26% of small 

employers will spend 

the same amount 

or more on wellness 

programs next year.

47% of small 

worksites have a 

paid health promotion 

coordinator.

46% of small worksites 

use local hospitals and 

other health care 

professionals for their 

wellness programs.

111 worksites from 101 small employers in 17 states 

submitted ScoreCards.

CDC WORKSITE

HEALTH SCORECARD

2020 Small 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. 

Small employers have

reached 16,460

employees with 

ScoreCard strategies.

Average small employer has

ScoreCard strategies 

in place.

96of152 (63%) 

How Are 

Small 

Employers 

Doing?

Who Are the Small Employers 

Using the ScoreCard? 

a

Percentages do not equal 

100% due to rounding

CS324630-B

What Evidence-Based Practices Does the ScoreCard Assess?

PROGRAMS

Opportunities to 

begin, change, 

or maintain 

health behaviors

POLICIES

Formal or informal 

statements to 

protect or 

promote health

ENVIRONMENTAL 

SUPPORTS

Physical factors 

at work that 

help protect and 

enhance health

BENEFITS

Overall 

compensation, 

including health 

insurance

Small employers are 

defined as organizations 

with 101 to 250 employees 

that include full-time, 

part-time, and 

temporary workers. 

REPORTING

STATES

Business Typea

Government

(37%)

Private,for-profit 

(37%)

Nonprofit 

(27%)

N=101

0%

5%

10%

20%

30%

40%

Top Industry Sectors

13%

30%

16%

9%

N=101

Health Care & 

Social Assistance

Educational 

Services

Other Services, 

except Public 

Administration

Public 

Administration
SCORECARD 

TOPIC STRATEGYa

% SMALL WORKSITES 

WITH STRATEGY 

IN PLACE (2020 SCORE)

83% Vaccine Preventable Diseases Provide on-site flu shots

Organizational Support Have a health promotion champion 71%

Depression Offer depression counseling 62%

Have physical activity programs 68% Physical Activity

Prediabetes and Diabetes Have diabetes self-management programs 59%

Weight Management Provide education on weight management 64%

High Blood Pressure Provide blood pressure screening 59%

Maternal Health and Lactation Support Provide private space for mothers to pump breastmilk 82%

Tobacco Control Have a policy banning tobacco use 81%

Provide health insurance coverage for screening Cancer

and vaccinations 87%

70% Stress Management Involve employees in decisions about workplace issues that affect stress

42% Nutrition Make most items in vending machines, cafeterias, b and snack bars healthy

High Cholesterol Provide cholesterol screening 44%

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 81 ScoreCard submissions from small employers who reported providing places to purchase food and beverages in 2020.

49% Coordinate occupational health and safety programs 

with health promotion SAFETY Occupational Health and Safety

Sleep and Fatigue Design work schedules to reduce fatigue 39%

Musculoskeletal Disorders (MSD) Make job design changes to reduce MSD risk 61%

76% Provide screening and brief intervention and referral 

for treatment (SBIRT) Alcohol and Other Substance Use

Have Automated External Defibrillator (AEDs) in place 81% Heart Attack and Stroke