This report analyzes the 2015-2019 data of county-level and prefecture-level hospitals based on the GAHA’s database，and analyzes the competitiveness advantages and existing problems of the prefecture-level and county-level benchmark hospitals through horizontal and vertical comparison，so as to provide data support for the further development of such hospitals. The number of hospital staff in the top 300 county-level or prefecture-level hospitals has increased rapidly，and the number of doctors and nurses has increased at the same rate，the number of medical technicians has increased greatly，and the number of senior titles and doctors has slowed down. Therefore，it can be seen that talent sinking also needs the support of relevant supporting policies. The number of medical services in the top 300 hospitals in the prefecture or county continues to grow，and the increase of discharge volume and operation volume is greater than the increase of emergency department volume. In particular，the rapid growth of inpatient surgery in the year fully reflects the construction effect of hierarchical diagnosis and treatment. The hospital’s total revenue continues to increase，the cost control is beginning to show results，and profit margins have rebounded. The top 300 hospitals in Prefecture-county need to transform from scale to quality，attach importance to connotation construction，improve medical quality and service，and improve patient satisfaction，in order to truly ensure that serious diseases will never occur in prefecture-county.