Updated June 2026
Efficiency GradeGrade B, Strong Tier on the Efficiency Score
453 nonprofits earn an Efficiency Score grade of B on NonprofitTruth, with combined revenue of $482.9B. Nonprofits scoring 65–79 on the Efficiency Score. Above-average reserves and steady revenue, with reasonable officer-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 453 organizations in this tier typically post healthy reserves, steady revenue, and officer-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 financial reserves, revenue-growth consistency, and officer-comp ratio drawn from the 990, not the social impact of the work.
The 453 grade B nonprofits in this view together report $482.9B in combined annual revenue on their most recent IRS Form 990 filings. Median revenue is $206.7M, and the simple average is $1.1B — 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 453 grade B nonprofits we track, 0 earn an A and 453 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 financial reserves, revenue-growth consistency, and officer-comp ratio drawn from each organization's most recent Form 990.
Across the grade B nonprofits where Schedule J compensation is reported, the average top executive received $5.0M 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 Hospitals
Cleveland Clinic Foundation
Mayo Clinic Group Return
Healthfirst Phsp Inc
Corewell Health
Johns Hopkins University
Dignity Health
Providence Health & Services Washington
Ihc Health Services Inc
Banner Health
Bon Secours Mercy Health Inc
Caresource Ohio Inc
The Cleveland Clinic Foundation
Memorial Sloan Kettering Cancer Center
Stanford Health Care 227
Advocate Health And Hospitals Corporation
Global Fund To Fight Aids Tuberculosis And Malaria
Indiana University Health Inc
University Of Rochester
Allina Health System
Sutter Bay Hospitals
Kaiser Foundation Health Plan Of The Northwest
Montefiore Medical Center
Scan Health Plan
Fairview Health Services
Duke University Health System Inc
Cedars Sinai Medical Center
Ohiohealth Corporation Grant Riverside Doctors Dublin Met
Kaiser Foundation Health Plan Of Colorado
Kaiser Foundation Health Plan Of Washington
Boston Medical Center Health Plan Inc
Novant Health Inc
California Institute Of Technology
Commonspirit Health
Baptist Healthcare System Inc
Dignity Community Care
Franciscan Alliance Inc
Sutter Bay Medical Foundation
Osf Healthcare System
Peacehealth
The Johns Hopkins Hospital
Childrens Hospital Medical Center
Trinity Health Michigan
North Carolina Baptist Hospital
Corewell Health
Prisma Health Upstate
Memorial Health Services Group Return
Childrens Hospital Corporation
Christiana Care Health Services Inc
Rush University Medical Center
Catholic Health Initiatives Colorado
University Of British Columbia
Northeastern University
Baylor College Of Medicine
Childrens Healthcare Of Atlanta Inc
Northwell Healthcare Inc
St Lukes Regional Medical Center
Presbyterian Healthcare Services
Grady Memorial Hospital Corporation
Vns Choice
Seattle Childrens Hospital
Baptist Hospital Of Miami Inc
Uc Healthcare System
Harvard Pilgrim Health Care Inc
University Of Maryland Medical System Corporation
Northshore University Healthsystem
Ssm Health Care St Louis
The Nemours Foundation
Childrens Mercy Hospital
Northeast Georgia Medical Center Inc
Mayo Clinic
Sutter Valley Medical Foundation
Rhode Island Hospital
Presbyterian Hospital
St Elizabeth Medical Center Inc
Methodist Hospitals Of Dallas
Hh Medstar Health Inc
Bon Secours Richmond Health System
Ohiohealth Corporation
Geisinger Medical Center
John Muir Health
Pitt County Memorial Hospital Inc
Syracuse University
Grand Canyon University
The Administrators Of The Tulane Educational Fund
Thomas Jefferson University
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
Howard University
St Louis University
Froedtert Thedacare Health Inc
Educational Testing Service
Rochester Institute Of Technology
Ohio State University Physicians Inc
College Board
Fordham University
Loyola University Of Chicago
American University
Step Up For Students Florida Inc
University Of Dayton
Depaul University
University Of Saskatchewan
University Of Denver
St Johns University New York
Toronto Metropolitan University
Embry Riddle Aeronautical
Creighton University
Pace University
Wgu Corporation
Loyola Marymount University
New Venture Fund
Rensselaer Polytechnic Institute
Western Governors University
Hofstra University
Institute Of Electrical And Electronics Engineers Inc
University Of Louisville Research Foundation Inc
The New School
Research Foundation Of The City University Of New York
Everglades College Inc
Open University
Corporation For Public Broadcasting
Universite De Sherbrooke
University Of San Francisco
Public Broadcasting Service
Duquesne University Of The Holy Spirit
University Of St Thomas
Sacred Heart University
The Trustees Of The Stevens Institute Of Technology
Center For Sustainable Energy
University Of Kentucky Research Foundation
California Baptist University
The Corporation Of Mercer University
Corporation Of Gonzaga University
Berklee College Of Music Inc
Commonwealth Charter Academy Charter School
Success Academy Charter Schools Nyc
Association Of University Physicians
San Diego Zoo Wildlife Alliance
University Of Tampa
Renaissance Charter School Inc
Elon University
Catholic University Of America
Yeshiva University
American Society For The Prevention Of Cruelty To Animals
Kentucky Medical Services Foundation Inc
Stephen Siller Tunnel To Towers Foundation
World Wildlife Fund Inc
Uma Education Inc
University Medical Service Association Inc
Touro University
Ithaca College
New York Institute Of Technology
The Ojc Fund
Bentley University
Johnson & Wales University
Suffolk University
Pratt Institute
Marist University
Xavier University
The Conservation Fund A Nonprofit Corporation
Aspire Public Schools
Canada Council For The Arts
University Of Georgia Research Foundation Inc
Harvard Business School Publishing Corporation
Adelphi University
Metropolitan Opera Association Inc
National Public Radio Inc
Ducks Unlimited Inc
Azusa Pacific University
Trust For Public Land
The Villages Charter School Inc
Brock University
John F Kennedy Center For The Performing Arts
Alliance College Ready Public Schools
Gemological Institute Of America Inc
Oklahoma State University Foundation
Association Of American Medical Colleges
National Foundation For The Ctrs For Disease Contr & Prevention Inc
International American Education Federation Inc
Responsive Ed Texas
Teach For America Inc
Fairleigh Dickinson University
Monmouth University Inc
University Of The Incarnate Word
Temple University Health System Inc
University Of Hartford
South University Member Inc
Morehouse School Of Medicine Inc
Bryant & Stratton Inc
Drake University
University Of Scranton
Bryant University
Oclc Inc
Environmental Defense Fund Incorporated
Stetson University Inc
Widener University
Lewis And Clark College
Intermediaryed
Scholarship America Inc
Gallaudet University
Iso New England Inc
Conservation International Foundation
Clarkson University
Roger Williams University
Mater Academy Inc
Manhattan University
Culinary Institute Of America
International Baccalaureate Organization
Biola University Inc
Energy Trust Of Oregon Inc
Florida Institute Of Technology Inc
Pennsylvania Cyber Charter School
Institut Eupropeen D Administration Des Affaires Insead
Green Dot Public Schools
Kipp Dc Public Charter Schools
San Diego State University Foundation
Windward Fund
University Of La Verne
Siena University
Meharry Medical College
The Cedarville University
A T Still University Of Health Sciences
Shine Bc La
Sistema Universitario Ana G Mendez Incorporado
Barry University Inc
Wentworth Institute Of Technology
University Of Indianapolis
Norwich University
Hult International Business School Inc
Lewis University
Donorschoose Org
Year Up Inc
Oral Roberts University
Iona University
St Edwards University
Achievement First Brooklyn Charter Schools
Wikimedia Foundation Org
Stonehill College Inc
Pacific University
California Lutheran University
University Of Ontario Institute Of Technology
Clark Atlanta University Inc
West Virginia University Research Corporation
University Of Detroit Mercy
Marian University
Humane World For Animals Inc
Philadelphia College Of Osteopathic Medicine
Aurora University
Ohio Northern University
Herzing University Ltd
Milwaukee School Of Engineering
Rfe Rl Inc
Western New England University
Henry E Huntington Library & Art Gallery
Wingate University
Concordia University Inc
Florida Southern College
Queens Borough Public Library
Brooklyn Public Library
Uncommon New York City Charter Schools
Regis University
Molloy University
Pacific Lutheran University Inc
Stevenson University Inc
St John Fisher University
Niagara University
Susquehanna University
Arcadia University
Springfield College
Maryville University Of St Louis
Wheaton College
Augustana College
George Fox University
Wilkes University
Mercyhurst University
Shenandoah University
Le Moyne College
University Of Findlay
Lynn University Inc
Art Center College Of Design
Friends Of United Hatzalah Inc
American Leadership Academy Inc
Colorado Christian University
Messiah University
Success Academy Charter Schools Inc
Eckerd College
Whitworth University
Greater Washington Educational Telecommunications Association Inc
Saint Anselm College
Georgia State University Research Foundation Inc
Bellarmine University
Kipp Bay Area Schools
Anderson University
Resources Legacy Fund
Desales University
Riverwalk Education Foundation Inc
Area Cooperative Educational Services
Franciscan University Of Steubenville
Epoch Times Association Inc
Institute For The International Education Of Students
Hawaii Pacific University
Vermont Energy Investment Corp
Massachusetts Society For The Prevention Of Cruelty To Animals
National Wildlife Federation
Florida Charter Educational Foundation Inc
Minnesota Public Radio
National Arts Centre Corporation
Royal National Theatre
Klamath River Renewal Corporation
National Arbor Day Foundation
Urban Land Institute
The Animal Medical Center
Hood College Of Frederick Md
Royal Shakespeare
Great Lakes Fishery Commission
Paintcare Inc
Seattle Theatre Group
Manhattan School Of Music
Milwaukee World Festival Inc
Academy Of Mathematics & Science South Inc
Wolf Trap Foundation For The Performing Arts
People For The Ethical Treatment Of Animals Inc
Alamo Trust Inc
Dr Phillips Center For The Performing Arts Inc
Music And Event Management Inc
Denver Center For The Performing Arts
New England Aquarium Corporation
Woodland Park Zoological Society
Radio Free Asia
San Antonio Zoological Society Inc
Trout Unlimited Inc
Friends Of The Zoo Inc Of Kansas City Mo
Petsmart Charities Inc
The Barn Group Land Trust Inc
San Francisco Ballet Association
Ressler Gertz Foundation
Pro Publica Inc
Twin Cities Public Television Inc
Aquarium Of The Pacific
National Aquarium Inc
Detroit Zoological Society
National Wild Turkey Federation Inc
Rewild
New Orleans Jazz & Heritage Foundation Inc
Adrienne Arsht Center Trust Inc
Fort Worth Zoological Association Inc
Golden Gate National Parks Conservancy
Kaizen Educational Foundation
Walton Arts Center Council Inc
League Of Conservation Voters Education Fund
Elevate Energy
Our Rescue
National Inventors Hall Of Fame Inc
Ocean Conservancy Inc
Whyy Inc
Woodlands Center For The Performing Arts
C40 Cities Climate Leadership Group Inc
Oceana Inc
Denver Botanic Garden Inc
Slipstream Group Inc
North Carolina Performing Arts Center At Charlotte Foundation
Birdlife International
American Theatre Guild
Hennepin Theatre Tr
Sustainable Energy Utility Inc
International Centre For Research In Agroforestry
Grid Alternatives
Ceres Inc
Boston Ballet Inc
Global Greengrants Fund Inc
Audubon Nature Institute Inc
Mann Center For The Performing Arts
Navy Seal Foundation Inc
U S Green Building Council Inc
Close Up Foundation
Florida Aquarium Inc
Fractured Atlas Inc
The Hobby Center Foundation
Lowry Park Zoological Society Of Tampa Inc
Borealis Philanthropy
Sustainable Markets Foundation
Jserra Catholic High School
Montana Land Reliance
Pennsylvania Horticultural Society
Jacksonville Zoological Society Inc
The Recycling Partnership Inc
Center For International Forestry Research
Oregon Shakespeare Festival Association
Elemental Excelerator Inc
Northwest Energy Efficiency Alliance Inc
Earth Island Institute Inc
Center For Biological Diversity Inc
Common Sense Media
Marine Stewardship Council
Wang Theatre Inc
Colorado Open Lands
Product Care Association
Sea Research Foundation Inc
Paper Mill Playhouse
National Football Museum Inc
Ruth Eckerd Hall Inc
Commonwealth Zoological Corporation
Artsquest
French American School Of New York Inc
Omaha Performing Arts Society
Houston Grand Opera Association Inc
Tennessee Performing Arts Center Management Corporation
Columbus Association For The Performing Arts Inc
Dove Lewis Emergency Animal Hospital Inc
Overture Center Foundation Inc
River Partners
American Bird Conservancy
Broadway Dallas Inc
Michigan Humane Society
Austin Theatre Alliance
Jane Goodall Institute For Wildlife Research Education & Conservation
National Minority Supplier Development Council Inc
Water Environment Federation
Wvc
Fairmount Park Conservancy
American Humane Association
World Wildlife Fund Canada
Florida Veterinary Medicine Faculty Association Inc
Emancipet
Center For Energy And Environment
American Forests
John Ball Zoo
Bethel Woods Center For The Arts Inc
Commemorative Air Force
Highlander Research & Education Center Inc
Grid Alternatives
San Francisco Zoological Society
Bonneville Environmental Foundation
American Rivers Inc
National Marine Sanctuary Foundation
Jazz At Aspen Snowmass
Point Reyes Bird Observatory
Western Reserve Land Conservancy
New England Interstate Water Pollution Control Commission
Minnesota Land Trust
The Humane League
Pbs Foundation
Sonoma Land Trust
Texas Agricultural Land Trust
Ubongo International
Earthshare
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 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.
Mid-tier scores reward steady financials. They do not penalize organizations that are deliberately investing in capacity (which can draw down reserves 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 reserves and steady revenue, with reasonable officer-comp-to-revenue ratios on the Form 990.
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 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 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.
453 nonprofits earn an Efficiency Score grade of B on NonprofitTruth, with combined revenue of $482.9B. Nonprofits scoring 65–79 on the Efficiency Score. Above-average reserves and steady revenue, with reasonable officer-comp-to-revenue ratios on the Form 990.