In this article, the authors examine certain aspects of financial and economic activities within the framework of providing paid services of both medical and non- medical nature. Based on the analysis of internal information of a state-owned medical institution, the main areas of extra-budgetary activities have been identified that directly influence the formation of competitive advantages of a healthcare institution. As part of the analysis of changes in the dynamics of the structure of sources of financial resources obtained through entrepreneurial activity, the vector of development of the institution was determined and the author’s conclusions were formulated on issues of increasing the competitiveness of a medical institution in modern socio-economic conditions.
Keywords: healthcare, market, competitiveness, medical and educational services, factors, efficiency.