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NonprofitTruth

Top-Rated Nonprofits in North Carolina 2026

North Carolina has 23 nonprofits with $27.6B in combined revenue. The top-rated organization is Duke University Health System Inc with an Efficiency Score of 86/100.

Top 20 of 23 Nonprofits in North Carolina

#OrganizationCategoryRevenueCEO PayScore
1Duke University Health System IncHealth$4.7B$0A (86)
2Wingate UniversityEducation$167.7M$0A (86)
3Pitt County Memorial Hospital IncHealth$1.8B$0A (84)
4WakemedHealth$2.1B$0A (83)
5Novant Health IncHealth$4.0B$0A (81)
6Presbyterian HospitalHealth$2.0B$0A (80)
7North Carolina Baptist HospitalHealth$3.0B$0B (77)
8Wake Forest University Health SciencesEducation$1.2B$0B (77)
9Elon UniversityEducation$389.1M$0B (77)
10North Carolina Performing Arts Center At Charlotte FoundationArts, Culture & Humanities$45.7M$0B (77)
11Educational Testing ServiceEducation$1.1B$0B (76)
12High Point UniversityEducation$422.1M$0B (76)
13Serc Reliability CorporationEnvironment & Animals$33.2M$0B (76)
14Campbell UniversityEducation$229.2M$0B (73)
15Duke UniversityEducation$3.7B$0B (68)
16Wake Forest UniversityEducation$686.9M$0B (68)
17North Carolina State University Foundation IncEducation$64.3M$0B (68)
18Triangle Land Conservancy IncEnvironment & Animals$18.2M$0B (68)
19Ncinnovation IncEducation$10.3M$0B (67)
20Davidson CollegeEducation$202.4M$0C (63)

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

Frequently Asked Questions

Duke University Health System Inc is the top-rated nonprofit in North Carolina with an Efficiency Score of 86/100 (Grade A) and $4.7B in annual revenue.

North Carolina has 23 nonprofits in our database with a combined $27.6B in total revenue.

The Efficiency Score (0-100, A-F) measures nonprofit effectiveness based on program expense ratio (50%), revenue growth consistency (20%), fund reserves (20%), and CEO compensation ratio (10%). Higher scores indicate more efficient organizations.

Sources: IRS Form 990

Efficiency Score: program expense ratio (50%), revenue growth consistency (20%), fund reserves (20%), CEO compensation ratio (10%).