Newswise — (Chicago – January 6, 2016)— A study utilizing investment simulations for 17 publicly held companies with strong health or safety programs for employees suggests that employers that invest significantly in health and safety programming can outperform other companies in the marketplace. The study, published in this month’s issue of the Journal of Occupational and Environmental Medicine (JOEM), is featured in a special section highlighting the impact health and safety programs may have on a company’s investment value. The study was sponsored by the UL (Underwriters Laboratories) Integrated Health and Safety Institute.

Lead author Raymond Fabius, MD, co-founder of HealthNEXT, and colleagues studied the stock market performance of companies that had applied for or received ACOEM’s Corporate Health Achievement Award (CHAA), which annually recognizes the healthiest and safest companies in North America. To be considered for the CHAA, companies must be engaged in measurable efforts to reduce health and safety risks among their employees.

The authors tracked the stock market performance of 17 CHAA applicants or recipients with proven health and/or safety programs using six investment modeling scenarios. Companies studied had achieved high CHAA scores in either health or safety, or in both categories. Investment scenarios were created and analyzed for the period spanning 2001 to 2014, using a hypothetical initial investment of $10,000.

Over this 13-year period, the hypothetical investment returns for CHAA companies were significantly higher than average S&P 500 returns – as much as triple in some of the scenarios. In the best-performing scenario, the CHAA companies achieved a 333% return, compared to an S&P return of 105% during the same period. In the lowest-performing scenario, the CHAA companies achieved a 204% return, compared to an S&P return of 105% during the same period.

The authors conclude that companies that score high in CHAA health and/or safety categories are associated with superior marketplace performance.

“The results provide evidence that the stock appreciation of companies that are recognized for excellence in health and wellness, safety, or both, out-performs that of other companies that have not been so recognized,” the authors write, adding that the results are “consistent with – and augment – the growing body of work that is associating excellence in health, wellness and safety with superior financial performance in the marketplace.”

Two additional studies that pulled from different populations and used slightly differing methodologies and timeframes also support the finding that financially sound, high-performing companies invest in employee health. These studies, one conducted by The Health Project ( and the other conducted by the Health Enhancement Research Organization (HERO) (, were also published in the January issue of JOEM. The research methodologies for the three studies were developed by Ray Fabius, M.D., co-founder of HealthNEXT ( Fabius is also a co-author on the three papers.

The authors of the CHAA study acknowledge that the study presents correlation but does not imply causation, but stress that the evidence linking business value with health and safety programming continues to grow and is useful to investors. “This information should become increasingly important to corporate leadership and the investment community,” they write. “While there is ample evidence that a healthy and safe workforce can tangibly contribute to the bottom line of most self-insured midsized and large employers, demonstrated causality may not be necessary to inform investors.”

The authors also note that the study’s results provide support for the establishment of a uniform health and safety index for investors – which was proposed earlier this year in a white paper published in JOEM (“Integrating health and safety in the workplace: how closely aligning health and safety strategies can yield measureable benefits,” May 2015). The so-called Integrated Health and Safety Index (IHS Index) would be modeled on the well-known Dow Jones Sustainability Index (DJSI) and would give investors a consistent set of health and safety metrics to use when assessing the comprehensive value of companies.

“Just as investors use the DJSI to distinguish organizations that operate in an ethical manner with an emphasis on long term performance, they could use the IHS Index to assess an employer’s commitment to workforce health and safety as they build portfolios of sustainable companies,” they write.

The CHAA study is titled “Tracking the Market Performance of Companies That Integrate a Culture of Health and Safety: An Assessment of Corporate Health Achievement Award Applicants.” To learn more about all three studies, visit

About ACOEMThe American College of Occupational and Environmental Medicine (ACOEM) represents more than 4,000 physicians specializing in occupational and environmental medicine. Founded in 1916, ACOEM is the nation’s largest medical society dedicated to promoting the health of workers through preventive medicine, clinical care, disability management, research, and education. For more information, visit

About HealthNEXT HealthNEXT is the emerging leader in population health and building cultures of health. Founded in 2009, HealthNEXT has developed a six sigma assessment process and a variety of products and services to accelerate an organization’s ability to sustainably flatten their health care costs, improve the health status of their workforce or membership and create a competitive advantage in the marketplace. Additionally HealthNEXT has developed methodologies to study the market performance of publically traded companies that have been recognized for their excellence in health, wellness and safety. For more information, visit

About UL’s Integrated Health and Safety InstituteFounded in June 2015, UL’s Integrated Health and Safety Institute (IHSI) is the first private sector not-for-profit institute dedicated to advancing the integration of workplace health and safety programs. IHSI provides world-class research, guidance, standards, and education to assist employers in integrating their health, safety and worker well-being initiatives.