COCH is a body corporate under Indian Societies Registration Act and has its registered office in premises of one of its participating hospitals, that is, Christian Medical Centre, Pithapuram in East Godavari District of Andhra Pradesh.

As a sponsoring body, COCH also communicates with members of churches founded by the Canadian Baptist Mission inviting applications for possible sponsorship from eligible students to study health-related courses at the Christian Medical College & Hospital in Vellore.

William Gordon Carder, formerly Professor of Church History at Andhra Christian Theological College, Hyderabad wrote that it was Dr. E. G. Smith who could be termed as first Medical Missionary from Canadian Baptist Mission who was sent to India in 1894.

During latter half of nineteenth century, Missionaries entrusted leadership to their co-partners, the Indians, resulting in formation of Convention of Baptist Churches of Northern Circars (CBCNC) which had also Educational, Theological, and Medical Committees.

Therefore, Canadian Baptist Ministries, with bona fide motives entrusted properties of medical institutions founded by it to the custody of Evangelical Trust Association of South India (ETASI),[8] Bangalore (Karnataka).