Please note that the hospital CEO/administrator/president and/or board chair must review and endorse this nomination and its submission to GHA. You will have the opportunity to confirm this endorsement at the end of this survey.

Question Title

* 1. This award recognizes an active Georgia hospital/health system CEO or administrator who has made outstanding contributions to Georgia's healthcare community. Other C-suite members (CFO, COO, etc.) are not eligible. The deadline is Friday, March 20, at 11:59 p.m.

Please fill out the following information about the person you are nominating.

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