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        <RelatedOrExemptFunctionIncome>13389400</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>8814989</ExclusionAmount>
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      <GrantsToDomesticOrgs>
        <Total>0</Total>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1905136</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>1905136</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>8183362</Total>
        <ManagementAndGeneral>8183362</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>96176</Total>
        <ManagementAndGeneral>96176</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>23259</Total>
        <ManagementAndGeneral>23259</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>474675</Total>
        <ManagementAndGeneral>474675</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>296111</Total>
        <ManagementAndGeneral>296111</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>41800</Total>
        <ManagementAndGeneral>41800</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>16188</Total>
        <ManagementAndGeneral>16188</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>394576</Total>
        <ManagementAndGeneral>394576</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>708091</Total>
        <ManagementAndGeneral>708091</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>740707</Total>
        <ManagementAndGeneral>740707</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>237279</Total>
        <ManagementAndGeneral>237279</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>0</Total>
      </Occupancy>
      <Travel>
        <Total>74015</Total>
        <ManagementAndGeneral>74015</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>7671</Total>
        <ManagementAndGeneral>7671</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>0</Total>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>49173</Total>
        <ManagementAndGeneral>49173</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>42095</Total>
        <ManagementAndGeneral>42095</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>MGMT FEE TO HAMILTON MED CTR</Description>
        <Total>200004</Total>
        <ManagementAndGeneral>200004</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>CONSULTING FEES</Description>
        <Total>1230648</Total>
        <ManagementAndGeneral>1230648</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DUES AND SUSCRIPTIONS</Description>
        <Total>284621</Total>
        <ManagementAndGeneral>284621</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>EMPLOYEE RECRUITMENT</Description>
        <Total>5748</Total>
        <ManagementAndGeneral>5748</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>91099</Total>
        <ProgramServices>14498337</ProgramServices>
        <ManagementAndGeneral>-14407238</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>15102434</Total>
        <ProgramServices>14498337</ProgramServices>
        <ManagementAndGeneral>604097</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>2956289</BOY>
        <EOY>153192</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>2843760</BOY>
        <EOY>1613942</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>3971299</BOY>
        <EOY>5256681</EOY>
      </AccountsReceivable>
      <OtherNotesLoansReceivableNet>
        <BOY>7988779</BOY>
        <EOY>8468224</EOY>
      </OtherNotesLoansReceivableNet>
      <PrepaidExpensesDeferredCharges>
        <BOY>47144</BOY>
        <EOY>39182</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>1801094</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>363660</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>1406203</BOY>
        <EOY>1437434</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>59780457</BOY>
        <EOY>73368665</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>36602897</BOY>
        <EOY>32911062</EOY>
      </InvestmentsOtherSecurities>
      <TotalAssets>
        <BOY>115596828</BOY>
        <EOY>123248382</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>1027766</BOY>
        <EOY>1032312</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>3009910</BOY>
        <EOY>2796866</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>4037676</BOY>
        <EOY>3829178</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>111559152</BOY>
        <EOY>119419204</EOY>
      </UnrestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>111559152</BOY>
        <EOY>119419204</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>115596828</BOY>
        <EOY>123248382</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <SupportingOrganization509a3>X</SupportingOrganization509a3>
      <SupportingOrg509a3Type3Other>X</SupportingOrg509a3Type3Other>
      <CertificationCheckbox>X</CertificationCheckbox>
      <ContribByControllingIndividual>false</ContribByControllingIndividual>
      <ContributionByRelatedParty>false</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>false</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
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          <BusinessNameLine1>HAMILTON AMBULATORY SURGERY CENTER INC</BusinessNameLine1>
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        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>HAMILTON MEDICAL CENTER INC</BusinessNameLine1>
        </Name>
        <EIN>581519911</EIN>
        <TypeOfOrganization>03</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>HAMILTON DIAGNOSTICS- ELLIJAY INC</BusinessNameLine1>
        </Name>
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        <TypeOfOrganization>09</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
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        </Name>
        <EIN>581651002</EIN>
        <TypeOfOrganization>09</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>750000</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
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        </Name>
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        <TypeOfOrganization>09</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>150000</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
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        </Name>
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        <TypeOfOrganization>03</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>1754961</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>ROYAL OAK COMMUNITY LTD</BusinessNameLine1>
        </Name>
        <EIN>581970228</EIN>
        <TypeOfOrganization>09</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>200000</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>WHITFIELD HEALTHCARE FOUNDATION</BusinessNameLine1>
        </Name>
        <EIN>510175056</EIN>
        <TypeOfOrganization>07</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>0</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>WHITFIELD PLACE INC</BusinessNameLine1>
        </Name>
        <EIN>582103085</EIN>
        <TypeOfOrganization>09</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>10000</Amount>
      </SupportedOrgInformation>
      <SupportedOrgInformation>
        <Name>
          <BusinessNameLine1>DALTON SENIOR HOUSING INC</BusinessNameLine1>
        </Name>
        <EIN>581518011</EIN>
        <TypeOfOrganization>09</TypeOfOrganization>
        <ListedInGoverningDoc>true</ListedInGoverningDoc>
        <SupportedOrganizationNotified>true</SupportedOrganizationNotified>
        <OrganizedInUS>true</OrganizedInUS>
        <Amount>50000</Amount>
      </SupportedOrgInformation>
      <TotalNumberOfSupportedOrgs>10</TotalNumberOfSupportedOrgs>
      <SumOfAmounts>2914961</SumOfAmounts>
    </IRS990ScheduleA>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>true</GrantsOtherOrganizations>
      <GrantsOtherOrganizationsAmount>16188</GrantsOtherOrganizationsAmount>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>false</OtherActivities>
      <TotalLobbyingExpendituresIIB>16188</TotalLobbyingExpendituresIIB>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <Land>
        <InvestmentCostOrOtherBasis>1141372</InvestmentCostOrOtherBasis>
        <BookValue>1141372</BookValue>
      </Land>
      <Buildings />
      <LeaseholdImprovements />
      <Equipment>
        <OtherCostOrOtherBasis>501742</OtherCostOrOtherBasis>
        <Depreciation>291501</Depreciation>
        <BookValue>210241</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>157980</OtherCostOrOtherBasis>
        <Depreciation>72159</Depreciation>
        <BookValue>85821</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>1437434</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>INTEREST RECEIVABLES</Description>
        <BookValue>574760</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>TIMBERLAND INVESTMENTS</Description>
        <BookValue>5039994</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>REAL ESTATE</Description>
        <BookValue>3956338</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>LONG/SHORT FUND OF FUNDS</Description>
        <BookValue>8421432</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>US TREASURY</Description>
        <BookValue>14918538</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>32911062</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DEFERRED COMPENSATION</Description>
        <Amount>1890953</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED PENSION COST</Description>
        <Amount>905913</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>2796866</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>SCHEDULE D, PART X, LINE 2 - THE ORGANIZATION DID NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT WERE MATERIAL TO THE FINANCIAL STATEMENTS. ACCORDINGLY, THE ORGANIZATION DID NOT INCLUDE A FIN 48 FOOTNOTE IN ITS FINANCIAL STATEMENTS.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <TravelForCompanions>X</TravelForCompanions>
      <ClubDuesOrFees>X</ClubDuesOrFees>
      <WrittenPolicyReTAndEExpenses>true</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>true</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>true</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>true</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN S BOWLING</NamePerson>
        <BaseCompensationFilingOrg>476044</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>49370</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>240334</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>39244</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>109689</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>914681</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>181666</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GARY L HOWARD</NamePerson>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>15506</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>77906</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>30496</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>105853</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>494534</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>37663</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
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        <BonusRelatedOrgs>16274</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
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        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
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        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>47224</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>456427</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>35962</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
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        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10232</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>28118</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8547</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>38387</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>228699</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>19235</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>PART 1, LINE 4B - JOHN S. BOWLING - $227,208; GARY L. HOWARD - $17,627; KAREN J. WISDOM - $7,207. PART 1, LINES 6A AND 6B - THE ORGANIZATION HAS A MANAGEMENT PERFORMANCE INCENTIVE PLAN FOR ELIGIBLE PARTICIPANTS TO FOCUS ON SPECIFIC STRATEGIC, ORGANIZATIONAL AND FINANCIAL GOALS. THE TOTAL AWARDS UNDER THE PLAN CANNOT EXCEED TEN PERCENT OF THE HAMILTON HEALTH CARE SYSTEM COMBINED EXCESS OF REVENUES OVER EXPENSES EXCLUDING INVESTMENT INCOME. INDIVIDUAL INCENTIVES ARE BASED UPON ACHIEVING CERTAIN ORGANIZATIONAL AND INDIVIDUAL SERVICE QUALITY, FINANCIAL RESULTS AND CUSTOMER SATISFACTION GOALS.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>SUPPLEMENTAL INFORMATION</Identifier>
        <Explanation>FORM 990 PART IV LINE 27 ANNUAL PHYSICAL EXAMINATIONS ARE MADE AVAILABLE TO ALL TRUSTEES AT NO CHARGE. FORM 990 PART VI SECTION A LINE 2 G. LAMAR LYLE &amp; JACKSON P. TURNER - BUSINESS RELATIONSHIP. FORM 990 PART VI SECTION A LINE 7B CERTAIN CAPITAL EXPENDITURE AND CONTRACTUAL COMMITMENT DECISIONS MUST BE SUBSEQUENTLY APPROVED BY THE HAMILTON HEALTH CARE SYSTEM BOARD OF TRUSTEES. FORM 990 PART VI SECTION A LINE 11A FOLLOWING MANAGEMENT PREPARATION AND REVIEW, THE FORM 990 IS REVIEWED BY ERNST &amp; YOUNG. SUBSEQUENTLY, A DRAFT COPY OF THE UNFILED FORM 990 IS POSTED TO A SECURED PAGE ON THE HAMILTON HEATH CARE SYSTEM WEBSITE FOR REVIEW AND COMMENT BY ALL MEMBERS OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990 PART VI SECTION B LINE 12C THE ORGANIZATION HAS A CLEAR AND DETAILED CONFLICT OF INTEREST POLICY WHICH ESTABLISHES A PROCEDURE FOR IDENTIFYING, REVIEWING AND ADDRESSING CONFLICTS OF INTEREST. THIS POLICY ALSO REQUIRES EACH TRUSTEE, OFFICER AND EMPLOYEE OF THE ORGANIZATION TO ANNUALLY SIGN A STATEMENT ACKNOWLEDGING RECEIPT OF THE CONFLICT OF INTEREST POLICY. FORM 990 PART VI SECTION B LINE 15 UNDER A BOARD RESOLUTION, THE ORGANIZATION'S COMPENSATION COMMITTEE HAS THE AUTHORITY TO TAKE ACTION ON BEHALF OF THE BOARD WITH RESPECT TO THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THE COMPENSATION COMMITTEE MAINTAINS MINUTES OF ITS PROCEEDINGS. ON AN ANNUAL BASIS THE COMPENSATION COMMITTEE WILL MEET TO SET THE ANNUAL COMPENSATION OF THE PRESIDENT/CEO. THIS ACTION IS BASED ON CONSULTATION WITH A THIRD PARTY CONSULTING FIRM TO REVIEW THE TOTAL COMPENSATION OF CEO AND KEY EMPLOYEES SUCH THAT TOTAL COMPENSATION PACKAGES ARE CONSIDERED FAIR MARKET AND NOT EXCESSIVE. FORM 990 PART VI SECTION C LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART XI LINE 2B THE FINANCIAL STATEMENTS OF HAMILTON HEALTH CARE SYSTEM, INC., ARE AUDITED ON A CONSOLIDATED BASIS TO INCLUDE ALL AFFILIATES OF THE SYSTEM.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
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          <BusinessNameLine1>DALTON SENIOR HOUSING INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>519 WEST HAWTHORNE STREET</AddressLine1>
          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
        </AddressUS>
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        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HAMILTON AMBULATORY SURGERY CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1168</AddressLine1>
          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
        </AddressUS>
        <EIN>582654791</EIN>
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        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HAMILTON MED</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HAMILTON DIAGNOSTICS ELLIJAY INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1168</AddressLine1>
          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
        </AddressUS>
        <EIN>582473918</EIN>
        <PrimaryActivities>IMAGING SERV</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
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          <BusinessNameLine1>HAMILTON EMERGENCY MEDICAL SERVICES INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1168</AddressLine1>
          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
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        <EIN>581651002</EIN>
        <PrimaryActivities>AMBULANCE SER</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
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        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HLTC INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
        </AddressUS>
        <EIN>582341574</EIN>
        <PrimaryActivities>LONG-TRM CARE</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ROYAL OAK COMMUNITY LTD</BusinessNameLine1>
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          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
        </AddressUS>
        <EIN>581970228</EIN>
        <PrimaryActivities>SR LIVING</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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          <BusinessNameLine1>WHITFIELD HEALTHCARE FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
        </AddressUS>
        <EIN>510175056</EIN>
        <PrimaryActivities>PHILANTHROPY</PrimaryActivities>
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        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WHITFIELD PLACE INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <State>GA</State>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DALTON-WHITFIELD COUNTY HOSPITAL AUTH</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
        </AddressUS>
        <EIN>581331514</EIN>
        <PrimaryActivities>LIAB CLAIM CO</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, III 0</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DALTON-WHITFIELD ADDITIONAL RUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
        </AddressUS>
        <EIN>586345013</EIN>
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        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>DALTON-WHITFIELD INDIGENT CARE TRUST</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>PO BOX 1168</AddressLine1>
          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
        </AddressUS>
        <EIN>586345011</EIN>
        <PrimaryActivities>INDIGENT CARE</PrimaryActivities>
        <LegalDomicileState>GA</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MURRAY MEDICAL CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO BOX 1168</AddressLine1>
          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
        </AddressUS>
        <EIN>582373427</EIN>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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        </NameOfDisregardedEntity>
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          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>30720</ZIPCode>
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        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>HAMILTON MED</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
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          <BusinessNameLine1>HAMILTON HEALTH FIRST INC</BusinessNameLine1>
        </NameOfRelatedOrg>
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          <AddressLine1>PO BOX 1168</AddressLine1>
          <City>DALTON</City>
          <State>GA</State>
          <ZIPCode>307221168</ZIPCode>
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        <EIN>581694713</EIN>
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        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
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      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>true</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
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      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>false</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
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      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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      <TransactionsRelatedOrgsTable>
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        </NameOfOtherOrganization>
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      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>