The headline figure is the annual cost of poor wellbeing, shown as a range and built from two pieces: lost productivity and burnout-driven turnover. Below the headline you will find a cost-over-time chart, a savings & ROI section, and collapsible sections detailing the costs we cannot calculate and why we believe burnout is often the best place to start to improve workplace wellbeing.
Want to tailor or pressure-test what you see? The advanced settings & detailed methodology at the bottom of the page let you adjust every assumption, data source, and reduction target in addition to providing complete transparency into the formulas and studies used to create your cost estimates. When your settings reflect your organization, use the Copy shareable link button at the top to share this page—numbers intact—with others in your organization.
Where does the range come from?
Headcount, salary, prevalence, turnover rate, and replacement cost all feed in as single values for calculating the cost of burnout. To increase accuracy and account for a greater variety of org sizes and industries, each cost model includes one deliberately-uncertain assumption that opens the band:
- Productivity—AJPM lens: low end uses 0.75× and the high end 1.25× the published AJPM average cost. The band says: based on your size, industry, and pay, the relative impact may run a bit below or above the average firm in AJPM's study.
- Productivity—Colonial lens: low end prices lost hours at 1.0× salary (base wages only); the high end at 1.4× salary (total comp incl. benefits + overhead). The question is how much a lost hour actually costs—payroll only, or fully-loaded. (The band widens to include your choice if you select a basis higher than 1.4×)
- Turnover: the band opens over the actual-departure relative risk R, set by your costing stance—low end 1.5× (an extra-conservative buffer), high end 2.1× (Hamidi et al.'s measured two-year relative risk, undiscounted). The default point is 1.8×: Hamidi's 2.1× measures departures within two years, so it is discounted for this tool's one-year horizon. The band widens to include a higher override (for example SHRM's 2.8×) if you set one.
So the band moves one honest assumption per model—everything else is held fixed. Even the high end stays a floor: it prices only what published research supports.
The annual cost of poor wellbeing in your workplace.
The ranges below update in real time as you adjust headcount, salary, and severity.
View settings at each level
| Level | Burnout prevalence | Voluntary turnover | Stress hrs/wk |
|---|---|---|---|
| Lower | 29% | 10% | 2.0 |
| Typical (default) | 44% (SHRM) | 13% | 3.5 |
| Higher | 59% | 18% | 5.0 |
View settings at each level
| Level | Stress cost basis | Replacement cost | Departure risk R |
|---|---|---|---|
| Most conservative | 0.75× salary | 0.5× salary | 1.5× |
| Conservative (default) | 1.0× salary | 1.0× salary | 1.8× |
| Aggressive floor | 2.0× salary | 2.0× salary | 2.1× |
View settings at this configuration
| Setting | Value | Setting | Value |
|---|---|---|---|
| Productivity lens | AJPM (whole-workforce) | Replacement cost | 3× salary |
| Stress hours/wk | 4.0 | Actual-departure risk R | 2.1× |
| Stress cost basis | 2× salary | Burnout reduction | 15% |
| Burnout prevalence | 50% | Program investment | $125,000 (incl. internal labor) |
| Voluntary turnover rate | 14% | Delay before benefit | 3 months |
| AJPM cost multiplier | 1.25× | Break-even horizon | 1 year |
| Role mix | 5% Hourly NM / 83% Salaried NM / 10% Mgr / 2% Exec | ||
The figure above is a conservative floor. The AJPM, Colonial, and turnover models do not price team contagion, error and quality rates, slowed decisions, lost institutional knowledge, or added healthcare costs. More information on this is included in the immeasurable costs section below.
The cost of burnout & disengagement over time
The chart below shows your three-year cumulative cost. The shaded band in blue is your calculated floor in today's dollars. Everything above it in red shows the realm of possibility—factoring in all of the costs that cannot be reliably estimated.
Why this chart includes an optional "compounding" slider. The real costs of poor wellbeing do not stay flat because burnout breeds burnout, departures trigger further departures, and effects like eroded quality or missed opportunities can make a significant impact on long-term growth. No published source gives a single defensible compounding rate, so this optional slider lets you model a rate you find plausible in your scenario (see the immeasurable costs section for more information).
Your savings & ROI
The money recovered each year if an intervention improves wellbeing—shown as a range using the same conservative-to-less-conservative values as the cost cards above. Because these savings are a percentage of those costs, the dollars recovered shown here are also a floor. Set your target reduction in burnout and, optionally, what you plan to invest.
A note on how savings scale: productivity savings move linearly with the reduction target (a 10% reduction recovers 10% of the productivity cost). Turnover savings move slightly nonlinearly via the attributable fraction (at the default settings, a 10% prevalence cut would reduce burnout-attributable departures by ~7%, not 10%). The difference is by design—it is not an error.
The chart below shows a single year's recoverable cost set against the price of an intervention. "Recoverable" is the same figure as the estimated annual dollars recovered above—what the model estimates a program could win back if your assumed reduction holds—not a guarantee. Everything below moves live with the reduction target and program investment you set above.
How each figure is calculated
Productivity savings + Turnover savingsThe two non-overlapping models; disengagement is excluded to avoid double-counting.
AJPM productivity cost × burnout-reduction targetAJPM prices burnout and disengagement as one bundled construct, and the two are heavily interconnected. Reducing burnout therefore recovers a significant—if not exactly proportional—slice of the whole bundled cost, which is why this term scales linearly with the reduction target. See the "why we target burnout" card below for more info.
Colonial stress cost × stress-reduction targetUsed instead of AJPM when the Colonial lens is selected; never added to it.
Salary × C × T × Headcount × [ AF(B) − AF(B×(1−r)) ]where C = replacement multiple, T = voluntary turnover rate, r = reduction target, and the attributable fraction
AF(B) = B(R−1) / (1 + B(R−1)). The bracket is the exact drop in burnout-attributable departures, so the nonlinearity in B is handled precisely rather than approximated.Dollars recovered × (months of benefit in year one ÷ 12) − Program investmentBlank until you enter an investment; months of benefit in year one = max(0, 12 − delay before benefit). The delay shrinks year-one recovery—a program that delivers sooner nets more in year one.
First month t where (Dollars recovered ÷ 12) × max(0, t − delay) ≥ Program investment × (⌊t ÷ 12⌋ + 1)The month at which cumulative savings first cover cumulative program cost. How it is computed internally: the tool steps through time in quarter-month increments (t = 0.25, 0.50, 0.75, … up to 600 months). At each step it computes cumulative savings = (annual dollars recovered ÷ 12) × the months elapsed after the delay, and cumulative cost = the annual investment × the number of year-start payments billed so far (the
⌊t ÷ 12⌋ + 1 term—the fee is re-paid at the start of every service year). The first step where savings ≥ cost is the payback month. A program whose annual recovery does not exceed its annual fee never pays back (shown as n/a)—consistent with a return below 1×.Dollars recovered ÷ Program investmentThe steady-state annual return once benefits are flowing.
Smallest r where Productivity cost × r + Salary × C × T × Headcount × [ AF(B) − AF(B×(1−r)) ] = Program investment × horizon ÷ effective yearswhere effective years = horizon − delay ÷ 12 (the delay eats into the horizon), the program is paid every year of the horizon, and Productivity cost is the active lens's point estimate at your settings. How it is computed internally: define S(r) = annual savings at reduction r (the left side of the equation), and target = the right side. Because the productivity term is linear in r and the turnover term rises monotonically with r, S(r) only increases as r grows—so the tool solves S(r) = target by bisection: it starts with the bounds r = 0% and r = 100%, evaluates S at the midpoint, keeps the half of the interval that still contains the answer, and repeats 60 times, narrowing the interval by half each pass (final precision far beyond the 0.1% shown). The midpoint of the final interval is the break-even reduction. If even S(100%) falls short of the target, the result is shown as > 100%.
The totals above only count what is measurable from published research. But burnout and disengagement also erode quality, judgment, health, and discretionary effort — costs that are real and large, yet impossible to put a defensible per-company dollar figure on. The statistics below are not added to your total. They are here to show that the effects of poor wellbeing extend far beyond the costs shown above.
These costs compound over time. Higher wellbeing produces better managers, who attract and keep stronger people, who innovate and deliver sooner. Improving wellbeing captures advantages that grow year over year. The same works in reverse: the gap between acting and not acting widens every year you wait. The figures here are only a snapshot. Consider how your own organization is impacted as these factors multiply.
The AJPM productivity lens above prices burnout and disengagement together (the study measures them as a bundled construct, dominated by presenteeism). The statistics below show the scale of disengagement at the workforce level, plus performance, quality, and safety gaps that AJPM's dollar figure does not fully capture.
According to available statistics, disengagement may cost your company more than burnout. We choose to focus on burnout because we believe it is the most actionable problem, and the one with the potential to move fastest.
Three overlapping problems. Stress exists to some degree in any job. Burnout is a distinct syndrome of exhaustion, cynicism, and reduced efficacy. Disengagement (Gallup's "not engaged") is largely measured by management quality and workplace design—role clarity, recognition, growth, feeling heard, etc. A well-managed person can still burn out from workload; a burned-out person can still feel their opinions count. They share causes and consequences, but they are three different things.
Why we target burnout — it is actionable at three levels at once:
- HR. Reducing burnout in the HR team makes HR more effective—and HR delivers most of the other interventions that would help with stress and disengagement, so the effect compounds across everything they touch.
- Managers. The Gallup Q12 behaviors that drive engagement—recognition, development, caring, progress conversations—are largely manager-led, and a burned-out manager cannot deliver them as effectively. Easing manager burnout improves burnout and disengagement on their teams.
- Individuals. This is the strongest differentiator. Many of the factors that reduce burnout—mindset shifts, understanding its mechanisms, energy management, etc.—are things people can apply on their own, without waiting for organizational change.
Speed towards impact. Reducing stress means changing workloads, staffing, and systems (measured in quarters). Improving engagement means rebuilding management capability, role clarity, and culture (potentially measured in years). Burnout can respond to intervention in weeks to months—a single workshop can shift mindset, and skills can be practiced immediately. The people suffering right now should not have to wait for the slower structural work—understanding burnout and energy management gives them agency and relief while other efforts are underway.
People actually want this help. Re-engaging a deliberately disengaged employee can feel like asking them to give more to an organization they have decided does not merit it—so some resist. Burnout is different: nobody wants to be burned out, and the people who are tend to be the ones who cared most and worked hardest to get there. Being told "you are disengaged" can land as an accusation about commitment; "you are burned out" carries implicit recognition of effort. That motivational asymmetry means burnout programs may be more likely to have voluntary participation and faster individual change.
The honest framing: this does not replace the structural work your organization needs to do on management, workloads, and engagement—it complements it by addressing the layer where individuals and managers can change things now. We do not claim burnout is the biggest cost. We focus on it because it delivers relief and ROI on a timeline that does not require waiting years—and because having healthier HR and managers accelerates the slower engagement work in parallel.
Advanced settings & model verification
The exact dollar figures for your specific inputs are shown in the cost cards near the top of the page, the cost-over-time chart, and the Savings & ROI chart. The controls below let you adjust and pressure-test every assumption behind those figures. Each model shows its formula so you can trace any number back to its inputs.
Every figure in this tool traces back to a published source. Here is what each study measures, how it was conducted, where it is strong, and where it is limited.
Productivity—lost output
AJPM (Martinez et al., 2025) is the primary productivity number: a peer-reviewed, role-tiered estimate of the annual cost of lost productivity per employee, published in the American Journal of Preventive Medicine. How it was conducted: rather than a survey of a fixed number of people, it is a computational simulation model built by the PHICOR team at the CUNY Graduate School of Public Health (with Baruch College, Johns Hopkins, and the University of San Diego), parameterized from national U.S. data on wages, burnout prevalence, absenteeism, presenteeism, and turnover. The model outputs a per-employee cost by role tier ($3,999 hourly nonmanager, $4,257 salaried nonmanager, $10,824 manager, $20,683 executive) and ~$5.04M per 1,000-employee company. About 89% of the cost is presenteeism (people at work but impaired) and roughly 11% is absenteeism, which is why presenteeism dominates the headline. Limitation: it is a modeled population average, so we cannot adjust for scenarios with lesser or greater personal wellbeing.
Colonial Life (2019) is the cross-check on lost productivity. How it was conducted: a survey of 1,506 U.S. adults working full-time, fielded by the research firm Dynata on behalf of Colonial Life between January 29 and February 1, 2019. It asked how many hours per week people spend at work thinking about their stressors: 28% under 1 hr, 50% 1–5 hrs, 16% 5–10 hrs, and 6% over 10 hrs (weighted mean ≈ 3.5 hrs/wk). It also asked what those stressors are: 29% job, 24% finances, 17% their own health, 9% the health of a spouse/partner/children, 8% family, and 5% the health of an elderly family member. Note that most of these stressors originate outside of work, yet they still play out on the clock—the hours are lost at work regardless of where the stress comes from. A principles-based program is well suited to this because it helps people make changes across both their work and their personal lives, reducing and better managing stress from every source rather than only the work-related share. Limitation: self-reported survey hours, and the data predates the pandemic, so today's figure is likely higher.
Turnover—burnout-driven departures
SHRM (2024) supplies the default burnout prevalence (44%). How it was conducted: SHRM's Employee Mental Health in 2024 research series surveyed 1,405 U.S. employees; 44% reported feeling burned out, and burned-out workers were nearly three times more likely to be actively searching for another job (45% vs 16% of those not burned out). Hamidi et al. (BMC Health Services Research, 2018) supplies the actual-departure relative risk. How it was conducted: the team used de-identified records from 472 physicians who completed a 2013 wellness survey at two Stanford-affiliated hospitals, then tracked who actually left over the following two years (turnover compiled in 2015). This produced a measured 2.1 relative risk (odds ratio 2.68) of leaving, based on people who actually left rather than people who said they might. Why the default is 1.8, not 2.1: Hamidi's 2.1 measures the risk of leaving within two years, while this tool prices annual (within one year) voluntary departures. Burnout-driven departure risk is unlikely to be perfectly uniform across those two years, so applying the full two-year figure to a one-year window would overstate the annual effect. We therefore discount the measured 2.1 to a 1.8 default; the aggressive stance applies Hamidi's 2.1 undiscounted, and the most-conservative floor is 1.5. SHRM measures a burned-out population actively looking for new employment—more serious than mere intent, but still not 1:1 with actual departures—so even though the SHRM data is much more recent, its 2.8 ratio is kept as an upper cross-check (reachable as a manual override) rather than the default. Limitation: Hamidi studied physicians (statistics for other industries could differ) and while the study is a bit newer the data is over 10 years old.
Disengagement—shown for context, excluded from the total
Gallup and the McKinsey Health Institute quantify the cost of disengagement and the productivity-plus-attrition drag of distressed employees. How they were conducted: Gallup's engagement figures come from its Q12 meta-analysis pooling thousands of business units across many companies (comparing top- vs bottom-quartile engagement), alongside its large global workforce survey; McKinsey's figures come from large multi-country employee surveys. These figures bundle productivity loss and attrition, so they are kept as a labelled reference card, explicitly outside the headline total.
Intervention effectiveness—how much you can actually move
West et al. (Lancet, 2016) and Panagioti et al. (JAMA Internal Medicine, 2017) find that interventions cut burnout prevalence by roughly 10–18 percentage points (an absolute measure; West's pooled estimate is about 54%→44%, ≈18% in relative terms), and that organization-directed and blended programs outperform individual-only approaches. Because this tool's reduction target is expressed in relative terms, its 15% default sits just under the relative equivalent of that evidence—conservative by design. How they were conducted: both are systematic reviews and meta-analyses of controlled trials in physicians—West screened 2,617 articles and pooled 15 randomized trials covering 716 physicians (plus cohort studies); Panagioti pooled controlled intervention trials and is where the organization-directed advantage is clearest. A 2023 meta-analysis in the American Journal of Medicine tempers this: the measured improvements are real but may not always be clinically meaningful, and effects can fade without ongoing support.
Sources
- Martinez et al., American Journal of Preventive Medicine, 2025
- Colonial Life, 2019
- SHRM, 2024
- Hamidi et al., BMC Health Services Research, 2018
- McKinsey Health Institute, addressing employee burnout
- McKinsey, value creation vs. destruction by employees
- Gallup, State of the Global Workplace
- West et al., The Lancet, 2016
- Panagioti et al., JAMA Internal Medicine, 2017
- Interventions meta-analysis, American Journal of Medicine, 2023
- U.S. Bureau of Labor Statistics, Employment Cost Index
Annual burnout cost = Headcount × Weighted role cost × Cost multiplier
Weighted role cost = (%Hourly-NM × $3,999) + (%Salaried-NM × $4,257) + (%Manager × $10,824) + (%Exec × $20,683), from AJPM's four role-tier figures (Martinez et al., 2025). No burnout-prevalence term—the cost applies to 100% of the workforce. The U.S.-average mix lands near AJPM's published $5,040/employee; manager and executive weights move the total far more than the hourly/salaried split.
Two things shape how to read it. First, these are hours lost to stress of any origin—work or personal—that the employer already pays for; a principles-based program reduces stress across both domains. Second, the figure is an average across every employee, not just the burned-out—so the reduction target applies to the whole workforce too. If burnout is severe in your org, a single case can lose 500+ hours/year (10+ hrs/wk); raise the hrs/wk figure or use the Higher Severity preset (5.0) to account for it.
Annual stress cost = Headcount × (Hours/week × Working weeks) × Hourly rate
Working weeks = Working days ÷ 5. Hourly rate = (Salary × Cost basis) ÷ 2,080 paid hours/yr. Cost basis ranges 1×–1.4× salary for the card range.
How R is set & why
Why not a higher ratio? Stated-intent ratios run far higher—intent-attributable risk is roughly 3.7× actual turnover-attributable risk (Hamidi). For context, McKinsey (2022) found burned-out employees 6× more likely to intend to leave within 3–6 months—a stated-intent measure. R is deliberately anchored on actual departures instead, so the model is not inflated by what people merely say.
Disclaimer: the Hamidi data comes from health care and may not transfer exactly to other industries, but coupled with the SHRM figure and a conservative mindset it remains a valuable benchmark for reasonable estimation.
Annual turnover cost = Salary × Replacement multiple × Turnover rate × AF × Headcount
AF (attributable fraction) = B(R−1) ÷ (1 + B(R−1))—the slice of all departures attributable to burnout. B = burnout prevalence, R = actual-departure relative risk (default 1.8×, band 1.5×–2.1×, or your override). Replacement multiple is the ×-salary cost to replace one person.
Your workforce is not a spreadsheet.
You have just pressure-tested the numbers. The next step is a conversation about your situation: where burnout exists, what is driving it, and the fastest path to solutions that last. We are happy to give you honest, actionable advice regardless of whether we work together in the future.
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