The article deals with topical issues of medical organizations: a comparative analysis of the legal status of heads of budgetary organizations, including their deputies, heads of branches, the rules governing the “status” of such employees in universities, scientific and medical budget organizations; reduced working hours of medical workers in organizations; practical situations related to the implementation of the rights of medical workers to annual paid leave; the analysis of legislation and law enforcement practice on strengthening the employer’s liability for violations related to employee payments, including vacation pay amounts, was conducted.