Health care management at the workplace means combining occupational medicine and safety management, health promotion and strategic management. In many companies there are problems combining preventive measures and economic strategies. This deficit can be closed by the Balanced Scorecard. This is a management system that follows not only economic and customer-oriented targets, but also “soft“ factors such as internal processes and human resources. The Balanced Scorecard balances these different perspectives. The Balanced Scorecard health management concept is thus able not only to formulate but also to realise exemplary changes in health care and safety: the regulation perspective is replaced by the company perspective, prevention becomes a tool for increasing productivity. Approved and innovative preventive instruments from occupational medicine and safety management are introduced into the company goals. They can be supplemented by psychological and sociological measures. The main aim is to produce healthy, efficient and motivated employees in a healthy company — healthy in the sense of economically successful and healthpromoting. This article describes the Balanced Scorecard health management concept and shows how it can be implemented in the company.