%0 Journal Article %T The Stock Performance of American Companies Investing in a Culture of Health %A Enid Chung Roemer %A Jeffrey Berko %A Karen B. Kent %A Michael A. Head %A Rachel Mosher Henke %A Raymond Fabius %A Ron Z. Goetzel %J American Journal of Health Promotion %@ 2168-6602 %D 2019 %R 10.1177/0890117118824818 %X We investigated the relationship between companies¡¯ efforts to build internal (COH-INT) and external cultures of health (COH-EXT) and their stock performance. We administered 2 surveys, which measure companies¡¯ programs, policies, and supports for improving the health of their employees and communities. We then compared the companies¡¯ stock performance to the Standard and Poor¡¯s (S&P) 500 Index from January 2013 through August 2017. United States. Representatives from 17 publicly traded companies who completed the COH-INT survey, of whom 14 also completed the COH-EXT. Culture of health scores were dichotomized into high versus low for both surveys. Stock price data for all companies were gathered from public sources. We constructed 5 stock portfolios: all 17 companies, high COH-INT, low COH-INT, high COH-EXT, and low COH-EXT companies. We examined total returns for each portfolio compared to the S&P 500. High COH-INT companies¡¯ stock price appreciated by 115% compared to the S&P benchmark (+69%), while low COH-INT companies appreciated only 43%. In contrast, high COH-EXT companies underperformed (+44%) when compared to the S&P 500 (+69%) and low COH-EXT companies (+89%). This study supports the view that employers¡¯ efforts to build an internal culture of health is a sound business strategy. More research is needed, however, to establish whether a link exists between supporting healthy community initiatives and company stock performance %K workplace health promotion %K workplace wellness %K culture of health %K corporate social responsibility %K community health %K business case %K stock price performance %K financial impact %U https://journals.sagepub.com/doi/full/10.1177/0890117118824818