Georgetown Hospital System is committed to providing high quality healthcare to the citizens of Georgetown county and surrounding areas. Our mission is to continuously improve the care we are able to render to exceed the expectations of our patients and customers.

501(c)(3) charity; gifts are tax-deductible.
56¢ of each $1 spent went to programs.
Run by 84 volunteers and 2,903 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

Before you give

FY2025 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2025
latest Form 990
Looks good: the latest return is for FY2025, 1 tax year back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
0 of 6
filings with a surplus
Average deficit $39.4M a year · 32% of revenue · last 6 filings
Concern: a surplus in 0 of the last 6 filings.
Pt I · Ln 19 · 6 filings
Spent on programs
56%
of spending
Worth a look: 56% of spending went to programs; under 65%.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$10.2M
to officers and key staff · 3% of spending
Looks good: pay to officers and key staff is 3% of spending; 15% or less.
Pt VII · Sec A
<1 mo
of spending, in cash
Plus $165.0M in investments, Pt X · Ln 11–13
Fine: 0.5 months of spending in cash, plus $165.0M in investments.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $10K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$535.1M
91% of total assets
Concern: liabilities are 91% of assets; over 80%.
Pt X · Ln 26
Independent board members
18
of 23 voting members
Looks good: 18 of 23 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$265.8M
+27% vs prior year
Spent
$327.3M
To programs
56%
Net assets
$50.0M
By yearFY2020–FY2025
Revenue
$265.8M
FY2025▲ +27%
Tap a bar for its year
Revenue by fiscal year
FY2020$46.4M
FY2021$78.2M
FY2022$54.0M
FY2023$89.9M
FY2024$209.5M
FY2025$265.8M
Expenses
$327.3M
FY2025▲ +22%
Tap a bar for its year
Expenses by fiscal year
FY2020$73.8M
FY2021$92.9M
FY2022$108.9M
FY2023$109.2M
FY2024$267.9M
FY2025$327.3M
Net assets
$50.0M
FY2025▼ -55%
Tap a bar for its year
Net assets by fiscal year
FY2020$31.7M
FY2021$60.8M
FY2022$59.9M
FY2023$85.2M
FY2024$111.5M
FY2025$50.0M

From the FY2025 Form 990 (year ending September 2025) · figures checked against the IRS filing · see the original

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Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2025. IRS ruling in Oct 2003.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

56 cents of each dollar spent went to programs.

Program services 56% · $182.2M Management & general 44% · $144.8M Fundraising 0% · $349K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

34 people listed on the 990; $10.2M paid to officers and key staff.

Part VII, Section A · reportable compensation · most recent filed roster (FY2024); the FY2025 filing did not itemize Part VII
$1,617,767Pt VII · Sec A
$1,259,794Pt VII · Sec A
$1,141,334Pt VII · Sec A
Trustee & Physician
$1,116,492Pt VII · Sec A
$1,097,406Pt VII · Sec A
$1,067,511Pt VII · Sec A
President & CEO
$789,203Pt VII · Sec A
Executive Vice President & Chief Physician Executive
$590,279Pt VII · Sec A

Dr Nitesh J Ainani’s $1.6M as Physician is at the 75th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2025FY2024FY2023FY2022FY2021FY2020
Dr Nitesh J Ainani$1,617,767$1,239,236————
Dr Catherine Burbage—$1,325,062$976,533$965,907$845,836—
Dr Malcom Eggart$1,259,794$1,265,184————
Dr Christopher Bach$1,116,492$1,116,604$1,186,344$1,140,258$1,014,524$834,394
Dr Jesse Lewis$1,141,334$1,056,548$987,870———
William Greer—$1,136,659————
Dr Annacecilia Peacher-Holderied$1,097,406—————
Dr William Greer$1,067,511—$984,176$914,746$930,267$942,237

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aYes
  • Loans to or from officersSch L · Pt II4 listed

Programs and updates

Provides payroll and management services to hospitals and operates physician services, transitional care, and other healthcare entities.

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Provided by the organization

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1 program · $182.2M · in their own filed words · FY2024
01

To assist in the provision of health care to residents of georgetown county by providing payroll and management services to waccamaw community hospital and georgetown memorial hospital, both 501(c)(3) tax exempt hospitals.

$182.2Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2024
Total grants receivedfrom 1 funder$10K
Grants paid · 18 grants · $413K · 2023–2024
Black River United Way INCSC · FY2024$50,000
Unitemized GrantFY2024$30,000
Partnership Grand StrandSC · FY2024$25,000
Smith Medical Clinic INCSC · FY2024$25,000
Healthy LearnersOH · FY2024$15,000
American Cancer Society INCGA · FY2024$15,000
Black River United Way INCSC · FY2023$70,000
Smith Medical Clinic INCSC · FY2023$50,000
Unitemized GrantFY2023$25,000
Brookgreen GardensSC · FY2023$20,000
Healthy LearnersOH · FY2023$15,000
YMCA of Coastal CarolinaSC · FY2023$11,500
Ground Zero Ministries INCSC · FY2023$10,500
Unitemized GrantFY2023$10,180
American Cancer Society INCGA · FY2023$10,000

By the numbers

The FY2025 990, line by line.

1The main four
Money inPt VIII
$265.8M
Ln 12
Fees for servicesLn 2g$208.1M
Other incomeLn 4–11$37.0M
Investment incomeLn 3$20.4M
Money outPt IX
$327.3M
Ln 25
Programscol B$182.2M
Managementcol C$144.8M
Fundraisingcol D$349K
Owns and owesPt X
$50.0M
net assets · Ln 32
Cash and savingsLn 1–2$12.4M
Total assetsLn 16$585.1M
LiabilitiesLn 26$535.1M
PeoplePt VI, VII
34
listed · VII A
PaidVII A12
Voting boardVI 1a23
IndependentVI 1b18
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$270K
Fundraising eventsLn 1c$183K
Fees for servicesLn 2g$208.1M
Investment incomeLn 3$20.4M
Other incomeLn 4–11$37.0M
Gains on assetsLn 7$18.3M
Total revenueLn 12$265.8M
Assets in detailPt X, end of year
CashLn 1$12.4M
Cash and savings togetherLn 1–2$12.4M
InvestmentsLn 11–13$165.0M
Land, buildings, equipmentLn 10c$373.9M
Other assetsLn 15$9.4M
Total assetsLn 16$585.1M
LiabilitiesLn 26$535.1M
Net assetsLn 32$50.0M
OperationsPt I, VI
EmployeesI 52,903
VolunteersI 684
Fiscal year endsHeaderSeptember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY25End FY25
Cash and savingsLn 1–2$13.8M$12.4M
InvestmentsLn 11–13$196.2M$165.0M
Land, buildings, equipmentLn 10c$374.3M$373.9M
Total assetsLn 16$614.4M$585.1M
LiabilitiesLn 26$502.9M$535.1M
Net assetsLn 32$111.5M$50.0M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$162K$162K
Grants to domestic individualsLn 2$30K$30K
Pay of current officers, directors and key staffLn 5$2.1M$2.1M
Pay of disqualified personsLn 6$9.4M$9.4M
Other salaries and wagesLn 7$128.3M$113.7M$14.4M$161K
Pension plan contributionsLn 8$3.8M$3.5M$370K$89
Other employee benefitsLn 9$17.3M$9.3M$8.0M$6K
Payroll taxesLn 10$7.3M$6.1M$1.1M$12K
Management feesLn 11a$30.8M$5.9M$24.9M
Legal feesLn 11b$7.0M$7.0M
Accounting feesLn 11c$154K$154K
Lobbying feesLn 11d$67K$67K
Professional fundraising feesLn 11e$38K$38K
Investment management feesLn 11f$46K$46K
Other fees for servicesLn 11g$45.4M$6.3M$39.0M$34K
Advertising and promotionLn 12$1.0M$999$997K$36K
Office expensesLn 13$22.2M$6.0M$16.1M$56K
OccupancyLn 16$13.1M$2.4M$10.7M$4K
TravelLn 17$1.1M$911K$151K$2K
InterestLn 20$5.0M$5.0M
Depreciation, depletion and amortizationLn 22$17.4M$3.4M$13.9M
InsuranceLn 23$4.1M$346K$3.8M
Other expenses (24a–d)Ln 24$11.5M$9.7M$1.8M
All other expensesLn 24e$0$0$0$0
Total functional expensesLn 25$327.3M$182.2M$144.8M$349K

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2025 Latest Viewing $265.8M$327.3M−$61.5M$50.0M 990 PDF
FY2024 $209.5M$267.9M−$58.4M$111.5M 990 PDF
FY2023 $89.9M$109.2M−$19.3M$85.2M 990 PDF
FY2022 $54.0M$108.9M−$54.9M$59.9M 990 PDF
FY2021 $78.2M$92.9M−$14.8M$60.8M 990 PDF
FY2020 $46.4M$73.8M−$27.4M$31.7M 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants A · Public support J · Pay O · Explanations
See the full FY2025 990 (6 parts)
Part I · Summary $265,774,573 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $33,267$269,992
I-9 Program service revenuePrior year $162,316,765$208,070,560
I-10 Investment incomePrior year $4,049,792$20,422,243
I-11 Other revenuePrior year $43,135,916$37,011,778
I-12 Total revenuePrior year $209,535,740$265,774,573
I-13 Grants and similar amounts paidPrior year $244,178$192,332
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $140,226,838$168,117,674
I-16a Professional fundraising feesPrior year $0$38,250
I-17 Other expensesPrior year $127,443,343$158,963,771
I-18 Total expensesPrior year $267,914,359$327,312,027
I-19 Revenue less expensesPrior year −$58,378,619−$61,537,454
Part VI · Governance 18 of 23 board members independent, no flags
VI-1a Voting members of the governing body23
VI-1b Independent voting members18
VI-2 Family or business relationship among officers or directorsNo
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $265,774,573 across 9 lines filed
Lines not itemized here account for $5,229 of total revenue; see the IRS return.
VIII-1c Fundraising events$183,145
VIII-1f All other contributions, gifts and grants$86,847
VIII-1h Total contributions, gifts and grants$269,992
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $208,070,560$208,070,560
VIII-3 Investment incomeExcluded from tax $2,077,633$2,077,633
VIII-6 Net rental income or lossExcluded from tax $37,088,819$37,088,819
VIII-7 Net gain or loss on sales of assetsRelated to mission $7,328,068 · Excluded from tax $11,016,542$18,344,610
VIII-8 Net income from fundraising eventsExcluded from tax −$82,270−$82,270
VIII-12 Total revenueRelated to mission $215,398,628 · Unrelated business $0 · Excluded from tax $50,105,953$265,774,573
Part IX · Statement of functional expenses $327,312,027 across 24 lines filed
IX-1 Grants to domestic organizationsPrograms $162,332$162,332
IX-2 Grants to domestic individualsPrograms $30,000$30,000
IX-5 Pay of current officers, directors and key staffManagement $2,115,256$2,115,256
IX-6 Pay of disqualified personsPrograms $9,354,785$9,354,785
IX-7 Other salaries and wagesPrograms $113,676,965 · Management $14,449,361 · Fundraising $161,201$128,287,527
IX-8 Pension plan contributionsPrograms $3,461,788 · Management $369,936 · Fundraising $89$3,831,813
IX-9 Other employee benefitsPrograms $9,254,225 · Management $7,999,570 · Fundraising $5,937$17,259,732
IX-10 Payroll taxesPrograms $6,129,341 · Management $1,127,319 · Fundraising $11,901$7,268,561
IX-11a Management feesPrograms $5,923,007 · Management $24,919,745$30,842,752
IX-11b Legal feesManagement $7,049,627$7,049,627
IX-11c Accounting feesManagement $153,527$153,527
IX-11d Lobbying feesManagement $67,000$67,000
IX-11e Professional fundraising feesFundraising $38,250$38,250
IX-11f Investment management feesManagement $46,297$46,297
IX-11g Other fees for servicesPrograms $6,316,017 · Management $39,016,527 · Fundraising $33,542$45,366,086
IX-12 Advertising and promotionPrograms $999 · Management $997,111 · Fundraising $35,852$1,033,962
IX-13 Office expensesPrograms $6,009,104 · Management $16,143,410 · Fundraising $56,165$22,208,679
IX-16 OccupancyPrograms $2,430,864 · Management $10,664,412 · Fundraising $4,111$13,099,387
IX-17 TravelPrograms $911,175 · Management $151,374 · Fundraising $1,719$1,064,268
IX-20 InterestPrograms $5,004,574$5,004,574
IX-22 Depreciation, depletion and amortizationPrograms $3,437,558 · Management $13,928,943$17,366,501
IX-23 InsurancePrograms $345,677 · Management $3,781,940$4,127,617
IX-24 Other expenses (24a–d)Programs $9,719,230 · Management $1,814,264$11,533,494
IX-24e All other expensesPrograms $0 · Management $0 · Fundraising $0$0
IX-25 Total functional expensesPrograms $182,167,641 · Management $144,795,619 · Fundraising $348,767$327,312,027
Part X · Balance sheet $585,098,340 assets, 19 lines filed
Asset lines not itemized here account for $3,634,460; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $13,750,111$12,363,367
X-4 Accounts receivableStart of year $7,963,919$9,944,100
X-8 Inventories for sale or useStart of year $1,546,758$1,674,576
X-9 Prepaid expenses and deferred chargesStart of year $7,013,623$7,621,104
X-10c Land, buildings and equipment, netStart of year $374,257,737$373,924,470
X-11 Publicly traded securitiesStart of year $174,893,588$144,192,045
X-13 Program-related investmentsStart of year $21,270,368$20,794,689
X-14 Intangible assetsStart of year $1,557,801$1,557,801
X-15 Other assetsStart of year $8,631,960$9,391,728
X-16 Total assetsStart of year $614,365,253$585,098,340
X-17 Accounts payable and accrued expensesStart of year $68,226,166$89,220,298
X-19 Deferred revenue$46,042
X-20 Tax-exempt bond liabilitiesStart of year $199,372,736$188,848,680
X-25 Other liabilitiesStart of year $235,257,447$256,949,486
X-26 Total liabilitiesStart of year $502,856,349$535,064,506
X-27 Net assets without donor restrictionsStart of year $111,446,553$50,009,372
X-28 Net assets with donor restrictionsStart of year $62,351$24,462
X-32 Total net assets or fund balancesStart of year $111,508,904$50,033,834
X-33 Total liabilities and net assetsStart of year $614,365,253$585,098,340
Part XI · Reconciliation of net assets $50,033,834 net assets at year end
XI-1 Total revenue$265,774,573
XI-2 Total expenses$327,312,027
XI-3 Revenue less expenses−$61,537,454
XI-4 Net assets at start of year$111,508,904
XI-5 Net unrealized gains (losses) on investments$1,062,384
XI-9 Other changes in net assets−$1,000,000
XI-10 Net assets at end of year$50,033,834

Form 990 e-file (XML) FY2025 from the IRS · Classification, formation year and address from the IRS Business Master File

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