[6] In 2023, Union General Hospital completed a 41,000 sq ft (3,800 m2), three-story medical office building for orthopedics, sports medicine, and women’s health.

[8] The hospital system opened a $2 million primary care facility in Hayesville, North Carolina in 2020.

[10] In 2016, Union General’s CEO, John Michael Gowder, Emergency Room Director David Gowder and family practice doctor James Heaton were arrested on federal charges of illegally prescribing thousands of prescription pain medicines between 2011 and 2015.

In 2018, Union General ranked among the top 1 percent of facilities in the United States for hospital safety.

[6] Women's Choice Award named Union General one of "America's 100 Best Hospitals for Patient Experience" four years in a row.