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 a GHA-member hospital that has made exemplary contributions to the health and well-being of the people of Georgia through leadership in the area of community health improvement. The deadline is Friday, March 20, at 11:59 p.m.

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

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