A recent study by the foundation found that 59 percent of the businesses currently offering wellness programs do so to promote worker health and engagement, while 41 percent primarily are looking for ways to control health-related expenses. The most popular traditional iniatives are:

• Flu shot program (71 percent)

• Smoking-cessation program (54 percent)

• Health risk assessments (51 percent)

• Health screenings (50 percent)

• Wellness competitions/fitness challenges (42 percent)

At the same time, there is a growing emphasis on less traditional programs, such as mental health coverage, vacation time and tuition reimbursement. These include:

• Vacation time/time off use is encouraged (66 percent)

• Mental health coverage (63 percent)

• Tuition reimbursement (63 percent)

• Community charity drives (57 percent)

• On-site events/celebrations (50 percent).

Some of the more unusual offerings emerging are discounted or free wearable tracking devices; themed dress-up days; game leagues; financial education; and workplace-design changes, such as collaborative workspaces, standing/treadmill desks and walking loops.

Research reveals that the investment is paying dividends. Twenty-six percent of responding organizations with wellness initiatives are analyzing their return on investment. Among these, 93 percent are achieving a positive ROI, with an average $3 return for every $1 spent. Other reported benefits include improved employee engagement (54 percent), reduced absenteeism (45 percent) and a better overall bottom line (38 percent).