The Southwest Texas Regional Advisory Council (STRAC) is designated by the Texas Department of State Health Services (DSHS) to develop, implement and maintain the regional trauma and emergency healthcare system for the 22 counties in Trauma Service Area - P (TSA-P). TSA-P has a mixture of urban, suburban, rural and frontier areas, from the 7th largest city in the US to the Mexican border, encompassing over 26,000 square miles in southwest Texas. STRAC is one of twenty-two regional advisory councils in Texas that comprise the Texas Trauma / Emergency Healthcare system. A leader in the Texas Trauma System, STRAC has been recognized twice as the Texas Regional Advisory Council of the Year (2000 and 2008). STRAC oversees dozens of essential programs and projects for the trauma and emergency healthcare system in and around San Antonio, Texas, partnering with members, local government, and non-governmental organizations. STRAC is a 501c3 non-profit, tax-exempt member organization consisting of 74 general and specialty hospitals, including 2 Level I Trauma Centers, 16 PCI centers, 12 Stroke centers, air medical providers, and over 70 EMS agencies.