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NonprofitTruth

Top-Rated Nonprofits in Washington 2026

Washington has 25 nonprofits with $39.2B in combined revenue. The top-rated organization is Multicare Health System with an Efficiency Score of 86/100.

Washington has 25 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 25 Nonprofits in Washington

#OrganizationCategoryRevenueCEO PayScore
1Multicare Health SystemHealth$4.5B$0A (86)
2PeacehealthHealth$3.3B$0A (86)
3Fred Hutchinson Cancer CenterHealth$2.3B$0A (86)
4Pacific Lutheran University IncEducation$158.6M$0A (86)
5Swedish Health ServicesHealth$3.0B$0A (84)
6Nia Tero FoundationEnvironment & Animals$26.2M$0A (83)
7Providence Health & Services OregonHealth$5.5B$0A (82)
8Kaiser Foundation Health Plan Of WashingtonHealth$4.2B$0A (82)
9Woodland Park Zoological SocietyEnvironment & Animals$64.7M$0A (82)
10Providence Health System Southern CaliforniaHealth$2.2B$0B (79)
11Seattle Childrens HospitalHealth$2.3B$0B (78)
12Providence Health & Services WashingtonHealth$9.8B$0B (77)
13Corporation Of Gonzaga UniversityEducation$424.2M$0B (75)
14Association Of University PhysiciansEducation$415.2M$0B (75)
15Seattle Theatre GroupArts, Culture & Humanities$75.6M$0B (74)
16Pacific Northwest Ballet AssociationArts, Culture & Humanities$25.5M$0B (74)
17Whitworth UniversityEducation$141.4M$0B (70)
18Seattle Symphony Orchestra IncArts, Culture & Humanities$31.3M$0B (70)
19Whitman College Board Of TrusteesEducation$163.9M$0B (68)
20University Of Puget SoundEducation$157.2M$0B (68)

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

Frequently Asked Questions

Multicare Health System is the top-rated nonprofit in Washington with an Efficiency Score of 86/100 (Grade A) and $4.5B in annual revenue.

Washington has 25 nonprofits in our database with a combined $39.2B 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%).