Largest by Revenue Nonprofits in North Carolina

Largest by Revenue nonprofit rankings for North Carolina. 100 organizations with $11.5B in combined revenue. Updated 2026 IRS 990 data.

100Organizations
$11.5BTotal Revenue
$18.5BTotal Assets
84/100Avg Score

Largest by Revenue Rankings for North Carolina (100)

#OrganizationCityRevenueAssetsScore
1 Wake Forest University Health Sciences Winstonsalem $1.7B $2.2B
2 Nc State Investment Fund Inc Raleigh $1.3B $2.5B
3 Educational Testing Service Charlotte $1.1B $1.7B 75/100
4 North Carolina Insurance Raleigh $956.3M $1.8B
5 Family Health International Durham $800.1M $348.3M
6 Burroughs Wellcome Fund Rtp $542.0M $848.0M
7 Gothic Hsp Corporation Durham $490.2M $2.5B
8 Vidant Medical Group Llc Greenville $336.6M $91.2M
9 American Institute Of Certified Public Accountants Durham $252.9M $239.8M 65/100
10 Bank Of America Charitable Foundation Inc Charlotte $218.8M $10.1M 98/100
11 Association Of International Certified Professional Accountants Durham $214.8M $81.9M
12 Daymark Recovery Services Inc Salisbury $141.5M $79.8M 85/100
13 Thales Academy Raleigh $141.3M $184.2M 95/100
14 Legacy Healthcare Services Inc Raleigh $139.3M $104.0M
15 Mana Nutritive Aid Products Inc Matthews $138.0M $357.7M
16 William R Kenan Jr Charitable Trust Chapel Hill $134.2M $655.6M 95/100
17 Center For Creative Leadership Greensboro $133.7M $132.5M
18 Reynolds American Inc Tr For Noncollectively Bargained Postreti Winston Salem $119.6M $149.5M
19 City Of Oaks Foundation Inc Raleigh $105.2M $109.8M
20 Summit Foundation Charlotte $104.3M $77.4M
21 Rise Against Hunger Raleigh $94.5M $23.0M 88/100
22 North Carolina Insurance Guaranty Association Raleigh $87.8M $123.3M
23 Chapel Hill Residential Retirement Center Inc Chapel Hill $87.3M $127.8M
24 The V Foundation Cary $74.6M $145.9M 95/100
25 The Asha And Sajjan Agarwal Foundation Raleigh $66.8M $134.4M
26 Blue Ridge Healthcare Medical Group Inc Morganton $64.5M $21.1M 60/100
27 The David Belk Cannon Foundation Gastonia $60.2M $132.5M
28 American Board Of Pediatrics Inc Chapel Hill $56.6M $232.8M
29 Johnson C Smith University Incorporated Charlotte $56.3M $234.0M
30 Rescue Legacy Fund Inc Durham $56.1M $38.9M
31 North Carolina Community Carenetworks Inc Garner $55.3M $118.7M 92/100
32 Serc Reliability Corporation Charlotte $55.1M $21.7M 95/100
33 North Carolina Museum Of Art Foundation Inc Raleigh $51.1M $89.7M
34 Triad Math And Science Academy Company Apex $50.9M $22.1M 92/100
35 Legal Aid Of North Carolina Inc Raleigh $49.3M $28.7M
36 A J Fletcher Foundation Raleigh $48.4M $279.2M
37 Samaritan Housing Foundation Inc Cary $47.5M $325.2M
38 Luddy Charitable Foundation Raleigh $46.6M $61.1M 85/100
39 Carolina Village Inc Hendersonville $38.1M $140.9M
40 Motor & Equipment Manufacturers Association Durham $35.6M $48.0M 85/100
41 Pace Of Guilford & Rockingham Counties Inc Greensboro $35.1M $31.9M
42 Roanoke Chowan Community Health Center Inc Ahoskie $35.0M $20.2M
43 Duke Corporate Education Durham $33.1M $35.5M
44 Autism Society Of North Carolina Inc Raleigh $32.8M $10.4M
45 Port Health Services Greenville $31.6M $9.2M 80/100
46 Appalachian Regional Medicalassociates Inc Boone $30.4M $22.6M 45/100
47 Carolina Dealerships Inc Welfare Benefit Trust Winston Salem $30.1M $6.3M 85/100
48 High Country Community Health Boone $28.3M $22.4M
49 International Society Of Automation Durham $28.3M $50.5M
50 Pace Of The Southern Piedmont Inc Salisbury $27.7M $9.7M
51 Cypress Of Raleigh Club Inc Raleigh $27.7M $10.3M 85/100
52 Louis Dejoy And Aldona Z Wos Family Foundation Inc Greensboro $25.7M $44.5M 85/100
53 Unc Management Company Inc Chapel Hill $25.1M $61.4M
54 Life St Joseph Of The Pines Inc Fayetteville $24.7M $22.4M
55 United States Baseball Federation Inc Cary $24.0M $19.9M
56 Childrens Hope Alliance Statesville $23.5M $80.5M 95/100
57 North Carolina Central University Foundation Inc Durham $23.5M $53.1M
58 Pace At Home Inc Newton $23.2M $9.6M
59 Moses Cone Affiliated Physicians Inc Greensboro $22.7M $44.4M
60 Henderson Collegiate Henderson $22.0M $39.5M
61 Capital Area Soccer League Inc Raleigh $21.0M $22.1M
62 Randolph Specialty Group Practice Asheboro $20.7M $3.7M 40/100
63 Childtrust Foundation Raleigh $20.5M $21.0M 85/100
64 Wake Technical Community College Foundation Inc Raleigh $20.1M $31.2M
65 North Carolina Museum Of History Foundation Raleigh $19.3M $16.9M 90/100
66 Anonymous Trust Raleigh $19.1M $122.3M
67 American Thrombosis And Hemostasisnetwork Inc Hickory $18.8M $5.2M 90/100
68 Reinvestment Partners Durham $18.7M $27.6M
69 The@W Duke Kimbrell Family Foundation Gastonia $18.6M $97.3M 90/100
70 St Davids School Raleigh $18.6M $29.9M
71 Berry Charitable Foundation Greensboro $18.4M $74.6M
72 Lutheran Home Hickory Inc Salisbury $18.4M $10.8M 92/100
73 Atlantic Telephone Membershipcorporation Retiree Welfare Trust Shallotte $18.3M $13.6M 85/100
74 Carolina Seniorcare Newton $18.2M $17.1M
75 Ancient Free & Accepted Masons Of North Carolina Raleigh $17.8M $66.9M
76 National Council Of The Paper Ind For Air & Stream Improvement Inc Cary $17.7M $27.2M 85/100
77 Lsa Management Inc Salisbury $17.4M $183.9M 85/100
78 Advent Christian General Conference Of America Charlotte $17.3M $16.5M
79 International Society On Thrombosis And Haemostasis Inc Charlotte $17.3M $17.7M
80 Kerry And Simone Vickar Family Foundation Charlotte $17.3M $12.6M
81 Albemarle Foundation Charlotte $17.1M $30.2M 85/100
82 Samaritans Feet International Charlotte $17.0M $12.5M 90/100
83 Catherine Mcauley Mercy Foundation Inc Asheville $16.6M $26.5M
84 Pprc Nursing Home Inc High Point $16.5M $11.8M
85 Lutheran Home At Trinity Oaks Inc Salisbury $16.2M $23.2M 85/100
86 Corvian Community School Inc Charlotte $16.2M $71.8M
87 Lutheran Home Hickory West Inc Salisbury $16.0M $6.4M 85/100
88 Columbus Regional Health Network Whiteville $15.5M $952K
89 Grandfather Mountain Stewardship Foundation Inc Linville $15.4M $38.0M
90 Brother Wolf Animal Rescue Inc Asheville $15.0M $15.5M 88/100
91 North Carolina League Of Conservation Voters Foundation Inc Raleigh $14.5M $9.6M
92 Western Carolina University Foundation Cullowhee $14.4M $98.2M
93 Westreich Foundation Arden $14.3M $11.6M 85/100
94 American Board Of Orthopaedic Surgery Inc Chapel Hill $14.2M $57.3M
95 The Catherine Jefferson Foundation Durham $14.0M $30.6M
96 Davidson Day School Davidson $13.9M $21.7M 88/100
97 Lutheran Home Wilmington Inc Salisbury $13.9M $5.2M
98 Kipp Charlotte Inc Charlotte $13.8M $19.4M 88/100
99 Triangle Aquatic Center Cary $13.7M $25.8M 75/100
100 Thomas R & Elizabeth E Mclean Foundation Inc Fayetteville $13.7M $25.2M

Frequently Asked Questions

What are the largest by revenue nonprofits in North Carolina?

There are 100 nonprofits in North Carolina ranked by largest by revenue, with $11.5B in combined annual revenue.

How are North Carolina nonprofit rankings determined?

Rankings are based on the latest IRS 990 filing data. The biggest nonprofits ranked by total annual revenue. Each organization is ranked relative to other North Carolina nonprofits.

How do North Carolina nonprofits compare nationally?

North Carolina has 100 organizations in this ranking category. View the national largest by revenue rankings for broader context.

Where can I find more nonprofit data for North Carolina?

Visit our North Carolina state page for a complete overview of all nonprofits, or explore specific categories and cities within North Carolina.

Other Rankings for North Carolina

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