This is the 11150th most frequent Russian word.
государственными
"State" or "government-owned" (instrumental plural form).
In this sentence, 'государственными' is an adjective in the instrumental plural form used to describe the plural noun 'учреждениями', indicating that these institutions belong to or are controlled by the state.
Государственными учреждениями управляют квалифицированные специалисты.
State institutions are managed by qualified specialists.
Here, 'государственными' functions as an adjective in the instrumental plural form describing the plural noun 'реформами', showing association with state-directed activities.
На собрании обсуждались вопросы, связанные с государственными реформами.
At the meeting, issues related to state reforms were discussed.
In this example, the adjective 'государственными' in its instrumental plural form modifies the noun 'проектами', emphasizing that these projects are initiated or managed by the state.