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Our Core Businesses

Ethica Skilled Nursing

CHSGa operates post-acute and long-term care services through
Ethica, a non-profit organization serving member long-term care centers in Georgia.

 Ethica runs 52 skilled nursing centers and one assisted living facility in Treutlen County, divided into three regions. Alongside clinical expertise, they prioritize the emotional, social, and physical well-being of both long-term and short-stay patients.

Ethica’s nursing centers are accredited by the Joint Commission and are mostly located in rural and medically underserved areas.

They accept payments from various sources, including Medicare, Medicaid, and commercial insurance. CHSGa focuses on providing care for long-stay patients, with Medicaid funding the majority of patient days.


NextStep Care Community-Based Care Management

NextStep Care (NSC) is a Georgia based case management organization that provides collaborative case management and advocacy for high-need, low-income individuals in local Georgia communities. 

Founded in 2001, NSC has 14 regional offices and serves all 159 counties in the state.

 They primarily enroll members for care coordination through Medicaid’s 1915(c) Elderly and Disabled Waiver Program (EDWP), specifically the Service Options Using Resources in Community Environments (SOURCE) and Community Care Services Program (CCSP). Currently, NSC serves over 5,600 waiver members, with SOURCE enrollment making up 97% of their membership as of July 2023. 

NextStep Care (NSC) is committed to their mission of providing high-quality, person-centered care for individuals in need. They believe that everyone deserves access to comprehensive and coordinated healthcare services, regardless of their income level or health status.


Affinis Hospice

Affinis Hospice is a Medicare and Medicaid-certified provider of hospice care, serving 146 counties from 11 regional offices across the state.

Affinis Hospice provides a comprehensive approach to the care and well-being of patients facing a terminal illness. Individualized care is provided by a collaborative team of medical personnel, chaplains and local volunteers and designed to meet the varied needs of both the patient and their family members. A key aim is for the patient to experience peacefulness in the final stage of life. Affinis opened in 2010, with Vidalia, Georgia, as the first office. Affinis is a key partner to CHSGa’s skilled nursing centers across the state.

Ethica patients have a major impact on Affinis census, with 72% of patients served by Affinis residing in nursing centers (served on-site) and the remaining 28% served in the community. Nearly 88% of all hospice care provided to Ethica nursing centers is delivered by Affinis (May 2023 census).