The RM2.27 Million Problem Hiding in Plain Sight
Written by Mazuin Mohd Ismail, CEO & Dr. Nasir Ismail, Chief Scientific Officer — m5 Solutions
Why presenteeism and not absenteeism is the most expensive workforce crisis your organisation isn't measuring.
Presenteeism, the condition where employees are physically present but not fully
performing, costs organisations millions annually and is nearly nine times more
expensive than absenteeism. According to Malaysia's Healthiest Workplace by AIA
Vitality survey, employees lose an average of 73.1 productive working days per year,
with 65.4 of those days lost to presenteeism rather than absence. The m5 Workplace
Assessment, developed by m5 Solutions and grounded in the behavioural science
research of Dr Nasir Ismail from Johns Hopkins University, is one of the most
comprehensive diagnostic tools available for measuring the invisible workforce
conditions that drive performance loss before they become permanent.
There is a number that does not appear on most leadership dashboards. It is not tracked in your HR system. It will not show up in a quarterly review. But it is sitting quietly in your organisation right now, compounding every single working day.
That number is RM2.27 million. Per year. Per organisation.
Not from failed projects. Not from poor strategy. From employees who showed up, swiped in, sat down, stayed until 5pm but were never really there.
The chair is filled. The gap is in the output.
The Numbers That Should Trouble Every Leader
According to Malaysia's Healthiest Workplace by AIA Vitality survey, Malaysian employees lose an average of 73.1 productive working days per year. But what matters is where those days go.
7.7 days
Lost annually per employee to absenteeism. The visible
65.4 days
Lost annually per employee to presenteeism. The invisible
The problem you can see is 7.7 days. The problem you cannot see is 65.4 days. And the one you cannot see is costing you nearly nine times more.
What Presenteeism Actually Looks Like
It is not laziness. Not poor attitude. Not a hiring mistake. It is what happens when
stress, exhaustion, disengagement and poor mental health quietly erode an
employee's capacity to perform.
It looks like this:
- The high performer who used to drive meetings, now sitting quietly at the back.
- The project manager who meets every deadline but brings no new ideas.
- The team lead who handles every task but has stopped caring about any of them.
- The employee who answers every message and initiates none.
Your leave system shows them as fully present. Your headcount is intact. Your payroll is running. But you are paying full price for fractional output.
You can track leave days. You can monitor output. You can measure headcount. But can you measure why your best people are running at 60%?
Why It Stays Invisible
Three reasons this problem survives on most leadership radars:
- No alert fires. No one calls in sick. Nothing flags red. The cost accumulates silently.
- It is socially invisible. Disengaged employees rarely announce their disengagement. They comply, attend and go through the motions with enough competence to remain unnoticed.
- It is uncomfortable to confront. Acknowledging that your engaged- looking team is running at diminished capacity means asking harder questions about the environment you have built.
Every strategy review focuses on growth, cost and talent acquisition. The quiet erosion inside your existing workforce never makes it onto the slide.
But it is always in the room.
The Measurement Problem and Why It Matters
The reason presenteeism has gone unaddressed is not that leaders do not care. It is
that they have never had a reliable way to see it. You cannot fix a problem your
instruments were not designed to detect.
This is the gap that costs RM2.27 million a year. Not ignorance. Not indifference. The
absence of the right measurement.
What you can't fix eventually fixes itself at a cost nobody budgeted for.
What This Means for Your Organisation
The RM2.27 million figure is an average. For organisations with larger headcounts, higher-skilled workforces or more demanding output requirements, it is significantly higher. This number scales with yours.
This is not a failure of HR. It is a gap in the instruments HR has ever been given. And for the CHRO who has always known something was wrong but never had the numbers to bring to the table, this is the insight that finally earns HR a seat in the strategy conversation.
Three questions every organisation should be asking:
- Do we have any current visibility into the health of our workplace beyond annual engagement surveys?
- Can we identify which teams or individuals are at risk before it crystallises into permanent underperformance or resignation?
- Are our managers equipped to address root causes and not just symptoms?