This study is to identify the differences in service quality for the 2nd-scale hospital Industries. The subjects of this survey for the empirical analysis are limited to the 2nd- scale hospitals in Korea: data are collected in Seoul, Incheon and Kyungki areas. The results are as follows. First, the efficiency for hospital operations confirmed the differences in bed scale. Second, the high-efficiency hospitals attach importance to efficiency with more than 100 bad scale and the low-efficiency hospitals attach Importance to service quality with less than 100 bed scale.