The la ck number of managers who have been trained in management skills resulting in a lack of effective management systems. In general, management capacity has been identi ed as a weakness concealed in various  elds of expertise of health managers. PKU Muhammadiyah Hospital of Gamping, as a hospital which has been seeking independent management requires competent management of cials and able to make strategic decision to advance the hospital. This study was using mixed method with the quantitative and qualitative approach. The data used was primary data, obtained from interviews and providing questionnaires to all levels of managers. The study was implemented on September 2016. The research’s object was the competency of all managers (top level manager, intermediate level manager, and low level manager) at PKU Muhammadiyah Hospital of Gamping. From the analysis of questionnaire and in-depth interview, it is obtained that the capacities of almost all low manager, intermediate and top managers are still not ful lling the needs of PKU. Currently, the organization of PKU Muhammadiyah Hospital of Gamping structure is still not perfect yet, there are still managerial structural of cials with double position, in addition, there are working units that have not been established. Managers can perform their task and obligations, however they still need supports, and it means that the competence of PKU Muhammadiyah Hospital of Gamping managers are in the level of competence.