structural:reformatting, stylistic:tone
Effects of workplace health promotion

The positive impact of workplace health promotion programs on productivity is widely discussed. The impact of workplace health promotion on absenteeism is substantial since productivity is impossible if an employee is absent. However, the effects of presenteeism are also significant, and working while sick is estimated to cost the United States economy more than $150 billion per year. Absenteeism is estimated to cost the average employer $660 annually per employee. Based on productivity costs, employees experiencing negative health conditions or at risk of developing impaired health cost employers up to $1601 more than healthy employees per year. Improvements in productivity and absenteeism following implementation of workplace health promotion programs can annually save employers $15.6 for every one dollar spent on health initiatives. More generally, employee health care costs and absentee day costs decrease by $3.27 and $2.73, respectively, for every dollar spent on workplace health promotion. In some cases, employer-based health programs have been shown to yield no reduction in health care spending or employer insurance outlay.