How Are 

Large 

Employers 

Doing?

34% of large 

employers will spend 

the same amount 

or more on wellness 

programs next year.

118 worksites from 92 employers in 28 states 

submitted ScoreCards

CDC WORKSITE

HEALTH SCORECARD

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. 

Large employers 

are defined as 

those with 751 or more 

employees, including 

full-time, part-time, 

and temporary.

Large employers have

reached 583,812 employees with 

ScoreCard strategies.

84% of large 

worksites have a 

paid health promotion 

coordinator.

Average large employer has

ScoreCard strategies 

in place.

114of152 (75%) 

76% of large

worksites use local 

hospitals and other health 

care professionals for their 

wellness programs.

CS324630-C

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

REPORTING

STATES

N=92

N=92

Business Type

Government

(37%)

Private,for-profit 

(24%)

Nonprofit 

(39%)

0%

5%

10%

20%

30%

40% Top Industry Sectors

6%

31%

18%

10%

6%

Health Care & 

Social Assistance

Educational 

Services

Public 

Administration

Manufacturing Professional, 

Scientific, and 

technical Services

Who Are the Large Employers 

Using the ScoreCard? 
SCORECARD 

TOPIC STRATEGYa

% LARGE WORKSITES 

WITH STRATEGY 

IN PLACE (2020 SCORE)

Vaccine Preventable Diseases Provide on-site flu shots 96%

Organizational Support Have a health promotion champion 81%

86% Depression Offer depression counseling

Have physical activity programs 81% Physical Activity

Prediabetes and Diabetes Have diabetes self-management programs 78%

Weight Management Provide education on weight management 77%

High Blood Pressure Provide blood pressure screening 71%

Maternal Health and Lactation Support Provide private space for mothers to pump breastmilk 86%

Tobacco Control Have a policy banning tobacco use 86%

Provide health insurance coverage for screening Cancer

and vaccinations 99%

Stress Management Involve employees in decisions about workplace issues that affect stress 78%

43% Nutrition Make most items in vending machines, cafeterias, b and snack bars healthy

High Cholesterol Provide cholesterol screening 59%

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.

58% Coordinate occupational health and safety programs 

with health promotion SAFETY Occupational Health and Safety

Sleep and Fatigue Design work schedules to reduce fatigue 35%

Musculoskeletal Disorders (MSD) Make job design changes to reduce MSD risk 75%

86% Provide screening and brief intervention and referral 

for treatment (SBIRT) Alcohol and Other Substance Use

Have Automated External Defibrillator (AEDs) in place 91% Heart Attack and Stroke