The research objects of this report are general hospitals，Chinese medicine hospitals，general hospitals affiliated to medical schools and district hospitals in prefecture-level cities（excluding provincial capitals and separately listed cities），. Specialized hospitals and military hospitals are not covered in this report. This paper analyzes the prefecture-level city hospitals from the aspects of geographical distribution，competitiveness index and balance. The top500 hospitals are located in more than 85% of the prefecture-level cities in the country. Prefecture-level city hospitals in Jiangsu，Guangdong，Shandong，Zhejiang provinces have greater competitiveness. The development of the hospitals in Jiangsu，Shandong，Zhejiang，Fujian provinces is more balanced than that in Guangdong. With the rapid development of private hospitals，the proportion of the private hospitals listed as top 500 in prefecture-level cities has gradually increased. The average length of stay of the top 100 hospitals in prefecture-level cities has decreased，and the utilization rate of beds is still high.