Abstract： Objective: As a local medical and health center, local (city) level public hospitals play a leading role in the medical reform work. Their status is crucial, understand their operation and analyze existing problems, and further improve the local (city) level public hospitals. Service capacity. Methods: Data collection was carried out on the basic situation, business situation and income and expenditure of three different types of hospitals in a city from 2015 to 2017. Excel was used for calculation and analysis. Results: The total number of services in local (city) level public hospitals increased year by year; the Municipal Maternal and Child Health Hospital has not carried out clinical path management work, and the municipal first hospital and the municipal hospitals have effectively implemented relevant work, but the graded referral work needs to be further strengthened; The revenues and expenditures of the three hospitals continued to grow, and the government''s financial input was relatively insufficient. Conclusion: Under the background of the current new medical reform and public hospital reform, local (city) level public hospitals must clearly define their functions, give play to their own advantages, strengthen connotation construction, strengthen scientific management, enhance comprehensive strength, and protect the health and promotion of the people. Social development plays an important role.