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        <ProgramServicesAmt>5392</ProgramServicesAmt>
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        <EOYAmt>625000</EOYAmt>
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        <EOYAmt>5426266</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-18353</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <SeparateBasisFinclStmtInd>X</SeparateBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
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        <CurrentTaxYearMinus2YearsAmt>2001233</CurrentTaxYearMinus2YearsAmt>
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        <CurrentTaxYearAmt>1633626</CurrentTaxYearAmt>
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        <CurrentTaxYearMinus2YearsAmt>2001233</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>1732293</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>1633626</CurrentTaxYearAmt>
        <TotalAmt>7255007</TotalAmt>
      </TotalCalendarYear170Grp>
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      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>29</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>304</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>5155</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>6394</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>3697</CurrentTaxYearAmt>
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      <FootnoteTextInd>X</FootnoteTextInd>
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        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Sapphire is exempt from income taxes under provisions of Section 501(c)(3) of the Internal Revenue Code. This code enables Sapphire to accept donations that qualify as charitable donations to the donor. Sapphire's increase in net assets is generally not subject to taxation. No provision for income tax has been recorded in the financial statements because Sapphire believes it had no income unrelated to its tax-exempt purpose in 2022.</ExplanationTxt>
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        <TitleTxt>CMO</TitleTxt>
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        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Sapphire Community Health, Inc. used a recent compensation survey to establish pay levels for its CEO. The CEO enters into a written employment contract that is approved by the board of directors.</ExplanationTxt>
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          <PersonNm>Jim Morton CEO of HRC Properties</PersonNm>
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        <ExplanationTxt>The Finance Committee of the Board of Directors reviews the Form 990 and makes a recommendation to the Board of Directors regarding approval prior to filing. The full Board of Directors receives a copy of the Form 990 to review prior to filing.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Board members sign a Standards of Conduct Form each year which discusses their fiduciary responsibilities, including their general responsibilities, standards for managing conflicts of interests, and disclosures concerning financial or other interests that create a potential or actual conflict of interest.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Leadership Team makes recommendations to the Board of Directors based on salary survey data. The Board of Directors approves compensation during the annual budget setting and approval process. Compensation for key employees is based on a variety of metrics, including salary surveys, other providers, and the organization's overall financial condition and is approved during the annual budget approval process.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>The 990 is made available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Governing documents, the conflict of interest policy, and financial statements are made available to the public upon request.</ExplanationTxt>
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</Return>
