A health cooperation grouping set up as a public health establishment pursuant to Article L. 6133-7 is subject to Title I of Decree No. 2012-1246 of 7 November 2012 on public budgetary and accounting management. Subject to the specific provisions of this section, any other health cooperation grouping with the status of a legal entity governed by public law is subject to the provisions of Titles I and III of this same decree with the exception, by way of derogation from the provisions of Articles 1 and 3 of this decree and unless its constituent agreement provides otherwise, of 1° and 2° of Article 175 and Articles 178 to 185, 204 to 208 and 215 to 228. In these cases, the accounting officer is appointed by order of the Minister responsible for the budget. He attends the grouping’s general meeting.
When the Groupement de Coopération Sanitaire is a legal entity governed by private law, the Grouping’s accounts are kept and its management ensured in accordance with the rules of private law. The accounts are certified annually by an auditor.