2020 Large Employer Profile
The CDC ScoreCard is a tool to help employers assess whether their health promotion programs are based on the best evidence for improving employees’ health and wellness.
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What Evidence-Based Practices Does the ScoreCard Assess?

Large employers are defined as those with 751 or more employees, including full-time, part-time, and temporary.
How Are Large Employers Doing?
34% of large employers will spend the same amount or more on wellness programs next year.
76% of large worksites use local hospitals and other health care professionals for their wellness programs.
Large employers have reached 583,812 employees with ScoreCard strategies.
84% of large worksites have a paid health promotion coordinator.
Average large employer has 75%, or 114 of 152 ScoreCard strategies in place.
Who Are the Large Employers Using the Scorecard?

118 worksites from 92 employers in 28 states shown in dark green submitted ScoreCards.
ScoreCard Topic |
Strategy a |
% of Large Worksites With Strategy in Place (2020 Score) |
---|---|---|
Cancer | Provide health insurance coverage for screening and vaccinations | 99% |
Vaccine Preventable Diseases | Provide on-site flu shots | 96% |
Heart Attack and Stroke | Have Automated External Defibrillator (AEDs) in place | 91% |
Tobacco Control | Have a policy banning tobacco use | 86% |
Alcohol and Other Substance Use | Provide screening and brief intervention and referral for treatment (SBIRT) | 86% |
Maternal Health and Lactation Support | Provide private space for mothers to pump breastmilk | 86% |
Depression | Offer depression counseling | 86% |
Physical Activity | Have physical activity programs | 81% |
Organizational Support | Have a health promotion champion | 81% |
Stress Management | Involve employees in decisions about workplace issues that affect stress | 78% |
Prediabetes and Diabetes | Have diabetes self-management programs | 78% |
Weight Management | Provide education on weight management | 77% |
Musculoskeletal Disorders (MSD) | Make job design changes to reduce MSD risk | 75% |
High Blood Pressure | Provide blood pressure screening | 71% |
High Cholesterol | Provide cholesterol screening | 59% |
Occupational Health and Safety | Coordinate occupational health and safety programs with health promotion | 58% |
Nutrition | Make most items in vending machines, cafeterias, and snack bars healthy | 43% b |
Sleep and Fatigue | Design work schedules to reduce fatigue | 35% |
a Evidence-based practices (i.e., programs, policies, environmental supports, and benefits) with the highest weighted scores (2 or 3 points) in the CDC Worksite Health ScoreCard, including the strategy’s impact on population health outcomes and the strength of the supporting scientific evidence.
b Percentages are based on 109 ScoreCard submissions from large employers who reported providing places to purchase food and beverages in 2020.