The most expensive line on your balance sheet is the one nobody measures.
A board-level health-economics programme for enterprises of 500–2,500 employees. It finds the money already leaving through presenteeism, absenteeism and executive turnover — then removes the cause, and shows the recovery in your own reporting.
$22,805 per employee, per year
01 — The leakage
Your payroll is already paying for this. You are simply not invoiced for it.
Corporate accounting treats payroll as a fixed cost of doing business. In reality a substantial portion of it yields no return at all. At a headcount of five hundred, the three measurable drains total more than eleven million dollars a year before a single line of it appears in a management report.
Carried by the business for every employee, every year.
Total annual exposure across a five-hundred-person workforce.
Of every compensation pound paid to people unable to perform at baseline.
Recovery required before the programme has paid for itself.
03 — The intervention
An infrastructure-level programme, delivered to the board.
Five components, engineered to stop the daily drain rather than to decorate a benefits brochure. Every session is delivered personally by Mathias Koester — the work is never delegated to an account team.
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01
The 90-Day Blueprint Masterclass
Diagnostic, Strategy and Implementation in a single working session, delivered personally to the board. The board leaves with a ninety-day deployment roadmap rather than a set of recommendations.
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02
Workforce diagnostic
A quantified assessment of absenteeism, presenteeism, deficiency risk and replacement cost across your specific headcount — converted into the financial exposure your board is currently carrying.
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03
Strategy workshop
Diagnostic findings translated into an actionable, evidence-based plan with named owners, sequencing and a measurement framework agreed before deployment begins.
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04
Implementation support
Direct advisory through the deployment window, delivered digitally, plus one in-person meeting with the C-level board hosted at a top-tier hotel.
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05
Outcome measurement
A built-in framework tracking absence days, premium spend, engagement scores and self-reported wellbeing — handed to your own team so the numbers stay inside the business and feed your internal reporting.
The biological optimisation test for the C-level board is free of charge and included in the tariff. It is taken every six months — the first sets the executive baseline, each retest measures the movement. It is not an upsell, and it is not billed separately.
05 — The arithmetic
A six-point-six per cent recovery pays for the entire year.
At five hundred employees on a sixty-thousand average salary, presenteeism consumes nine million a year — roughly a third of gross payroll. The programme costs six hundred thousand. The break-even is not ambitious.
No action−$9,000,000
25% restoration+$1,650,000 net · 275% ROI
50% restoration+$2,400,000 net · 400% ROI
Fall in direct medical costs for every dollar spent on structured intervention.
Harvard workplace meta-analysis
Fall in absenteeism costs for every dollar spent — a combined 6:1 baseline.
Harvard workplace meta-analysis
Peak documented return on premium executive coaching and health programmes.
Median across studies: 7 to 1
The founding cohort
One room. Ninety-nine boards. It convenes once.
The founding cohort convenes live on Zoom on Friday 30 October 2026 at 13:00 UTC, followed by a single in-person board meeting at a top-tier hotel. One seat is one enterprise — when the ninety-nine are taken, the programme closes to new clients and does not reopen.
The cohort convenes in
99 of 99 company places remaining