Wake Forest University Health Sciences: $1.2B Revenue, $1.4B Expenses

Wake Forest University Health Sciences earns a C on the efficiency rubric — the median bucket on the NonprofitTruth scale, indicating performance close to the national midpoint across financial reserves, officer compensation, and revenue consistency. Composite score: 64/100.

On revenue, Wake Forest University Health Sciences is among the largest U.S. nonprofits: $1.2B in 2022 reported revenue. Organizations at this scale typically operate hospitals, university systems, or national federations — the financial pattern looks more like a corporation than the small-charity stereotype. Operating reserves at Wake Forest University Health Sciences are adequate: the balance sheet covers a reasonable share of annual expenses, though not a deep multi-year cushion.

Revenue trend is mildly positive across the five-year filing window — modest growth, consistent with stable funding sources keeping pace with organizational costs. Compensation for current officers and key employees runs $27.0M against $1.2B in revenue — within the band third-party charity raters typically consider reasonable for an organization of this size and complexity. This is an aggregate across all listed officers, not a single executive's salary. In the Education category, Wake Forest University Health Sciences sits alongside universities, K-12 systems, scholarship funds, and education-research organizations. Education-sector nonprofits often hold large endowments, which affects how the reserves-and-revenue figures should be read.