There aren't very many hospitals or medical facilities owned by municipalities anymore. Most are either owned and operated by a private hospital network, or operate under a private trust.

Doctors offices are. Hospitals are funded by thr government. Either way paid for by your tax.

The hospital I work at used to be owned by the state via the university, but our governor literally gave the campus away to a private trust that operates for profit. Super fun times.

Unless you are American? Things are fucked there, that's no news. But most of Europe doesn't operate like that