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Charity Clarity grade C (score 55.6 of 100), based on the Form 990 for the year ended September 2025.
Graded against 22,236 health care nonprofits with revenue over $50M filing the same form. A = top 10%, B = next 20%, C = middle 40%, D = next 20%, F = bottom 10%.
| Measure | This charity | Score (0–100) |
|---|---|---|
| ReservesMonths of spending covered by unrestricted net assets. | 18.5 months | 77 |
| GovernanceBoard independence, key policies and audit, per the 990. | 61% of practices | 61 |
| Margin stabilityHow steady the surplus or deficit is year to year. | 17 | |
| Revenue spreadHow much revenue rests on one type of income. | 3% from one source | 32 |
| Filing recordOn-time, complete filings, year after year. | 100% | 100 |
| Program spendingSelf-reported by the filer. | 97.8% | not scored |
| Management costsShare of spending. | 1.7% | not scored |
| Cost to raise $1Fundraising cost per dollar given. | $0.19 | not scored |
Scores compare this charity with its peer group; 100 is best. How Charity Clarity rates charities.
| Year ended | Form | Revenue | Spending | Surplus | Net assets | Months of spending | Staff | Grade |
|---|---|---|---|---|---|---|---|---|
| Sep 2025 | Form 990 | $4.44B | $4.11B | $330.96M | $6.33B | 18.5 | 15,716 | C |
| Sep 2024 | Form 990 | $3.84B | $3.93B | −$90.31M | $5.62B | 17.1 | 15,617 | C |
| Sep 2023 | Form 990 | $3.83B | $3.64B | $183.14M | $5.26B | 17.3 | 14,387 | C |
| Sep 2022 | Form 990 | $3.14B | $3.25B | −$109.09M | $4.77B | 17.6 | 13,557 | C |
| Sep 2021 | Form 990 | $2.75B | $2.72B | $36.75M | $5.31B | 23.5 | 12,226 | C |
| Sep 2020 | Form 990 | $2.62B | $2.54B | $88.27M | $4.54B | 21.5 | 12,831 | C |
| Sep 2019 | Form 990 | $2.60B | $2.42B | $181.81M | $4.27B | 21.2 | 12,738 | C |
| Sep 2018 | Form 990 | $2.43B | $2.22B | $204.38M | $4.14B | 22.4 | 11,543 | C |
| Sep 2017 | Form 990 | $2.16B | $2.01B | $152.40M | $3.75B | 22.4 | 10,650 | C |
| Sep 2016 | Form 990 | $1.98B | $1.86B | $122.01M | $3.38B | 21.8 | 10,012 | C |
| Sep 2015 | Form 990 | $1.83B | $1.67B | $164.46M | $3.20B | 23.1 | 9,005 | C |
From the organisation’s own IRS filings. “Months of spending” is total net assets divided by a month of that year’s spending. A blank grade means that year was not rated.
Every figure here comes from the returns this charity filed with the IRS. These sites show the full returns and more about the organisation: