2026 Healthcare Champion Award

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.

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* This award honors a distinguished Georgian who has made outstanding contributions to healthcare. Hospital board member and trustees are eligible. Current hospital employees are not eligible.

The deadline is Friday, March 20, at 11:59 p.m.

Please complete the following information about your nominee:

Name:

Title:

Company/ Hospital Affiliation:

Company Street:

Company City and State:

Company ZIP Code:

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* Answer the following prompts to show how the nominee is an ideal candidate for this award.

Describe how the nominee is a recognized leader in the community and in his or her business or profession. (500 words)

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* Describe how the nominee has contributed both time and talent to bettering the hospital and other healthcare services in the community. (500 words)

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* Describe how the nominee has brought about specific and positive changes that have advanced healthcare services in the community, such as improved facilities or new ways to deliver healthcare services (500 words)

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* Describe how the nominee has increased public attention to the healthcare needs of the community and has created public concern for meeting those needs. (500 words)

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* You may also combine your answers into one Word of PDF file and submit using the button below. You may also send to estewart@gha.org.

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* OPTIONAL: To submit testimonial letters in support of the nomination, use the button below. If you have multiple letters, combine them into one file and submit one attachment. Alternatively, you may send these to estewart@gha.org.

Question Title

Question Title

* Answer the following prompts to show how the nominee is an ideal candidate for this award.Describe how the nominee is a recognized leader in the community and in his or her business or profession. (500 words)

Question Title

* Describe how the nominee has contributed both time and talent to bettering the hospital and other healthcare services in the community. (500 words)

Question Title

* Describe how the nominee has brought about specific and positive changes that have advanced healthcare services in the community, such as improved facilities or new ways to deliver healthcare services (500 words)

Question Title

* Describe how the nominee has increased public attention to the healthcare needs of the community and has created public concern for meeting those needs. (500 words)

Question Title

* You may also combine your answers into one Word of PDF file and submit using the button below. You may also send to estewart@gha.org.

Question Title

* OPTIONAL: To submit testimonial letters in support of the nomination, use the button below. If you have multiple letters, combine them into one file and submit one attachment. Alternatively, you may send these to estewart@gha.org.

* Answer the following prompts to show how the nominee is an ideal candidate for this award.

Describe how the nominee is a recognized leader in the community and in his or her business or profession. (500 words)