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NonprofitTruth

Top-Rated Nonprofits in Massachusetts 2026

Massachusetts has 69 nonprofits with $76.2B in combined revenue. The top-rated organization is Commonwealth Care Alliance Inc with an Efficiency Score of 93/100.

Massachusetts has 69 nonprofits in the IRS Form 990 dataset ranked here by efficiency score. The NonprofitTruth nonprofit efficiency rubric combines financial health / operating reserves (40%), revenue-growth consistency (35%), and officer compensation relative to revenue (25%) into a 0-100 composite.

Reading the ranking: top of the list typically combines healthy operating reserves (the highest-weighted factor) with stable multi-year revenue and reasonable officer compensation. Large hospital and university systems often appear near the top in any state — their scale gives them deep balance sheets and steady revenue. Each nonprofit links to its full Form 990 profile. For donors trying to choose between organizations, the efficiency grade is a useful triage — but the underlying reserve position, the multi-year revenue trend, and the officer-comp ratio matter more than the composite letter on any individual decision.

Top 20 of 69 Nonprofits in Massachusetts

#OrganizationCategoryRevenueCEO PayScore
1Commonwealth Care Alliance IncHealth$2.6B$6.4MA (93)
2Boston Medical Center CorporationHealth$2.4B$4.2MA (89)
3Beth Israel Deaconess Medical Center IncHealth$2.7B$2.9MA (88)
4Merrimack CollegeEducation$291.2M$4.0MA (88)
5Mass General Brigham Incorporated And Affiliates Group RtnHealth$22.7B$105.2MA (87)
6Dana Farber Cancer InstituteMedical Research$3.4B$9.8MA (85)
7Umass Memorial Health Care IncHealth$3.7B$21.2MA (82)
8Harvard Business School Publishing CorporationArts, Culture & Humanities$319.0M$3.6MB (79)
9Hult International Business School IncEducation$191.3M$187KB (79)
10Boston Medical Center Health Plan IncHealth$4.1B$5.4MB (78)
11Northeastern UniversityEducation$2.6B$12.3MB (78)
12Wang Theatre IncArts, Culture & Humanities$33.5M$534KB (78)
13Massachusetts Society For The Prevention Of Cruelty To AnimalsEnvironment & Animals$120.3M$2.3MB (77)
14Harvard Pilgrim Health Care IncHealth$2.2B$97KB (76)
15Berklee College Of Music IncEducation$422.1M$1.9MB (74)
16Western New England UniversityEducation$169.8M$1.2MB (74)
17New England Interstate Water Pollution Control CommissionEnvironment & Animals$19.2M$438KB (74)
18Bentley UniversityEducation$347.7M$4.0MB (71)
19Year Up IncEducation$186.2M$4.5MB (71)
20Ceres IncEnvironment & Animals$43.5M$2.4MB (71)

Nonprofit financial data for Massachusetts is sourced from IRS Form 990 filings, which all tax-exempt organizations must file annually.

Frequently Asked Questions

Commonwealth Care Alliance Inc is the top-rated nonprofit in Massachusetts with an Efficiency Score of 93/100 (Grade A) and $2.6B in annual revenue.

Massachusetts has 69 nonprofits in our database with a combined $76.2B in total revenue.

The Efficiency Score (0-100, A-F) measures a nonprofit's financial structure based on financial health / operating reserves (40%), revenue-growth consistency (35%), and current-officer compensation relative to revenue (25%), all from IRS Form 990 data. Higher scores indicate stronger financial structure. It does not include a program-spending ratio, which our data source does not provide.

Sources: IRS Form 990

Efficiency Score: financial health / operating reserves (40%), revenue-growth consistency (35%), current-officer compensation ratio (25%). No program-spending ratio is included — total program service expenses are not available from the ProPublica Nonprofit Explorer feed.