The American Heart Association (AHA) requires that all instructors be members of a training center. Instructors may teach for any training center. The Multi-Regional Training Center (MRTC) allows instructors to teach anywhere in the United States without having to align with another training center. 

The MRTC has a contractual agreement with the AHA to provide specific services. The MRTC is not a subsidiary of the American Heart Association, nor does it receive funds from the AHA. A biennial membership fee covers the cost of the distribution of information and materials, instructor certification, the supply of updated teaching materials and the maintenance of the training center database and website. 

In order to be an American Heart Association training center, all instructors must use AHA curriculum and follow the AHA certification protocols - videos, skills check lists, test and certification cards.