Top-Rated Nonprofits in Virginia 2026
Virginia has 36 nonprofits with $22.6B in combined revenue. The top-rated organization is Inova Health Care Services with an Efficiency Score of 86/100.
Virginia has 36 nonprofits in the IRS Form 990 dataset ranked here by efficiency score. The LakeQuality nonprofit efficiency rubric combines program-spending ratio (50%), revenue growth consistency (20%), fund reserves (20%), and CEO compensation ratio (10%) into a 0-100 composite.
Reading the ranking: top of the list typically combines strong program-spending discipline (the highest-weighted factor) with stable multi-year revenue and reasonable executive compensation. Large hospital and university systems often appear near the top in any state — their scale lets them keep program ratios high while still investing in infrastructure. 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 program-spending ratio, the multi-year revenue trend, and the comp ratio matter more than the composite letter on any individual decision.
Top 20 of 36 Nonprofits in Virginia
| # | Organization | Category | Revenue | CEO Pay | Score |
|---|---|---|---|---|---|
| 1 | Inova Health Care Services | Health | $5.7B | $0 | A (86) |
| 2 | Edward Via Virginia College Of Osteopathic Medicine | Education | $254.8M | $0 | A (83) |
| 3 | Shenandoah University | Education | $149.2M | $0 | A (83) |
| 4 | Water Environment Federation | Environment & Animals | $26.8M | $0 | A (82) |
| 5 | Sentara Hospitals | Health | $4.0B | $0 | A (81) |
| 6 | Greater Washington Educational Telecommunications Association Inc | Arts, Culture & Humanities | $141.1M | $0 | A (81) |
| 7 | People For The Ethical Treatment Of Animals Inc | Environment & Animals | $69.9M | $0 | A (81) |
| 8 | Public Broadcasting Service | Arts, Culture & Humanities | $544.0M | $0 | A (80) |
| 9 | National Wildlife Federation | Environment & Animals | $117.9M | $0 | A (80) |
| 10 | Wolf Trap Foundation For The Performing Arts | Arts, Culture & Humanities | $72.6M | $0 | A (80) |
| 11 | Sentara Health Plans | Health | $5.2B | $0 | B (78) |
| 12 | The Conservation Fund A Nonprofit Corporation | Environment & Animals | $327.4M | $0 | B (78) |
| 13 | American Bird Conservancy | Environment & Animals | $27.9M | $0 | B (78) |
| 14 | Liberty University Inc | Education | $1.6B | $0 | B (77) |
| 15 | Trout Unlimited Inc | Environment & Animals | $62.7M | $0 | B (76) |
| 16 | Rare Inc | Environment & Animals | $30.9M | $0 | B (76) |
| 17 | Conservation International Foundation | Environment & Animals | $235.1M | $0 | B (75) |
| 18 | Stand Together Trust | Education | $58.7M | $0 | B (74) |
| 19 | Pbs Foundation | Arts, Culture & Humanities | $17.7M | $0 | B (74) |
| 20 | George Washington University | Education | $1.8B | $0 | B (73) |
Nonprofit financial data for Virginia is sourced from IRS Form 990 filings, which all tax-exempt organizations must file annually.
Frequently Asked Questions
Inova Health Care Services is the top-rated nonprofit in Virginia with an Efficiency Score of 86/100 (Grade A) and $5.7B in annual revenue.
Virginia has 36 nonprofits in our database with a combined $22.6B 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.
Efficiency Score: program expense ratio (50%), revenue growth consistency (20%), fund reserves (20%), CEO compensation ratio (10%).