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NonprofitTruth

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 94/100.

Virginia has 36 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 36 Nonprofits in Virginia

#OrganizationCategoryRevenueCEO PayScore
1Inova Health Care ServicesHealth$5.7B$22.0MA (94)
2Edward Via Virginia College Of Osteopathic MedicineEducation$254.8M$2.7MA (84)
3Sentara HospitalsHealth$4.0B$12.1MA (83)
4Sentara Health PlansHealth$5.2B$3.4MA (81)
5Wolf Trap Foundation For The Performing ArtsArts, Culture & Humanities$72.6M$1.1MB (77)
6People For The Ethical Treatment Of Animals IncEnvironment & Animals$69.9M$177KB (77)
7Public Broadcasting ServiceArts, Culture & Humanities$544.0M$6.0MB (75)
8The Conservation Fund A Nonprofit CorporationEnvironment & Animals$327.4M$4.4MB (73)
9Shenandoah UniversityEducation$149.2M$2.4MB (73)
10American Bird ConservancyEnvironment & Animals$27.9M$820KB (73)
11Greater Washington Educational Telecommunications Association IncArts, Culture & Humanities$141.1M$3.2MB (72)
12National Wildlife FederationEnvironment & Animals$117.9M$3.3MB (72)
13Close Up FoundationArts, Culture & Humanities$41.1M$1.7MB (72)
14Trout Unlimited IncEnvironment & Animals$62.7M$1.7MB (69)
15Water Environment FederationEnvironment & Animals$26.8M$868KB (69)
16Liberty University IncEducation$1.6B$9.4MB (67)
17Pbs FoundationArts, Culture & Humanities$17.7M$435KB (67)
18Conservation International FoundationEnvironment & Animals$235.1M$3.6MB (66)
19Navy Seal Foundation IncArts, Culture & Humanities$41.5M$589KB (66)
20George Washington UniversityEducation$1.8B$7.8MC (64)

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 94/100 (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 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.