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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Header, Line B</FormAndLineReferenceDesc>
        <ExplanationTxt>I am submitting an amended Form 990 for the 2022 tax year to reflect adjustments resulting from the completion of Open Cities Health Center's financial audit. The original return was filed before the audit to meet the IRS filing deadline. Following the audit, updates were necessary to accurately report asset and liability balances, net asset positions, and total revenues and expenses. These updates ensure alignment with the audited financial statements and compliance with IRS reporting requirements. - Mark A. Felton, Paid Preparer (PTIN: P02054945)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board receives and reviews a copy of Form 990 prior to its filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Open Cities Health Center requires annual disclosure of potential conflicts of interest from officers, directors, employees, and key committee members. Upon election or hire, and during each annual review, individuals must complete a conflict of interest statement. If a potential conflict arises, the matter is brought before the Board or appropriate committee, which determines whether a conflict exists and whether the transaction is fair and reasonable. Individuals with a conflict are not permitted to vote on related matters. Failure to disclose a conflict may result in disciplinary action, as documented in the meeting minutes.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO's compensation is based on market analysis. Each May, the Board conducts a performance evaluation via survey, the results of which are reviewed by the Executive Committee. The committee then recommends compensation to the full Board. This process, last completed in 2022, is documented in the Board meeting minutes.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's financial statements are available to the public upon request. However, governing documents and the conflict of interest policy are not publicly available.</ExplanationTxt>
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          <StateAbbreviationCd>MN</StateAbbreviationCd>
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        <EIN>300892809</EIN>
        <PrimaryActivitiesTxt>Landlord of Building</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>MN</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>2802346</EndOfYearAssetsAmt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>OCHC Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
      </IdDisregardedEntitiesGrp>
    </IRS990ScheduleR>
    <ReasonableCauseExplanation documentId="R000008" softwareId="22015720" softwareVersionNum="v1.00">
      <ExplanationTxt>Open Cities Health Center, a Federally Qualified Health Center, is dedicated to providing essential healthcare services to underserved communities in Saint Paul, MN. Unexpected operational and industry-related challenges contributed to the delayed filing of our tax returns, primarily due to leadership transitions at the CEO and CFO levels. We remain committed to full compliance with all tax obligations and have implemented corrective measures to prevent future delays. We appreciate your understanding and continued support as we work to fulfill our mission of delivering high-quality healthcare to the communities we serve.</ExplanationTxt>
    </ReasonableCauseExplanation>
  </ReturnData>
</Return>