District 1 Regional Medical Response Coalition

What District 1 Regional Medical Response Coalition does

District 1 Regional Medical Response Coalition (D1RMRC) is a federally funded healthcare coalition established in 2002 to coordinate medical emergency preparedness and response across a nine-county region in Michigan's Upper Peninsula. The coalition functions as a regional coordinating body rather than a direct care provider, integrating 12+ member hospitals, 50+ long-term care facilities, 7 Medical Control Authorities, and 7 public health departments under a unified preparedness framework. Its mandate spans mass casualty response, patient tracking, pediatric surge capacity, and incident-specific readiness across rural and frontier geographies.

D1RMRC's core deliverables are operational planning resources and shared response assets rather than commercial products. Its primary intellectual output is a library of Rural Hospital Incident Command System (HICS) guides adapted for 14 distinct incident types, designed for member hospitals operating in resource-constrained rural settings. The coalition maintains a deployable equipment cache comprising 4 District 1 Surge Cache (D1SC) units and 6 Mobile Medical Cache Support Unit (MMCSU) units, providing pooled surge capacity that no single member could efficiently maintain independently. Operations are governed through a formal structure consisting of a Planning Board, an Operations Committee, and seven specialized workgroups covering hospital preparedness, patient tracking, pediatric surge, emergency preparedness, emergency operations coordination, communications, and public information. The organization operates with a lean staff of three funded positions, indicating that substantive operational execution is carried out by member organizations contributing staff time to the coalition's workgroups.

The business model is non-commercial. D1RMRC does not generate fee-based revenue from its members; participation is voluntary and member organizations are not charged dues. The coalition's financial sustainability is tied directly to the U.S. Department of Health and Human Services' Administration for Strategic Preparedness and Response (ASPR) Hospital Preparedness Program (HPP), with funds passed through the Michigan Department of Health and Human Services (MDHHS). This single-source funding structure defines the entity's revenue mechanics: annual grant allocation determines the operating budget, the staff ceiling, and the capacity to maintain equipment and develop planning resources.

Name

District 1 Regional Medical Response Coalition

Legal name

District 1 Regional Medical Response Coalition

Website

https://d1rmrc.org

Company type

Private

Founded year

2002

Operating status

Operating

Headcount range

1–10 employees

Short description

District 1 Regional Medical Response Coalition is a federally funded healthcare coalition coordinating emergency preparedness and response across nine counties in Michigan's Upper Peninsula, serving 12+ hospitals, 50+ long-term care facilities, and seven public health departments.

Ownership category

akta.pro rank

Product category

Healthcare Emergency Preparedness Services

NAICS

Emergency and Other Relief Services (62423)

SIC

Services-Health Services (8000)

akta.pro primary industry

Community Resilience, Preparedness Training & Exercises (HLAJAGAL)

akta.pro secondary industries

Disaster Response, Rescue & Tactical EMS (DMAT/USAR/SWAT/HAZMAT Medical) (HLAFANAH), Humanitarian Health Coordination & Emergency Response Partnerships (HLAJAOAI), Humanitarian Coordination, Information Management & Needs Assessment (BPADADAL)

Keywords

• Emergency preparedness
• Healthcare coalition
• Mass casualty response
• Medical surge capacity
• Disaster coordination

Headquarters

HQ city

Okemos

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Others

Revenue model

1. Government Grant Funding: D1RMRC was established in 2002 in response to requirements of the National Bioterrorism Hospital Preparedness Program Cooperative Agreement Funding. The coalition operates as a government-funded healthcare coalition and does not generate commercial revenue. Operations are funded through federal preparedness grants administered via the Assistant Secretary for Preparedness and Response (ASPR) Hospital Preparedness Program.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels5 records

Core offering

District 1 Regional Medical Response Coalition (D1RMRC) operates a voluntary coalition of hospitals, Medical Control Authorities, and community providers that coordinates a regional medical response system across nine Michigan counties. It prepares for, mitigates, responds to, and recovers from all-hazards incidents by identifying preparedness gaps, setting healthcare priorities, developing capability-building plans, sharing information among healthcare partners, and delivering education, training, exercise support, and critical healthcare resources (surge caches, CBRNE support units, mortuary response, pharmaceutical stockpiles, hemorrhage control kits, alerting/notification systems).

Product overview

District 1 Regional Medical Response Coalition operates as a voluntary coalition providing emergency preparedness resources and coordination services rather than a traditional product company. The coalition offers a portfolio of emergency response tools including the Rural Hospital Incident Command System (Rural HICS), Emergency Response Guides covering 14 incident types, and specialized medical equipment caches. The primary service offerings include education and training support, exercise support coordination, and access to critical healthcare resources including surge equipment, CBRNE support units, and pharmaceutical caches. The coalition connects member organizations through workgroups, information sharing programs, and regional coordination to prepare for, mitigate, respond to, and recover from all-hazards incidents across nine Michigan counties.

Differentiator

Problem solved

Functional benefit

Products and services

• Rural Hospital Incident Command System (Rural HICS)
• Emergency Response Guides
• District 1 Supply Cache (D1SC)
• Michigan Transportable Emergency Surge Assistance (MI-TESA) Medical Unit
• Mobile Medical CBRNE Support Units (MMCSU)
• Michigan Mortuary Response Team (MI-MORT) Trailer
• Strategic National Stockpile (SNS) Support
• Region One Hemorrhage Control (ROHC) Kits
• Education and Training Support
• Exercise Support
• Critical Healthcare Resources
• Michigan Health Alert Network (MI-HAN)

Quantifiable outcome

• Supports healthcare surge capacity for 50 patients per cache unit for 3 days across 4 regional units (200 patient capacity)
• +1 more outcomes

Named customers8 records

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature7 records

Partnerships

16 partnerships are on record, tiered core, major and supporting.

• Henry Ford Health (Jackson Hospital and Brighton Center for Recovery)coreOthersHospital organization partner participating in the D1RMRC coalition. Henry Ford Health operates Jackson Hospital and Brighton Center for Recovery as part of the coalition's hospital network for regional medical response coordination.
• McLaren Greater LansingcoreOthersHospital organization partner in the coalition providing acute care services within District 1.
• University of Michigan Health - SparrowcoreOthersMajor hospital system partner including Sparrow Clinton Hospital, Sparrow Eaton Hospital, and Sparrow Health System representing significant healthcare capacity in the region.
• Trinity Health Livingston HospitalcoreOthersHospital organization partner providing acute care services in Livingston County within District 1.
• Michigan Department of Health and Human Services (MDHHS)coreOthersState agency partner providing public health oversight, Bureau of Emergency Preparedness guidance, and coordination through MDHHS-Bureau of Emergency Preparedness, EMS, and Systems of Care Division.
• Medical Control Authorities (7 MCAs)coreOthersMedical Control Authorities including Hillsdale County MCA, Shiawassee County MCA, Tri-County Emergency MCA, Jackson County MCA, Gratiot County MCA, and Washtenaw/Livingston MCA oversee EMS activities and participate in Pre-Hospital Workgroup.
• American Red Cross and Mid-Michigan Red CrossmajorOthersDisaster relief organization partner providing disaster behavioral health support and coordination with coalition emergency response efforts.
• Long Term Care Organizations (50+ facilities)majorOthersNetwork of LTC facilities including Medilodge facilities, Regency centers, The Willows, WellBridge facilities, and other nursing/rehab centers participating through the Long Term Care Workgroup.
• Public Health Departments (Barry-Eaton, Hillsdale/Branch/St. Joseph, Ingham, Jackson, Lenawee, Livingston, Mid-Michigan, Shiawassee)coreOthers7 public health departments serving District 1 counties, participating in coalition coordination for all-hazards emergency preparedness.
• Emergency Management JurisdictionsmajorOthersCounty and municipal emergency management agencies including Clinton, Eaton, Gratiot, Hillsdale, Ingham, Jackson, Lenawee, Livingston, Shiawassee counties; Lansing City EM; Capital Region International Airport; Michigan State Police; Michigan State University; and Lansing Community College.
• Emergency Medical Services AgenciescoreOthersEMS agencies including Clinton Area Ambulance, Jackson Community Ambulance, Livingston County EMS, Mobile Medical Response, and other regional ambulance and fire department services.
• Disaster Behavioral Health OrganizationsmajorOthersMental health and behavioral health partners including CMH Authority of Clinton-Eaton-Ingham Counties, Community Mental Health Services of Livingston County, LifeWays, Lenawee CMH Authority, Henry Ford Behavioral Health, and other behavioral health providers.
• DaVita Dialysis and Fresenius Medical CaremajorOthersDialysis provider partners ensuring continuity of care for dialysis patients during emergencies and disasters.
• Michigan State PolicemajorOthersState law enforcement agency partner providing emergency management coordination and public safety support.
• Center for Family Health and Michigan Surgical CentersupportingOthersOutpatient healthcare delivery partners providing additional capacity for emergency response coordination.
• Home Health and Hospice AgenciessupportingOthersHome-based care providers including CorsoCare, Great Lakes Caring, Maxim Healthcare Services, McLaren Homecare Group, Henry Ford Allegiance Hospice, Heartland Homecare, and Residential Home Health.

Scale indicators7 records

Recent moves5 records

Expansion highlights3 records

Broad incumbents

• American Red Cross: The American Red Cross is a major humanitarian organization providing disaster response, emergency preparedness training, and health services nationwide. It is a confirmed D1RMRC partner and overlaps significantly in disaster health coordination, training delivery, and shelter/mass care services, though at vastly larger scale and broader mission scope.
• National Association of County and City Health Officials (NACCHO): NACCHO represents and supports nearly 3,000 local health departments across the US, providing preparedness resources, training, and advocacy that complement D1RMRC's regional coordination model for emergency public health response across county health departments.
• National Association of State EMS Officials (NASEMSO): NASEMSO supports state EMS officials and coordinates national EMS policy, training, and preparedness. D1RMRC's Medical Control Authority engagement model and Pre-Hospital Workgroup parallel NASEMSO's mission to coordinate pre-hospital emergency medical services.
• Direct Relief: Direct Relief is a humanitarian medical aid organization providing emergency medical resources, pharmaceuticals, and supplies to disaster-affected areas. It operates globally and at much larger scale, but shares D1RMRC's focus on medical surge capacity, pharmaceutical caches, and emergency resource deployment to healthcare providers.

Direct peers

• Healthcare Ready: Healthcare Ready (formerly Rx Response) is a nonprofit that coordinates healthcare supply chain continuity and patient access to medicines during disasters. Both organizations focus on healthcare system preparedness coordination, although Healthcare Ready operates at national scale rather than a single regional district.

Others

• Michigan Department of Health and Human Services (MDHHS): MDHHS is the state health agency that oversees D1RMRC through its Bureau of Emergency Preparedness, EMS, and Systems of Care Division. While a funder/oversight body rather than a competitor, MDHHS shapes the policy and funding environment for healthcare coalitions across all Michigan districts.
• HHS Office of the Assistant Secretary for Preparedness and Response (ASPR): ASPR is the federal entity that administers the Hospital Preparedness Program funding D1RMRC. While not a direct competitor, ASPR sets the policy framework, funding priorities, and program requirements within which D1RMRC and all US healthcare coalitions operate.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about District 1 Regional Medical Response Coalition