Intercontinental Exchange, Inc.?s (ICE) success lies in the strength of its people. As the company wrote in its 2024 Sustainability Report ?Highly capable and engaged teams are critically important to our ability to grow and innovate. Through our human capital management efforts, we strive to attract and retain the best talent in the world. Our industry is competitive, and expectations are high.? A healthy workforce has been associated with higher employee productivity, reduced absenteeism and reduced presenteeism (equivalent to working while ?under the weather?). Employees struggling with illness or medical-related stress are less able to perform well. Research indicates that, across companies, absenteeism and presenteeism is primarily driven by chronic health care conditions. Absenteeism costs per employee nationally are estimated at $1,695 annually and presenteeism holds an additional annual productivity cost estimated at $300 per employee. [1] Poor employee health care access may undermine ICE?s operations and slow the implementation of its growth strategy. Despite spending nearly 18% of gross domestic product on healthcare [2] , compared to other high-income nations, Americans have the lowest life expectancy, the highest death rates from avoidable causes and treatable conditions, and the highest rates of people with multiple chronic conditions. [3] According to a 2024 survey, 48 percent of insured adults worry about affording their monthly health insurance premium and 21 percent still view costs as a barrier to getting the health care they need. [4] While ICE has employees around the world, more than 7,000 of its employees are in the United States. [5] It is also headquartered in a state, Georgia, where the quality of medical services has been ranked as one of the worst in the country. [6] This may present recruitment, retention, and productivity challenges for ICE. It is important for investors to understand how ICE ensures sufficiency of quality and timely healthcare access for its employees, within and beyond Georgia. It is a best practice for companies to affirm that they are surveying or actively tracking the sufficiency of health care that employees have access to, including employees? sentiment on the timeliness, breadth, and quality of this care. Employee-focused employers are closely monitoring and responding to the reduction of healthcare access and healthcare quality faced by their employees.