The ROI of Executive Health: What One Extra Year of Peak Performance Is Worth for CEOs and Entrepreneurs
If you run a company, your most valuable asset isn’t on a balance sheet. It’s the year of peak performance you still have in you. The year where you make sharper calls, move faster on high-conviction bets, and show up with consistent energy for your team and family.
Most leaders accept an invisible tax on that year: “normal” labs, irregular sleep, travel friction, and a calendar that steals A-time and replaces it with rework. The result isn’t a dramatic collapse—it’s a slow decline that compounds.
Here’s the more useful lens: treat health like asset management. If your enterprise value is substantial on an hourly basis, then reclaiming just a handful of top-shelf hours each week adds up quickly.
Five A-hours per week at a conservative rate translates to hundreds of thousands of dollars annually, before we even consider better decisions, avoided mis-hires, faster pivots, or the risk you quietly take off the table.
That’s why elite health isn’t a cost center; it’s the capacity engine for everything else you care about: profit, people, and presence at home.
This blog breaks down a practical, leader-friendly operating system—no fads, no complexity. You’ll see where the ROI actually comes from, how to structure the next 12 months, and why “I’m busy” is the very reason a system is required. If you’re asking, “What’s one extra year at the top worth?”, you’re the audience.
A simple ROI lens (and the invisible tax)
Reclaim A-time: more top-quality hours, not longer days.
Decision quality compounds: small percentage gains on large decisions create outsized returns.
The hidden costs: operating at 70–80% leads to slower cycles, more meetings, and missed compounding.
The three ROI levers leaders control
Reclaim Time: circadian alignment, strategic recovery, and calendar design to protect thinking hours.
Upgrade Cognition: sleep architecture, light hygiene, metabolic flexibility, and mitochondrial support.
Reduce Risk: proactive screening + longitudinal data to prevent blind-side events and burnout.
A 12-month operating system (not theory)
Q1 – Precision Baseline: advanced labs/imaging where indicated, cognitive & metabolic assessments, and a plan built around your travel and board cadence.
Q2–Q3 – Execution & Iteration: clear weekly protocols, stress-testing for high-stakes periods, and 30–45-day adjustments.
Q4 – Compounding: strategic push/deload cycles, updated screening, and a roadmap that deepens capacity year over year.
For high-leverage leaders, executive health is asset management. Done right, it converts scattered effort into repeatable capacity, upgrades decision quality, and lowers downside risk—often paying for itself multiple times over in the first year. The question isn’t what optimization costs; it’s what underperformance and avoidable setbacks already cost.
If you want the full walkthrough, including napkin-math you can adapt to your numbers, watch the video below. When you’re ready to map your personal ROI drivers and build a 12-month plan that fits your reality, explore Executive Health’s services.
Transcript (May Not Be Exact)
Julian Hayes II
(0:00) I have a question for you. (0:02) What's one extra year of peak performance worth to you? (0:06) If your decision to move markets, shape teams, shape public perceptions, steer eight and nine figure outcomes, then an added year of better clarity, more energy, more resilience might be the highest return of investment that you can make.
(0:32) Welcome, I'm Julian Hayes II, founder of Executive Health, and we help CEOs, entrepreneurs, and other A-level leaders optimize their billion-dollar assets so they can thrive in business, lead in their communities, and be more present with their families, which is the most important of those three right there. (0:52) Now, for leaders, health is far from a vanity metric.
Julian Hayes II
(1:00) When you're a 20-year-old, you're in college, like when I was in 20, health was most definitely a vanity metric. (1:09) I just wanted to look good. (1:10) One of my muscles, one of my broad shoulders, I just wanted to show off and look good.
Julian Hayes II
(1:15) You still want that a little bit, but health now for us, it's more of an operating system now, not just something superficial. (1:24) It's an operating system, because when our energy dips, our decision quality lowers, our decision quality narrows, the margin of that. (1:34) When our sleep starts to suffer and essentially suck, our risk tolerance, our impulsivity rises.
(1:46) When labs are normal, but we don't feel right still, our biology isn't optimized. (1:55) We pay something I call the invisible tax. (1:59) Slower strategic cycles, more rework, more times of miscompounding.
(2:07) So, I want to offer you a simple lens. (2:10) I don't think I've seen too many videos doing this, and I don't even know why I thought of this, but I did. (2:17) If your time is conservatively valued at $2,000 an hour, and you reclaimed at least five high-clarity hours a week back, that's $10,000 a week right there.
(2:37) That's over $500,000 in a year, if my math's correct. (2:45) Add one avoided mishire, one better M&A decision, or maybe even just obtaining an awesome M&A opportunity, one faster strategic pivot, one better hire, better leadership with your team. (3:11) And we're not even including things in your personal life with your family and having more presence there.
(3:19) What's that worth? (3:21) We're sticking to the business side of things. (3:23) This return of investment multiplies.
(3:27) So, the real question isn't what does elite health cost? (3:34) It's what is peak performance worth when it compounds for another year, and even another year? (3:44) And as always, we're looking into this in threes.
(3:49) The first one is where does the return of investment actually come from? (3:58) There's three levers where this is going to come from. (4:01) When you think of return of investment with your health, you're thinking of, number one, reclaim time.
(4:07) So, recovery, circadian alignment, workload design that's set up now to give you more top-shelf hours. (4:15) Not just more hours. (4:17) You don't need to work more.
(4:19) You don't need longer days. (4:21) You need a higher percentage of A hours. (4:26) Upgraded cognition, targeted sleep architecture, metabolic flexibility, better mitochondrial support, better light hygiene that's going to sharpen your memories, that's going to help you focus better, that's going to help your overall executive functioning.
(4:43) So, your real edge is in high-variance environments. (4:47) Risk reduction. (4:50) Proactive screening.
(4:53) Longitudinal data that drops the odds of a blindsided misdiagnosis, silent cardiovascular risk, or burnout-driven errors. (5:03) So, one preventive setback can fund years of optimization. (5:11) And so, as we build on this, what one extra year of peak performance looks like?
(5:18) Not as a theory, but as an operating system. (5:23) I'm going to ingrain that in anyone's head who keeps watching these videos. (5:28) Operating system.
(5:30) So, I thought about a hypothetical scenario. (5:36) So, quarter one, we can call it like a precision baseline. (5:40) You have advanced labs.
(5:42) You have imaging where indicated. (5:44) You have cognitive and metabolic assessments. (5:45) You have wearable calibrations.
(5:47) And you have a tailored plan that aligns with your calendar. (5:51) Not some generic protocol, a cookie-cutter approach, or anything like that. (5:58) It's legitimately and fully tailored for you.
(6:05) And we're getting all this organized. (6:07) And we're taking some action slowly but surely. (6:10) Quarters two and three, execution and iteration.
(6:14) Weekly routines for sleep, light, training, and nutrition. (6:19) The fitting your travel that you're doing a lot of times. (6:21) You're fitting your board cycles.
(6:24) Some people call it like a red team stress test for high stakes. (6:31) Periods of high stakes, I should say. (6:34) Data-driven tweaks every 30 to 45 days.
(6:37) Quarter four, compounding all this. (6:40) Strategic deloads. (6:42) Push cycles around major initiatives.
(6:44) Updated screening and a next year roadmap to deepen your capacity rather than reinvent it annually. (6:53) I just made this kind of thing up. (6:56) All these things are used in people's programming.
(7:00) And the order's going to be different. (7:02) The focus is going to be different. (7:03) But I just wanted to give you an idea of what that looks like practically not just theory.
(7:12) And so now let's do some quick napkin math to anchor your numbers. (7:19) So pretend we're at a restaurant. (7:21) And I grab a napkin.
(7:23) I got a nice pen. (7:24) And I'm getting ready to write these numbers down here. (7:28) So let's say the annual value that you create or control times a conservative improvement rate.
(7:39) Even one to 3%. (7:40) That's going to equal your upside. (7:44) The hours of what we're going to call A time.
(7:47) This is top tier time, right? (7:49) The hours of this time gained per week times your hourly enterprise value times 50 weeks. (8:00) Because I don't know, two weeks, maybe you just are completely terrible just two weeks.
(8:03) So we just use 50. (8:05) We're calling this our reclaim capacity. (8:10) And then you add avoidable cost like mishires, delayed decisions, medical downtime, energy days that where you're just you're not able to function because of your energy or sick days for yourself.
(8:26) Talent churn from inconsistent leadership energy from yourself. (8:33) So even with conservative inputs, one extra year at true peak that's sustainable usually pencils out to seven figures in enterprise impact. (8:48) So the investment is not a cost center.
(8:51) It's actually what you would call it a efficiency engine. (8:56) Now, I'm sure this kind of thing seems expensive or like it just doesn't make sense to be like that. (9:10) Well, compared to what I say this a lot and I'll keep repeating because something seems to be repeated.
(9:17) One poor strategic call, an avoidable health event, a year of operating at 80% and it multiplies more. (9:26) If a 1% lift on a $50 million decision path equals 500,000, then the math is fairly obvious there. (9:35) If you already have, you already work out and you do, you have like a basic doctor.
(9:41) It's great. (9:42) Access does not equal outcomes. (9:44) Having some type of integrated system for yourself that goes deeper is recommended.
(9:53) Most things optimize parts and exist in silos. (9:58) I would say sustainable peak performance comes from a cohesive integrated system. (10:08) So if you're serious though about extending your run at the top, I wouldn't frame this as healthcare.
(10:15) I would frame this as high leverage capacity building. (10:19) One extra year of peak performance compounds across your wealth, your team building, and your family. (10:26) This is the real return on investment.
(10:32) And if you would like help with this, if you would like a private no pressure diagnostic call to see what your next 13 months could look like, I would love to have the opportunity to map it out. (10:44) We can quantify your personal return of investment drivers, identify some quick wins for you and build a plan that fits your reality for meetings, travel, and all other things in between and involved. (10:59) And until next time, thanks for joining me.
(11:04) I'll see you on the next video. (11:05) Stay awesome. (11:06) Be limitless and optimize today and lead tomorrow.
(11:10) Peace.