text: Chapter 2
  EXPEDITIONARY SUSTAINMENT COMMAND
  2-58. At the theater echelon, one or more ESCs can be attached to a TSC. The ESC is attached to a TSC and
  provides command and control over all assigned and attached units in an operational area as directed by the
  TSC. The ESC is capable of planning, coordinating, integrating, and synchronizing sustainment in support
  of Army forces and, when directed, joint and multi-national forces. It may perform the function of a forward
  command post for the TSC.
  2-59. The ESC may form the nucleus of an expeditionary joint command for logistics when provided with
  joint force augmentation. The ESC performing as a joint command for logistics will normally locate within
  a JOA while another ESC or sustainment brigade assumes the responsibilities for supporting Army forces.
  For more information on the ESC, see ATP 4-93.
  THEATER MEDICAL COMMAND
  2-60. The TMC is the senior medical command in support of the ASCC. The TMC is responsible for
  command and control, integration, synchronization, and execution of AHS support within the AOR. The
  TMC commander is responsible for maintaining a regional focus in support of the CCDR and ASCC theater
  engagement plan, while providing effective and timely direct HSS and force health protection to tactical
  commanders and general support to theater forces at echelons above brigade (EAB). The enduring regional
  focus of the ASCC drives organizational specialization in the supporting TMC to address unique health
  threats, specific needs of the local populace, availability of other Service medical capabilities, and geographic
  factors that are distinctly related to a particular region. See FM 4-02 for additional information.
  2-61. The TMC integrates and synchronizes all AHS operations and provides command and control of
  medical brigades (support) (MEDBDEs [SPT]), multifunctional medical battalion (MMBs), and other AHS
  units providing force health protection and HSS to tactical commanders. The TMC employs an operational
  command post and a main command post that can deploy autonomously into an operational area and is
  employed based on the size and complexity of operations, or the support required. Key tasks of a TMC
  include—
  • Providing command and control of MEDBDE (SPT) and subordinate medical units assigned and
  attached.
  • Task-organizing medical elements based on specific medical requirements.
  • Monitoring health threats within each operational area and ensuring the availability of required
  medical capabilities to mitigate those threats.
  • Maintaining situational understanding of medical infrastructure, treatment, and evacuation
  capabilities.
  • Accomplishing Title 10, USC responsibilities and Army support to other Services for the operational
  area.
  • Partnering and training with host-nation and multinational health system units.
  • Establishing a command relationship with the theater Army and the CCDR.
  • Collocating the medical logistics management center (MLMC) with the TSC for coordination and
  planning.
  • Conducting EA for medical research for prevention, mitigation, and treatment of blast injuries.
  MEDICAL LOGISTICS MANAGEMENT CENTER
  2-62. The MLMC provides centralized management of Class VIII materiel from the tactical to strategic level.
  When deployed, the MLMC forward support team is assigned to the TMC and collocates with the TSC/ESC
  DMC. When collocated with the TSC or ESC, the forward support team coordinates with the TMC for
  medical materiel requirements in support of theater AHS operations and may be further task-organized based
  on mission orders. The forward support team serves as the primary link between national strategic-level
  medical logistics capabilities and theater-level distribution.
  MEDICAL BRIGADE (SUPPORT)
  2-63. The MEDBDE (SPT) provides the command and control and planning capabilities necessary to deliver
  responsive and effective AHS support across the range of military operations. The MEDBDE (SPT) ensures