The hospital system is the main consumer of healthcare resources. The purpose of this study is to analyze the dynamics of the activity of the hospital medical institutions in Bulgaria. Material and methods: The development of basic planning indicators of the facilities of the individual groups of hospitals in the period 2012-2015 is monitored. Documentary, statistical methods and economic analysis are used. Results: A major problem for our health care is the excessive increase in the number of hospitals, mainly in the private sector. The number of hospitalized patients is particularly worrying, as it is much higher than in other countries. The use of beds at the end of the period under consideration for the sector remains low. A trend of reduction marks and the turnover of the beds. Conclusions: The rationalization of the supply, efficiency and relevance of hospital services and the resulting reduction in unnecessary hospitalization should be a key element of the reform of the organization and the structural configuration of the healthcare system in the country.