The work related illness has increased and instead of focusing on what’s causing it more and more efforts are put on trying to find the health factors within and outside the work environment. During the past years the term ‘long-term health’ has arisen; instead of focusing on the number of employees on the sick-list, the focus should be put on the number of employees that has a record of long-term health within an organization, i.e. health-presence. In order to see whether health promotion interventions at work give the wanted result there need to be a measurement that can measure the work-related health. The aim of this study was to investigate and compare long-term health and job satisfaction as measures for work-related health. The material and method used was a quantitative cross-sectional study with a structured questionnaire. The data collection was done within a municipal administration with 1096 employees (at the time of the study). The response rate was 68,4%. When analyzing the data SPSS was used to be able to investigate multivariate relations. The result showed that there were more health factors in the work environment that could be explained by experiencing high job satisfaction than being long-term healthy. The conclusion was that high job satisfaction was a better measure for work related health than using number of long-term healthy employees. Long-term health can better be used as an objective measure for work presence while job satisfaction is a subjective measure indicating what makes employees satisfied and healthy at work.