Force for Health Sprint 3 Deck · Aurora Proof Point · CONFIDENTIAL
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An Invitation

Become a Force for Health Partner

Workforce health, wellness, and safety — proven at Aurora, built to scale, with five ways to engage. The relationship designation that turns a vendor pitch into a Network.

Force for Health
PARTNER
Anchor Partner
Presented to · Amazon
Workplace Health & Safety · Pharmacy · One Medical · Community Impact
By · Dr. Robert Gillio, MD · Lucy Howell · The Force for Health® Network
Open with the worker · not the slide deck

It's 1:47 PM.

Marcus has been driving for four hours. He blinks — and for a moment, he's asleep at the wheel. The rumble strip jolts him back, but his hands react late: by the time he corrects, the truck has already drifted. The next stop is 0.6 miles ahead — through a school zone.

"I need this job. I need the warehouse nights too. Three jobs, one family. I'll figure out the sleep later."

Marcus represents more than 100,000 delivery drivers — and millions of warehouse associates — across Amazon and its partners. Today, his drowsy moment ended in a near-miss. Next time, it could be a real injury, a crash, or worse.

What stands between Marcus and the next time he nods off?

Reframe

Workforce health is a P&L lever, not a compliance cost.

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Injury costMSDs (musculoskeletal disorders) drive the majority of fulfillment recordables. Cost per case: $30–55K direct + indirect. Severe back surgeries: $100K+.
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Turnover cost90-day turnover concentrates injury risk in the newest, least-trained workers. The cost of replacement compounds the cost of injury.
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Engagement upliftPrograms that move behavior move both lines at once. The Force for Health Network is engineered for this.

Sources: BLS NAICS 493 + 492 recordables · Amazon Sustainability + WHS annual reports · ACOEM workforce health economics

Be respectful, be honest

Amazon's workforce health picture

Amazon's published data and external research converge on the same four categories. These are exactly the categories Reality Health Games™ is built for.

Musculoskeletal DisordersBack, shoulder, knee. The largest injury category and largest workers' comp line. Driven by lift geometry, repetition, peak surge.
Slips, Trips, FallsSpills, dock plates, mezzanine stairs, vestibules. Cluster around 4 known locations. Reporting culture is the lever.
Heat IllnessProcess zones run hot. OSHA citations on record. Wet bulb globe temperature drives risk on humid Aurora summer days.
Driver FatigueDSP partners are most exposed. Untreated OSA roughly triples crash risk. OTC sedating medications compound shift load.

Sources: Amazon Sustainability + WHS annual reports · Strategic Organizing Center "Primed for Pain" series · OSHA Form 300 FOIA pulls

Disqualify the alternatives without insulting them

What doesn't work alone

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Annual TrainingPeople forget within 30 days. Refresh once a year is not behavior change — it's a checkbox.
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Safety PostersInformation, not behavior. A poster has never stopped a microsleep at 1:47 PM.
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EAPs (Employee Assistance Programs)Real, but under-utilized. Single-digit engagement across most employers. The 800 number doesn't ring.
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Wellness VendorsSurface-level metrics. Step counts and biometric screenings without an adherence engine drift back to baseline within 6 weeks.

Each is useful. None is enough alone.

The unifier

Reality Health Games™

One engine. Six modalities. One Learn It · Live It · Share It loop. Every action earns the same Healthy Coins, feeds the same leaderboards, and contributes to the same Ambassador rank.

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Courses
🎯
Scenarios
🛠️
Skills Lab
🏆
Challenges + Events
🏅
Badges
Healthy Coin
Healthy Coins
Learn It → Live It → Share It

The citizenship loop that turns one associate into a wave — through the worker, their family, and the community around the FC.

Establish credibility quickly

The Force for Health Network in 60 seconds

Who we are

  • Two-person founding team + a Virtual C-Suite stack
  • Dr. Robert Gillio, MD — pulmonologist, physician-educator
  • Lucy Howell — CEO, ecosystem architect
  • Custom-built platform that FFH owns outright

The Network

  • Chamber of Health Systems
  • 360° Force for Health Academy
  • Specialty Health STEAM TEAMS
  • Reality Health Games (the engine)
  • Omni-Media Publishing
Compliance posture: FERPA · HIPAA-Ready · WCAG 2.1 AA · COPPA · GDPR · Section 508. Every feature is evaluated against these frameworks before ship.
The most important slide in the deck

The Aurora Pilot · Proof Point

A former FFH intern is the Director of Health, Wellness & Safety at the Aurora, IL fulfillment center, starting June 15, 2026. She walked in with a Day-1 program. The Day-90 numbers are the foundation of everything that follows in this deck.

Recordable Injury RateBaseline → 90-day: [Δ pending]
Near-Miss Reports / ShiftBaseline → 90-day: [Δ pending]
90-Day Turnovervs. site baseline: [Δ pending]
Driver Fatigue Screen Positives→ Telehealth conversion rate: [pending]
Module + Skills Lab Completion[% pending]
Workers' Comp Claim Severity[trend pending]
Healthy Coin ROI anchor: Reality Health Games pays for itself with one less sick day per associate per year.
Translate the engine into the FC

Reality Health Games at Aurora

Six modalities, one unified experience for every associate — and their family. The Ambassador Portal is the front door for the worker and their household.

Module 2 · MSK"The Twinge at Pack" — Tasha's three-chapter scenario on early reporting, accommodation, and recovery.
Module 3 · Fatigue"The Rumble Strip" — Marcus's drowsy-driver pathway from rumble strip to telehealth to CPAP.
Skills LabPre-shift stretch, near-miss drill, fatigue self-check at every station.
Challenges + EventsPack vs. Pick vs. Ship · Family Wellness Day · Peak-season readiness sprints.
BadgesPack Pro · Vigilance Earned · Red Flag Reader · Peak Ready. Recognized at GM standup.
Healthy CoinsThe currency. Earned in every modality. Redeemable through FFH partners today; Amazon Incentives once Offer 3 is signed.

Reality Health Games leverages every program Amazon already runs (AmCare, EAP, WHS Training, Peer Ambassadors, DSP Safety). It does not compete.

The single most persuasive slide

Live Demo · The Rumble Strip

Three chapters. Four tiers per chapter. Real consequences for risky choices, recovery loops that teach. By Chapter 2 (best path) the demo writes itself: Aurora → AmCare → Amazon Care telehealth → STOP-BANG → CPAP fulfilled by Amazon Pharmacy → FFH adherence tracking.

▶ Open the live demo in a new tab

After the demo, return here for the partnership architecture.

The pivot

Become a Force for Health Partner

Above the offers is a single invitation. The Partnership designation is the relationship. The five ways below are how Amazon engages inside it — sequenced, not forced, additive over time.

1Pharmacy Adherence LoopAmazon Pharmacy + FFH education = the adherence engine no PBM has.
2Telehealth BridgeOne Medical / Amazon Care opens the door; FFH closes the loop.
3Healthy Coin × IncentivesFFH coins redeem inside the Amazon ecosystem the worker already uses.
4Community GrantorFoundation-side dollars activate Aurora's neighborhoods, schools, ambassadors.
5RHG Network LicenseWorkforce + family + community across Amazon's full system. Amazon as anchor customer.

Start with one. Add the rest as the relationship matures. Room for more: AWS technology, Prime / Audible content distribution, Career Choice workforce pathways.

Way to Engage · 1

Pharmacy Adherence Loop

FFH delivers the education, screening, reminder, and Share-It layer that converts a screening-positive worker into a filled prescription, a CPAP titration, or a chronic-disease regimen the worker actually keeps.

FC FloorScreen positive
FFHEducate + route
TelehealthPrescribe
Amazon PharmacyFill
FFHAdhere
What Amazon contributesPharmacy fulfillment + refill cadence · workforce eligibility · co-marketing inside the FC + A-to-Z app.
What FFH contributesEducation + scenario engine + reminder + Bingo cards + adherence reporting + Share-It activation.
EconomicsPopulation-health PMPM to FFH · outcomes bonus tied to adherence delta · pharmacy revenue retained by Amazon.
Way to Engage · 2

One Medical / Amazon Care Telehealth Bridge

A clinical pathway out of the FC into a telehealth visit, with the educational pre-work and post-visit adherence already in place by the time the clinician opens the chart. The closed loop the rest of the workforce health market cannot offer.

Pre-visitFFH delivers educational pre-work, completes screens (STOP-BANG, Epworth, PHQ-9), tracks baseline adherence.
VisitClinician opens a chart on a prepared patient. The visit is shorter, sharper, and more clinically productive.
Post-visit (Year 2 FHIR)FFH continues adherence tracking. Outcome reports back to the employer + Certified Patient score.
Strategic positioning: Certified Patient — Dr. Rob's signature program — turns FFH from an education vendor into a clinical outcomes partner. This is the moat the next ten workforce-health entrants will have to clear.
Way to Engage · 3

Healthy Coin × Amazon Incentives

The engagement currency. Earned for every Learn It / Live It / Share It action across all nine FFH programs. Redeemed inside the Amazon ecosystem the worker already trusts.

EarnScenarios · Bingo cards · Skills Lab · Challenges · Wearable-validated trackers · Peer mentoring · Family activation
RedeemAmazon gift cards · Prime credits · Employee-store discounts · Family rewards · Community-impact donations
Why this is uniqueBehavior-shaped engagement at population scale, with rails to redeem inside the most-trusted retail ecosystem the worker already uses.

Family-level engagement extends the surface area beyond the FC walls without additional ad spend.

Way to Engage · 4

Community Grantor · Foundation-Side

The Force for Health Academy Foundation accepts community-relations funding from Amazon — routed through Player's Philanthropy Fund as fiscal agent. Dollars activate ambassadors, school deployments, and family wellness events in Aurora's feeder communities.

What Amazon contributesCommunity-relations dollars · local PR amplification · optional in-kind support (transportation, event hosting, technology donations).
What the Foundation deliversAmbassador training scholarships · school Bingo card deployment · 5K + family wellness events · Chamber of Health activation.
Why it mattersRaises the floor on community health → raises the floor on workforce health. Lower-risk on-ramp than procurement for the corporate side.
Firewall reminder: Foundation receives the donation. Foundation contracts the for-profit Network at fair market value for content + platform access. Workforce + family seats remain a for-profit contract. No co-mingling.
Way to Engage · 5 · The Synthesis

Reality Health Games Network License — Amazon as Customer

The move that converts pilot success into a multi-year, network-wide customer relationship. Workforce + family + community deployment across Amazon's full system.

Every siteFCs · Sortation centers · Air hubs · AMZL stations · Customer-service centers
Every householdWorkforce seats + opt-in family-seat extension · One Ambassador identity per household
Every host cityChamber of Health activation · local school deployments · ambassador scholarships
Workforce-development pipeline: Community members trained on FFH curriculum become candidates for AmCare, peer-ambassador, and hourly-associate roles. A pipeline Amazon does not have today.

~1M+ workforce + family + community footprint. One contract. Recurring revenue. Anchor-Partner status locked in.

The economics

ROI Model + Partnership Pricing

One simple anchor; layered upside from there.

1Sick day, per associate, per year. Break-even.

Reality Health Games pays for itself with one less sick day per associate per year. One avoided sick day at fully-loaded FC associate cost roughly equals the annual program cost per associate. Everything past that is net contribution.

The upside, layered

  • Avoided MSD claim: $30–55K direct + indirect, per case
  • Avoided severe back injury: $100K+ surgical + lost time
  • Reduced 90-day turnover: $4–8K per replaced associate
  • Peak-season readiness: reduces Q4 stand-down and accommodation labor
  • Healthy Coin redemption ROI: margin to Amazon on incentives
  • Foundation grant story: measurable community impact, attached to your brand
Pricing model: Hybrid PMPM workforce subscription + family-seat add-on + Foundation-side community sponsorship + outcomes bonus. Tiered by FC size. Multi-year term with annual review.
Concrete, not aspirational

Implementation Timeline + Scale Plan

Month 0–3
Aurora pilot
Month 4–9
MDW cluster · Aurora + 1
Month 10–18
Regional · 10 FCs
Month 18–24
Network License signed
Month 24–36
Full system + DSP cohort

Each phase ships with the Director Playbook, Skills Lab, leaderboards, and the Reality Health Games engine. No rebuild. No vendor swap. The Ambassador identity travels with the worker and their family from site to site.

Year 1Aurora + MDW cluster · Offers 1–4 piloted · Foundation grant activated
Year 2Regional · Offer 5 negotiated and signed · FHIR write-back live · Certified Patient program
Year 3Network-wide · DSP cohort · AWS for Health integration · International FC pilot
The close

Become a Force for Health Partner

Three concrete next steps inside the Partnership.

Next Step 1
Six-month multi-FC pilot Population-health Partnership agreement. Aurora plus one. Day-90 metric pack as the success measure.
Next Step 2
Integration scope-of-work Amazon Pharmacy + Amazon Care + Amazon Incentives. The closed loop the Drowsy Driver demo just walked.
Next Step 3
Foundation-side Aurora grant Exploratory conversation with Amazon Community Impact. Ambassador scholarships + school deployments.
Force for Health
PARTNER
Anchor — Amazon

"This is not a vendor pitch. This is an invitation to become a Force for Health Partner — and the first Partner we hope says yes."

30-day decision window · Director-led pilot brief and Day-90 metric pack available on request
Dr. Robert Gillio, MD · Lucy Howell · The Force for Health® Network