Korea Home-Visit Care Agency Startup Break-Even Calculator

Connect Korean 2026 home-visit care fees, clients, cancellations, paid service, travel and gap time, loaded labor, fixed cost, staffing capacity, and collection lag to estimate break-even and opening cash.

All costs, wages, cancellation rates, and productivity values below are fictional feature-demo inputs, not market averages. Replace them with employment records, written premises, vehicle and system quotes, service plans, claims, and deposits.

Official-source check 2026-08-16 · home-care labor-spending ratio 87.0%

Clients, visits, and revenue

Start with the time-tier fee, then apply actual cancellations and claim realization.

Changing the duration resets the average billed fee to the 2026 schedule. Eligibility for 210/240 minutes or additions is not determined.

clients

Recipients planned for service in month 1

clients/month

New contracts less exits; a negative value is allowed.

visits/month

Average booked visits before cancellations

KRW/visit

Confirmed average after applicable additions, reductions, and disallowances

%

Share of planned visits not completed

%

Share of cancelled service, travel, and gap time still paid

%

Share of completed benefit fees recognized and collected

Care-worker labor and capacity

Cost billable service time together with paid travel, gaps, and cancelled time.

workers

Used separately for the basic registration screen and operating capacity.

hours/month

Actual service, travel, and gap hours allocable to this agency

KRW/hour

Confirmed base and hourly pay from employment records

%

Combine employer contributions, retirement reserve, paid-rest and allowances without overlap

minutes

Travel time treated as paid work by the agency

minutes

Paid non-billable waiting, records, and handoff time

KRW/visit

Fuel, parking, and transit cash cost excluding fixed vehicle cost

Fixed labor and operating cost

Separate directors, social workers, overhead, and labor confirmed for the 87.0% numerator.

KRW/month

Monthly pay, employer burden, retirement reserve, and allowances

KRW/month

Separately verify the 15-client placement and benefit-management duties

KRW/month

Monthly administrative or management labor not driven by client volume

KRW/month

Enter only fixed labor confirmed eligible for the 87.0% numerator

KRW/month

Keep VAT and management-fee scope consistent

KRW/month

Lease, insurance, and planned maintenance excluding per-visit cash cost

KRW/month

Recurring claims, records, communications, and security cost

KRW/month

Insurance, accounting, training, supplies, and other recurring cost

Designation readiness and opening cash

Connect basic facility and staffing screens with setup cash, deposit, and collection lag.

Confirm statutory rural status and any combined-service exception with the local authority.

Full-time facility director

Pre-screens the Annex 9 basic 16.5 m² threshold.

workers

Checks the basic one-worker placement when clients reach 15

KRW

Fit-out, equipment, designation preparation, recruitment, and launch cash

KRW

Excluded from profit cost but included in month-1 cash outflow

KRW

Cash actually available before operations begin

months

Your operating assumption, not a statutory payment-day guarantee

Core result for the current plan

Break-even clients

60 clients

Current monthly profit

-₩1,154,170

Additional working capital

₩45,462,207

Monthly labor-ratio proxy

90.1%

Items to verify first

  • The current client level produces an operating loss. Review break-even clients, paid time per visit, and claim realization together.
  • Entered care-worker hours are insufficient now or by month 12. Adjust service territory, schedules, or hiring.
  • Available cash does not cover the 12-month trough. Additional working capital or a collection/cost change is needed.

Current month

Recognized benefit revenue
₩40,433,330
Total operating cost
₩41,587,500
Operating profit
-₩1,154,170
Operating margin
-2.9%
Completed visits
950회
Completed service hours
1,900h
Paid care-worker hours
2,437.5h
Loaded care-worker labor
₩33,637,500
Travel and gap labor
₩6,727,500

Month 12

Recognized benefit revenue
₩49,328,663
Total operating cost
₩49,196,750
Operating profit
₩131,913
Operating margin
0.3%
Completed visits
1,159회
Completed service hours
2,318h
Paid care-worker hours
2,973.8h
Loaded care-worker labor
₩41,037,750
Travel and gap labor
₩8,207,550

Break-even and unit economics

Contribution per planned visit

₩5,846

After cancellations, realization, paid time, and transport

Monthly contribution per client

₩116,917

At entered planned visits per client

Completed visits at break-even

1,137.6회

At exact break-even clients

Service hours at break-even

2,275.1h

Completed billable service time

Monthly revenue at break-even

₩48,416,275

After entered realization rate

Twelve-month cash and working capital

Minimum required opening cash

₩85,462,207

Twelve-month cumulative trough from zero opening cash

Entered available cash

₩40,000,000

Additional working capital: ₩45,462,207

Lowest month-end cash

-₩45,462,207

Cash trough month: 12

Month-12 cash

-₩45,462,207

Month-12 receivables: ₩49,328,663

First profitable month

11

First month with non-negative operating profit

Designation-readiness and capacity pre-screen

Basic registered care workers

15 / 15

Passes entered screen

Social-worker placement

1

Passes entered screen

Exclusive facility area

20㎡ / 16.5㎡

Passes entered screen

Full-time director

Passes entered screen

Qualification and concurrent duties remain separate

Current operating capacity

15 / 15

Hour gap: 0h

Month-12 operating capacity

18 / 15

Hour gap: 423.8h

Monthly profit and cash flow

Monthly profit and cash flow
MonthClientsCompleted visitsRecognized benefit revenueOperating costOperating profitCash receiptsSetup cash outflowMonth-end cashWorkers neededHour gap
150950₩40,433,330₩41,587,500-₩1,154,170₩0₩30,000,000-₩31,587,500150h
251969₩41,241,997₩42,279,250-₩1,037,253₩40,433,330₩0-₩33,433,420150h
352988₩42,050,663₩42,971,000-₩920,337₩41,241,997₩0-₩35,162,423150h
4531,007₩42,859,330₩43,662,750-₩803,420₩42,050,663₩0-₩36,774,5101633.8h
5541,026₩43,667,996₩44,354,500-₩686,504₩42,859,330₩0-₩38,269,6801682.5h
6551,045₩44,476,663₩45,046,250-₩569,587₩43,667,996₩0-₩39,647,93416131.3h
7561,064₩45,285,330₩45,738,000-₩452,670₩44,476,663₩0-₩40,909,27117180h
8571,083₩46,093,996₩46,429,750-₩335,754₩45,285,330₩0-₩42,053,69117228.8h
9581,102₩46,902,663₩47,121,500-₩218,837₩46,093,996₩0-₩43,081,19517277.5h
10591,121₩47,711,329₩47,813,250-₩101,921₩46,902,663₩0-₩43,991,78217326.3h
11601,140₩48,519,996₩48,505,000₩14,996₩47,711,329₩0-₩44,785,45318375h
12611,159₩49,328,663₩49,196,750₩131,913₩48,519,996₩0-₩45,462,20718423.8h

2026 Korean rule boundary

Time-tier fees and the 87.0% ratio follow MOHW Notice 2025-247, while the basic facility and staffing screen follows Annex 9 to the Enforcement Rule of the Welfare of Older Persons Act. The monthly ratio is not the annual legal test, and no designation, claim, or staffing recognition is guaranteed.

Related calculators

A Korea-specific operating model for a home-visit care agency

A home-visit care startup cannot be planned by multiplying clients by a headline fee alone.
Paid care-worker time may include the service itself, travel, gaps between appointments, records and handoffs, and part of a cancelled booking even when that time produces no claimable revenue.
A compact agency can therefore lose money despite modest rent when its territory is wide, schedules are fragmented, or claims and copayments arrive after payroll is due.
This calculator links clients, visits, the 2026 Korean time-tier fee, paid hours, loaded labor, fixed cost, break-even volume, staffing capacity, and twelve months of cash in one consistent model.
It is a planning aid rather than a designation, claim-eligibility, labor-compliance, tax, or legal determination.

Decisions the calculator is designed to support

Client break-even

The model divides fixed labor and operating cost by contribution per client after cancellations, claim realization, paid time, and transport.
It reports both the exact threshold and the whole-client target needed to reach non-negative monthly operating profit.

Travel and schedule leakage

Service, travel, and gap minutes are converted into paid hours for completed visits and the paid share of cancelled visits.
Travel-and-gap labor is shown separately so that territory and scheduling alternatives can be compared.

Designation screen and real capacity

Basic registered-worker and facility thresholds are screened separately from the workers actually required for entered paid hours.
Passing a basic headcount screen does not mean that the monthly roster has enough capacity.

Opening working capital

Setup expense, refundable deposit, monthly cost, client ramp, and the entered collection lag are rolled into a twelve-month cash schedule.
The model shows minimum opening cash and the gap after available cash.

2026 Korean home-visit care fee schedule

Ministry of Health and Welfare Notice 2025-247 took effect on January 1, 2026 and sets the following visit-care benefit fees by duration.
Selecting a duration resets the average billed fee to the scheduled amount, but the calculator does not determine eligibility for the 210-minute or 240-minute tiers, additions, reductions, or disallowances.
Replace the scheduled amount with an evidenced average when the actual recipient and service mix differs.

Korean 2026 home-visit care benefit fee by visit duration
Visit duration2026 feeModel treatment
30+ minutesKRW 17,450Loaded when the tier is selected
60+ minutesKRW 25,320Loaded when the tier is selected
90+ minutesKRW 34,120Loaded when the tier is selected
120+ minutesKRW 43,430Loaded when the tier is selected
150+ minutesKRW 50,640Loaded when the tier is selected
180+ minutesKRW 57,020Loaded when the tier is selected
210+ minutesKRW 63,530Loaded when the tier is selected
240+ minutesKRW 70,080Loaded when the tier is selected

Primary Korean sources

The fee schedule and labor-spending ratio are drawn from the notice published through Korea's National Health Insurance Service.
The basic facility and staffing screen comes from Annex 9 to the Enforcement Rule of the Welfare of Older Persons Act.
These Korean sources were checked on August 16, 2026 and should be checked again before an application or later-year plan.

How the operating equations work

1. Completed visits and recognized revenue

Completed visits equal clients multiplied by planned visits per client and the non-cancelled share.
Recognized benefit revenue equals completed visits multiplied by the average billed fee and claim-realization rate.
Enter the total eligible benefit fee including the insurer and recipient shares, then use realization and lag assumptions to reflect expected reductions, non-collection, and timing.

2. Paid care-worker hours

Paid hours for a completed visit include service, paid travel, and paid gap minutes.
Scheduled hours for cancelled visits are multiplied by the paid-cancellation share and added to the total.
Loaded hourly labor equals entered hourly wage multiplied by one plus the employer-load and allowance rate.

3. Contribution and break-even

Contribution per planned visit is probability-adjusted recognized revenue less variable care-worker labor and transport cash cost.
Monthly contribution per client is contribution per planned visit multiplied by planned visits per client.
Exact break-even clients equal fixed labor and fixed operating cost divided by contribution per client, and the displayed operating target rounds this result up.
When contribution is zero or negative, adding clients cannot recover fixed cost under the entered assumptions.

Building evidence-based inputs

  1. Use recipients supported by a realistic referral and contracting pipeline, then derive visits and duration from recipient-level service plans.
    Net monthly client growth should subtract hospitalization, facility admission, termination, and ordinary churn from new contracts.
  2. Separate the cancellation rate from the paid share of cancelled time.
    A cancelled visit removes revenue, while employment terms and late notice may leave some scheduled service, travel, and gap time payable.
  3. Estimate travel and gaps from sample daily routes, parking, building access, records, handoffs, and the actual start times of adjacent visits.
    A map's shortest drive time is rarely a complete paid-time assumption.
  4. Enter director, social-worker, and other fixed labor as loaded monthly cost including employer burden, retirement accrual, and recurring allowances.
    Review qualification, full-time status, concurrent duties, and add-on recognition outside the calculator.
  5. Treat the collection lag as an operating assumption for claims review, insurer payment, and recipient copayment collection rather than a statutory payment guarantee.
    Keep refundable deposits out of profit cost but include them in opening cash outflow.

Worked example using the fictional defaults

The default demonstration starts with 50 clients, 20 planned monthly visits per client, the KRW 43,430 fee for 120 minutes, a 5% cancellation rate, and 98% claim realization.
It uses 15 registered care workers, KRW 12,000 hourly wage, a 15% employer-load and allowance rate, 20 paid travel minutes, and 10 paid gap minutes per visit.
Every default is fictional and must be replaced with agency-specific records and quotations.

Fictional default result for the Korea home-care agency break-even model
OutputDefault resultInterpretation
Recognized monthly benefit revenueKRW 40,433,330After cancellation and realization
Total monthly operating costKRW 41,587,500Fixed and visit-driven cost
Current operating profitKRW -1,154,170Loss at 50 clients
Whole-client break-even60 clientsExact threshold about 59.87
Completed visits at break-evenAbout 1,137.6After entered cancellation
Service hours at break-evenAbout 2,275.1Completed billable time
Monthly labor-ratio proxyAbout 90.1%Not the annual legal test
Minimum required opening cashKRW 85,462,207Setup, deposit, and lag included
Additional working capitalKRW 45,462,207After KRW 40,000,000 available cash

With one net new client per month, the fictional plan first reaches non-negative monthly operating profit in month 11.
Month 12 nevertheless shows a care-worker capacity gap, so the 60-client break-even target must be paired with a route, roster, and hiring plan.

Reading the 87.0% labor-spending proxy

The 2026 labor-spending ratio for Korean home-visit care is 87.0%, while the legal review is based on the January-to-December annual period.
The calculator's monthly proxy divides loaded care-worker labor plus user-confirmed qualifying fixed labor by recognized benefit revenue.
The legal numerator can depend on worker category, placement, long-service, training and senior allowances, employer social contributions, retirement amounts, and other conditions in the notice.
Attribution periods, returned or reduced claims, additions, and the legal revenue denominator can also differ from this management-accounting model.
A displayed result above or below 87.0% is therefore a review signal, not a compliance decision.

Basic designation screens and operating capacity

The basic home-visit care thresholds screened from Annex 9 include at least 16.5 m² of exclusive facility area, one director, and at least 15 care workers in a general area or five in a statutory rural area.
One social worker is screened when recipients reach 15.
The calculator does not decide rural classification, combined-service exceptions, qualifications, full-time or concurrent-duty treatment, local demand, or the municipality's designation review.
Article 31 of the Long-Term Care Insurance Act places designation within a local-government process that extends beyond these numeric screens.

Registration screen

This is a simple comparison with the entered area's basic care-worker count, facility area, director, and social-worker trigger.
It does not promise designation or validate a worker roster.

Capacity screen

Required workers equal total paid care-worker hours divided by the monthly hours that one worker can actually allocate to this agency.
Leave, training, vacancies, concurrent work, and time-of-day bottlenecks require a more conservative roster review.

Step-by-step workflow

  1. Select a representative service duration, replace the fee with the evidenced average, and enter current clients, visit frequency, cancellation, and realization.
  2. Replace wage, employer load, travel, gap, cancellation-pay, and transport defaults with employment records and sample routes.
  3. Enter loaded director, social-worker and other fixed labor together with written premises, vehicle, systems, insurance, accounting, training, and supply quotations.
  4. Complete the basic readiness inputs and enter setup expense, refundable deposit, available opening cash, and collection lag.
  5. Review current profit, whole-client break-even, monthly labor proxy, the first profitable month, cash trough, month-12 receivables, and required workers together.
  6. Save a base case and compare slower client acquisition, higher cancellation, lower realization, tighter territory, and staged hiring scenarios.

Frequently asked questions

Why is there no automatic recipient-grade calculation

Revenue in this operating model follows actual visit duration and an evidenced average fee.
A care grade alone does not determine visit duration, frequency, benefit-limit use, or eligibility for a specific addition, so recipient-level service plans should be translated into the entered averages.

Where is the recipient copayment entered

Enter the total benefit fee including insurer and recipient portions as the average billed fee.
Reflect expected reductions, waivers, unpaid balances, and disallowances in the realization rate, and reflect collection timing in the lag.

Does reaching break-even make the plan safe

No.
Break-even is only the zero-profit boundary under average entered assumptions, while recipient mix, staff absence, holidays, route concentration, payment timing, and service duration still vary.
Maintain separate staffing and cash buffers.

Does a proxy above 87.0% prove compliance

No.
The screen is a one-month management proxy, whereas the notice uses annual eligible labor items and benefit-fee boundaries.
Validate worker categories, payment items, attribution periods, and actual records under the current official guidance.

Turn the result into a territory, roster, and funding plan

Start with recipients supported by a credible pipeline and routes that care workers could actually perform, then compare a downside case with slower growth, more cancellations, and longer collection.
If cash reaches its trough before the client break-even month, review opening date, hiring sequence, territory density, deposit, and funding before increasing acquisition spend.
Attach the client-ramp evidence, sample roster, wage build-up, premises and vehicle quotes, designation consultation record, and funding evidence to the final business plan.
Recheck the municipality, NHIS, and current Korean statutes and notices before filing for designation or using the model for a year after 2026.