The study aims to identify the problems facing decision makers within health and sports institutions within private institutes and universities, and to develop a future vision for the development of health and sports institutions within private institutes and universities. The sample were selected from the study community of managers and specialists, and the study sample amounted to (100) individuals for the basic sample of the research community, with (15 directors of youth care offices, 65 sports male specialists, 20 sports female specialists). The most important results were the following: • Lack of good interest in health and sports institutions within private institutes and universities in terms of capabilities • Lack of interest by officials of health and sports institutions in private institutes and universities to develop the institution, and vice versa, most of the interest is in material gain and academic education at the expense of health and sports institutions. • Weakness of officials of health and sports institutions in the content that can be implemented within institutes and universities. • Lack of interest in the plan presented by health and sports departments in institutes, which led to a defect in the implementation of these programs. • The inability of officials in health and sports institutions to be aware of the general health of participating students and the inability to solve health problems within the program. • The researcher noted that most officials in health institutions are not graduates of physical education, which leads to difficulty in implementing any health and sports program within private institutes and universities. Conclusion. There must be harmony and agreement between supervisors and agreement in capabilities to perform tasks because the nature of these tasks is of a special nature to avoid failure and delay in completing these tasks so that their expertise in their field of specialization can be utilized to achieve the goals of the institution