Most Efficient in the United States (2022)

Top nonprofits by program expense ratio

100 organizations
Across the United States, the latest Form 990 most efficient ranking covers 340,093 organizations (2022 filings). TEMPLE UNIVERSITY HEALTH SYSTEM FOUNDATION leads at 5730055.0%.
Year: Latest 2024 2023 2022
# Organization Revenue Assets
1 TEMPLE UNIVERSITY HEALTH SYSTEM FOUNDATION
EIN: 232916108 · Philadelphia, PA
$1.8M $47.1M
2 A&T CARE
EIN: 812602169 · KERSHAW, SC
$2.1M $80K
3 SPEEDWAY TRAILS ASSOCIATION
EIN: 261080365 · Indianapolis, IN
$4.7M $5.9M
4 VISION SERVICE PLAN POST RETIREMENT WELFARE BENEFITS PROGRAM
EIN: 527325750 · RANCHO CORDOVA, CA
$10.8M $66.5M
5 DIAMOND ISLAND HOLDING
EIN: 882197973 · SEDONA, AZ
$1.1M $1.1M
6 COFFEE CREEK CONSERVATION CLUB
EIN: 356041723 · COMMISKEY, IN
$1.7M $229K
7 Maxs Mission
EIN: 814542557 · Medford, OR
$1.3M $643K
8 LOUISIANA SHERIFFS ASSOCIATION SUB TRUST
EIN: 367588694 · BATON ROUGE, LA
$1.4M $11.3M
9 KESHER NAFSHI INC
EIN: 871095338 · BROOKLYN, NY
$1.8M $401K
10 Emporia Greensville Humane Society Inc
EIN: 562465780 · Emporia, VA
$4.3M $4.3M
11 Poverty Solutions Inc CED Capital Alpharidge Capital
EIN: 271916296 · Torrance, CA
$1.5M $5.2M
12 CAB International
EIN: 980159060 · -
$40.7M $37.1M
13 CAIRNWOOD VILLAGE INC
EIN: 232047761 · BRYN ATHYN, PA
$1.0M $3.5M
14 ORMET CORPORATION HOURLY RETIREE BENEFIT TRUST
EIN: 830430487 · PITTSBURGH, PA
$1.8M $41.3M
15 ICU Independent Community Uplift
EIN: 842270522 · Desoto, TX
$3.0M $-33,259
16 NATIONAL FUEL GAS SUPPLY & PEN-YORK VEBA FOR NONCOLLECTIVELY BARGAINED EES
EIN: 161438191 · WILLIAMSVILLE, NY
$1.7M $30.7M
17 BIBLE MISSION INTERNATIONAL
EIN: 200239382 · APPLE VALLEY, MN
$1.0M $897K
18 ORPE HUMAN RIGHTS ADVOCATES
EIN: 814339751 · Glen Burnie, MD
$4.0M $4.7M
19 CABELL COUNTY PUBLIC LIBRARY
EIN: 556009586 · Huntington, WV
$8.3M $16.3M
20 GGC MEMBER ACQUISITION INC
EIN: 822518383 · PARK CITY, UT
$5.5M $50.3M
21 Global Aid Inc
EIN: 844497354 · WOODSTOCK, GA
$1.4M $232K
22 NATIONAL FUEL GAS DIST CORP PAD VEBA FOR NON COLLECTIVELY BARGAINED EES
EIN: 161438194 · WILLIAMSVILLE, NY
$1.1M $24.1M
23 NATIONAL FUEL GAS DIST CORP NYD VEBA FOR NONCOLLECTIVELY BARGAINED EES
EIN: 161438193 · WILLIAMSVILLE, NY
$3.8M $45.3M
24 GUARANTY ASSOCIATION BENEFITS COMPANY
EIN: 453635388 · WASHINGTON, DC
$54.8M $1.5B
25 DANA WEST YACHT CLUB
EIN: 953470608 · DANA POINT, CA
$1.2M $3.1M
26 AMZI
EIN: 271960726 · WASHINGTON, DC
$1.4M $1.0M
27 Next Step Incorporated
EIN: 742179490 · HUNTSVILLE, TX
$1.5M $1.5M
28 CENTRAL COAST COMMISSION FOR SENIOR CITIZENS
EIN: 952943625 · SANTA MARIA, CA
$4.7M $2.0M
29 Orange Economic Development Corporation
EIN: 223873498 · Orange, TX
$2.8M $11.7M
30 LANCASTER GENERAL HEALTH
EIN: 232250941 · LANCASTER, PA
$117.8M $1.6B
31 SISTERREACH
EIN: 454013343 · MEMPHIS, TN
$2.1M $336K
32 Ballad Health
EIN: 611771290 · Johnson City, TN
$90.9M $1.9B
33 EVERGLADES COMMUNITY ASSOCIATION IN
EIN: 592247419 · FLORIDA CITY, FL
$5.8M $42.8M
34 HOLLYWOOD CHAMBER OF COMMERCE
EIN: 950838840 · HOLLYWOOD, CA
$2.9M $4.3M
35 BLACK EMPLOYEES ASSOCIATION
EIN: 953130448 · INGLEWOOD, CA
$2.5M $40K
36 TAMPA HILLSBOROUGH HOMELESS INITIATIVE INC
EIN: 593651378 · TAMPA, FL
$13.9M $4.2M
37 PETROLEUM CLUB OF SHREVEPORT INC
EIN: 720417455 · SHREVEPORT, LA
$2.0M $1.5M
38 HOUSTON HEALTHCARE EMS INC
EIN: 263941348 · WARNER ROBINS, GA
$5.6M $1.0M
39 CHEROKEE COUNTRY CLUB
EIN: 620157080 · KNOXVILLE, TN
$11.5M $33.9M
40 AURORA ECONOMIC DEVELOPMENT COUNCIL INC
EIN: 840776480 · AURORA, CO
$2.6M $1.4M
41 UNITED WORKERS HEALTH FUND
EIN: 841655234 · UNIONDALE, NY
$5.1M $13.0M
42 INTERNATIONAL ASSOCIATION OF MACHINISTS & AEROSPACE WORKERS
EIN: 954454786 · RANCHO CUCAMONGA, CA
$9.6M $12.5M
43 WASHINGTON STATE CROP IMPROVEMENT ASSOCIATION
EIN: 910609119 · PULLMAN, WA
$1.4M $6.1M
44 NEW ENTERPRISE RURAL ELECTRIC COOPERATIVE INC
EIN: 230913675 · NEW ENTERPRISE, PA
$9.1M $8.7M
45 HAWAII MEDICAL SERVICE ASSOCIATION RETIREE HEALTH BENEFITS TRUST
EIN: 776235574 · HONOLULU, HI
$1.8M $50.8M
46 GALVAN ASSET MANAGEMENT INC
EIN: 223695479 · HUDSON, NY
$1.0M $4.2M
47 CONCERNED AFRICAN WOMEN INC
EIN: 650126665 · MIAMI, FL
$2.0M $488K
48 ASCENSION ST CLARE'S HOSPITAL INC
EIN: 721531917 · ST LOUIS, MO
$1.2M $973K
49 LOCAL 298 HEALTH FUND II
EIN: 111955915 · VALLEY STREAM, NY
$3.9M $3.2M
50 THE JAN AND NILES DAVIES LEARNING CENTER
EIN: 133448939 · WEST HAVERSTRAW, NY
$1.7M $423K
51 TESSERACT INC
EIN: 800378174 · WASHINGTON, DC
$1.1M $124K
52 MORICHES ROTARY HEALTH CAMP INC
EIN: 116025896 · CENTER MORICHES, NY
$1.7M $9.0M
53 CITY OF MUSKOGEE FOUNDATION INC
EIN: 263057250 · OKLAHOMA CITY, OK
$8.5M $144.1M
54 FIRST MONTCLAIR HOUSING CORP 1 INC
EIN: 510177339 · MONTCLAIR, NJ
$2.7M $8.0M
55 IOWA STATE UNIVERSITY RESEARCH PARK
EIN: 421309259 · AMES, IA
$11.1M $68.2M
56 FATHER FACTOR INC
EIN: 352170951 · WASHINGTON, DC
$2.2M $339K
57 COLUMBIA MEMORIAL PARK INC
EIN: 541039862 · ARLINGTON, VA
$4.4M $6.7M
58 Plumbers and Pipefitters 572 Joint Apprenticeship Committee
EIN: 620903513 · Nashville, TN
$1.7M $1.9M
59 Brillare Beauty Institute
EIN: 640876425 · Cleveland, TN
$2.7M $2.1M
60 THE CLEVELAND RACQUET CLUB INC
EIN: 341037302 · PEPPER PIKE, OH
$5.7M $4.7M
61 WEC Energy Group Inc Retiree Welfare Trust
EIN: 391723191 · Chicago, IL
$5.5M $235.6M
62 SESAME FLYERS INTERNATIONAL INC
EIN: 112692485 · BROOKLYN, NY
$3.6M $1.3M
63 THE THRIVING CITIES GROUP
EIN: 813605714 · CHARLOTTESVILLE, VA
$1.1M $444K
64 THE BENCHMARK MANAGEMENT COMPANY EMPLOYEE BENEFIT TRUST
EIN: 766078479 · THE WOODLANDS, TX
$26.1M $191K
65 Laborers International Union of North America Local 151
EIN: 041692697 · CAMBRIDGE, MA
$2.4M $10.8M
66 MADISON PARK DEVELOPMENT CORPORATION
EIN: 237164223 · ROXBURY, MA
$5.0M $40.1M
67 INDEPENDENT INSURANCE AGENTS OF TENNESSEE INC
EIN: 620379523 · NASHVILLE, TN
$1.9M $5.4M
68 St Paul Lutheran Early Learning Center Inc
EIN: 611569282 · Mcallen, TX
$1.7M $3K
69 COWLES COMPANY MEDICAL PLAN VEBA TRUST
EIN: 207044058 · SPOKANE, WA
$3.7M $3.0M
70 TRUCK DRIVERS UNION LOCAL 449
EIN: 160492700 · BUFFALO, NY
$2.1M $1.2M
71 KENTUCKY EDUCATIONAL TELEVISION FOUNDATION
EIN: 610722558 · LEXINGTON, KY
$8.9M $11.3M
72 Kroger Helping Hands Fund Benefits Trust
EIN: 936228744 · Cincinnati, OH
$10.0M $21.3M
73 WORLD TECHNICAL SERVICES INC
EIN: 742244188 · SAN ANTONIO, TX
$6.8M $1.2M
74 PLUMBERS AND PIPEFITTERS LU NO 286 PIPEFITTERS LU 286 HEALTH &
EIN: 746188725 · ALBUQUERQUE, NM
$21.0M $14.3M
75 CHILD DIMENSIONS INSURANCE COMPANY
EIN: 030317160 · AKRON, OH
$5.2M $64.3M
76 TENNESSEANS FOR QUALITY EARLY EDUCATION POLICY AND RESEARCH
EIN: 821352671 · MEMPHIS, TN
$2.3M $1.7M
77 JACK G BUNCHER CHARITABLE FUND FORTHE UNITED JEWISH FEDERATION OF PGH
EIN: 204393188 · PITTSBURGH, PA
$1.5M $17.2M
78 ASPEN CHAMBER RESORT ASSOCIATION INC
EIN: 840660680 · ASPEN, CO
$6.4M $5.0M
79 UNIVERSITY PREP INC
EIN: 271642506 · DENVER, CO
$5.3M $2.8M
80 DAY ONE RELIEF
EIN: 862505512 · CHAPEL HILL, NC
$8.9M $4K
81 FAMILY YMCA at TARRYTOWN
EIN: 131740516 · TARRYTOWN, NY
$1.4M $1.6M
82 GOLD COUNTRY SETTLEMENT FUNDING CORP
EIN: 800050421 · Auburn, CA
$4.3M $5.9M
83 UNIVERSITY PREP STEELE STREET INC
EIN: 475135227 · DENVER, CO
$5.3M $3.6M
84 SYLVANIA LODGE 1579 LOYAL ORDER OF MOOSE
EIN: 341184235 · SYLVANIA, OH
$1.1M $1.7M
85 GULF COAST SYMPHONY ORCHESTRA INC
EIN: 650666748 · FORT MYERS, FL
$1.9M $263K
86 UNIVERSITY OF LOUISVILLE REAL ESTATE FOUNDATION INC
EIN: 472373203 · LOUISVILLE, KY
$31.0M $164.0M
87 COVENANT KIDS INC
EIN: 752889215 · ARLINGTON, TX
$24.1M $8.8M
88 HASKINS LABORATORIES INC
EIN: 131628174 · NEW HAVEN, CT
$4.8M $1.6M
89 PRISMA HEALTH MIDLANDS FOUNDATION F/K/A PALMETTO HEALTH FOUNDATION
EIN: 570725699 · COLUMBIA, SC
$3.4M $35.3M
90 ITSERVE ALLIANCE INC
EIN: 271870521 · COPPELL, TX
$5.7M $3.4M
91 TENDERLOVE COMMUNITY CENTER
EIN: 454766711 · ALBUQUERQUE, NM
$1.5M $757K
92 NORTHSTAR RESIDENTIAL CARE INC
EIN: 431770266 · Independence, MO
$3.2M $470K
93 MERCY HEALTH EAST COMMUNITIES
EIN: 431718408 · ST LOUIS, MO
$214.3M $541.1M
94 WILDEWOOD COMMUNITY NEIGHBORHOOD INC
EIN: 851553802 · COLUMBIA, SC
$2.8M $940K
95 Taylor County Emergency Squad
EIN: 237124956 · GRAFTON, WV
$1.4M $519K
96 ENGLE PRINTING COMPANY EMPLOYEE BENEFIT TRUST
EIN: 222681799 · MOUNT JOY, PA
$1.3M $191K
97 INTERNATIONAL BROTHERHOOD OF TEAMSTERS 118 TWCH
EIN: 160578054 · ROCHESTER, NY
$3.6M $1.2M
98 AUSTIN GIFTED
EIN: 742913554 · AUSTIN, TX
$1.3M $1.9M
99 EHS HOME HEALTH CARE SERVICE INC
EIN: 362913108 · OAK BROOK, IL
$82.3M $73.2M
100 FARMERS MUTUAL FIRE INSURANCE ASSOCIATION OF SEWARD COUNTY
EIN: 476027566 · SEWARD, NE
$2.1M $856K
Data from IRS Form 990 filings. Click an organization name to view full details. © 2026 990 Finder by Trantor SpA.