District Health Department #2

What District Health Department #2 does

District Health Department No. 2 (DHD2) is a government public health department operating under the authority of the State of Michigan, serving the residents of four Northeast Michigan counties: Alcona, Iosco, Ogemaw, and Oscoda. The organization is structured around two operating divisions — Clinical and Community Services and Environmental Health — delivered through four county offices, school-based programs, home visits, and community outreach. Its clinical portfolio spans immunizations (including VFC and MI-AVP free-vaccine programs), the WIC supplemental nutrition program, MIHP maternal-infant home visits, CSHCS enrollment for children with special health care needs, BC3NP cancer screening navigation, family planning, STI and HIV testing (using the Alere Determine rapid test with 20-minute results), Hepatitis C screening, syringe services, lead poisoning prevention, and the Seal! MI oral health program. Environmental Health regulates food service establishments (over 330 fixed plus ~175 temporary licenses annually), on-site sewage disposal, residential and Type II/III public water supplies, public pools, campgrounds, bathing beaches, and body art facilities under the Michigan Food Law 2000 and Michigan Public Health Code.

DHD2's business model is that of a publicly funded agency, not a commercial enterprise. Revenue is sourced from state and federal public health appropriations and pass-through grants (CDC, MDHHS, USDA for WIC), supplemented by nominal, ability-to-pay service fees such as a $20 immunization administration fee, $40 flu shots, $25 lead testing, and environmental health permit/license fees. Technology infrastructure is limited to the state-administered Michigan Care Improvement Registry (MCIR) for immunization tracking and standard third-party rapid diagnostic devices. The department collaborates with MDHHS, MDARD, EGLE, CDC, Munson Healthcare's Healthy Futures initiative, the Northern Michigan Community Health Innovation Regions, and the Pathways Community HUB Institute to deliver regional care coordination and standardized community health worker programming.

Strategically, DHD2 is a mature, geographically bounded government entity with no equity funding, no M&A history, and no proprietary product roadmap. Growth is incremental and confined to programmatic additions within existing mandates — universal Hepatitis C screening, expanded harm reduction services, the Community Connections care coordination model, and PFAS-related environmental response activities. Its competitive position is structurally protected by statutory regulatory authority and state/federal program access, but its scale is constrained by the four-county population base (roughly 50,000-70,000 residents combined) and the 11-50 employee headcount range, with the FY 2023-2024 Annual Report and 2024 Communicable Disease Report representing the most recent formal disclosures.

Name

District Health Department #2

Legal name

District Health Department No. 2

Website

https://dhd2.org

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

District Health Department No. 2 is a State of Michigan government public health department serving the residents of Alcona, Iosco, Ogemaw, and Oscoda counties through clinical services (immunizations, WIC, maternal-child health, STI testing) and environmental health regulation (food safety, sewage, water supplies).

Ownership category

akta.pro rank

Product category

Public Health Services

NAICS

Administration of Public Health Programs (92312), Ambulatory Health Care Services (621), Individual and Family Services (6241)

SIC

Services-Health Services (8000), Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Social Services (8300)

akta.pro primary industry

County/District/Local Health Departments (HLAJAAAB)

akta.pro secondary industries

Maternal, Child & Family Health Departments (HLAJAAAK), Local Public Health & Human Services Administration (BPAIACAK), Chronic Disease Prevention & Health Promotion Departments (HLAJAAAN), Public/County Primary Care Clinics (HLAFAGAI), Public Health & Health Equity Organizations (BPAGACAL)

Keywords

• Public health services
• Environmental health regulation
• Immunization programs
• Maternal child health
• Food safety inspections

Headquarters

HQ city

West Branch, MI

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Governmental Public Health Services: District Health Department No. 2 is a governmental public health agency funded primarily through state and federal public health programs, grants, and nominal service fees. Services are provided on a sliding scale or free basis for qualifying individuals.
2. Immunization and Clinical Services: Revenue generated through immunization administration fees ($20 for vaccines), flu shots ($40), and billing insurance for children's immunizations. Free vaccines provided through VFC and MI-AVP programs for eligible populations.
3. Environmental Health Permits and Licenses: Revenue from licensing and inspecting food establishments (over 330 fixed establishments), temporary food licenses (approximately 175 annually), septic system permits, well permits, and other environmental health program fees.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

District Health Department #2 is a Michigan state government public health agency that provides clinical and community health services (immunizations, WIC, maternal-infant health, family planning, HIV/STI testing, communicable disease management, hearing and vision screening, children's special health care services) and environmental health regulatory services (food safety licensing and inspections, septic and well permitting, water supply oversight, public pool and campground inspection). Services are delivered through four county offices, home visits, school-based programs, and community outreach to residents of Alcona, Iosco, Ogemaw, and Oscoda counties regardless of income or insurance status.

Product overview

District Health Department #2 is a public health department serving Alcona, Iosco, Ogemaw, and Oscoda counties in Michigan. It operates as a unified portfolio of interconnected public health programs rather than a single product. The organization is structured around two main divisions: (1) Clinical and Community Services, which provides direct patient care including immunizations, HIV/STI testing, family planning, WIC nutrition services, maternal-infant health programs, children's special health care services, communicable disease management, dental care, and health education; and (2) Environmental Health, which regulates food safety, on-site sewage disposal, water supplies, public pools, campgrounds, bathing beaches, and body art facilities. Cross-cutting services include emergency preparedness, community connections navigation, and harm reduction programs like the Syringe Services Program. Services operate from four county offices with shared infrastructure including the Michigan Care Improvement Registry (MCIR) for immunization tracking.

Differentiator

Problem solved

Functional benefit

Products and services

• Clinical and Community Services Comprehensive public health division offering personal health services including immunizations, HIV testing, family planning, WIC, communicable disease management, and maternal/infant health programs for residents of Alcona, Iosco, Ogemaw, and Oscoda counties.
• Immunizations Vaccination services providing free or affordable immunizations from birth through adulthood in partnership with CDC, including VFC program for children and MI-AVP for adults, with $20 administration fee.
• HIV Counseling and Testing Free, confidential, and anonymous HIV testing using Alere Determine HIV-1/2 AG/AB Combo test with results available in 20 minutes, plus risk assessment and prevention counseling services.
• Syringe Services Program (SSP) Free, anonymous, and confidential syringe access and disposal services offered at the Ogemaw County office to reduce disease spread and overdoses.
• Childhood Lead Poisoning Prevention Program (CLPPP) Home visiting program providing education, outreach, case management, and lead testing for children with elevated blood lead levels, with $25 testing fee for non-WIC clients.
• Hearing and Vision Screening Free hearing and vision screening services for children ages 3-18 as required by Michigan Department of Health and Human Services, provided in schools and health department offices.
• Children's Special Health Care Services (CSHCS) Program enrolling persons newborn to age 21 (and adults 21+ with cystic fibrosis or blood clotting disorders) with qualifying medical diagnoses, covering over 2,000 conditions including cancer, hearing loss, cerebral palsy, diabetes, and epilepsy.
• Maternal Infant Health Program (MIHP) Support program for pregnant women and families with infants up to one year offering home/office visits by Registered Nurse, Registered Dietitian, and Family/Infant Specialist, with Medicaid qualification for services.
• WIC (Women, Infants, and Children) Federally funded supplemental nutrition program serving pregnant, breastfeeding, and postpartum women, infants, and children up to age five with nutrition education, supplemental foods, and breastfeeding support via Michigan WIC Bridge Card.
• Sexually Transmitted Infections (STI) Services STI testing, treatment, and education services with partner notification assistance, offering confidential services including anonymous HIV testing.
• Breast and Cervical Cancer Control Navigation Program (BC3NP) Program helping uninsured and underinsured women receive free or low-cost breast and cervical cancer screenings, follow-up care, and navigation services for women ages 21-64 meeting eligibility criteria.
• Family Planning Reproductive health care services for women, men, and teens providing pregnancy testing, birth control, STD testing/treatment, HIV testing, emergency contraception, and free condoms on income-based sliding scale.
• Communicable Disease Services Disease surveillance, reporting, data collection, education, treatment referral, and enforcement services for communicable diseases including influenza, COVID-19, RSV, and measles.
• Hepatitis C Testing Hepatitis C screening and testing services following CDC universal screening recommendations for adults 18+ and pregnant women, with information that over 90% of chronic cases can be cured.
• Community Connections Free program using Pathways Community HUB model connecting under-resourced residents to community resources including healthcare, food, housing, transportation, insurance, and education through phone calls, home visits, and office visits.
• Community and School Oral Health Program Preventive dental services including oral health assessments, dental sealants, fluoride varnish, and silver diamine fluoride through Seal! MI Program in school and community settings, plus kindergarten oral health assessment requirement compliance.
• Food Safety Program Regulation of food service establishments under Michigan Food Law 2000, including licensing, inspections, plan reviews, temporary food establishment oversight, and foodborne illness investigation for over 330 fixed establishments.
• On-Site Sewage Disposal Program Permitting and inspection services for residential and commercial on-site sewage disposal systems including permits, site evaluations, construction oversight, and operations & maintenance guidance.
• Water Supply Program Regulation of private residential wells and Type III public water supplies including construction permits, inspections, water sampling, well abandonment procedures, and well driller oversight.
• Type II Public Water Supplies Non-community water supply regulation for systems serving 25+ persons including transient (campgrounds, restaurants) and non-transient (schools, daycares) categories with sanitary surveys every five years.
• Public Pool Program Annual inspections and complaint investigation for public swimming pools and spas under state Public Health Code, ensuring water quality, safety equipment, and operational compliance.
• Campground Licensing Licensing and annual inspection services for campgrounds with 5+ recreational units, including modern and primitive classifications, under Public Health Code Act 368.
• Bathing Beach Monitoring E. coli bacteria sampling and monitoring of public bathing beaches during summer season to ensure compliance with Michigan water quality standards.
• Body Art Licensing Facility inspection services for tattoo, branding, and body piercing establishments under Michigan Public Act 149, ensuring compliance with safety and hygiene standards.
• Emergency Preparedness Public health emergency response coordination including Strategic National Stockpile distribution planning, biological and chemical agent fact sheets, and family/home preparedness education.
• Health Education Health education programs including youth tobacco control, sexual risk avoidance education (Empowering Youth Today/Taking Charge), and free medication lock box distribution.

Quantifiable outcome

• 200,000+ mothers, babies and children served monthly through Michigan WIC Program
• +4 more outcomes

Named customers5 records

Segments7 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Ten partnerships are on record, tiered core and minor.

• Centers for Disease Control and Prevention (CDC)coreStrategic or Co-development PartnerDHD2 works with the CDC to reduce and prevent vaccine-preventable diseases by providing free or affordable immunizations. The department also receives CDC funding to improve emergency response capabilities and receives fact sheets and guidance on biological and chemical agents for emergency preparedness.
• Michigan Department of Health and Human Services (MDHHS)coreStrategic or Co-development PartnerMDHHS administers the WIC program at state level, CSHCS program, BC3NP, and other public health programs. DHD2 is the local implementation partner for these state-administered programs serving women, infants, children, and individuals with special health care needs.
• Healthy Futures (Munson Healthcare collaboration)coreStrategic or Co-development PartnerHealthy Futures is a collaboration of Munson Healthcare, health departments in northern Michigan, and health care providers across the region. Serves all parents in participating counties by connecting them to trustworthy information and local resources for maternal and child health.
• Northern Michigan Community Health Innovation RegionscoreStrategic or Co-development PartnerDHD2 participates in Northern Michigan CHIR which works with local residents to improve health and well-being across 31 counties of northern lower Michigan. Community Connections program is part of this regional collaboration.
• Pathways Community HUB InstitutecoreTechnology or IntegrationCommunity Connections utilizes a proven Pathways Community HUB Institute model to help communities support under-resourced residents and improve health and well-being through standardized community care coordination.
• Michigan Community Health Workers AllianceminorStrategic or Co-development PartnerState alliance supporting the Community Health Worker profession. DHD2's Community Connections program employs Community Health Workers as part of its service delivery model.
• Michigan Department of Agriculture and Rural Development (MDARD)coreStrategic or Co-development PartnerMDARD has oversight authority for food safety regulations in Michigan. DHD2 serves as the local implementation partner conducting food establishment inspections, plan reviews, and temporary food event licensing under the Michigan Food Law 2000.
• Michigan Department of Environment, Great Lakes, and Energy (EGLE)coreStrategic or Co-development PartnerEGLE (formerly MDEQ) regulates Type I community water supplies, bathing beaches, campgrounds, and handles engineering aspects of commercial sewage systems. DHD2 conducts inspections and sampling under contract with EGLE for Type II public water supplies and other environmental health programs.
• Michigan Restaurant AssociationminorChannel Partner/ Reseller/ DistributorMichigan Restaurant Association regularly offers food safety sanitation certification courses for food service establishment operators. DHD2 occasionally arranges with private organizations to offer food safety sanitation courses in the health district.
• MI Bridges (Michigan Department of Health and Human Services)minorStrategic or Co-development PartnerDHD2 refers clients to MI Bridges tools and resources for public assistance benefits including Medicaid, food assistance, and other social services.

Scale indicators7 records

Recent moves6 records

Expansion highlights4 records

Broad incumbents

• Michigan Department of Health and Human Services (MDHHS): State-level public health authority that administers the federal/state programs (WIC, CSHCS, VFC, BC3NP) that flow funding to DHD2. Functions as the upstream regulator, program administrator, and policy setter for the entire Michigan local health department system.
• National Association of County and City Health Officials (NACCHO): National membership and advocacy organization representing local health departments including district health departments. Sets operational standards, provides funding guidance, and advocates for federal appropriations flowing to local health entities like DHD2.

Direct peers

• Mid-Michigan District Health Department: Michigan district health department serving Clinton, Gratiot, and Montcalm counties. Provides the same dual clinical/environmental health service model under Michigan Public Health Code, with comparable WIC, immunization, food safety, and septic permitting programs.
• Central Michigan District Health Department: Michigan district health department serving Arenac, Clare, Gladwin, Isabella, and Osceola counties. Closest operational peer to DHD2 given shared district health department structure, similar service portfolio (clinical and environmental health), and identical state oversight framework under MDHHS.
• District Health Department #4: Michigan district health department serving Alpena, Cheboygan, Montmorency, and Presque Isle counties. Adjacent geographic peer to DHD2 with identical operational scope including WIC, immunizations, environmental health, and emergency preparedness.
• Health Department of Northwest Michigan: Provides public health services across multiple northern Michigan counties. Operates the same dual clinical/environmental health portfolio and participates in similar regional CHIR initiatives as DHD2.
• Northwest Michigan Health Department: Serves Antrim, Benzie, Charlevoix, Emmet, Grand Traverse, Kalkaska, Leelanau, Manistee, Missaukee, and Wexford counties. Comparable rural/northern Michigan district health department with overlapping clinical and environmental health programs.
• Branch-Hillsdale-St. Joseph Community Health Agency: Michigan local health department serving three rural counties. Operates the same clinical and environmental health programs under Michigan Public Health Code, providing direct peer comparison for staffing, funding, and service delivery models.

Regional players

• Kalamazoo County Health & Community Services: Mid-size Michigan county health department offering personal health services, environmental health, and health education. Functions under the same Michigan regulatory framework and offers insight into scaled operational models.
• Ottawa County Health Department (Michigan): Michigan county-level public health department with similar statutory mandate but larger population base. Comparable program structure (clinical services, environmental health) but materially larger scale provides benchmark for service expansion paths.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/DHD2MI
• LinkedInlinkedin.com/company/district-health-department-no-2

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about District Health Department #2