Employee health can be the foundation of your profitability or the threat to your competitive advantage. River City Health, Inc. aligns health improvement strategy with your organizational goals, securing healthier employees and a competitive advantage. Worksite health costs are increasing daily, as the workforce ages, chronic disease increases, and treatments become more sophisticated. Direct medical costs are important, but so are the indirect costs that lead to reduced productivity, including absenteeism, presenteeism, disability and death. Over the last five years (since 2000), health insurance premiums have grown by 73%, compared with cumulative inflation of around 14% and cumulative wage growth of 15%.1 Sickness and health problems among working-age Americans and their families carry an estimated price tag of $260 billion in lost productivity each year.2 An estimated 69 million workers reported missing days of work due to illness in the past year, for a total of 407 million lost work days in 2003, and $48 billion in lost economic output.2 River City Partnership on Health, Inc. (RCPH), delivers the expertise to ask the right questions and produce the results: In a recent RCPH, Inc., survey of large employers representing over 1 million lives, respondents ranked diabetes 3rd — after depression/anxiety and heart disease — as the highest cost driver for productivity loss at their worksite, including lost work time due to complications. Yet, 63% do not implement a yearly HRA (63%), and therefore do not use results in strategic planning purposes, data trend analysis, or Health and Productivity Management (HPM) measures. 58% do not use cross-functional teams to analyze HPM issues, 67% do not consider demographic diversity, and 89% do not consider cultural/ethnic/geographic differences in their health cost containment strategies. Opportunities for improved health cost management were illuminated, and strategies developed. In a leadership development course for a Fortune 100 employer, 33 persons were trained to link personal health and fitness to team leadership and profitability. Six-month and one-year follow up indicated that health management strategies were not only still in place for the attendees, but that culture shift within their teams had led to innovative programs supporting positive health behaviors for their teammates who had not attended the seminars. After developing the innovative HPM program for their clients, a Fortune 100 company further engaged RCPH to train their marketing and sales force in delivery of the program to their clients...RCPH was the link between the customer and the customer’s customer for successful results. River City asked the questions, developed the strategies, implemented the processes, engaged the experts, and delivered the results. 1. Kaiser Family Foundation. Link 2. Commonwealth Fund, 2005. Link .