1. Northwest Missouri State University Health Risk Assessment February 2009 RESULTS

2. Demographics  Health Screening  2009  359 employees (44%)  2008  414 employees (58%)  Health Risk Appraisal  2009  348 employees (42%)  2008  371 employees (52%)  Screening Participation  2009  Male41%  Female59%  2008  Male41%  Female59%  HRA Participation  2009  Male42%  Female58%  2008  Male42%  Female58%  Average Age  2009  44.9 years old  2008  44.9 years old

3. HRA Measured Health Risks  Body Weight  (BMI ≥ 27.5)  Physical Activity  (< 1 x week)  Stress  Cholesterol  (> 239)  Blood Pressure  (> 139 or >89)  Smoking  Alcohol  (> 14 drinks / week)  Safety Belt Use  (< 100 percent)  Perceived Health  (Fair or Poor)  Life Satisfaction  (Partly or not satisfied)  Existing Medical Conditions  Job Satisfaction  (Disagree or Strongly Disagree)  Illness Days  (More than 5 in past year)  Medication for Relaxation  (Almost everyday or sometimes)  Health Age Index

4. Risk Prevalence

5. Health Risk Profile: Stratification Average Number of Risks 2009 = 2.3 2008 = 2.6 Average Wellness Score 2009 = 85.4 2008 = 83.5

6. Health Risks by Prevalence 20092008 Body Weight, 47.1%Body Weight, 47.7% Stress, 15.2%Safety Belt Use, 34.5% Safety Belt Use, 33.3%Blood Pressure, 34.0% Blood Pressure, 26.1%Physical Activity, 24.8% Physical Activity, 17.5%Stress, 22.6% Health Risks Prioritized for an Individual 20092008 Body Weight, 27.0%Body Weight, 25.9% Smoking, 8.3%Physical Activity, 19.1% Zero Risk Mgmt, 17.8%Zero Risk Mgmt, 10.0% Physical Activity, 13.5%Smoking, 8.1% Health Enhancement Changes Planned during the next 6 months 20092008 Increase Physical Activity, 91.8% Increase Physical Activity, 85.7% Lose Weight, 92.7%Lose Weight, 72.8% Reduce Fat/Cholesterol, 65.5%Reduce Fat/Cholesterol, 61.7% Health Risks Identified

7. Aggregate HRA Report Comparison Risk2009 Frequency 2008 Frequency Change Body Weight47.1%47.7%-0.6% Stress15.2%22.6%-7.4% Blood Pressure26.1%34.0%-7.9% Safety Belt Use33.3%34.5%-1.2% Smoking8.9% 0.0% Life Satisfaction13.5%17.3%-3.8% Med/Drug for Relaxation17.0%16.7%+0.3% Job Satisfaction6.6%8.4%-1.8% Physical Activity17.5%24.8%-7.3% Perceived Health9.5%9.2%+0.3%

8. 2009 Recommendations 1.Continue to offer programs to address key lifestyle risks; focus on achieving and maintaining a healthy weight, on managing stress and blood pressure, and on smoking cessation. 2.Consider enhancements to incentives for participation in screening / health appraisal and for participation in improvement programs. 3.The benefits of a corporate health/wellness initiative take time and persistence to reach effectiveness and success. Efforts must be continued over time, reinforcing risk-reduction behaviors.