Effective wellness strategies can help alleviate both absenteeism and presenteeism, and their related costs.  Create an organizational culture that promotes health and wellness. Building a healthy organizational culture involves both the physical work structure and the employees’ perception of the work environment. Wellness is an active process of becoming aware of and making choices toward a healthy and fulfilling life. Wellness is more than being free from illness, it is a dynamic process of change and growth. “…a state of complete physical, mental, and social / team building well-being, and not merely the absence of disease or infirmity.”