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NonprofitTruth

Updated June 2026

Efficiency Grade

Grade D, Below-Median Tier on the Efficiency Score

122 nonprofits earn an Efficiency Score grade of D on NonprofitTruth, with combined revenue of $17.1B. Nonprofits scoring 35–49. The Form 990 shows thinner reserves, more volatile revenue, or a higher officer-comp-to-revenue ratio than the typical filer.

Reviewed by NonprofitTruth Editorial Team · Updated
122
Nonprofits
$17.1B
Combined Revenue
64/100
Site Average

What a Grade D Looks Like

A D grade — Efficiency Score 35 to 49 — flags organizations whose Form 990 sits below the typical sector profile on at least one of the three scoring dimensions. The 122 organizations in this tier vary widely; the underlying factor breakdown on each profile page shows which dimension is pulling the score down.

Grade D 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 122 grade D nonprofits in this view together report $17.1B in combined annual revenue on their most recent IRS Form 990 filings. Median revenue is $70.8M, and the simple average is $140.1M — 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 122 grade D nonprofits we track, 0 earn an A and 0 earn a B on the Efficiency Score (combined 0% in the top two tiers, with A-grade organizations alone at 0%). Another 0 land at C, 122 at D, and 0 at F — a combined 100% 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 D nonprofits where Schedule J compensation is reported, the average top executive received $2.7M 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.

Novartis Patient Assistance Foundation

HealthNew Jersey
$2.8B
D

Sutter Health

HealthCalifornia
$1.9B
D

Early Learning Coalition Of Miami Dade Monroe

EducationFlorida
$460.0M
D

Andrew W Mellon Foundation

EducationNew York
$450.4M
D

Trustees Of Amherst College

EducationMassachusetts
$379.3M
D

Loma Linda University

EducationCalifornia
$365.3M
D

University Of Virginia Investment Management Company

EducationVirginia
$355.3M
D

Ohio State University Foundation

EducationOhio
$353.8M
D

Prisma Health Medical Group Midlands

EducationSouth Carolina
$348.0M
D

Oxford Funds Endowment Master

EducationUnknown
$306.6M
D

Wesleyan University

EducationConnecticut
$289.4M
D

New York University In Abu Dhabi Corporation

EducationNew York
$261.8M
D

Charter Institute At Erskine

EducationSouth Carolina
$244.3M
D

Pomona College

EducationCalifornia
$243.7M
D

Lebanese American University

EducationNew Jersey
$236.1M
D

Trinity University

EducationTexas
$230.2M
D

American Museum Of Natural History

Arts, Culture & HumanitiesNew York
$228.7M
D

Furman University

EducationSouth Carolina
$223.2M
D

Trustees Of Union College

EducationNew York
$201.6M
D

St Lawrence University

EducationNew York
$200.6M
D

University Of Florida Foundation Inc

EducationFlorida
$200.5M
D

Feinberg Graduate School Of The Weizmann Institute Of Science

EducationNew York
$199.5M
D

Hampton University

EducationVirginia
$197.4M
D

American University In Cairo

EducationNew York
$186.7M
D

Macalester College

EducationMinnesota
$186.4M
D

Connecticut College

EducationConnecticut
$182.1M
D

Purdue Research Foundation

EducationIndiana
$169.4M
D

State University Of Iowa Foundation

EducationIowa
$167.6M
D

The Lutheran University Association Inc

EducationIndiana
$165.5M
D

College Of Wooster

EducationOhio
$163.7M
D

University Of Puget Sound

EducationWashington
$157.2M
D

Lucas Museum Of Narrative Art

Arts, Culture & HumanitiesCalifornia
$154.8M
D

Muhlenberg College

EducationPennsylvania
$150.2M
D

Morehouse College

EducationGeorgia
$141.6M
D

Wisconsin Alumni Research Foundation

EducationWisconsin
$140.8M
D

Lindenwood Education System

EducationMissouri
$137.7M
D

West Virginia Univ Foundation Inc

EducationWest Virginia
$137.2M
D

Horace Mann School

EducationNew York
$134.4M
D

Colonial Williamsburg Foundation

Arts, Culture & HumanitiesVirginia
$125.8M
D

Lawrence University Of Wisconsin

EducationWisconsin
$115.8M
D

Wnet

Arts, Culture & HumanitiesNew York
$111.1M
D

Robert W Woodruff Arts Center Inc

Arts, Culture & HumanitiesGeorgia
$99.8M
D

Philharmonic Symphony Society Of New York Inc

Arts, Culture & HumanitiesNew York
$96.9M
D

Harvard Private Capital Holdings Inc

EducationMassachusetts
$95.1M
D

Washington College

EducationMaryland
$94.4M
D

Boston Symphony Orchestra Inc

Arts, Culture & HumanitiesMassachusetts
$93.2M
D

National September 11 Memorial And Museum At The World Trade Center

Arts, Culture & HumanitiesNew York
$90.3M
D

Indiana Institute Of Technology Inc

EducationIndiana
$87.2M
D

New York Botanical Garden

Environment & AnimalsNew York
$87.2M
D

San Francisco Opera Association

Arts, Culture & HumanitiesCalifornia
$85.3M
D

National World War Ii Museum Inc

Arts, Culture & HumanitiesLouisiana
$81.8M
D

Chicago Symphony Orchestra

Arts, Culture & HumanitiesIllinois
$80.8M
D

New Jersey Performing Arts Center Corporation

Arts, Culture & HumanitiesNew Jersey
$80.4M
D

Academy Museum Foundation

Arts, Culture & HumanitiesCalifornia
$79.2M
D

California Science Center Foundation

Arts, Culture & HumanitiesCalifornia
$77.5M
D

New York City Ballet Inc

Arts, Culture & HumanitiesNew York
$77.4M
D

Chicago Horticultural Society

Environment & AnimalsIllinois
$76.9M
D

Carnegie Institute

Arts, Culture & HumanitiesPennsylvania
$73.2M
D

The Detroit Institute Of Arts

Arts, Culture & HumanitiesMichigan
$71.2M
D

San Francisco Symphony

Arts, Culture & HumanitiesCalifornia
$71.1M
D

Omaha Zoological Society Inc

Environment & AnimalsNebraska
$70.8M
D

Consortium For Energy Environment And Demilitarization

Environment & AnimalsDistrict of Columbia
$63.0M
D

San Francisco Museum Of Modern Art

Arts, Culture & HumanitiesCalifornia
$61.2M
D

The Exploratorium

Arts, Culture & HumanitiesCalifornia
$61.0M
D

Shed Nyc Inc

Arts, Culture & HumanitiesNew York
$60.6M
D

Lyric Opera Of Chicago

Arts, Culture & HumanitiesIllinois
$59.7M
D

Missouri Botanical Garden Board Of Trustees

Environment & AnimalsMissouri
$55.5M
D

Philadelphia Orchestra Association

Arts, Culture & HumanitiesPennsylvania
$55.2M
D

Ahimsa Foundation

Environment & AnimalsColorado
$55.1M
D

New York Historical Society

Arts, Culture & HumanitiesNew York
$54.0M
D

Brooklyn Institute Of Arts And Sciences

Arts, Culture & HumanitiesNew York
$50.9M
D

Trustees Of Reservations

Environment & AnimalsMassachusetts
$50.5M
D

New York Shakespeare Festival

Arts, Culture & HumanitiesNew York
$50.4M
D

Chautauqua Institution

Arts, Culture & HumanitiesNew York
$49.3M
D

Morton Arboretum

Environment & AnimalsIllinois
$45.1M
D

Denver Art Museum Inc

Arts, Culture & HumanitiesColorado
$44.7M
D

American Printing House For The Blind Inc

Arts, Culture & HumanitiesKentucky
$43.9M
D

Volgenau Foundation

Environment & AnimalsVirginia
$40.6M
D

Los Angeles Opera Company

Arts, Culture & HumanitiesCalifornia
$39.7M
D

Franklin Institute

Arts, Culture & HumanitiesPennsylvania
$39.6M
D

Public Media Group Of Southern California

Arts, Culture & HumanitiesCalifornia
$37.1M
D

Artis Naples Inc

Arts, Culture & HumanitiesFlorida
$36.9M
D

Science Museum Of Minnesota

Arts, Culture & HumanitiesMinnesota
$35.1M
D

Western Pennsylvania Conservancy

Environment & AnimalsPennsylvania
$34.5M
D

White House Historical Association

Arts, Culture & HumanitiesDistrict of Columbia
$33.8M
D

Chicago Public Media Inc

Arts, Culture & HumanitiesIllinois
$33.8M
D

Virginia Museum Of Fine Arts Foundation

Arts, Culture & HumanitiesVirginia
$33.3M
D

Chesapeake Bay Foundation Inc

Environment & AnimalsMaryland
$32.2M
D

Simon Wiesenthal Center Inc

Arts, Culture & HumanitiesCalifornia
$31.0M
D

Pittsburgh Symphony Inc

Arts, Culture & HumanitiesPennsylvania
$30.8M
D

Intrepid Museum Foundation Inc

Arts, Culture & HumanitiesNew York
$30.8M
D

West Michigan Horticultural Society Inc

Environment & AnimalsMichigan
$30.1M
D

Seattle Art Museum

Arts, Culture & HumanitiesWashington
$30.0M
D

Ohio Historical Society

Arts, Culture & HumanitiesOhio
$29.9M
D

Perot Museum Of Nature And Science

Arts, Culture & HumanitiesTexas
$29.9M
D

Humane World For Animals International

Environment & AnimalsDistrict of Columbia
$29.0M
D

Oregon Humane Society

Environment & AnimalsOregon
$28.9M
D

Acapita Education Finance Corporation

EducationTexas
$28.9M
D

Old Globe Theatre

Arts, Culture & HumanitiesCalifornia
$27.7M
D

Music Associates Of Aspen Inc

Arts, Culture & HumanitiesColorado
$27.3M
D

North Texas Public Broadcasting Inc

Arts, Culture & HumanitiesTexas
$26.9M
D

Facing History & Ourselves Inc

Arts, Culture & HumanitiesMassachusetts
$26.2M
D

Johnny Morris Ozarks Heritage Preserve

Environment & AnimalsMissouri
$25.7M
D

Denver Dumb Friends League

Environment & AnimalsColorado
$25.2M
D

New York City Center Inc

Arts, Culture & HumanitiesNew York
$23.7M
D

New Museum Of Contemporary Art

Arts, Culture & HumanitiesNew York
$22.8M
D

Missouri Historical Society Jefferson Memorial Building

Arts, Culture & HumanitiesMissouri
$22.4M
D

Greenacres Foundation

Environment & AnimalsOhio
$22.3M
D

Nashville Symphony Association

Arts, Culture & HumanitiesTennessee
$22.0M
D

National Constitution Center

Arts, Culture & HumanitiesPennsylvania
$21.6M
D

Montgomery County Green Bank Corp

Environment & AnimalsMaryland
$20.8M
D

Peninsula Humane Society & Spca

Environment & AnimalsCalifornia
$19.8M
D

Kauffman Center For The Performing Arts

Arts, Culture & HumanitiesMissouri
$17.5M
D

Naples Botanical Garden Inc

Environment & AnimalsFlorida
$17.2M
D

Musical Instrument Museum

Arts, Culture & HumanitiesArizona
$15.4M
D

Kimmel Center Inc

Arts, Culture & HumanitiesPennsylvania
$13.4M
D

National Tropical Botanical Garden

Environment & AnimalsHawaii
$12.9M
D

Indian Paintbrush Foundation

EducationDistrict of Columbia
$12.5M
D

San Francisco Ballet Endowment Foundation

Arts, Culture & HumanitiesCalifornia
$8.2M
D

Christensen Fund

Environment & AnimalsCalifornia
$6.7M
D

Museum Of Arts & Sciences

Arts, Culture & HumanitiesFlorida
$5.8M
D

Museum Of Chinese In The America

Arts, Culture & HumanitiesNew York
$2.4M
D

How to Read a Grade D 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.

For organizations in this lower tier, Schedule O of the Form 990 — the narrative section — is often the single most useful read. Filers use it to explain unusual movements, governance changes, and one-time events that the bare numbers do not capture.

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 D mean?

Nonprofits scoring 35–49. The Form 990 shows thinner reserves, more volatile revenue, or a higher officer-comp-to-revenue ratio than the typical filer.

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 D mean a charity is average?

No — the grade is descriptive of financial structure on the IRS Form 990, not of program impact. A grade D 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.

122 nonprofits earn an Efficiency Score grade of D on NonprofitTruth, with combined revenue of $17.1B. Nonprofits scoring 35–49. The Form 990 shows thinner reserves, more volatile revenue, or a higher officer-comp-to-revenue ratio than the typical filer.