Emergency Management and Research Institute (EMRI) is a pioneer and leader in emergency management in India. the EMRI ecosystem integrates resources such as ambulances, EMTs, call center operators, physicians, a network of hospitals, and IT systems, with cutting-edge research, to save lives. EMRI has been extremely successful in delivering consistent high-quality services at the lowest possible cost amidst difficult conditions and in multiple languages. the case examines in detail this highly successful endeavor.