In order to integrally understand the current situation，development trends and existing problems of the health management institutions in Henan Province，We investigate the number，scale，and scale setting of 371 physical examination institutions. The results show that the physical examination industry in Henan Province has maintained rapid growth. Most of the health management institutions carry out different forms of health management services. Physical examination centers in public hospitals have developed into health management subjects，and private physical examination institutions have shown a trend of chain development. However，there are some problems and challenges，which are mainly manifested by the uneven development of health management institutions between regions，post-examination services becoming a “short board”，and shortages of doctors and health management professionals. There is an urgent need to unify the assessment standards between different health management institutions，improve the health management service chain，strengthen professional competence and vocational skills training for important positions，and attach importance to scientific research to enhance academic leadership status.