Back to whitepapers
WhitepaperCompliance & cost

The Workforce Health Fragmentation Index

Executive summary

How much enterprise occupational-health programs lose to disconnected systems — and what a certified platform recovers.

Evelyna BellamyEvelyna BellamyDirector of Marketing Published May 2026 10 min read 428 words

Workforce health is quietly fragmented

In most large organizations, occupational health does not run on one system — it runs on about seven. A typical enterprise program touches roughly seven disconnected tools — clinics, labs, drug-screen vendors, immunization registries, and spreadsheets — and every handoff between them is a place where data gets re-keyed, a due date slips, or an audit trail goes cold.

That cost rarely lands on a budget line, because no single system owns it. But it surfaces everywhere — in the hours teams spend coordinating instead of caring, in surveillance that drifts off protocol, and in compliance reporting that turns into an annual fire drill.

What fragmentation actually costs

Across enterprise programs the pattern is consistent. For every hour of employee care, teams spend roughly two hours on coordination — re-keying results, chasing vendors, and reconciling records by hand. Nearly four in ten medical-surveillance tasks miss their due date, tracked by hand across systems that do not talk to each other.

Put a number on it and the drag is real: for a 10,000-employee workforce, fragmentation costs an estimated $4.3M a year in administrative overhead, late tasks, and rework — before a single compliance penalty.

The fragmentation tax

What disconnected systems cost an enterprise program

0
Disconnected systems
Touched by a typical large EHS program
Admin-to-care ratio
Hours of coordination per hour of employee care
$0M
Annual drag
For a 10,000-employee workforce
0%
Late surveillance tasks
Missed due dates from manual tracking

Keep reading — free

Create your free workspace to finish the report

Read the rest in your Enterprise Health workspace — plus interactive tools, benchmark reports and your compliance calendar, all in one place. No email-only download.

  • 3 more sections of this report
  • The full interactive assessment
  • Your compliance calendar & key dates

No credit card. No demo required.