Occupational health promotion has been institutionalized into many companies in the United States and new programs are being started up across the country. 2. Several stimuli affect this growth in programs, including cost-containment, employee recruitment, and governmental support. 3. It is essential that companies involved in occupational health promotion understand their reasons for espousing this trend. 4. Health promotion activities should be planned thoroughly and plans should especially address cost analyses and ethical issues early in the planning phase.