Efficiency Ranking

Most Efficient Charities in America

The top-rated nonprofit scores 94/100 on our Efficiency Score. These 50 organizations deliver the most impact per dollar, based on IRS 990 data.

#	Organization	Category	Score	Revenue	Officer Pay	Grade
1	Inova Health Care Services Health	Health	94	$5.7B	$22.0M	A
2	Commonwealth Care Alliance Inc Health	Health	93	$2.6B	$6.4M	A
3	Yes Prep Public Schools Inc Education	Education	92	$263.0M	$2.1M	A
4	Vanderbilt University Medical Center Health	Health	91	$6.9B	$24.6M	A
5	Long Island Jewish Medical Center Health	Health	91	$4.1B	$908K	A
6	University Of Chicago Medical Center Health	Health	91	$2.9B	$20.3M	A
7	Hartford Hospital Health	Health	91	$2.6B	$426K	A
8	West Virginia University Hospitals Inc Health	Health	91	$2.1B	$6.1M	A
9	Cook Childrens Medical Center Health	Health	91	$1.9B	$6.2M	A
10	Harmony Public Schools Education	Education	91	$548.9M	$2.8M	A
11	Uplift Education Education	Education	91	$304.7M	$2.3M	A
12	Internews Network Arts, Culture & Humanities	Arts, Culture & Humanities	91	$123.9M	$1.2M	A
13	North Shore University Hospital Health	Health	90	$3.7B	$1.1M	A
14	Texas Childrens Health Plan Inc Health	Health	90	$3.1B	$3.4M	A
15	Lucile Salter Packard Childrens Hospital At Stanford Health	Health	90	$2.6B	$9.2M	A
16	Wakemed Health	Health	90	$2.1B	$12.2M	A
17	Mary Hitchcock Memorial Hospital Health	Health	90	$2.0B	$13.8M	A
18	Jacksonville University Education	Education	90	$190.9M	$1.8M	A
19	Highlands Adult & Community Charter School Education	Education	90	$137.4M	$610K	A
20	Multiplier Environment & Animals	Environment & Animals	90	$75.0M	$492K	A
21	Rwj Barnabas Health Inc Health	Health	89	$7.1B	$20.1M	A
22	Orlando Health Inc Health	Health	89	$4.2B	$14.7M	A
23	Mount Sinai Hospital Health	Health	89	$3.9B	$12.1M	A
24	Boston Medical Center Corporation Health	Health	89	$2.4B	$4.2M	A
25	Idea Public Schools Education	Education	89	$1.0B	$5.1M	A
26	Kipp Texas Inc Education	Education	89	$484.5M	$3.5M	A
27	Kipp Nyc Public Charter Schools Ii Education	Education	89	$149.0M	$1.2M	A
28	San Diego Humane Society And S P C A Environment & Animals	Environment & Animals	89	$67.2M	$1.0M	A
29	New York University Education	Education	88	$10.5B	$20.5M	A
30	Yale New Haven Hospital Health	Health	88	$4.2B	$10.6M	A
31	Beth Israel Deaconess Medical Center Inc Health	Health	88	$2.7B	$2.9M	A
32	City Of Hope National Medical Center Health	Health	88	$2.5B	$10.3M	A
33	Nova Southeastern University Inc Education	Education	88	$937.8M	$7.0M	A
34	Somerset Academy Inc Education	Education	88	$372.1M	—	A
35	Merrimack College Education	Education	88	$291.2M	$4.0M	A
36	Yeled V Yalda Early Childhood Center Inc Education	Education	88	$202.7M	$2.1M	A
37	Mass General Brigham Incorporated And Affiliates Group Rtn Health	Health	87	$22.7B	$105.2M	A
38	Hackensack Meridian Health Inc Health	Health	87	$7.5B	$39.4M	A
39	Ochsner Clinic Foundation Health	Health	87	$5.1B	$40.1M	A
40	Florida Health Sciences Center Inc Health	Health	87	$2.4B	$10.2M	A
41	Lenox Hill Hospital Health	Health	87	$2.0B	$897K	A
42	Southern New Hampshire University Education	Education	87	$1.4B	$7.2M	A
43	Crystal Stairs Inc Arts, Culture & Humanities	Arts, Culture & Humanities	87	$297.8M	$1.0M	A
44	Friendship Public Charter School Education	Education	87	$146.9M	$1.3M	A
45	Kaiser Foundation Health Plan Inc Health	Health	86	$75.1B	$90.8M	A
46	Kaiser Foundation Health Plan Of The Mid Atlantic States Inc Health	Health	86	$5.9B	$14K	A
47	University Hospitals Health System Inc Health	Health	86	$5.3B	$18.2M	A
48	Metroplus Health Plan Inc Health	Health	86	$5.2B	$5.4M	A
49	A Mainehealth Hcsr Health	Health	86	$3.7B	$6.7M	A
50	Careoregon Inc Health	Health	86	$2.5B	$4.0M	A

Frequently Asked Questions

A financially efficient charity holds healthy reserves, grows revenue steadily, and pays its officers reasonably relative to its size. Our Efficiency Score weighs financial health / operating reserves (40%), revenue-growth consistency (35%), and current-officer compensation relative to revenue (25%) to produce a single 0-100 score from IRS Form 990 data. It does not estimate a program-spending ratio.

A score of 80 or above earns an A grade and indicates excellent financial stewardship. Scores between 60-79 (B grade) are considered good. The national average across 1,200+ nonprofits is around 74.

Not necessarily. Efficiency is one factor in choosing where to donate. Mission alignment, local impact, and organizational transparency also matter. However, high efficiency means more of every dollar reaches the intended cause.

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