Top 100 by Revenue

Largest US Nonprofits by Revenue (2026)

The 100 largest US nonprofits reported a combined $699.9B in annual revenue on their most recent IRS Form 990 filings. Kaiser Foundation Health Plan Inc tops the list at $75.1B, followed by Kaiser Foundation Hospitals ($32.8B), Mass General Brigham Incorporated And Affiliates Group Rtn ($22.7B), Cleveland Clinic Foundation ($15.6B).

Top 5 Largest, At a Glance

#1Kaiser Foundation Health Plan Inc · Health$75.1B
#2Kaiser Foundation Hospitals · Health$32.8B
#3Mass General Brigham Incorporated And Affiliates Group Rtn · Health$22.7B
#4Cleveland Clinic Foundation · Health$15.6B
#5Mayo Clinic Group Return · Health$14.0B

Full ranked list of the top 100 below. Each row shows annual revenue, total assets, program-expense ratio, and our A–F efficiency grade. All figures pulled from IRS Form 990 filings via ProPublica Nonprofit Explorer.

#	Organization	Category	Revenue	Assets	Program %	Grade
1	Kaiser Foundation Health Plan Inc Health	Health	$75.1B	$31.4B	78.0%	B
2	Kaiser Foundation Hospitals Health	Health	$32.8B	$72.1B	78.0%	B
3	Mass General Brigham Incorporated And Affiliates Group Rtn Health	Health	$22.7B	$26.0B	78.0%	A
4	Cleveland Clinic Foundation Health	Health	$15.6B	$24.7B	78.0%	A
5	Mayo Clinic Group Return Health	Health	$14.0B	$17.7B	78.0%	A
6	Healthfirst Phsp Inc Health	Health	$12.1B	$4.4B	78.0%	B
7	New York University Education	Education	$10.5B	$19.8B	78.0%	A
8	Corewell Health Health	Health	$10.4B	$8.7B	78.0%	A
9	The New York And Presbyterian Hospital Health	Health	$10.3B	$20.1B	78.0%	A
10	Johns Hopkins University Education	Education	$10.2B	$20.2B	78.0%	B
11	Trustees Of The University Of Pennsylvania Education	Education	$9.9B	$32.9B	78.0%	B
12	Dignity Health Health	Health	$9.9B	$17.3B	78.0%	B
13	Providence Health & Services Washington Health	Health	$9.8B	$8.5B	78.0%	B
14	Ihc Health Services Inc Health	Health	$9.6B	$16.8B	78.0%	A
15	Banner Health Health	Health	$9.5B	$15.0B	78.0%	A
16	Northwestern Memorial Healthcare Health	Health	$9.1B	$13.3B	78.0%	A
17	Nyu Langone Hospitals Health	Health	$8.9B	$11.6B	78.0%	A
18	Bon Secours Mercy Health Inc Health	Health	$8.7B	$12.9B	78.0%	A
19	Caresource Ohio Inc Health	Health	$8.5B	$2.2B	78.0%	B
20	The Board Of Trustees Of The Leland Stanford Junior University Education	Education	$8.5B	$61.8B	78.0%	B
21	The Cleveland Clinic Foundation Health	Health	$7.6B	$15.4B	78.0%	B
22	Memorial Hermann Health System Health	Health	$7.6B	$12.1B	78.0%	A
23	Hackensack Meridian Health Inc Health	Health	$7.5B	$7.1B	78.0%	A
24	Memorial Sloan Kettering Cancer Center Health	Health	$7.5B	$14.7B	78.0%	A
25	Mayo Clinic Health	Health	$7.1B	$22.1B	78.0%	B
26	Rwj Barnabas Health Inc Health	Health	$7.1B	$9.0B	78.0%	A
27	Stanford Health Care 227 Health	Health	$7.0B	$10.8B	78.0%	A
28	Vanderbilt University Medical Center Health	Health	$6.9B	$5.9B	78.0%	A
29	Advocate Health And Hospitals Corporation Health	Health	$6.9B	$16.1B	78.0%	A
30	Northside Hospital Inc Health	Health	$6.8B	$5.1B	78.0%	A
31	Bjc Health System Health	Health	$6.7B	$4.2B	78.0%	A
32	Trustees Of Columbia University Education	Education	$6.7B	$23.6B	78.0%	B
33	Yale University Education	Education	$6.3B	$54.3B	78.0%	B
34	Global Fund To Fight Aids Tuberculosis And Malaria Medical Research	Medical Research	$6.3B	$9.3B	78.0%	B
35	Emory University Education	Education	$6.3B	$20.9B	78.0%	B
36	Adventist Health System Sunbelt Inc Health	Health	$6.3B	$11.0B	78.0%	A
37	Ucare Minnesota Health	Health	$6.2B	$1.9B	78.0%	B
38	President And Fellows Of Harvard College Education	Education	$6.1B	$70.6B	78.0%	B
39	University Of Miami Education	Education	$5.9B	$7.0B	78.0%	A
40	Kaiser Foundation Health Plan Of The Mid Atlantic States Inc Health	Health	$5.9B	$3.1B	78.0%	A
41	Cornell University Education	Education	$5.9B	$17.3B	78.0%	B
42	Indiana University Health Inc Health	Health	$5.8B	$11.7B	78.0%	A
43	Inova Health Care Services Health	Health	$5.7B	$7.3B	78.0%	A
44	Providence Health & Services Oregon Health	Health	$5.5B	$4.6B	78.0%	A
45	University Of Rochester Education	Education	$5.4B	$7.6B	78.0%	A
46	Allina Health System Health	Health	$5.4B	$6.0B	78.0%	A
47	University Hospitals Health System Inc Health	Health	$5.3B	$3.3B	78.0%	A
48	Sentara Health Plans Health	Health	$5.2B	$1.6B	78.0%	B
49	Metroplus Health Plan Inc Health	Health	$5.2B	$2.5B	78.0%	B
50	Sutter Bay Hospitals Health	Health	$5.2B	$5.8B	78.0%	A
51	University Of Southern California Education	Education	$5.1B	$13.8B	78.0%	B
52	Kaiser Foundation Health Plan Of The Northwest Health	Health	$5.1B	$2.1B	78.0%	B
53	Washington University Education	Education	$5.1B	$19.8B	78.0%	B
54	Ochsner Clinic Foundation Health	Health	$5.1B	$6.1B	78.0%	A
55	Montefiore Medical Center Health	Health	$5.1B	$4.6B	78.0%	A
56	Ecmc Group Inc Education	Education	$5.0B	$5.3B	78.0%	B
57	Massachusetts Institute Of Technology Education	Education	$5.0B	$38.6B	78.0%	C
58	Scan Health Plan Health	Health	$4.9B	$1.1B	78.0%	B
59	Fairview Health Services Health	Health	$4.7B	$6.1B	78.0%	A
60	Duke University Health System Inc Health	Health	$4.7B	$8.0B	78.0%	A
61	University Of Chicago Education	Education	$4.7B	$14.7B	78.0%	B
62	Sutter Valley Hospitals Health	Health	$4.7B	$2.8B	78.0%	A
63	Cedars Sinai Medical Center Health	Health	$4.7B	$11.2B	78.0%	B
64	Mercy Health Health	Health	$4.6B	$6.0B	78.0%	A
65	Ohiohealth Corporation Grant Riverside Doctors Dublin Met Health	Health	$4.5B	$9.8B	78.0%	A
66	Multicare Health System Health	Health	$4.5B	$6.1B	78.0%	A
67	Henry Ford Health System Health	Health	$4.5B	$4.0B	78.0%	A
68	Kaiser Foundation Health Plan Of Colorado Health	Health	$4.3B	$2.4B	78.0%	A
69	Orlando Health Inc Health	Health	$4.2B	$7.4B	78.0%	A
70	Kaiser Foundation Health Plan Of Washington Health	Health	$4.2B	$3.6B	78.0%	A
71	Yale New Haven Hospital Health	Health	$4.2B	$4.6B	78.0%	A
72	Icahn School Of Medicine At Mount Sinai Education	Education	$4.2B	$3.9B	78.0%	A
73	Long Island Jewish Medical Center Health	Health	$4.1B	$3.8B	78.0%	A
74	Scripps Health Health	Health	$4.1B	$7.5B	78.0%	A
75	Boston Medical Center Health Plan Inc Health	Health	$4.1B	$1.7B	78.0%	B
76	Novant Health Inc Health	Health	$4.0B	$9.6B	78.0%	A
77	Sentara Hospitals Health	Health	$4.0B	$2.5B	78.0%	A
78	Mount Sinai Hospital Health	Health	$3.9B	$5.8B	78.0%	A
79	California Institute Of Technology Education	Education	$3.9B	$6.9B	78.0%	A
80	Commonspirit Health Health	Health	$3.9B	$9.2B	78.0%	A
81	Texas Childrens Hospital Health	Health	$3.8B	$7.3B	78.0%	A
82	Duke University Education	Education	$3.7B	$20.4B	78.0%	B
83	Umass Memorial Health Care Inc Health	Health	$3.7B	$2.0B	78.0%	A
84	North Shore University Hospital Health	Health	$3.7B	$3.5B	78.0%	A
85	Baptist Healthcare System Inc Health	Health	$3.7B	$4.6B	78.0%	A
86	A Mainehealth Hcsr Health	Health	$3.7B	$3.8B	78.0%	A
87	Princeton University Education	Education	$3.6B	$41.5B	78.0%	C
88	Dignity Community Care Health	Health	$3.6B	$4.7B	78.0%	A
89	Franciscan Alliance Inc Health	Health	$3.5B	$6.0B	78.0%	A
90	Sutter Bay Medical Foundation Medical Research	Medical Research	$3.5B	$2.1B	78.0%	A
91	Emory Education	Education	$3.5B	$2.1B	78.0%	A
92	The Childrens Hospital Of Philadelphia Health	Health	$3.4B	$7.4B	78.0%	A
93	Osf Healthcare System Health	Health	$3.4B	$5.3B	78.0%	A
94	Dana Farber Cancer Institute Medical Research	Medical Research	$3.4B	$4.7B	78.0%	A
95	Health Share Of Oregon Health	Health	$3.4B	$334.7M	78.0%	B
96	Peacehealth Health	Health	$3.3B	$4.7B	78.0%	A
97	Lehigh Valley Hospital Health	Health	$3.2B	$3.5B	78.0%	A
98	The Johns Hopkins Hospital Health	Health	$3.2B	$3.5B	78.0%	A
99	University Of Pittsburgh Education	Education	$3.1B	$9.7B	78.0%	B
100	Childrens Hospital Medical Center Health	Health	$3.1B	$9.1B	78.0%	B

How the Largest Nonprofits in the US Are Ranked

This list ranks the largest 501(c) tax-exempt organizations in the United States by total annual revenue as reported on each organization’s most recent IRS Form 990. Revenue includes program service revenue, contributions and grants, investment income, and other reported income. Hospital systems and health-insurance nonprofits like Kaiser Permanente dominate the top tier, followed by large universities, private foundations, and national charities.

Size alone is not a quality signal. Being the largest charity in America does not mean the most efficient — our Efficiency Score measures how each organization spends what it raises. See the most efficient nonprofits for the inverse view, or the highest-paid nonprofit CEOs for executive compensation rankings.

Frequently Asked Questions

Kaiser Foundation Health Plan Inc is currently the largest US nonprofit by annual revenue, reporting $75.1B on its most recent IRS Form 990 filing.

Of the top 100 largest US nonprofits in this ranking, 100 report over $1 billion in annual revenue. The cutoff to enter the top 100 is approximately $3.1B.

Size alone does not indicate effectiveness. Our Efficiency Score grades nonprofits on program-spending ratio (50%), revenue-growth consistency (20%), reserve months (20%), and CEO compensation as a share of revenue (10%).

Program percentage is the share of total expenses that goes directly to the nonprofit's charitable programs, versus administration and fundraising. Charity watchdogs typically benchmark a healthy program ratio at 75% or higher.

All figures come from each organization's most recent IRS Form 990 filing, sourced via ProPublica Nonprofit Explorer. Filing data typically lags the tax year by 6–18 months.

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