The research object of this report is the county-level hospital，that is，the general hospital located in the county，including the hospital of Traditional Chinese medicine，excluding the specialized hospital and military hospital. This report analyzes the top 100，top 300，top 500 county-level hospitals in 2020 and top 30 county-level hospitals in terms of regional distribution and competitiveness factors and from aspects of hospital and specialty level. County-level hospitals in East China，Central China and South China have obvious competitive advantages，especially in East China. Over the past five years，the annual number of discharged patients continued to increase in the top 100 county-level hospitals，and the annual number of outpatient and emergency patients gradually declined. The service volume of the top 30 specialists was significantly higher than the median of the top 100 county-level hospitals，and the average cost of the top 30 specialists in county-level hospitals was on the rise，especially the critical care department，with an increase of 21.05%.