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Case Study

St. Johns County School District gives Marathon Health high grades

Discover how a Florida school district transformed employee health with Marathon Health—achieving an 84% engagement rate and an estimated $3.2M in savings.
Read the case study

When a school district offers employees free access to onsite primary care, what happens to health outcomes—and the bottom line? For St. Johns County School District, the answer is clear: meaningful engagement and measurable savings. This case study explores how the school district partnered with Marathon Health to build a model that works for people and budgets.

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ABOUT SJCSD

A school district redefining employee healthcare

Who they are

St. Johns County School District (SJCSD) is a public school system based in St. Augustine, Florida. With over 10,400 patients eligible for care, the district serves a large and diverse workforce of educators, administrators, and support staff.

A partnership built on better care

SJCSD partnered with Marathon Health in 2016 to offer employees holistic, preventive care. The partnership began with three onsite health centers and later expanded to include behavioral health and occupational health services.

THE CHALLENGE

Delivering meaningful care to a large, dispersed workforce

School districts face unique healthcare challenges. With large, dispersed workforces and employees who cannot easily step away during the workday, accessing quality care means lost instructional time, long waits, and costs that add up fast.

  • Employees losing classroom time for routine healthcare appointments

  • High out-of-pocket costs discouraging preventive and follow-up care

  • Fragmented care with no behavioral or occupational health support

Without a better solution, at-risk employees managed chronic conditions on their own—driving up claims costs and leaving health needs unaddressed. SJCSD needed a partner that could deliver comprehensive, convenient care.

THE MARATHON HEALTH SOLUTION

Comprehensive onsite care that removes barriers and drives real engagement

Free, onsite care that employees actually use

SJCSD offers care at no cost to employees, spouses, dependents, and retirees on the district plan. Removing financial barriers drives engagement—and generates meaningful savings.

Expanded services built around whole-person health

Starting with primary care, SJCSD expanded to include behavioral and occupational health—giving employees integrated support for their physical, mental, and workplace health needs.

Convenient access that keeps employees in the classroom

Onsite health centers reduce travel and wait times. Patients schedule visits at preferred times and see a care team member in under five minutes—making it easy to prioritize their health.

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MEMBER SATISFACTION
0 %

patient satisfaction rate reported across Marathon Health centers

0 %

employee engagement rate across the district's Marathon Health program

0

return on investment achieved through the Marathon Health partnership at SJCSD

0 %

of at-risk employees making measurable progress on biometric risk factors

$ 0 M

in estimated annual savings driven by engaged employees and spouses in the plan

  • When the contract with the original provider came up for bid, the focus shifted from just providing a regular primary care physician to wanting to focus on the whole person and prevention, as well as maintenance.

    BECKY CROMWELL
    Benefits Consultant, St. Johns County School District
GET THE CASE STUDY

See how free onsite care drives real district savings

The SJCSD case study details how a Marathon Health partnership delivered a 3:1 ROI, 84% employee engagement, and an estimated $3.2M in savings. Download it to explore the model, the outcomes, and what it could mean for your organization.
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