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Nonprofiteer

Lists Largest by total revenue

Largest nonprofits in North Carolina by total revenue

Organizations whose address on record is in North Carolina, ranked by the total revenue on each one's most recent Form 990, 990-EZ or 990-PF that reports it, as filed. Tax years differ from row to row: each is that organization's latest such return. An amended return is counted once, replaced by its amendment.

Not every nonprofit can appear. Churches and most religious congregations are not required to file a 990, and organizations with gross receipts normally under $50,000 file the 990-N postcard, which reports no revenue.

Computed 3 November 2026.

Ranking

Organizations in North Carolina, ranked by total revenue on their latest return
Rank Organization Tax year Total revenue
1 NOVANT HEALTH INC WINSTON SALEM, NC 2024 $6,542,888,138
2 DUKE UNIVERSITY HEALTH SYSTEM INC DURHAM, NC 2023 $5,766,300,632
3 DUKE UNIVERSITY DURHAM, NC 2024 $4,754,345,666
4 NORTH CAROLINA BAPTIST HOSPITAL WINSTONSALEM, NC 2024 $3,259,407,603
5 STATE CHARTERED CREDIT UNIONS INC RALEIGH, NC 2024 $2,922,921,560
6 WAKEMED RALEIGH, NC 2024 $2,599,042,078
7 PRESBYTERIAN HOSPITAL WINSTON SALEM, NC 2024 $2,274,729,924
8 PITT COUNTY MEMORIAL HOSPITAL INC GREENVILLE, NC 2024 $2,223,240,973
9 REX HOSPITAL INC RALEIGH, NC 2024 $1,916,498,283
10 GOTHIC CORPORATION DURHAM, NC 2023 $1,766,141,866
11 WAKE FOREST UNIVERSITY HEALTH SCIENCES WINSTONSALEM, NC 2024 $1,713,703,683
12 SAMARITANS PURSE BOONE, NC 2025 $1,615,288,885
13 FORSYTH MEMORIAL HOSPITAL INC WINSTON SALEM, NC 2024 $1,560,678,254
14 NORTH CAROLINA ELECTRIC MEMBERSHIP CORPORATION RALEIGH, NC 2025 $1,402,413,754
15 DUKE HEALTH INTEGRATED PRACTICE INC DURHAM, NC 2023 $1,286,529,388
16 RESEARCH TRIANGLE INSTITUTE RTP, NC 2024 $1,254,259,534
17 FIRST HEALTH OF THE CAROLINAS INC PINEHURST, NC 2024 $1,179,213,070
18 GOTHIC HSP CORPORATION DURHAM, NC 2024 $974,815,584
19 WAKE FOREST UNIVERSITY WINSTONSALEM, NC 2024 $843,176,173
20 GASTON MEMORIAL HOSPITAL INC GASTONIA, NC 2023 $790,891,234
21 FOUNDATION FOR THE CAROLINAS CHARLOTTE, NC 2024 $761,389,623
22 ATLANTIC COAST CONFERENCE CHARLOTTE, NC 2023 $711,352,847
23 NORTH CAROLINA INSURANCE RALEIGH, NC 2025 $673,514,463
24 EAST CAROLINA HEALTH GREENVILLE, NC 2024 $599,551,368
25 THE MOSES H CONE MEMORIAL HOSPITAL OPERATING CORPORATION GREENSBORO, NC 2024 $598,632,199
26 FAMILY HEALTH INTERNATIONAL DURHAM, NC 2024 $539,608,705
27 SANDHILLS CENTER FOR MENTAL HEALTH DEVELOPMENTAL DISABILITIES & SUBST WEST END, NC 2022 $532,949,142
28 HIGH POINT REGIONAL HEALTH HIGH POINT, NC 2024 $502,891,625
29 HIGH POINT UNIVERSITY HIGH POINT, NC 2024 $501,892,632
30 UNIVERSITY HEALTH SYSTEMS OF EASTERN CAROLINA INC GREENVILLE, NC 2024 $457,914,887
31 ELON UNIVERSITY ELON, NC 2024 $441,401,510
32 L C IND INC DURHAM, NC 2024 $408,056,988
33 WAYNE MEMORIAL HOSPITAL INC GOLDSBORO, NC 2023 $382,147,792
34 SOUTHEASTERN REGIONAL MEDICAL CENTER LUMBERTON, NC 2024 $374,729,794
35 BLUE RIDGE HEALTHCARE HOSPITALS INC MORGANTON, NC 2024 $373,147,584
36 DUKE ENDOWMENT CHARLOTTE, NC 2024 $370,592,635
37 GROUP HEALTH PROGRAM OF THE NATNL TELECOMMUNICATIONS COOP ASSOC ASHEVILLE, NC 2024 $353,314,204
38 CUMBERLAND COUNTY HOSPITAL SYSTEM INC FAYETTEVILLE, NC 2024 $346,889,617
39 FLETCHER HOSPITAL INC HENDERSONVLLE, NC 2024 $332,217,579
40 SCOTLAND MEMORIAL HOSPITAL INCORPORATED LAURINBURG, NC 2024 $323,287,922
41 VIDANT MEDICAL GROUP LLC GREENVILLE, NC 2024 $322,274,004
42 ENERGYUNITED ELECTRIC MEMBERSHIP CORPORATION STATESVILLE, NC 2025 $313,161,255
43 CATAWBA COLLEGE SALISBURY, NC 2024 $310,506,126
44 NC STATE INVESTMENT FUND INC RALEIGH, NC 2024 $304,333,028
45 DAVIDSON COLLEGE DAVIDSON, NC 2024 $295,951,405
46 CAMPBELL UNIVERSITY BUIES CREEK, NC 2024 $258,344,677
47 BRUNSWICK ELECTRIC MEMBERSHIP CORP SHALLOTTE, NC 2025 $254,802,534
48 FOOD BANK OF CENTRAL & EASTERN NORTH CAROLINA INC RALEIGH, NC 2024 $247,244,979
49 DOGWOOD HEALTH TRUST ASHEVILLE, NC 2024 $238,690,769
50 COMMUNITY CARE OF NORTH CAROLINA INC GARNER, NC 2023 $233,011,492
51 NORTH CAROLINA JOINT UNDERWRITING ASSOCIATION RALEIGH, NC 2024 $232,772,463
52 DUKE UNIVERSITY AFFILIATED PHYSICANS INC DURHAM, NC 2023 $230,451,132
53 AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS DURHAM, NC 2024 $227,787,881
54 BANK OF AMERICA CHARITABLE FOUNDATION INC CHARLOTTE, NC 2023 $220,225,056
55 CALDWELL MEMORIAL HOSPITAL INC LENOIR, NC 2024 $220,031,286
56 GIVECLEAR FOUNDATION CHARLOTTE, NC 2024 $214,891,040
57 ASSOCIATION OF INTERNATIONAL CERTIFIED PROFESSIONAL ACCOUNTANTS DURHAM, NC 2024 $214,151,477
58 AH GEORGIA INC CHARLOTTE, NC 2024 $213,578,803
59 LENOIR MEMORIAL HOSPITAL INC KINSTON, NC 2024 $191,550,558
60 SELF HELP VENTURES FUND DURHAM, NC 2024 $189,217,541
61 UNION ELECTRIC MEMBERSHIP CORP MONROE, NC 2023 $183,252,830
62 BLUE RIDGE ELECTRIC MEMBERSHIP CORPORATION LENOIR, NC 2025 $182,234,252
63 WINGATE UNIVERSITY WINGATE, NC 2024 $178,345,647
64 COLUMBUS REGIONAL HEALTHCARE SYSTEM WHITEVILLE, NC 2024 $176,377,792
65 RUTHERFORD ELECTRIC MEMBERSHIP FOREST CITY, NC 2025 $174,495,890
66 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER WINSTONSALEM, NC 2024 $172,627,029
67 DELTA DENTAL OF NORTH CAROLINA RALEIGH, NC 2024 $172,317,001
68 SECOND HARVEST FOOD BANK OF METROLINA INC CHARLOTTE, NC 2024 $172,264,484
69 THE GOLDEN L E A F LONG-TERM ECONOMIC ADVANCEMENT FOUNDATION IN ROCKY MOUNT, NC 2024 $171,537,614
70 JONES-ONSLOW ELECTRIC MEMBERSHIP CORPORATION JACKSONVILLE, NC 2024 $170,617,411
71 LUMBEE RIVER ELECTRIC MEMBERSHIP CORPORATION PEMBROKE, NC 2024 $169,560,200
72 CAROMONT MEDICAL GROUP INC GASTONIA, NC 2023 $165,685,869
73 NORTH CAROLINA STATE UNIVERSITY FOUNDATION INC RALEIGH, NC 2024 $164,944,230
74 GASTON FAMILY HEALTH SERVICES INC GASTONIA, NC 2024 $162,367,718
75 WRMC HOSPITAL OPERATING CORPORATION N WILKESBORO, NC 2024 $156,144,073
76 RISE AGAINST HUNGER RALEIGH, NC 2025 $155,585,447
77 THE OUTER BANK HOSPITAL INC GREENVILLE, NC 2024 $154,950,522
78 ATRIUM HEALTH FOUNDATION CHARLOTTE, NC 2024 $150,109,810
79 NORTH CAROLINA COMMUNITY FOUNDATION INC RALEIGH, NC 2024 $143,714,496
80 EASTER SEALS UCP NORTH CAROLINA & VIRGINIA INC RALEIGH, NC 2024 $142,997,456
81 LEGACY HEALTHCARE SERVICES INC RALEIGH, NC 2024 $139,332,034
82 THE YOUNG MENS CHRISTIAN ASSOCIATION OF THE TRIANGLE AREA I RALEIGH, NC 2025 $138,241,356
83 MANA NUTRITIVE AID PRODUCTS INC MATTHEWS, NC 2024 $138,046,810
84 FRENCH BROAD ELECTRIC MEMBERSHIP CORPORATION MARSHALL, NC 2025 $134,997,169
85 NORTH CAROLINA PARTNERSHIP FOR CHILDREN INC RALEIGH, NC 2024 $134,009,549
86 HUGH CHATHAM MEMORIAL HOSPITAL INC ELKIN, NC 2024 $133,746,492
87 CENTER FOR CREATIVE LEADERSHIP GREENSBORO, NC 2024 $133,624,740
88 HARNETT HEALTH SYSTEM INC DUNN, NC 2022 $130,545,965
89 WAKE ELECTRIC MEMBERSHIP CORP WAKE FOREST, NC 2025 $129,361,410
90 MOUNTAIN AREA HEALTH EDUCATION CENTER INC ASHEVILLE, NC 2023 $129,170,473
91 SOUTH RIVER ELECTRIC MEMBERSHIP CORPORATION DUNN, NC 2025 $127,602,690
92 WAKE FOREST EMERGENCY PROVIDERS WINSTONSALEM, NC 2024 $118,762,167
93 DAYMARK RECOVERY SERVICES INC SALISBURY, NC 2024 $117,920,654
94 MONARCH ALBEMARLE, NC 2024 $115,589,948
95 FOUR COUNTY ELECTRIC MEMBERSHIP CORP BURGAW, NC 2024 $114,987,385
96 HENDRICK AUTOMOTIVE GROUP EMPLOYEE BENEFIT TRUST CHARLOTTE, NC 2024 $114,685,593
97 THE UNITED METHODIST RETIREMENT HOMES INC DURHAM, NC 2024 $113,193,566
98 NEW HANOVER COMMUNITY ENDOWMENT INC WILMINGTON, NC 2024 $111,652,777
99 GARDNER-WEBB UNIVERSITY BOILING SPGS, NC 2024 $107,714,396
100 ALAMANCE REGIONAL MEDICAL CENTER GREENSBORO, NC 2024 $107,512,685