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        <Desc>NORTH BLANCO COUNTY EMS, IN COLLABORATION WITH NORTH BLANCO COUNTY ESD 1 AND BLANCO COUNTY ESD 2 FORMED THE BLANCO COUNTY COMMUNITY HEALTH PARAMEDIC PROGRAM IN APRIL OF 2022. COMMUNITY PARAMEDICINE IS AN EMERGING FIELD IN HEALTHCARE WHERE EMTS AND PARAMEDICS OPERATE IN EXPANDED ROLES BY ASSISTING WITH PUBLIC HEALTH AND PRIMARY HEALTHCARE AND PREVENTIVE SERVICES TO UNDERSERVED POPULATIONS IN THE COMMUNITY. THE PRIMARY GOALS OF THE PROGRAM ARE TO IMPROVE ACCESS TO CARE AND TO CONNECT UNDERSERVED POPULATIONS WITH THE APPROPRIATE RESOURCES. THE COMMUNITY HEALTH PARAMEDIC PROGRAM HAS SERVED A TOTAL OF 177 PATIENTS THROUGH A TOTAL OF 2717 PATIENT ENCOUNTERS DURING 2023.</Desc>
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      <DonatedServicesAndUseFcltsAmt>0</DonatedServicesAndUseFcltsAmt>
      <InvestmentExpenseAmt>0</InvestmentExpenseAmt>
      <PriorPeriodAdjustmentsAmt>-10151</PriorPeriodAdjustmentsAmt>
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      <MethodOfAccountingCashInd>X</MethodOfAccountingCashInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
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      <PublicSupportTotal170Amt>2935162</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
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        <CurrentTaxYearMinus3YearsAmt>1609</CurrentTaxYearMinus3YearsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD MEMBERS ARE APPOINTED ANNUALLY BY THE COMMISSIONERS OF NORTH BLANCO COUNTY EMERGENCY SERVICES DISTRICT 1.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 IS REVIEWED AND SIGNED BY THE EMS BOARD PRESIDENT, AND IS SENT TO THE REMAINDER OF THE BOARD FOR REVIEW.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EMS CHIEF AND BOARD OF DIRECTORS REGULARLY AND CONSISTENTLY MONITORS FOR ANY UNREPORTED CONFLICTS OF INTEREST AND IF IDENTIFIED ARE IMMEDIATELY REVIEWED IN ACCORDANCE WITH THE POLICY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EMPLOYEES OF THE ORGANIZATION ARE EMPLOYED BY THE EMERGENCY SERVICES DISTRICT BOARD OF COMMISSIONERS, WHO REVIEWS AND APPROVES COMPENSATION FOR EMPLOYEES EACH YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990, GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS (AFTER REVIEWED AND APPROVED BY THE BOARD AND RECORDED IN THE MINUTES) ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST AT THE EMS ADMINISTRATION OFFICE LOCATED AT 105 BILL WATSON DRIVE IN JOHNSON CITY, TEXAS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <ReasonableCauseExplanation documentId="R000004" softwareId="23018249" softwareVersionNum="v1.00">
      <ExplanationTxt>After the Form 990 was completed and was submitted internally for review and acceptance, our local area experienced a catastrophic severe weather event on May 9th, 2024 resulting in the declaration of a disaster at the County and State level. This disaster declaration took key personnel away who were required to complete and file this Form 990 in a timely manner.</ExplanationTxt>
    </ReasonableCauseExplanation>
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