Georgetown Hospital System

Georgetown Hospital System consistently operates at a deficit, with expenses exceeding revenue in all reported periods.

EIN: 20598440 · Georgetown, SC · NTEE: E210 · Updated: 2026-03-28

$209.6MRevenue
$209.5MGross Revenue
$614.4MAssets
55/100Mission Score (Fair)
E210
Georgetown Hospital System Financial Summary
MetricValue
Total Revenue$209.6M
Total Expenses$109.2M
Program Spending80%
Net Assets$85.2M
Transparency Score55/100

Is Georgetown Hospital System Legit?

Some Concerns

GoodFiling Consistency
ExcellentSpending Efficiency
ModerateTransparency
3 FoundRed Flags

Assessment based on IRS 990 filings, spending patterns, and AI analysis. Not a guarantee of legitimacy. Full charity check →

Georgetown Hospital System directs 80% of its spending to programs. This exceeds the industry benchmark of 65%, indicating strong mission focus.

About Georgetown Hospital System

Georgetown Hospital System (EIN: 20598440) is a nonprofit organization based in Georgetown, SC, classified under NTEE code E210. The organization reported total revenue of $209.6M and total assets of $614.4M according to its most recent IRS 990 filing. This transparency report provides an AI-powered analysis of Georgetown Hospital System's financial health, spending patterns, executive compensation, and overall mission effectiveness based on publicly available IRS data.

Organization Overview

23Years Operating
MajorSize Classification
13Years of Filings
MixedRevenue Trajectory

Georgetown Hospital System is a major nonprofit that has been operating for 23 years, with 13 years of IRS 990 filings on record (2011–2023). Revenue has grown at a compound annual rate of 29.5%.

Key Financial Metrics (2023)

From the most recent IRS 990 filing on record:

Total Revenue$89.9M
Total Expenses$109.2M
Surplus / Deficit$-19,253,629
Total Assets$107.4M
Total Liabilities$22.2M
Net Assets$85.2M
Operating Margin-21.4%
Debt-to-Asset Ratio20.7%
Months of Reserves11.8 months

Financial Health Grade: B

In 2023, Georgetown Hospital System reported a deficit of $19.3M with expenses exceeding revenue, holds 11.8 months of operating reserves (strong position), has a debt-to-asset ratio of 20.7% (moderate leverage).

Financial Trends

Over 13 years of filings (2011–2023), Georgetown Hospital System's revenue has grown at a compound annual growth rate (CAGR) of 29.5%.

YearRevenue ChangeExpense ChangeAsset Change
2023+66.5%+0.2%+41.8%
2022-30.9%+17.2%+0.4%
2021+68.6%+25.9%+74.0%
2020+39.5%+29.5%+44.9%
2019-20.1%+18.6%+3.1%

IRS Tax-Exempt Classification

IRS Classification Codes1000
IRS Ruling Date2003

Classification data from ProPublica Nonprofit Explorer. Additional BMF data may be available after enrichment.

AI Transparency Report

Georgetown Hospital System exhibits a concerning trend of operating deficits over the past several years, with expenses consistently exceeding revenue. For instance, in 2023, the organization reported revenues of $89,905,859 against expenses of $109,159,488, indicating a significant shortfall. This pattern of spending more than it earns raises questions about long-term financial sustainability, especially given the substantial increase in liabilities from $2,446,035 in 2016 to $22,237,885 in 2023. While the organization's assets have grown, the consistent operational losses suggest a need for a more robust financial strategy or a re-evaluation of its cost structure. The organization's transparency regarding executive compensation is notable, with 0% reported for officer compensation across all available filings. This indicates either that executive compensation is not reported in this section, or that the organization operates with a volunteer or very low-paid leadership structure, which is unusual for an entity of its size and revenue. Further clarity on how leadership is compensated would enhance transparency. The consistent deficits, however, are a primary concern for financial health and efficiency.

Mission Effectiveness Score

NonprofitSpending's AI analysis rates Georgetown Hospital System with a Mission Score of 55 out of 100 (Fair). This score reflects the organization's overall financial transparency, program spending efficiency, and governance indicators derived from IRS 990 public filings.

Spending Breakdown

According to IRS 990 filings, Georgetown Hospital System allocates its expenses as follows: admin: 15%, programs: 80%, fundraising: 5%. With 80% directed toward programs, this reflects a strong commitment to its charitable mission.

Key Financial Metrics (2023)

From the most recent IRS 990 filing on record:

$89.9MTotal Revenue
$109.2MTotal Expenses
$107.4MTotal Assets
$22.2MTotal Liabilities
$85.2MNet Assets

Executive Compensation Analysis

The reported 0% officer compensation across all filings is highly unusual for an organization of Georgetown Hospital System's scale and revenue, suggesting either a unique leadership compensation model or that executive pay is not categorized under 'Officer Comp' in these filings.

Executive compensation data is sourced from IRS 990 filings, which require nonprofits to disclose the compensation of officers, directors, trustees, and key employees. NonprofitSpending analyzes this data relative to the organization's total revenue and sector benchmarks to assess whether executive pay is reasonable.

Red Flags

The following concerns were identified during AI analysis of Georgetown Hospital System's IRS 990 filings:

Strengths

The following positive indicators were identified for Georgetown Hospital System:

Frequently Asked Questions about Georgetown Hospital System

Is Georgetown Hospital System a legitimate charity?

Based on AI analysis of IRS 990 filings, Georgetown Hospital System (EIN: 20598440) some concerns. Mission Score: 55/100. 3 red flags identified, 2 strengths noted.

How does Georgetown Hospital System spend its money?

Georgetown Hospital System directs 80% of its spending to programs and services. The remaining budget covers administration and fundraising costs.

Are donations to Georgetown Hospital System tax-deductible?

Georgetown Hospital System is registered as a tax-exempt nonprofit (EIN: 20598440). Donations to most 501(c)(3) organizations are tax-deductible. Consult a tax professional for your specific situation.

What percentage of Georgetown Hospital System's spending goes to programs?

Georgetown Hospital System directs 80% to programs, 5% to fundraising. This exceeds the 65% industry benchmark for efficient nonprofits.

How does Georgetown Hospital System compare to similar nonprofits?

With a transparency score of 55/100 (Fair), Georgetown Hospital System is near average for NTEE category E210 nonprofits. The score reflects financial transparency, program spending efficiency, and governance quality based on IRS 990 data.

Where is Georgetown Hospital System located?

Georgetown Hospital System is headquartered in Georgetown, South Carolina and files with the IRS under EIN 20598440. It is classified under NTEE code E210.

How many years of IRS 990 filings does Georgetown Hospital System have?

Georgetown Hospital System has 13 years of IRS 990 filings on record at NonprofitSpending. This extensive filing history provides a strong basis for evaluating long-term financial trends. The most recent filing shows $209.6M in total revenue.

How does Georgetown Hospital System plan to address its consistent operating deficits?

The organization has consistently spent more than its revenue, with expenses exceeding revenue in every reported period. For example, in 2023, expenses were $109,159,488 against revenues of $89,905,859. A clear strategy to achieve financial sustainability is needed.

What is the true nature of executive compensation, given the reported 0%?

The 0% officer compensation across all filings is atypical for an organization with revenues exceeding $200 million. Further details on how leadership is compensated would provide better transparency.

What is the breakdown of program, administrative, and fundraising expenses?

While specific detailed breakdowns are not provided in the summary data, the consistent operational deficits suggest that a significant portion of expenses are tied to core operations (programs and administration), with a smaller portion likely for fundraising given the revenue trends.

How are the increasing liabilities being managed?

Liabilities have grown significantly from $2,446,035 in 2016 to $22,237,885 in 2023. Understanding the nature of these liabilities and the plan for their management is crucial for financial stability.

Filing History

IRS 990 filing history for Georgetown Hospital System showing financial trends over 13 years of public records:

Over 13 years of IRS 990 filings (2011–2023), Georgetown Hospital System's revenue has grown by 2114.8%, moving from $4.1M to $89.9M. Total assets increased by 2767% over the same period, from $3.7M to $107.4M. Total functional expenses rose by 1469.1%, from $7.0M to $109.2M. In its most recent filing year (2023), Georgetown Hospital System reported a deficit of $19.3M, with expenses exceeding revenue. The organization holds $22.2M in liabilities against $107.4M in assets (debt-to-asset ratio: 20.7%), resulting in net assets of $85.2M.

YearRevenueExpensesAssetsLiabilitiesOfficer Comp. %PDF
2023 $89.9M $109.2M $107.4M $22.2M
2022 $54.0M $108.9M $75.8M $15.8M View 990
2021 $78.2M $92.9M $75.4M $14.7M View 990
2020 $46.4M $73.8M $43.3M $11.6M
2019 $33.2M $57.0M $29.9M $8.8M View 990
2018 $41.6M $48.0M $29.0M $7.2M View 990
2017 $23.9M $42.0M $12.3M $5.8M View 990
2016 $21.1M $34.8M $8.4M $2.4M View 990
2015 $21.0M $33.7M $8.5M $3.8M View 990
2014 $13.9M $25.2M $10.1M $6.6M View 990
2013 $10.7M $20.2M $9.3M $28.6M View 990
2012 $7.2M $13.6M $5.4M $15.3M View 990
2011 $4.1M $7.0M $3.7M $7.2M View 990

Year-by-Year Financial Summary

View Individual Filing Years

Explore detailed financial data from each IRS 990 filing year for Georgetown Hospital System:

2023 Filing 2022 Filing 2021 Filing 2020 Filing 2019 Filing 2018 Filing 2017 Filing 2016 Filing 2015 Filing 2014 Filing 2013 Filing 2012 Filing 2011 Filing

Data Sources and Methodology

This transparency report for Georgetown Hospital System is generated by NonprofitSpending's AI analysis engine. The data is sourced from publicly available IRS 990 filings accessed through the ProPublica Nonprofit Explorer API and IRS electronic filing records. The Mission Score, spending breakdown, and other analytical insights are produced by artificial intelligence and should be used as one of multiple factors when evaluating a nonprofit organization.

IRS 990 forms are annual information returns that most tax-exempt organizations must file with the IRS. These forms provide detailed financial information including revenue, expenses, assets, liabilities, and compensation of officers. NonprofitSpending processes this data to provide accessible transparency reports for donors, researchers, and the general public.

Disclaimer

AI-generated analysis based on IRS public records. Not financial or legal advice. Verify information directly with the organization.

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