There exists a consensus that work ability is defined by one’s work, work environment, and societal context. However, previous research has mainly focused on work disability and work disability management. In addition, the focus has been mainly on the individual rather than organizational level actions and organizations´ operational rather than strategic level actions. Top management is responsible for the organization’s strategy, including HRM and work ability and its management as part of it. The way top management define and understands work ability may influence measures and processes aimed to support personnel’s work ability and how these are implemented in the organizations. In addition, top managers’ perceptions have an impact on organizations’ strategic choices and success. In this study, we aimed to find out how top managers define work ability management, what were their aims for WAM, and whether the aims were on a strategic level.