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.

What Evidence-Based Practices Does the ScoreCard Assess?

The Scorecard assesses Programs, Policies, Environmental Supports, and Benefits.

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?

Top Industry Sectors are health care, education, administration, manufacturing, and professional.

118 worksites from 92 employers in 28 states submitted ScoreCards.

118 worksites from 92 employers in 28 states shown in dark green submitted ScoreCards.

ScoreCard Topic, Strategy, and Score

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.