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At the June 16, 2020 Board of County Commissioners meeting, the Board directed staff to bring back a proposal related to employee health clinics via a workshop. In preparation for this workshop, Human Resources staff surveyed other public employers as noted below: Agency Response Clinic Cocoa Y y IRC Schools Y Y Martin County SO Y Y Martin County BOCC Y Y Plantation y Y Port St. Lucie Y Y St. Lucie County BOCC y y Stuart Y Y Palm Bay Y Closed Fellsmere y N Vero Beach y N Sebastian Y N Brevard County BOCC Y N Melbourne Y N Brevard County Unable to Schools respond Collier County BOCC No Response Below is some general information noted from the survey responses. The actual responses are attached. • 16 employers surveyed and 14 responses. • 8 employers surveyed have clinics. • 1 employer closed their clinic after determining it was not cost effective. • Consultants were utilized to guide the clinic evaluation and vendor selection process. • Start-up costs can vary. • Annual recurring costs range from $500K to $2.7M (2 locations) and include general medical and limited pharmacy. Smaller city's clinic cost was approximately $250K per year. • Zero copay for employees to utilize the clinic and obtain certain medications. Employers with a clinic perceive it as a valuable benefit for employees. • Clinic staffing models vary based on services provided, equipment, locations, and hours of operation. • Marketing campaigns and incentives for using the clinic and encouraging wellness are typically utilized. • Oversight of clinic, administration, wellness strategies, and billing reconciliation involve consultant and employer staffing in coordination with clinic vendor and providers. At the workshop, the opportunity for additional review and discussion regarding an Employee Health Clinic will be provided. 4