Efficiency Ranking

Most Efficient Charities in America

The top-rated nonprofit scores 87/100 on our Efficiency Score. These 50 organizations deliver the most impact per dollar, based on IRS 990 data.

#	Organization	Category	Score	Revenue	Program %	Grade
1	Northwestern Memorial Healthcare Health	Health	87	$9.1B	78.0%	A
2	Nyu Langone Hospitals Health	Health	87	$8.9B	78.0%	A
3	Bon Secours Mercy Health Inc Health	Health	87	$8.7B	78.0%	A
4	University Of Rochester Education	Education	87	$5.4B	78.0%	A
5	Mount Sinai Hospital Health	Health	87	$3.9B	78.0%	A
6	Dana Farber Cancer Institute Medical Research	Medical Research	87	$3.4B	78.0%	A
7	Norton Hospitals Inc Health	Health	87	$3.0B	78.0%	A
8	Corewell Health Health	Health	87	$2.9B	78.0%	A
9	University Of Chicago Medical Center Health	Health	87	$2.9B	78.0%	A
10	Miltons S Hershey Medical Center Health	Health	87	$2.6B	78.0%	A
11	Presbyterian Healthcare Services Health	Health	87	$2.4B	78.0%	A
12	Community Health Network Inc Health	Health	87	$2.2B	78.0%	A
13	Northeast Georgia Medical Center Inc Health	Health	87	$2.0B	78.0%	A
14	Bon Secours Richmond Health System Health	Health	87	$1.9B	78.0%	A
15	California Baptist University Education	Education	87	$439.7M	78.0%	A
16	Stephen Siller Tunnel To Towers Foundation Education	Education	87	$373.0M	78.0%	A
17	Somerset Academy Inc Education	Education	87	$372.1M	78.0%	A
18	Green Dot Public Schools Education	Education	87	$214.4M	78.0%	A
19	San Diego State University Foundation Education	Education	87	$212.4M	78.0%	A
20	Lewis University Education	Education	87	$189.0M	78.0%	A
21	Point Loma Nazarene University Education	Education	87	$178.0M	78.0%	A
22	Rocketship Education Education	Education	87	$173.9M	78.0%	A
23	Best Friends Animal Society Environment & Animals	Environment & Animals	87	$173.5M	78.0%	A
24	Aurora University Education	Education	87	$172.8M	78.0%	A
25	Western New England University Education	Education	87	$169.8M	78.0%	A
26	Molloy University Education	Education	87	$159.2M	78.0%	A
27	Dallas Baptist University Education	Education	87	$145.7M	78.0%	A
28	Wildlife Conservation Network Inc Environment & Animals	Environment & Animals	87	$52.5M	78.0%	A
29	The Wild Animal Sanctuary A Colorado Non Profit Corporation Environment & Animals	Environment & Animals	87	$33.9M	78.0%	A
30	Michigan Humane Society Environment & Animals	Environment & Animals	87	$27.8M	78.0%	A
31	Mayo Clinic Group Return Health	Health	86	$14.0B	78.0%	A
32	Banner Health Health	Health	86	$9.5B	78.0%	A
33	Memorial Hermann Health System Health	Health	86	$7.6B	78.0%	A
34	Stanford Health Care 227 Health	Health	86	$7.0B	78.0%	A
35	University Of Miami Education	Education	86	$5.9B	78.0%	A
36	Inova Health Care Services Health	Health	86	$5.7B	78.0%	A
37	Fairview Health Services Health	Health	86	$4.7B	78.0%	A
38	Duke University Health System Inc Health	Health	86	$4.7B	78.0%	A
39	Mercy Health Health	Health	86	$4.6B	78.0%	A
40	Multicare Health System Health	Health	86	$4.5B	78.0%	A
41	Baptist Healthcare System Inc Health	Health	86	$3.7B	78.0%	A
42	Osf Healthcare System Health	Health	86	$3.4B	78.0%	A
43	Peacehealth Health	Health	86	$3.3B	78.0%	A
44	Trinity Health Michigan Health	Health	86	$3.0B	78.0%	A
45	Honorhealth Health	Health	86	$2.9B	78.0%	A
46	Christiana Care Health Services Inc Health	Health	86	$2.7B	78.0%	A
47	Rush University Medical Center Health	Health	86	$2.7B	78.0%	A
48	Florida Health Sciences Center Inc Health	Health	86	$2.4B	78.0%	A
49	Fred Hutchinson Cancer Center Health	Health	86	$2.3B	78.0%	A
50	Shands Teaching Hospital And Clinics Inc Health	Health	86	$2.3B	78.0%	A

Frequently Asked Questions

An efficient charity directs the maximum share of its budget to mission-related programs rather than overhead. Our Efficiency Score weighs program spending ratio (50%), revenue growth consistency (20%), financial reserves (20%), and CEO compensation ratio (10%) to produce a single 0-100 score.

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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