Payroll, Here Are Your Articles for Wednesday, September 19, 2018
Is this email not displaying correctly?
View it in your browser
Friend Me on Facebook Follow Me on Twitter Connect with me on LinkedIn
Website Services Resources Contact Us About Us Blog
Share Save

The Rise of On-site and Near-site Clinics


On-site clinics are inclusive health and wellness centers that are located on the employer's premises and designed for employees who work at that location.

Near-site clinics are health and wellness facilities positioned close to the employer's work site, in an area that is convenient for a geographically dispersed workforce and their spouses and dependents.

A growing trend

On-site clinics have been around since the 1860s. Back then, railroad and mining companies used on-site clinics to better treat work-related injuries so that employees could remain on the job. On-site clinics grew in popularity during and after World War II, as shipyards and steel mills started implementing the program. By the 2000s, on-site clinics became even more visible, while near-site clinics began to emerge, as employers sought ways to compete for talent, improve their health care spending and enhance employee well-being.

The National Business Group on Health states that over half (54 percent) of employers will offer on-site or near-site clinics in 2018 — and that figure could rise to almost two-thirds by 2020.

In a survey by the National Association of Worksite Health Centers, most respondents said that they were reaping financial rewards from their on-site clinic, reporting a reduction of 64 percent in medical expenses, an almost 70 percent drop in lost time — since employees dont have to leave the premises to seek health care — and a 63 percent decline in the use of emergency room services.

Employee services

The services provided at on-site and near-site clinics vary according to the employer's needs, with physician assistants, nurse practitioners and registered nurses being the main providers. Among the most common services are:

  • Primary care (physical exams, pharmacy, lab testing, disease management, etc.).
  • Preventive care (health risk evaluations, biometric screenings, vaccinations, etc.).
  • Urgent care (cold, flu, stitches, asthma, sprained ankle, etc.).
  • Occupational health (work-related injuries, drug testing, medical surveillance, etc.).

Which is best for your employees?

Larger employers — especially those with a high concentration of on-site employees — are most likely to implement on-site clinics. Studies show that employers with around 500 to 700 employees in the same location tend to see optimal success with on-site clinics.

Smaller employers have reportedly expressed interest in on-site clinics, but these companies usually find it difficult to withstand the initial capital investment and ongoing operational costs that come with launching an on-site clinic. For this reason, near-site clinics are usually a more viable option for smaller employers, such as those with 100 or more employees.

Near-site clinics typically offer a shared clinic network, which is accessible by multiple employer clients, thereby resulting in cost savings. (These clinics are also frequently used by large employers with a distributed workforce.)

Both on-site and near-site clinics have been shown to greatly lower out-of-pocket medical costs, transportation expenses, lost work time and absenteeism while improving employees' health.


Share Save

Your Comments

Saved Articles
Comments and Feedback
Refer A Friend
Your Privacy
Our firm provides the information in this e-newsletter for general guidance only, and does not constitute the provision of legal advice, tax advice, accounting services, investment advice, or professional consulting of any kind. The information provided herein should not be used as a substitute for consultation with professional tax, accounting, legal, or other competent advisers. Before making any decision or taking any action, you should consult a professional adviser who has been provided with all pertinent facts relevant to your particular situation. The information is provided "as is," with no assurance or guarantee of completeness, accuracy, or timeliness of the information, and without warranty of any kind, express or implied, including but not limited to warranties of performance, merchantability, and fitness for a particular purpose.
Powered by
Copyright © All rights reserved.

This email was sent to:

Mailing address: 3001 Medlin Dr. Ste 125, Arlington, TX 76015