The Escambia County School District (ECSD) is made up of more than 50 schools covering 876 square miles in and around Pensacola, Florida. In 2013, ECSD decided to get ahead of the upward and trending healthcare cost curve and open an onsite health center providing primary care and health coaching to its 7,578 employees plus their families. In 2017, health center services to offer DOT physicals to employees. One sticking point was figuring out how to engage such a large population, spread out over a broad swath of land. Considering the geographical hurdles, engagement was expected to be challenging.