The report mainly analyzed the competitiveness evaluation results of health management centers in the third class hospitals in mainland China by Asclepius hospital management research center and Zhong guan cun xin zhi yuan health management institute in 2018. The regional distribution，related factors and competitive factors of top 100 health management centers are analyzed. From the perspective of distribution，the distribution of top 100 health management centers is uneven，mainly concentrated in the eastern region，with the largest number in East China and the largest number in Beijing，Shanghai and Guangdong province. In view of the distribution in the province，the development of Jiangsu Province is the most balanced. From the perspective of competitiveness factors，the talent team has been preliminarily formed，but the academic research level and professional service ability are still weak. Pre-physical examination questionnaire，post-physical examination health management and Internet + health management （physical examination） services were carried out in the primary stage. Evaluation or certification by the third-party has become an effective way to continuously improve quality and enhance competitiveness. In view of the problems existing in the competitive factors of the top 100 health management （physical examination） institutions in tertiary hospitals，corresponding improvement suggestions are put forward.