2. Expanding the Well-Being Conversation April 1, 2014

3. 3 Copyright Standards This document contains proprietary research, copyrighted materials, and literary property of Gallup, Inc. It is for the guidance of your company only and is not to be copied, quoted, published, or divulged to others outside of your organization. Gallup ®, Q 12®, Gallup-Healthways Well-Being Index ®, and Accountability Index™ are trademarks of Gallup, Inc. All other trademarks are the property of their respective owners. This document is of great value to both your organization and Gallup, Inc. Accordingly, international and domestic laws and penalties guaranteeing patent, copyright, trademark, and trade secret protection protect the ideas, concepts, and recommendations related within this document. No changes may be made to this document without the express written permission of Gallup, Inc. Copyright © 2014 Gallup, Inc. All rights reserved.

4. What is the Impact on Well-Being? 4 Copyright © 2014 Gallup, Inc. All rights reserved.

5. High well-being means a life well-lived—all the things that are important to each of us, what we think about, and how we experience our lives. 5 What is Well-Being? Liking what you do each day and being motivated to achieve your goals Having supportive relationships and love in your life Managing your economic life to reduce stress and increase security Liking where you live, feeling safe and having pride in your community Having good health and enough energy to get things done daily Copyright © 2014 Gallup, Inc. All rights reserved.

6. 6 One-Fourth of U.S. Adults are Not Thriving in Any Element Study of 21,556 Gallup U.S. Panel Members (Weighted to U.S. Census Statistics), Dec. 2013 4.3% are Thriving in Physical only Copyright © 2014 Gallup, Inc. All rights reserved.

7. 7 A Holistic Take on Well-Being Gets Results Working Population Thriving in Physical Only (n=386) Thriving in All 5 Elements (n=839) Compared to Adults who are Thriving in just Physical – Those who are Thriving in all 5 Elements: Average Unhealthy days per month 0.810.48  Have 41% less absenteeism Involved in accident resulting in workers compensation claim 1.4%0.5%  Are 65% less likely to be involved in workplace accident If job market improves, intent to look for job with different employer next 12 months 39.2%7.3%  Are 81% less likely to move when the job market improves Copyright © 2014 Gallup, Inc. All rights reserved.

8. 8 Employees Thriving in Multiple Elements Have Substantially Lower Health-Related Costs One Year Later Longitudinal sample of approximately 11,500 Gallup U.S. Panel Members (5,500 employed) Controlling for Age, Gender, Income, Education, Region, and Marital Status

9. A Tale of Two Opportunities 9 Well-Being Employers Communities

10. www.healthways.com Key Domains: 1.Life Evaluation 2.Emotional Health 3.Physical Health 4.Healthy Behavior 5.Work Environment 6.Basic Access First-ever daily assessment of U.S. residents' perceptions of well-being Real-time measurement and insights needed to improve health, increase productivity, and lower healthcare costs 25-year commitment; initiated January 2, 2008 500 surveys per day, 7 days per week 2 million surveys to date and counting… 10 A NATIONAL BENCHMARK Measuring Well-Being Copyright © 2014 Gallup, Inc. All rights reserved.

11. 11 There is Range in Well-Being Across America and it is Regionalized Copyright © 2013, 2014 Gallup, Inc. All rights reserved. Georgia Rankings 201120122013 28 th 33 rd 27 th

12. 12 Where is Atlanta? Copyright © 2014 Gallup, Inc. All rights reserved.

13. 13 Atlanta vs. Other Similarly Sized Metro Areas The U.S. has 52 large metro areas (1 million or more people) Copyright © 2014 Gallup, Inc. All rights reserved. 1San Jose-Sunnyvale-Santa Clara, CA 2San Francisco-Oakland-Fremont, CA 3 Washington-Arlington-Alexandria, DC-VA- MD-WV 4Minneapolis-St. Paul-Bloomington, MN-WI 5Denver-Aurora, CO 6Raleigh-Cary, NC 7Boston-Cambridge-Quincy, MA-NH 8Austin-Round Rock, TX 9Seattle-Tacoma-Bellevue, WA 10San Diego-Carlsbad-San Marcos, CA 12Atlanta-Sandy Springs-Marietta, GA Atlanta-Sandy Springs-Marietta, Georgia N size: 8,118 Large-sized metro area Population: 5,457,831 (2012 U.S. Census estimate) Geography confirmed by self-reported ZIP code Field Period: January 1, 2012–December 31, 2013 Atlanta-Sandy Springs-Marietta, Georgia N size: 8,118 Large-sized metro area Population: 5,457,831 (2012 U.S. Census estimate) Geography confirmed by self-reported ZIP code Field Period: January 1, 2012–December 31, 2013

14. Standout Attributes of Top Cities: – The Raleigh-Cary, NC metro area boasts many high quality museums – and more than 40 of the attractions are free of charge. 14 Residents Learn More New and Interesting Things Every Day EMOTIONAL HEALTH Copyright © 2014 Gallup, Inc. All rights reserved.

15. Standout Attributes of Top Cities: – San Jose, CA offers programming that aids small and medium-sized companies involved in international business through seminars, networking events, and exhibitions. 15 Residents are Better Partnered With Their Managers and Enjoy Their Jobs WORK ENVIRONMENT Copyright © 2014 Gallup, Inc. All rights reserved.

16. Standout Attributes of Top Cities: – San Jose-Sunnyvale-Santa Clara, CA boasts one of the nation's largest urban trail networks, with over 50 miles developed and open to the public for recreation and commuting. 16 Residents Exhibit a Lot of Energy Every Day PHYSICAL HEALTH Copyright © 2014 Gallup, Inc. All rights reserved.

17. Standout Attributes of Top Cities: – Minneapolis has implemented Access Minneapolis, a 10-year transportation action plan to address a full range of transportation options and issues, including pedestrians, bicycles, transit, automobiles, and freight. 17 Residents are Optimistic Their City is Getting Better as a Place to Live BASIC ACCESS Copyright © 2014 Gallup, Inc. All rights reserved.

18. 18 OBESITY AND SMOKING IN ATLANTA COSTS AND IMPLICATIONS A Public Well-Being Effort Can Payoff * = Among adults only, based on estimates from NIH-HHS sponsored research. ** = Among adults only, based on Ohio State University estimates. ***=Based on self-report incremental missed work days due to poor health compared to non-obese/non-smokers and Ohio State University estimates for partial day absenteeism (smoke breaks). Calculations take part time workers into consideration. Copyright © 2013, 2014 Gallup, Inc. All rights reserved. Estimated Annual Incremental Healthcare Costs Due to Current Obesity and Smoking Levels Incremental Lost Productivity Due to Absenteeism Among Workers*** 2012-201317.7 %25.6 % Assuming 4,041,882 adults and 2,778,900 workers, if Atlanta residents reduced their obesity and smoking levels to reach the stated goals of the CDC, annual savings in health care across the local economy would be $1.14 billion and savings to employers in reduced absenteeism would be $1.47 billion. $473,676,235** $664,938,092* $1,198,617,058 $272,593,620

19. Learn more new and interesting things? Have better partnerships with their Managers? Enjoy their jobs? Have better emotional health, including much lower clinically diagnosed depression and daily sadness? Have safer places to exercise, and feel safer walking alone at night? Smoke less and exercise much more? Are your organizational behaviors helping or hurting employees…. 19 What can we learn from the top cities? … And is it integrated throughout your organization and its culture?

20. 20 Well-Being at Your Organization Copyright © 2014 Gallup, Inc. All rights reserved.

21. 21 Wellness Programs Aren’t Reaching the Audience Copyright © 2013, 2014 Gallup, Inc. All rights reserved. 85% of employers with over 1,000 people offer a wellness program.* 60% of employees in employers of 1,000+ say their company offers a wellness program. 40% of those employees who say they’re offered a wellness program, participate in the program, which is 24% of all employees. *RAND Health: Workplace Wellness Programs Study 2012 Gallup U.S. Panel Members

22. 22 An Opportunity Exists for Organizations to Support Behavioral Change Organizational well-being lies in influencing your employees to do what is in their best interest. 12% of employees strongly agree that they have substantially higher overall well- being because of their employer. A vast majority of employees see their job as a detriment to their overall well-being. Copyright © 2013, 2014 Gallup, Inc. All rights reserved.

23. Individuals Achieve Organizations Need to Take a Holistic View of Well-Being 23 Organizations Support Well Being

24. Leadership – Are we modeling the right behaviors? Values & Rituals – What are the Attitudes and Assumptions? Human Capital – How do we support our employees? Structure – How are we aligned? Performance – How do we incentivize behavior? How is Well-Being Integrated Into the Fabric of the Organization? 24 Well Being

25. Engaged employees are 28% more likely to participate in a wellness program offered by their organization. Engaged employees feel 7 to 9 times more comfortable talking about their well-being with their supervisor (n=11,000+) Managers Connect Organizational Initiatives with Individual Employees 25 Well Being

26. Aware– Where can I find information? Available– When and Where can I access the programs? Action – How can I take action? Accountable – Will this be a part of my review? Well-Being is a 365 Day Program 26 WellBeing

27. 27 How Can You Evaluate Your Environment? Copyright © 2014 Gallup, Inc. All rights reserved.

28. Doug Stover Senior Managing Consultant 609-279-2249 Doug_Stover@gallup.com To stay up to date on our well-being discoveries, visit the Gallup-Healthways Well-Being Index site: http://well-beingindex.com/ 28 Copyright © 2013 Gallup, Inc. All rights reserved.