Small business owners continue to struggle to provide traditional health care benefits to their workers, but some are providing other unusual perks as an alternative to help attract and retain employees.

A new report released Wednesday by Bank of America found that only 33 percent of the small business owners it surveyed provide traditional health benefits. But 31 percent offer additional amenities in the workplace, such as healthy snacks or massages. About 45 percent offer flexible work or work-from-home options for employees.

Fifty-three percent of small business owners say their personal health has improved as a result of running their businesses. And 85 percent say they've taken some steps to contribute to the health and happiness of their employees.