Inc
University Of Southern California
Kaiser Foundation Health Plan Of The Northwest
Washington University
Ecmc Group Inc
Scan Health Plan
University Of Chicago
Cedars Sinai Medical Center
Boston Medical Center Health Plan Inc
Duke University
Health Share Of Oregon
University Of Pittsburgh
Childrens Hospital Medical Center
Texas Childrens Health Plan Inc
North Carolina Baptist Hospital
The Methodist Hospital
Childrens Hospital Corporation
Trinity Health Corporation
University Of British Columbia
University Of Notre Dame Du Lac
Commonwealth Care Alliance Inc
Childrens Healthcare Of Atlanta Inc
Northwell Healthcare Inc
Childrens Health System Of Texas
Kaiser Foundation Health Plan Of Georgia Inc
Amgen Safety Net Foundation
Grady Memorial Hospital Corporation
Vns Choice
Seattle Childrens Hospital
Vanderbilt University
Harvard Pilgrim Health Care Inc
Northshore University Healthsystem
Providence Health System Southern California
Wellstar Health System Inc
Temple University Hospital Inc
Northwestern Memorial Healthcare
H Lee Moffitt Cancer Center And Research Institute Hospital Inc
Harvard Management Private Equity Corporation
Sutter Valley Medical Foundation
Tempus Unlimited Inc
Georgetown University
Hh Medstar Health Inc
Sutter Health
Smithsonian Institute
Hoag Memorial Hospital Presbyterian
George Washington University
Syracuse University
St Jude Childrens Research Hospital Inc
Rwjbh Corporate Services Inc
Thomas Jefferson University
Adventist Health System Sunbelt Healthcare Corporation
Trustees Of Dartmouth College
Elderplan Inc
Liberty University Inc
Temple University Of The Commonwealth System Of Higher Educ
Case Western Reserve University
The Medical College Of Wisconsin Inc
Baylor University
Drexel University
Research Foundation For The State University Of New York
Boehringer Ingelheim Cares Foundation Inc
Boston College Trustees
Bjc Health System
Trustees Of Tufts College
Universite De Montreal Succursale A Quebec
Howard University
Wake Forest University Health Sciences
St Louis University
Texas Christian University
Froedtert Thedacare Health Inc
University Of California San Francisco Foundation
Educational Testing Service
Rochester Institute Of Technology
Southern Methodist University
College Board
Loyola University Of Chicago
University Of Auckland
Step Up For Students Florida Inc
The Ucla Foundation
University Of Saskatchewan
University Of Denver
Tel Aviv University
St Johns University New York
Savannah College Of Art And Design Inc
Toronto Metropolitan University
The Metropolitan Museum Of Art
Nyc School Support Services Inc
Marquette University
Pepperdine University
Chapman University
Creighton University
Lehigh University
Wake Forest University
Wgu Corporation
Loyola Marymount University
New Venture Fund
Rensselaer Polytechnic Institute
Simon Fraser University
Institute Of Electrical And Electronics Engineers Inc
Saint Josephs University
The New School
Research Foundation Of The City University Of New York
Trustees Of The Smith College
Corporation For Public Broadcasting
American University Of Beirut
University Of California Berkeley Foundation
Carnegie Corporation Of New York
Duquesne University Of The Holy Spirit
Quinnipiac University
University Of St Thomas
Midwestern University
Rockefeller University
Sacred Heart University
Center For Sustainable Energy
University Of Wisconsin Foundation
University Of The Pacific
Jefferson University Physicians
Early Learning Coalition Of Miami Dade Monroe
President & Fellows Of Middlebury College
Belmont University
Andrew W Mellon Foundation
Fairfield University
Corporation Of Gonzaga University
High Point University
Berklee College Of Music Inc
National Fish And Wildlife Foundation
Association Of University Physicians
University Of Nebraska Foundation
San Diego Zoo Wildlife Alliance
University Of Tampa
National University
Elon University
Catholic University Of America
Yeshiva University
Trustees Of Amherst College
Bucknell University
Kentucky Medical Services Foundation Inc
Providence College
World Wildlife Fund Inc
Uma Education Inc
The Trustees Of Grinnell College
Ithaca College
Bowdoin College
Ohio State University Foundation
The Ojc Fund
Prisma Health Medical Group Midlands
Bentley University
Wildlife Conservation Society
Babson College
Johnson & Wales University
Mcphs University
Suffolk University
Pratt Institute
Marist University
Emerson College
The Conservation Fund A Nonprofit Corporation
Canada Council For The Arts
University Of Georgia Research Foundation Inc
Hillsdale College
Barnard College
Bard College
Ducks Unlimited Inc
University Of Tulsa
Arizona State University Foundation For A New American University
Crystal Stairs Inc
Carleton College
Texas A&M Foundation
The Villages Charter School Inc
Butler University
Teachers College Columbia University
Wesleyan University
President & Trustees Of Colby College
John F Kennedy Center For The Performing Arts
University Of New England
Gemological Institute Of America Inc
Samford University
Oklahoma State University Foundation
National Foundation For The Ctrs For Disease Contr & Prevention Inc
International American Education Federation Inc
Washington & Lee University
Early Learning Coalition Of Palm Beach County Inc
Teach For America Inc
Fairleigh Dickinson University
Swarthmore College
Temple University Health System Inc
Skidmore College
Denison University
New York University In Abu Dhabi Corporation
Lafayette College
University Of Georgia Foundation
Bryant University
Inter American University Of Puerto Rico
National Gallery Of Art
United Negro College Fund Inc
Oclc Inc
Environmental Defense Fund Incorporated
Stetson University Inc
Charter Institute At Erskine
University Of Oklahoma Foundation Inc
Educational Media Foundation
Lewis And Clark College
Community Services For Children Inc
Trinity College
University Of Portland
Hillsborough County School Readiness Coalition Inc
Conservation International Foundation
Lincoln Center For The Performing Arts Inc
Clarkson University
Trinity University
Campbell University
Rhode Island School Of Design
American Museum Of Natural History
Clark University
Indiana Wesleyan University
Culinary Institute Of America
Simmons University
International Baccalaureate Organization
Trustees Of Hamilton College
Bradley University
Biola University Inc
Gettysburg College
Wgbh Educational Foundation
Kenyon College
Institut Eupropeen D Administration Des Affaires Insead
U C San Diego Foundation
Orange County School Readiness Coalition
Depauw University
Rollins College
Corporation Of Haverford College
University Of Georgia Athletic Association Inc
University Of La Verne
Meharry Medical College
Loyola University
Health Scholarships Inc
Los Angeles Philharmonic Association
Climate Imperative Foundation
A T Still University Of Health Sciences
Shine Bc La
Berry College Inc
Mercy University
Lake Erie College Of Osteopathic Medicine Inc
St Lawrence University
University Of Florida Foundation Inc
Feinberg Graduate School Of The Weizmann Institute Of Science
Rider University
Endicott College
Barry University Inc
Spelman College
Natural Resources Defense Council Inc
United States Holocaust Memorial Council
Norwich University
Challenger School Foundation
President And Trustees Of Bates College
Hult International Business School Inc
Calvin University
Sesame Workshop
Macalester College
Year Up Inc
Iona University
Tuskegee University
University Of Redlands
Connecticut College
St Edwards University
Hope College
Achievement First Brooklyn Charter Schools
Juilliard School
Stonehill College Inc
California Lutheran University
Clark Atlanta University Inc
University Of The Cumberlands Inc
University Of Maryland College Park Foundation Inc
University Of The South
Humane World For Animals Inc
Ewing Marion Kauffman Foundation
Pensacola Christian College Inc
Ohio Northern University
T H I N K Together
Henry E Huntington Library & Art Gallery
The Lutheran University Association Inc
Whitman College Board Of Trustees
College Of Wooster
John Carroll University
Warszawski Uniwrsytet Medyczny
University Of Puget Sound
St John Fisher University
National Audubon Society Inc
Susquehanna University
Xavier University Of Louisiana
Wheaton College
Georgia Aquarium Inc
Augustana College
Crystal Bridges Museum Of American Art Inc
Marshall Area Economic Development Alliance
Wilkes University
University Of Prince Edward Island
Mercyhurst University
Kipp Nyc Public Charter Schools Ii
Hobart And William Smith Colleges
Le Moyne College
Cooper Union For The Advancement Of Science And Art
Punahou School
American Leadership Academy Inc
Success Academy Charter Schools Inc
Morehouse College
Whitworth University
York College Of Pennsylvania
North Central College
Saint Anselm College
Oregon State University Foundation
Willamette University
Lindenwood Education System
West Virginia Univ Foundation Inc
Horace Mann School
Resources Legacy Fund
Taylor University
Georgia Tech Athletic Association
St Catherine University
Riverwalk Education Foundation Inc
Area Cooperative Educational Services
Franciscan University Of Steubenville
Epoch Times Association Inc
Webster University
Institute For The International Education Of Students
Earthjustice
Segerstrom Center For The Arts
Wilmington University Inc
Internews Network
Kalamazoo College
Vermont Energy Investment Corp
Emmanuel College
California Institute Of The Arts
Alfred P Sloan Foundation
Mount Saint Marys University
Kqed Inc
Minnesota Public Radio
National Arts Centre Corporation
Wnet
Great Hearts America Texas
Field Museum Of Natural History
Royal National Theatre
Klamath River Renewal Corporation
Cleveland Museum Of Art
Coif Charities Investment Fund
University Impact
Boston Symphony Orchestra Inc
San Diego Symphony Orchestra Association
The Animal Medical Center
Minnesota Historical Society
National September 11 Memorial And Museum At The World Trade Center
Sierra Club Foundation
Opas Foundation
Indiana Institute Of Technology Inc
New York Botanical Garden
Hood College Of Frederick Md
Royal Shakespeare
San Francisco Opera Association
Natl Sept 11 Memorial And Museum At The World Trade Center Fdn Inc
National Trust For Historic Preservation In The United States
Solomon R Guggenheim Foundation
Houston Museum Of Natural Science
Los Angeles County Museum Of Natural History Foundation
New Jersey Performing Arts Center Corporation
Academy Museum Foundation
Academy Foundation
Chicago Horticultural Society
The Musical Arts Association
Seattle Theatre Group
Milwaukee World Festival Inc
Open Space Institute Land Trust Inc
The Colburn School
New York Public Radio
Massachusetts Audubon Society Inc
Museum Of Science
Omaha Zoological Society Inc
Roundabout Theatre Company Inc
Alamo Trust Inc
Dr Phillips Center For The Performing Arts Inc
Music And Event Management Inc
Navy Pier Inc
Denver Center For The Performing Arts
Rocky Mountain Elk Foundation Inc
New England Aquarium Corporation
Museum Of Flight Foundation
Performing Arts Center Of Los Angeles County
Atlanta Botanical Garden Inc
Governors Island Corporation
Radio Free Asia
North Carolina State University Foundation Inc
Minneapolis Society Of Fine Arts
San Antonio Zoological Society Inc
The Saint Louis Zoo Foundation
Trout Unlimited Inc
Friends Of The Zoo Inc Of Kansas City Mo
Indianapolis Museum Of Art Inc
San Antonio Valley Ranch Llc
Denver Zoological Foundation Inc
The Barn Group Land Trust Inc
Walker Art Center Inc
Royal Ontario Museum
Norton Museum Of Art Inc
San Francisco Ballet Association
Stand Together Trust
Twin Cities Public Television Inc
Country Music Foundation Inc
Aquarium Of The Pacific
Oregon Public Broadcasting
The Colorado Museum Of Natural History
National Aquarium Inc
Ahimsa Foundation
Corporation Of The Fine Arts Museums
National Wild Turkey Federation Inc
New York Historical Society
Seattle Aquarium Society Seas
Rewild
New Orleans Jazz & Heritage Foundation Inc
Adrienne Arsht Center Trust Inc
Golden Gate National Parks Conservancy
Walton Arts Center Council Inc
Saint Louis Symphony Orchestra
Shen Yun Performing Arts Inc
League Of Conservation Voters Education Fund
Elevate Energy
Our Rescue
New York Shakespeare Festival
Stanford Health Care Advantage
Whyy Inc
Toledo Zoological Society
Woodlands Center For The Performing Arts
C40 Cities Climate Leadership Group Inc
Arizona Center For Nature Conservation
Atlanta Fulton County Zoo Inc
Clean Air Task Force Inc
Denver Botanic Garden Inc
San Francisco Society For The Prevention Of Cruelty To Animals
Slipstream Group Inc
North Carolina Performing Arts Center At Charlotte Foundation
Center Theatre Group Of Los Angeles
Birdlife International
American Theatre Guild
Hennepin Theatre Tr
Sundance Institute
Sustainable Energy Utility Inc
National Outdoor Leadership School
International Centre For Research In Agroforestry
Great Basin Institute
American Printing House For The Blind Inc
Grid Alternatives
Ceres Inc
Zoological Society Of Philadelphia
Boston Ballet Inc
Dallas Symphony Association Inc
Peace Center Foundation
Global Greengrants Fund Inc
Buffalo Bayou Partnership
Mattress Recycling Council
Audubon Nature Institute Inc
Navy Seal Foundation Inc
U S Green Building Council Inc
Palladium Foundation
Close Up Foundation
American Conservation
Arizona Humane Society
Fresnos Chaffee Zoo Corporation
Fractured Atlas Inc
The Hobby Center Foundation
Uss Midway Museum
American Film Institute Inc
Los Angeles Opera Company
Franklin Institute
Lowry Park Zoological Society Of Tampa Inc
Borealis Philanthropy
Detroit Symphony Orchestra Hall Inc
Wilderness Society
Sustainable Markets Foundation
Window To The World Communications Inc
Houston Ballet Foundation
Save The Redwoods League
Jserra Catholic High School
Cdp North America Inc
Montana Land Reliance
Pennsylvania Horticultural Society
Guthrie Theatre Foundation
Jacksonville Zoological Society Inc
Crosswater Canyon Inc
Public Media Group Of Southern California
Robert Rauschenberg Foundation
Center For International Forestry Research
Ballet Theatre Foundation Inc
Oregon Shakespeare Festival Association
Northwest Energy Efficiency Alliance Inc
National Parks Conservation Association
Science Museum Of Minnesota
National Society Of The Daughters Of The American Revolution
Karuna Foundation
Southern California Public Radio
Common Sense Media
White House Historical Association
Wang Theatre Inc
Hope Media Group
Houston Symphony Society
Sunrise Project Inc
Serc Reliability Corporation
Colorado Open Lands
Sea Research Foundation Inc
Paper Mill Playhouse
Cheyenne Mountain Zoological Society
National Board Of Osteopathic Medical Examiners Inc
Dallas Zoo Management Inc
Paws Chicago
Catskill Watershed Corporation
Omaha Zoo Foundation
Ruth Eckerd Hall Inc
Securing Assets For Education
Tennessee Aquarium
Commonwealth Zoological Corporation
Real Life Ministry
Preservation Society Of Newport County
Seattle Symphony Orchestra Inc
Climate Lead Inc
Simon Wiesenthal Center Inc
Artsquest
Conservation Society Of California
Rare Inc
French American School Of New York Inc
Intrepid Museum Foundation Inc
Humane Society Of Missouri
Omaha Performing Arts Society
Prx Incorporated
The Living Desert
Houston Grand Opera Association Inc
Council On The Environment Inc
West Michigan Horticultural Society Inc
Ohio Historical Society
Perot Museum Of Nature And Science
Verra
Dove Lewis Emergency Animal Hospital Inc
Animal Care And Control Of New York City Inc
East Coast Zoological Society Of Florida Inc
International Spy Museum
Humane World For Animals International
Oregon Humane Society
River Partners
American Bird Conservancy
Dallas Arboretum & Botanical
Broadway Dallas Inc
Old Globe Theatre
Zoological Society Of Pittsburgh
National Minority Supplier Development Council Inc
Baltimore Symphony Orchestra Inc
North Texas Public Broadcasting Inc
Chicago Theatre Group Inc
Historic Haymarket Milwaukee I Inc
Coastal Conservation Association
Facing History & Ourselves Inc
Fairmount Park Conservancy
Horace Bushnell Memorial Hall Corporation
Memphis Zoo Inc
Pacific Northwest Ballet Association
Denver Dumb Friends League
American Prairie Foundation
Rivian Foundation
World Wildlife Fund Canada
Florida Veterinary Medicine Faculty Association Inc
Emancipet
Center For Energy And Environment
American Journalism Project Inc
John Ball Zoo
Bethel Woods Center For The Arts Inc
Akron Zoological Park
New York City Center Inc
Providence Performing Arts Center
Grid Alternatives
Cox Science Center And Aquarium Inc
San Francisco Zoological Society
Society For The Preservation Of New England Antiquities Inc
Greenpeace Fund Inc
American Rivers Inc
The Maryland Zoological Society Inc
National Marine Sanctuary Foundation
Yellowstone Forever
Montgomery County Green Bank Corp
National Association Of Conservation Districts Inc
Peninsula Humane Society & Spca
Radiant Life Ministries
St Louis Art Museum Foundation
Fish & Wildlife Foundation Of Florida Inc
Lifeline Animal Project Inc
Minnesota Land Trust
Society Of The Four Arts
The Humane League
Kvie Inc
Triangle Land Conservancy Inc
Pbs Foundation
Tate Americas Foundation
Naples Botanical Garden Inc
Carbon Mapper Inc
Western Rivers Conservancy
Sonoma Land Trust
Childrens Museum Of Manhattan
Ocean Habitat And Wildlife Rescue Inc
Indian Paintbrush Foundation
Texas Agricultural Land Trust
Ncinnovation Inc
Cp 2023
Holocaust Legacy Foundation Inc
Maui Humane Society Inc
Virginia B Jontes Foundation
New England Wildlife Center
Mule Deer Foundation
Great Barrier Reef Foundation Usa Inc
How to Read a Grade B 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.
Mid-tier scores reward steady financials. They do not penalize organizations that are deliberately investing in capacity (which can compress the program ratio temporarily) or organizations with reserve-building strategies that take a multi-year timeframe to mature.
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 B mean?
Nonprofits scoring 65–79 on the Efficiency Score. Above-average program ratios and reserves, with reasonable comp-to-revenue ratios on the Form 990.
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 B mean a charity is average?
No — the grade is descriptive of financial structure on the IRS Form 990, not of program impact. A grade B 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.
629 nonprofits earn an Efficiency Score grade of B on NonprofitTruth, with combined revenue of $504.4B. Nonprofits scoring 65–79 on the Efficiency Score. Above-average program ratios and reserves, with reasonable comp-to-revenue ratios on the Form 990.