CASE STUDY
Preventing Diabetes for a Global Investment Firm Through Scalable Coaching
.png)
THE CHALLENGE
Identifying and Addressing Metabolic Risk
Like many forward-thinking organizations, this global investment management company recognizes that when employees thrive, the business does, too. That’s why leadership treats well-being as a strategic priority, right alongside profitability.
This commitment to well-being made it especially alarming when they uncovered a high rate of prediabetes across their employee population. According to the CDC, more than 98 million U.S. adults (roughly one in three) have prediabetes, most without knowing it. Meanwhile, prediabetes can easily spiral into other long-term health risks.
Left unaddressed, the long-term employee health & financial risks would only continue to grow. So, they contacted Exos to turn around their employee health outcomes.

THE STORY
A Targeted, Coach-Led Prevention Model
Exos partnered with the global investment firm and its on-site primary care provider to deliver a Diabetes Prevention Program (DPP). The goal: to elevate employee health at scale, reducing risk progression through a data-driven program.
The program launched as a strategic pilot at three core locations chosen for scalability across the broader population. On-site clinic staff identified eligible participants through A1C screenings and other clinical and lifestyle risk factors.
Once enrolled, participants were introduced to their dedicated Exos coach, who would guide them through a year-long journey to improve health outcomes. This one-on-one relationship was a cornerstone of the program’s success, combining clinical insight with behavioral coaching to drive sustainable change.
Exos coaches enrolled 247 employees across 6 cohorts. At every touchpoint, our integrated, high-touch care team guided them side-by-side to drive long-term behavior change.
.png?width=561&height=616&name=Case%20Study%20Challenge%20Image%20(9).png)
A Custom-Built, Scalable Model
Exos doesn’t do cookie-cutter employee engagement solutions. Each of our programs is personalized to our clients’ unique needs, and they go far beyond just the fitness center.

Standardized Wellness Programs
Through rapidly changing eras including COVID-19, Exos consistently rolled out group fitness, nutritional support, mental well-being, and virtual employee engagement solutions to meet the evolving needs of employees. During Pfizer’s COVID-19 vaccination program, Exos teams supported operations by checking in employees and leading movement sessions in line.
Strategic Design & Build Services
Our world-class space design and development team designed and built six new facilities and renovated six existing ones across the U.S. This included redeploying $300,000 in exercise equipment assets, obtained through acquisitions, to generate significant cost savings and upgrade Pfizer’s portfolio of workplace amenities.
Service Request Platform
Exos implemented an online service request system to support streamlined coordination of Recharge Breaks and other wellness offerings. This platform has supported global program delivery across Pfizer's workforce.
Global Hybrid Expansion
Exos virtual coaching gave Pfizer employees across the globe access to wellness programming, regardless of location or remote status.
Centralized Management
Exos implemented a unified standard operating model across 14 locations to ensure a consistent member experience. This included revenue/expense management, programming, staffing, and data tracking.
Recharge Breaks Deployment
As of January 2025, Exos officially deployed the three standard Recharge Break formats (for energy, creativity, or calm) across Pfizer. These sessions are delivered by both on-site and virtual coaches. To date, the team has completed 198 sessions with a total attendance of 8,255.
Data-Driven Efficiencies
Our team implemented Net Promoter Score (NPS) tracking, utilization data, and outcome monitoring to continually measure impact and improve how we serve each member.
THE SOLUTION
Integrating Coaching, Fitness, and Tech
Coaches engaged participants with monthly well-being activities — education sessions, fitness center visits, and other meaningful touchpoints to sustain momentum and connection.
Exos coaches hosted small group sessions and monthly movement challenges (virtual and in-person), aligned with personalized exercise plans.
CAPABILITIES DEPLOYED








THE RESULTS
Measurable Progress in Reducing Risk
Over the year, this Exos-led program achieved results that far exceeded national benchmarks for disease prevention and behavior change.
This is especially critical for tackling diabetes in the workplace and related risks.
74
average Net Promoter Score, vs. industry average of 26
89
retained their gym membership post-program
2.1
average BMI reduction
10
steps logged over the course of the program
52
of participants moved out of prediabetic range


Centralized Operations

Hybrid Programming

Virtual Coaching

Group Exercise

Nutrition & Wellness Integration

Space Design & Renovation

Personal Training

Massage Therapy

Recreation Management

Nutrition Consults

Meal Planning

One-on-one Coaching

Exos App
Results
Consistent quality, scaled delivery, and versatile impact.
63 NPS
vs. industry average of 26
14
centrally-operated fitness centers, expanded from 3 since 2000.
71,000+
global Pfizer employees served by Exos virtual coaching across 45 countries
8,200+
employees engaged through Recharge Breaks alone
11,000+
skin cancer screenings completed
26
melanoma cases detected
Ready to Transform Your Workplace Health?
Want to turn around growing health risks before they hurt your bottom line? Let's talk.