The non-profit health association Coordination des oeuvres sociales et médicales (Cosem) is financed by public funds. It is run by a father, who has been managing director since 2010, and his two sons.

Cosem claims two million medical and dental consultations per year provided by 700 practitioners in about fifteen centers in Île-de-France and Rouen, Amiens, Caen, Lyon, Marseille, Orleans and Saint-Étienne.