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The Hiram Seventh-day Adventist Church is a part of the Georgia-Cumberland Conference of Seventh-day Adventists, which oversees more than 160 churches, 40 elementary and high schools, 4 Adventist hospitials, 9 Adventist Community Services Centers, and 1 Adventist University all located in Georgia, Eastern Tennessee, and Cherokee County in North Carolina.

 The Georgia-Cumberland Conference is one of eight  conferences comprising the Southern Union Conference of Seventh-day Adventists.  Nine unions make up the North American Division, which is one of 13 divisions of the worldwide Seventh-day Adventist Church.  Almost 16 million people make up the membership of the worldwide Seventh-day Adventist Church.