The article analyzes the balance of income and expenses of a medical organization using the example of the city hospital in Pervouralsk. The data from the reporting and accounting documentation on the activities of the State Budgetary Institution of Public Institution “GB” of Pervouralsk (Pervouralsk and Staroutkinsk) were analyzed. The budget balance has been analyzed and target indicators for a balanced budget for the activities of a medical organization have been identified, the main conclusions have been drawn based on the results of a study of the development of the institution, and stabilization methods have been proposed that will compensate for the difference that has arisen between income and expenses previously