Health care systems in all countries continue to develop in response to the changing demography, structure of diseases, technical and scientific achievements, new epidemics and antimicrobial drugs resistance. Technologies of rendering and funding mechanisms for medical care become complicated. Article contains the analysis of distribution of financial means by types and volumes of the medical care provided according to the Program of the state guarantees of free rendering to citizens of the Russian Federation during the period from 2011 to 2019. Objective: The analysis of volume and structure of financing of medical care in the medical organizations participating in realization to programs of obligatory medical insurance in the Russian Federation during the period to COVID-19 pandemic. Technique and sources of information. Stats.OECD database. Data and metadata on the countries of the Organization for Economic Cooperation and Development (https://stats.oecd.org/). Data on expenses on medical care are taken from the summary report across Russia on form No. 62 "Data on implementation of the Program of the state guarantees of rendering to citizens of the Russian Federation of the free medical care" (since 2014 – "Data on resource providing and on delivery of health care to the population") approved by orders of Rosstat of July 29, 2009 No. 154 of May 15, 2014 No. 308, of 30.12.2015 No. 672, of 02.11.2018 No. 658, of September 29, 2017 No. 646, of August 24, 2016 No. 445, of November 26, 2019 No. 701. The methods of the content analysis, descriptive statistics, information and analytical materials of the Russian and foreign authors placed on the Internet are used. Results. In 9 years the share of means of compulsory health insurance in the total amount of financing of types of medical care increased by 1.5 times, at the same time the share of means of budgets of territorial subjects of the Russian Federation decreased by 12%, and a share of means of the federal budget – by 3.5 times. The amounts of financing at the expense of means of compulsory health insurance of the medical care provided in the round-the-clock hospital and in out-patient conditions increased by 3 times, in a day hospital – by 8 times, emergency medical service – by 34 times, medical rehabilitation – by 2.2 times. The average annual growth rate of the amounts of financing of medical care according to programs of the state guarantees was for the state sources of financing was 10.4%, for non-state – 13.2%. The amount of funds, come to the medical organizations participating in implementation of the compulsory health insurance programs from rendering paid medical services and in programs of voluntary health insurance increased by 2.6 times and made 228.8 billion rubles in 2019. In 2019 in comparison with 2011 essential redistribution of money on delivery of health care in extra hospital conditions did not occur, and the share of the public expenditures on rendering the most expensive medical care in the conditions of round-the-clock a hospital in Russia in three and more times is higher, than in other countries. This phenomenon can be regarded as the prolonged structural crisis of the Russian health care generated by internal problems of the industry, first of all – exhaustion of extensive model of its development. Conclusions: In the Russian Federation the long time remains the irrational structure of medical care leading to excess expenses on delivery of health care in the most expensive conditions. Development of new model of the health care system based on new technological base and the new principles of the organization of the medical care institutionally coordinated to changes which were brought in society by COVID-19 pandemic is expedient.