Abstract: The hospital has a tendency to use large amounts of resources, making it difficult for the government to meet all the needs of the hospital. The difficulty led to a new management concept for the hospital for the provision of the extension of autonomy to hospitals. Autonomy is applied at the hospital called the Hospital autonomy which hospitals have the right and authority to manage its resources. This survey aims to determine the extent of stakeholder understanding from the hospital autonomy and hospital autonomy-related training needs. The study design was a survey conducted by using the tool "Balanced Score Card Diagnosis" as a measure of respondent’s knowledge. The initial amount of the respondents in this survey of 68 respondents drawn from stakeholder hospital in East Java. The participation rate was assessed by comparing the number of questionnaires returned by questionnaire distributed. The participation rate in the survey as much as 60.18% with the majority of participants came from the head of the installation. A total of 55.88% of participants have a level of understanding "don’t understand". Most respondents either are in the category of "understanding" and "don’t understand" states require training on hospital autonomy as many as 41 respondents (60.3%). Nevertheless, there are still respondents who are in the category of "don’t understand" states don’t require training. Therefore, it is necessary that knowledge management is done thoroughly.