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64 Worcester Business Journal | Book of Lists 2026 | wbjournal.com Largest human services nonprofits Ranked by total revenue for most recent fiscal year available Nonprofit Total revenue Total assets Fiscal year end date No. local employees/ description description Top executive/ year founded 1 Seven Hills Foundation and Affiliates 81 Hope Ave., Worcester 01603 508-755-2340 • sevenhills.org $544,225,487 $351,860,213 June 29, 2025 2,365 Services for developmentally disabled Kathleen M. Jordan president & CEO 1953 2 Advocates Inc. (1) 1881 Worcester Road, Framingham 01701 508-628-6300 • advocates.org $237,305,707 $126,695,299 June 30, 2025 1,810 Health and human services Regina Marshall (2) president & CEO 1975 3 South Middlesex Opportunity Council (SMOC) 7 Bishop St., Framingham 01702 508-872-4853 • smoc.org $169,341,312 $66,542,165 June 29, 2024 820 (3) Human services Susan Gentili president & CEO 1965 4 Ascentria Care Alliance 18 Chestnut St., Suite 410, Worcester 01608 774-243-3900 • ascentria.org $142,958,499 $188,482,325 June 29, 2025 466 Human services Angela Bovill president & CEO 1872 5 Spectrum Health Systems Inc. 10 Mechanic St., Suite 302, Worcester 01608 508-792-5400 • spectrumhealthsystems.org $142,402,547 $199,953,618 June 29, 2025 631 Addiction rehabilitation and services Kurt A. Isaacson president & CEO 1969 6 New England Center for Children 33 Turnpike Road, Southborough 01772 508-481-1015 • necc.org $135,256,799 $94,081,681 June 29, 2025 390 Autism education and research Jessica Sassi president & CEO 1975 7 Open Sky Community Services 4 Mann St., Worcester 01602 508-755-0333 • openskycs.org $130,888,128 $85,280,745 June 29, 2025 1,151 Human services Kenneth J. Bates president & CEO 1973 8 Making Opportunity Count (MOC) 601 River St., Fitchburg 01420 978-345-7040 • mocinc.org $93,132,072 $67,381,595 Oct. 31, 2024 523 (4) Health and human services Kevin Reed executive director 1966 9 RCAP Solutions 191 May St., Worcester 01602 978-630-6600 • rcapsolutions.org $84,807,608 $47,862,642 June 30, 2025 107 Housing and other human services Brian Scales president & CEO 1969 10 Venture Community Services 1 Picker Road, Sturbridge 01566 508-347-8181 • venturecs.org $75,308,658 $58,364,481 June 29, 2025 1,010 Services for developmentally affected Mike Hyland president & CEO 1975 11 Family Health Center of Worcester 26 Queen St., Worcester 01610 508-860-7700 • fhcw.org $67,221,444 $23,572,752 June 30, 2025 462 Health services for at- risk populations Louis Brady president & CEO 1972 12 Wayside Youth & Family Support Network 1 Frederick Abbott Way, Framingham 01701 508-879-9800 • waysideyouth.org $65,955,585 $66,844,125 June 29, 2024 287 Services for at-risk children and families Sara McCabe president & CEO 1977 13 Edward M. Kennedy Community Health Center 115 NE Cutoff, Building 2, Suite 200, Worcester 01605 508-854-2122 • kennedychc.org $63,992,412 $64,857,811 June 29, 2025 480 Community health center Stephen J. Kerrigan president & CEO 1972 14 Community Health Connections Inc. 326 Nichols Road, Fitchburg 01420 978-878-8100 • chcfhc.org $61,500,000 $29,900,000 June 29, 2025 487 Health care John A. DeMalia president & CEO 1997 15 Thom Child and Family Services 1661 Worcester Road, Suite 501, Framingham 01701 508-655-5222 • thomchild.org $52,867,483 $32,461,253 June 30, 2025 98 Services for at-risk children and families Gretchen Rowe executive director 1921 16 Key Program Inc. 2000 West Park Drive, Suite 250, Westborough 01581 508-877-3690 • key.org $51,390,594 $48,427,631 June 30, 2025 74 (3) Services for at-risk children and families Tammy Mello president & CEO 1974 17 Elder Services of Worcester Area Inc. 67 Millbrook St., Worcester 01606 508-756-1545 • eswa.org $50,749,820 $32,904,956 June 30, 2025 295 Long-term services Lisa Kippax executive director 1974 18 RFK Community Alliance 971 Main St., Lancaster 01523 978-365-7376 • rfkcommunity.org $50,319,793 $49,342,882 June 29, 2025 503 Human services Kathy Savage Mills president & CEO 1896 19 St. Patrick's Manor 863 Central St., Framingham 01701 508-879-8000 • stpatricksmanor.org $41,900,901 $96,746,435 Dec. 31, 2024 356 Skilled nursing & rehabilitation Kahoney Anderson administrator 1953 20 Worcester Community Action Council 18 Chestnut St., Suite 500, Worcester 01608 508-754-1176 • wcac.net $41,327,629 $14,633,714 Sept. 30, 2025 140 Community services and advocacy Marybeth Campbell CEO 1965 21 Guild of St. Agnes 19 Harvard St., Worcester 01609 508-755-2238 • guildofstagnes.org $37,490,259 $27,596,239 June 29, 2025 356 Early childhood education & care Sharon F. MacDonald president & CEO 1913 Sources: Candid, ProPublica and individual nonprofits (1) Includes two affiliate agencies HMEA and Family Continuity (2) Succeeded Diane Gould upon her retirement on July 1, 2026 (3) From WBJ's 2025 survey (4) From 990 tax filing for fiscal year ended Oct. 31, 2024 -Compiled by: Heide Martin, hmartin@nebusinessmedia.com Certified B Corps in Central Mass. Ranked by number of local employees • AAFCPAs Westborough Became B Corp: 2026 Local employees: 290 Total employees: 371 Chief executive: Carla M. McCall • Atlas Travel & Technology Group Marlborough Became B Corp: 2020 Local employees: 62 Total employees: 205 Chief executive: Elaine J. Osgood • Advocates for Human Potential Inc.* Sudbury Became B Corp: 2026 Local employees: 59 Total employees: 316 Chief executive: Noah Shifman • Scalora Consulting Group Ashland Became B Corp: 2022 Local employees: 20 Total employees: 28 Chief executive: Enzo Scalora • Load Controls Inc.** Sturbridge Became B Corp: 2024 Local employees: 10 Total employees: N/A Chief executive: Matt Powers • The Experience Alchemists (TEA) Natick Became B Corp: 2024 Local employees: 3 Total employees: 3 Chief executive(s): Annie Lundsten, Ed Rodley and Jim Olson *With additional locations in Chicago, Los Angeles, Phoenix and Tampa **Acquired by Bristol, Conn.-based Industrial Control Solutions (ICS) in October 2025 Sources: B Lab and individual B Corps F O C U S E D U C AT I O N & N O N P R O F I T S