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      <RecipientTable>
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          <BusinessNameLine1Txt>Longview Fire Dept</BusinessNameLine1Txt>
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      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>Palestine Regional Med Cntr EMS</BusinessNameLine1Txt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>THD EMS Teague</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 599</AddressLine1Txt>
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          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75860</ZIPCd>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Timpson Volunteer Ambulance Service</BusinessNameLine1Txt>
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          <AddressLine1Txt>PO Box 492</AddressLine1Txt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>UT Health - Tyler Regional Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>PO Box 6400</AddressLine1Txt>
          <CityNm>Tyler</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75711</ZIPCd>
        </USAddress>
        <RecipientEIN>823878395</RecipientEIN>
        <CashGrantAmt>4000</CashGrantAmt>
        <NonCashAssistanceAmt>1981</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cost</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical Eq</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>Injury PreventEd Hosp Prepare</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UT Health ET Air 1 LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>352 S Glenwood</AddressLine1Txt>
          <CityNm>Tyler</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75702</ZIPCd>
        </USAddress>
        <RecipientEIN>823885642</RecipientEIN>
        <CashGrantAmt>6400</CashGrantAmt>
        <NonCashAssistanceAmt>45</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cost</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical Supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>EMS</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UT Health ET EMS</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>352 S Glenwood</AddressLine1Txt>
          <CityNm>Tyler</CityNm>
          <StateAbbreviationCd>TX</StateAbbreviationCd>
          <ZIPCd>75702</ZIPCd>
        </USAddress>
        <RecipientEIN>811424190</RecipientEIN>
        <CashGrantAmt>41885</CashGrantAmt>
        <NonCashAssistanceAmt>3638</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Cost</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Medical Supplies</NonCashAssistanceDesc>
        <PurposeOfGrantTxt>EMS</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>10</Total501c3OrgCnt>
      <TotalOtherOrgCnt>6</TotalOtherOrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>SB-8 EMS Emergency Medical Services &amp; Paramedic Training</GrantTypeTxt>
        <RecipientCnt>156</RecipientCnt>
        <CashGrantAmt>727767</CashGrantAmt>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Monitoring procedures (Part I, line 2)</FormAndLineReferenceDesc>
        <ExplanationTxt>SB-8 program expenditures are monitored by vendor invoices requested for individual students tuition, books, and testing fees which are supplied by the training provider, and reported monthly to the Texas Department of State Health Services. Emergency Medical Systems (EMS) and Trauma Organizations - Organization receives cash or equipment requests from various organizations. These requests are priortized by the Finance Committee and may be recommended to the General Assembly. The Finance Committee may approve up to $5,000 in expenditures. Larger amounts must be approved by the Executive Board. EMS and Trauma expenditures are then supported by vendor invoices provided by recipient organizations.Hospital Preparedness Program Organizations, including the Emergency Medical Task Force - All ependitures are monitored through Texas Department of State Health Services (DSHS) Warrant Exhibits under Scope of Work. Each expenditure is on a reimbursement basis supported by vendor invoices provided by recipient organizations.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleM documentId="990M">
      <OtherNonCashContriTableGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>DSHS EQUIPMENT</Desc>
        <ContributionCnt>1</ContributionCnt>
        <NoncashContributionsRptF990Amt>150182</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>COST</MethodOfDeterminingRevenuesTxt>
      </OtherNonCashContriTableGrp>
      <AnyPropertyThatMustBeHeldInd>false</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>true</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>false</ThirdPartiesUsedInd>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="990O">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Members or stockholder classes and rights Part VI line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors consists of fourteen (14) persons. There are thirteen (13) voting members and one (1) non-voting member, the President &amp; CEO of RAC-G.The Executive Board of Directors is comprised of seven (7) persons and includes the Chair, President &amp; CEO (non-voting), the Secretary, the Treasurer, and three (3) other Directors. The General Assembly is comprised of about two hundred (200) members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Member election for additional members Part VI line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors may recommend members and community leaders to be elected to the Board of Directors. Directors are elected to the Board of Directors by existing Directors in accordance with the bylaws.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing body decisions Part VI line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Yes, the Executive Board of Directors recommends Committee Chairpersons. The Committee votes to approve a Chairperson for its own Committee.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Committee meeting documentation Part VI line 8b</FormAndLineReferenceDesc>
        <ExplanationTxt>Contemporaneous minutes are kept on Executive Board of Directors, Directors, General Assembly, and Committee meetings held throughout the year.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 governing body review Part VI line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors reviews all legal and financial information on a timely basis. A copy of Form 990 was provided to members of the Board of Directors for review prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Conflict of interest policy compliance Part VI line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors and Management of the Organization monitor compliance of the Conflict of Interest policy on a continual basis.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>CEO executive director top management comp Part VI line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for each employee is approved by the Executive Board of Directors. The Executive Board of Directors makes its decisions based on compliance with Department of State Health Service (DSHS) allowance ranges, and uses written job descriptions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Other officer or key employee compensation Part VI line 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>Compensation for each employee is approved by the Executive Board of Directors. The Executive Board of Directors makes its decisions based on compliance with Department of State Health Service (DSHS) allowance ranges, and uses written job descriptions.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Governing documents etc available to public Part VI line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors and Management of the Organization make all governing documents available to the public on request and/or on the Organizations website.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Significant program services not listed on prior year return Part III line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>During FYE 08/31/23 federal funds were allocated under Texas SB-8 to provide EMS &amp; Paramedic Training. This was a significant program started in FY 23. Funds were provided to EMS &amp; Paramedic Training Programs for the benefit of selected individuals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>List of other fees for services expenses Part IX line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Other Fees for Services$57,500 Contract Services for Senate Bill-8 (SB-8)Educational Disbursements</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>