Hospital performance is a multidimensional concept, difficult to define. Several models for measuring and evaluating the performance are present in the literature. The Moroccan Ministry of Health is seeking to establish a standard tool to assess the performance of hospitals, including university hospitals that provide tertiary level care. The Ibn rochd University Hospital of Casablanca adopts a performance evaluation process that complies with the regulations in force and respects the organization stipulated in its internal regulations. The objective of this paper is to describe this process and its content of performance measurement indicators constituting the activity report, and to analyze them according to a managerial vision made by a research team in management sciences. Within the framework of this work, we based ourselves on non-participating observation and also on benchmarking with the various actors involved in the process. The analysis of the process and indicators allowed us to identify a number of dysfunctions and to propose areas for improvement.