Union General Hospital has thrice been named Georgia Rural Hospital of the Year. In 1994 it was named one of the top 10 rural hospitals in the United States. Union General was named the 2016 Hospital of the Year by HomeTown Health.
In 2018, Union General ranked among the top 1 percent of facilities in the United States for hospital safety. It was the only hospital in Georgia ranked in the nation’s top 100. Women's Choice Award named Union General one of "America's 100 Best Hospitals for Patient Experience" four years in a row.