Private not-for-profit health care institutions and public health care institutions may engage in international cooperation activities with public and private entities operating in the same field as their own, provided that public health care institutions and private institutions of collective interest guarantee the continuity of the public hospital service. In application of article L. 6134-1, each cooperation action is the subject of a cooperation agreement which complies with the contract of objectives and resources referred to in article L. 6114-2. In particular, this agreement specifies the exchange and training arrangements for medical and non-medical staff.