COS

What COS does

C.O.S. Società Cooperativa Sociale is an Italian non-profit social cooperative (Type A under Law 381/1991, o.n.l.u.s. under D.Lgs. 460/97) headquartered in Genoa, founded April 1997 with operations commencing January 1, 1998. The organization delivers integrated social-healthcare services for elderly and non-self-sufficient individuals across two principal channels: (i) directly managed or Global Service residential care facilities (Residenze per Anziani) and (ii) home-based assistance programs (Assistenza Domiciliare). The service portfolio spans on-call medical availability, nursing, physiotherapy, rehabilitation, sanitation and hotel services for facility residents, plus home-delivered basic assistance, nursing care, specialized long-term therapies (artificial nutrition, respiratory ventilation, blood transfusions, peritoneal dialysis), telemedicine (remote monitoring of clinical parameters and teleconsultations), and home automation (domotics) for elderly safety. Beyond patient care, COS provides consulting services to public healthcare facilities (presidi sanitari ASL) and runs protocol training (Formazione su Protocolli RSA) for the elderly care sector.

Technically, COS is a labor-intensive services operator rather than a technology product company; its differentiating capability components are integrated service orchestration under UNI EN ISO 9001 quality certification and a D.Lgs. 231/01 compliance framework (adopted 2023). Staffing of 850+ worker-members plus ancillary employees (900+ total) is organized into multi-disciplinary roles (OSS, infermieri, fisioterapisti, medici, cuochi, animatori, assistenti domiciliari) coordinated around Care Intensity Coefficient-driven service plans.

Revenue is generated primarily through public sector contracts with local health authorities (ASL) and the Distretto, and secondarily through private individuals/families paying for residential or home care. Pricing is not publicly disclosed; residential rates are structured via regional healthcare frameworks, while private pricing is quote-based on care intensity. The cooperative operates across four Northern Italian regions (Liguria, Lombardia, Piemonte, Emilia Romagna) managing 20+ facilities and 1,300+ beds.

Name

COS

Legal name

C.O.S. Società Cooperativa Sociale

Website

https://cosgenova.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

251–500 employees

Short description

C.O.S. is an Italian non-profit social cooperative founded in 1997 in Genoa that delivers integrated elderly social-healthcare services through 20+ managed residential facilities (1,300+ beds) and home assistance programs across Liguria, Lombardia, Piemonte, and Emilia Romagna.

Ownership category

akta.pro rank

Product category

Elderly Care Services

NAICS

Services for the Elderly and Persons with Disabilities (624120), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Home Health Care Services (8082), Services-Social Services (8300)

akta.pro primary industry

Community Resources, Social Services & Transportation Coordination (HLADALAK)

akta.pro secondary industries

Companion Care & Social Support (non-clinical) (HLADAGAB), Companionship & Social Engagement Visits (HSABAAAA)

Keywords

• Elderly residential care
• Home care services
• Social healthcare
• Assisted living facilities
• Physiotherapy services

Headquarters

HQ city

Genova

HQ country

Italy

HQ region

Europe

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Supply Chain

Revenue model

1. Social-Health Services Contracts: Revenue generated from contracts with public health authorities (ASL/Distretto) for the management of residential care facilities and home assistance services. Operates under Global Service contracts or individual business unit management.
2. Private Client Services: Direct services to private individuals and families seeking residential care or home assistance for elderly relatives.

Pricing tiers

Go-to-market motion2 records

Distribution channels2 records

Marketing channels2 records

Core offering

C.O.S. Società Cooperativa Sociale provides integrated social-healthcare services for elderly and non-self-sufficient individuals through 20+ managed residential facilities (over 1,300 beds) and home assistance programs across Liguria, Lombardia, Piemonte, and Emilia Romagna. The cooperative delivers nursing care, physiotherapy, telemedicine, sanitation, hotel services, and specialized home therapies under Global Service contracts with public health authorities (ASL) or directly to private families.

Product overview

C.O.S. Società Cooperativa Sociale is a non-profit social utility organization (o.n.l.u.s.) established in April 1997, operating as a social healthcare cooperative (type A per law 381/1991). The company offers an integrated portfolio of residential and home care services for elderly and non-self-sufficient individuals. The core offering includes 22 residential care facilities (RSA/Residenze per Anziani) across Northern Italy managing over 1,300 beds, supported by home care services (Assistenza Domiciliare) encompassing basic assistance, medical care, specialized therapies, telemedicine, and domotics. Supporting services include medical availability, sanitation, physiotherapy, nursing services, and hotel services (reception, catering, animation). The company serves the Liguria, Lombardy, Piedmont, and Emilia Romagna regions with over 900 workers.

Differentiator

Problem solved

Functional benefit

Products and services

• Servizi Socio-Sanitari (Residenze e Comunità)
• Servizio Reperibilità Medica
• Servizio Sanificazione e Pulizia
• Servizio Fisioterapico
• Servizio Consulenza per Presidi Sanitari ASL
• Gestione Servizi Infermieristici (Strutture Ambulatoriali)
• Servizio Alberghiero
• Assistenza Domiciliare - Assistenza di Base
• Assistenza Domiciliare - Cure Domiciliari
• Prestazioni Specialistiche Domiciliari
• Telemedicina e Diagnostica Domiciliare
• Post Acuti
• Casa Protetta - Domotica
• Residenze per Anziani

Quantifiable outcome

• Over 1,300 beds managed across 20+ facilities
• +1 more outcomes

Named customers3 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

One partnership is on record.

• ASL (Aziende Sanitarie Locali) / DistrettocoreOthersC.O.S. operates in partnership with local health authorities (ASL) and Districts for the delivery of social-healthcare services. The cooperative works within the public healthcare system framework, coordinating with the Distretto and its resources for home care programs, nursing services, and patient referrals from hospital to residential care.

Scale indicators5 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• KOS Group (Anni Azzurri): KOS Group is one of Italy's largest private operators of residential care facilities for the elderly under the Anni Azzurri brand. It directly competes with COS for ASL contracts and offers similar residential and home care services at greater scale and with private equity backing.
• Segesta (Korian Italy): Segesta is the Italian subsidiary of Korian, Europe's leading elderly care operator. It manages RSA facilities and home care services across Italy, directly competing with COS in the same public-tender and private-pay segments.
• La Villa S.p.A. La Villa operates residential care facilities for elderly in Northern and Central Italy, providing RSA services comparable to COS's residenze per anziani. It competes for the same ASL contracts and private-pay families.
• Emeis Italia (formerly Orpea Italia): Emeis Italia (formerly Orpea) is a major European elderly care group with RSA facilities and home care operations in Italy. It directly competes with COS in residential and home care segments and shares similar public-tender relationships with Italian regional health authorities.
• Solidarietà e Servizi Cooperative: Solidarietà e Servizi is a consortium of Italian social cooperatives offering elderly care, residential services, and home assistance. It mirrors COS's cooperative governance model and operates in overlapping Northern Italian territories.
• DomusVi Italia: DomusVi is a major European residential elderly care provider with significant Italian operations. It runs RSA facilities and home care services that directly compete with COS's offering in Northern Italy.
• Gruppo Gheron: Gruppo Gheron is an Italian elderly care operator running RSA facilities and home care services across Northern Italy. It competes with COS for the same ASL contracts and operates a comparable mix of residential and home-based services.
• Codess Sociale: Codess Sociale is an Italian social cooperative providing residential and home care services for elderly, disabled, and minors. It shares COS's cooperative structure and mission-driven model, competing for similar ASL contracts and staffing pools.

Emerging players

• Cooperativa Sociale Il Biscione: Cooperativa Sociale Il Biscione is an Italian social cooperative offering elderly care, residential services, and home assistance. It shares COS's cooperative structure and operates in adjacent Italian regions.
• Consorzio Zenit: Consorzio Zenit is an Italian cooperative consortium active in social and healthcare services including elderly care. It is comparable to COS as a smaller-scale mission-driven peer with overlapping service lines and geographic focus.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about COS