FLINT, MI -- A new 2019 study of local leadership effectiveness has ranked one of the worst-operating cities in the United States.

The Wallet Hub study measured the effectiveness of local leadership by determining a city’s operating efficiency. A city’s operating efficiency depends on how city officials manage and spend public funds by comparing the quality of services residents receive against the city’s total budget.

Flint was ranked 146 of 150 making it one of the United State’s worst large operating cities. Detroit was ranked the worst-operating large city in the United States.

Flint City Officials did not immediately respond to MLive-The Flint Journal’s request for comment on the study.

The study compares the operating efficiency of 150 of the United State’s largest cities to determine which are operating the best or worst. It used a “quality of service” score, made up of 37 metrics grouped into six service categories, which the study measured against the city’s per-capita budget.

Flint ranked 22 of out 150 cities in terms of financial stability and ranked 71 in terms of infrastructure and pollution control. Former Gov. Rick Snyder ended state receivership in Flint on April 4, 2018. The financial oversight was placed since Snyder declared a financial emergency in Flint in 2011.

The city ranked 110 in safety and ranked 138 in health. Flint’s education was ranked 141 and its economy was ranked the lowest, at 150.

Flint’s violent crime rate was up 23 percent in 2017, a Federal Bureau of Investigations report showed. Flint was the sixth most violent city in the nation. The city had 44 homicides in 2017 and 35 homicides in 2018, according to previous reporting.

The city was ranked the most impoverished city of its size or larger for the second year in a row in 2018, according to a U.S. Census Bureau data.

Nearly 39 percent of the city’s residents and 60 percent of its children are living in poverty, according to the study. The national average of children living in poverty is 21 percent, according to the National Center for Children in Poverty.