The role of decision making and budgeting for global benefits, wellness and health services differs by company. For example, retirement plan decisions are typically made at the global level, while other benefits must hit a threshold (monetary or severity) before becoming a global decision. Otherwise, the decision is typically made at the regional or local level, with global oversight. Health services and wellness programs follow a different model. Global staff members set the strategy and develop the programs; local team members implement and customize programs and initiatives to meet location-specific needs and capabilities. Mergers and acquisition (M&A) decisions are made by a team comprised of representatives from different departments. Final decisions are typically made by the parent organization. Budget ownership also varies, with health and wellness programs paid for from local budgets, while developing health and wellness strategies come from global budgets. This global organizational structure report provides high-level information on how global employers approach decision making and budget ownership in their global structures.