$500 idea · Pattern break · South Korea · Edition 006
Korea's 87% wage rule makes owning a home-care agency worth less than working in one.
「노인장기요양보험법」 제38조제6항 orders every agency to hand a ministry-set share of its fee income to its care workers. The 2026 고시 sets that share at 87.0% for 방문요양 — against 48.6% for day care and 49.7% for bathing. The owner's side of the line is 13.0%. But the rule names the people, not the roles: a 사회복지사 is a 장기요양요원, and at fifteen clients 제57조 makes employing one compulsory. Be that person and the lawful take is 33.0% — the same book of clients, 2.54× the income.
South Korea runs a compulsory insurance scheme that pays for care delivered to frail older people in their own homes. Everyone of working age pays a premium into it; a national fund decides who qualifies and at what level; and small private agencies, almost thirty thousand of them, send care workers out to those homes and bill the fund. Prices are not negotiated — the health ministry publishes what each visit is worth, and it also publishes how much of that money must reach the worker rather than stay with the agency. This edition is about what the second of those two numbers does to anyone who tries to earn a living by running one of these agencies.
Starting capital for this edition is ₩666,773 [$500 USD at 1,333.5463, the xe.com mid-market rate quoted 30 October 2026 15:46 UTC]. The target is ₩6,667,732 a month [about $5,000 USD], or ₩80,012,778 a year.
The consensus reading of Korean home care is that it is a licence-and-volume business: get the 지정, sign up 수급자, keep a margin on each hour your 요양보호사 works. The volume half is right. The margin half is a category error, because in this market the margin is a published number and it belongs to somebody else.
Start with the price, since the state writes it. 「장기요양급여 제공기준 및 급여비용 산정방법 등에 관한 고시」 (보건복지부고시 제2026-189호, in force 1 October 2026) 제18조: "방문요양 급여비용은 1회 방문당 급여제공시간에 따라 다음과 같다" ["the fee for visiting care shall be as follows, by the length of care provided per visit"]. Ninety minutes is ₩34,120; four hours is ₩70,080; thirty minutes is ₩17,450. Nobody haggles. A client's monthly ceiling is published too, by care grade: ₩2,512,900 at grade 1 down to ₩1,208,900 at grade 5.
Now the line that decides who keeps it. 제38조제6항 of the Act: "장기요양기관은 지급받은 장기요양급여비용 중 보건복지부장관이 정하여 고시하는 비율에 따라 그 일부를 장기요양요원에 대한 인건비로 지출하여야 한다" ["a long-term care institution shall spend, as personnel costs for long-term care workers, the portion of the fees it receives that corresponds to the ratio published by the Minister of Health and Welfare"]. 제11조의2 of the 고시 carries the table. Visiting care: 87.0%. Day and night care: 48.6%. Visiting bathing: 49.7%. Residential: 62.6%. The service with the lowest capital requirement carries, by a wide margin, the highest mandated wage share — and 제11조의3 makes the agency file last month's wage ledger with the fund every single month, electronically, with the claim.
Read literally, that is a 13.0% business. The arithmetic is brutal and short. Korea spent ₩6,818,400,000,000 on visiting care in 2025 across 18,392 agencies — a mean of ₩30,893,867 a month each. Thirteen per cent of that is ₩4,016,203, and a small office with a phone line, an accountant and the professional indemnity cover 제35조의5 requires costs around ₩1,050,000 of it. The average Korean visiting-care agency therefore yields its owner ₩2,966,203 a month, which is 44.5% of this edition's target. To clear $5,000 after tax on that side of the line alone you need 54 clients — 2.39× the average agency.
The escape is in the word the statute uses. It does not say the money must go to employees, or to people other than the owner. It says 장기요양요원, and 제11조의2's table names exactly who that is for visiting care: 요양보호사, 사회복지사. A social worker is inside the 87%. And 제57조 of the same 고시 does not merely permit one — it compels one: "다만 방문요양 수급자 수가 15인 이상인 기관은 사회복지사를 1명 이상 배치하여야 한다" ["provided that an institution with fifteen or more visiting-care recipients shall deploy at least one social worker"]. The job that unlocks the other 20% of the money is a job the law orders you to create, three clients before the target arrives.
Price it. At the modal ninety-minute visit the hour is worth ₩22,746.67. A 요양보호사 posted at ₩12,000 an hour costs ₩15,240 loaded with the employer's social insurance, statutory leave and severance accrual — 67.0% of revenue. Subtract that from 87.0% and 20.0% of every won billed is a salary pool with one lawful claimant and, below fifteen clients, no legal obligation to spend it. Add the 13.0% outside and the owner who holds 사회복지사 2급 takes 33.0% where the owner who does not takes 13.0%. Same clients, same hours, same 고시. The entire difference is a credential that costs a year of part-time study and no capital at all.
The evidence
12 findingsThe wage share is a statutory duty, and the ministry fills in the number
Inserted 29 May 2016, amended 15 January 2019: "장기요양기관은 지급받은 장기요양급여비용 중 보건복지부장관이 정하여 고시하는 비율에 따라 그 일부를 장기요양요원에 대한 인건비로 지출하여야 한다". The Act fixes neither the ratio nor the workers it protects; both are delegated downward, which is why the operative number is in a 고시 that can be reissued at any time and was reissued this month.
Visiting care carries 87.0%, the highest share in the table by 22 points
제11조의2제1항: "장기요양기관의 장은 법 제38조제6항에 따라 급여유형별로 지급받은 장기요양급여비용 중 다음 표에 명시된 비율에 따라 그 일부를 장기요양요원에 대한 인건비로 지출하여야 한다". The table, with the protected workers it names: 방문요양 87.0% (요양보호사, 사회복지사); 노인요양공동생활가정 65.2%; 노인요양시설 62.6%; 방문간호 60.2%; 단기보호 58.9%; 방문목욕 49.7%; 주·야간보호 48.6%. The cheapest service to enter is the one the state rations hardest, and 제11조의3 requires the previous month's wage ledger to be filed with every claim.
Eight posted prices, and no room to quote anything else
Per visit, by minutes of care: 가-1 30분 ₩17,450; 가-2 60분 ₩25,320; 가-3 90분 ₩34,120; 가-4 120분 ₩43,430; 가-5 150분 ₩50,640; 가-6 180분 ₩57,020; 가-7 210분 ₩63,530; 가-8 240분 ₩70,080. 제19조 caps 가-1 to 가-6 at three a day for one recipient with at least two hours between visits, and 가-7 and 가-8 at one a day for grade 1 and 2 recipients only. The marginal hour is cheapest at the long end: ₩17,520 an hour at 가-8 against ₩34,900 at 가-1.
Each client comes with a monthly ceiling, published by grade
제13조제1항: 1등급 ₩2,512,900; 2등급 ₩2,331,200; 3등급 ₩1,528,200; 4등급 ₩1,409,700; 5등급 ₩1,208,900; 인지지원등급 ₩676,320. At the ninety-minute price, three hours a day for twenty days bills ₩1,364,800 — inside the grade 3 and grade 4 ceilings and ₩155,900 above the grade 5 ceiling. Grade mix is therefore a revenue constraint before it is a care decision: a book of grade 5 clients cannot be filled to the same depth.
At fifteen clients the social worker stops being optional
제57조제1항: "다만 방문요양 수급자 수가 15인 이상인 기관은 사회복지사를 1명 이상 배치하여야 한다", and 제2항 defines the work: visit every client's home at least once a month during a care visit and record it, and write a monthly needs assessment and care plan for each. 제57조제4항 bars missing any one client three months running. 제58조 then pays a gain on top, scored from a base of 85% of that month's fee income, with the compulsory social worker rated at 1.8 points against a service score of 1.8 — and cut to 50% of the points if fewer than 90% of homes are visited.
The severe-case supplement is a pure pass-through, by order
Grade 1 and 2 recipients attract ₩2,000 at 60–120 minutes, ₩4,000 at 120–180, ₩6,000 at 180 or more, capped at ₩6,000 per recipient per day. Then 제2항: "가산비용은 수급자가 부담하지 아니하며, 장기요양기관의 장은 가산비용을 해당 요양보호사에게 지급하여야 한다" ["the supplement shall not be borne by the recipient, and the head of the institution shall pay it to the care worker concerned"]. The same shape governs the 장기근속 장려금 of 제11조의4 — up to ₩180,000 a month per long-serving worker, received by the agency and payable out again, with the payment record filed monthly. Money passes through this business; it does not sit in it.
The entry gate is fifteen care workers and 16.5㎡
재가노인복지시설의 시설기준 및 직원배치기준: a visiting-care service needs 시설 전용면적 16.5㎡ 이상 with an office, telecommunications and the fittings the work needs; a full-time 시설의 장; a 사회복지사 once there are fifteen or more recipients; and 요양보호사 15명 이상, reduced to five in 읍·면 rural areas. No capital figure appears anywhere in the standard. Read from the 별표’s own download on this run; the table's cell alignment is broken in the published file, so the two staffing numbers are carried here as read and not as certified.
Designated for six years, and the renewal is discretionary
제31조제1항 requires designation by the 시장·군수·구청장 on ministry-set premises and staffing. 제31조제3항 lists what they weigh, and 제4호 is the one nobody prices: "해당 지역의 노인인구 수, 치매 등 노인성질환 환자 수 및 장기요양급여 수요 등 지역 특성" ["the number of older people in the area, the number of dementia and geriatric-disease patients, and local characteristics such as demand"]. 제32조의3: "지정의 유효기간은 지정을 받은 날부터 6년으로 한다", with renewal applied for 90 days before expiry under 제32조의4 and the same local-demand test applied again. The licence is a six-year lease on a permission, not a property.
Visiting care took ₩6.82tn in 2025, growing faster than the agencies
Recipients 1,235,045, up 6.0%. Total benefit spend ₩17조 6,840억원, up 9.3%, of which the fund bore ₩16조 1,618억원. Visiting care alone: ₩68,184억원, up 10.0%. Care workers 654,034, up 2.7%; total workforce 726,809. Monthly benefit cost per recipient ₩1,540,280, up 3.0%. Issued over the name of acting president 엄호윤; the statistics are from the 빅데이터통계부, team leader 이선미, under 부장 김정은.
18,613 visiting-care agencies, and the count has only ever risen
방문요양 by year: 16,214 (2021), 16,850, 17,475, 18,012, 18,392 (2025), 18,613 (2026 Q2) — 48.4% of all 재가 service registrations. 방문목욕 fell the other way, 11,506 to 10,977. Total institutions 30,054. The note is the useful part: "1개 재가급여기관에서 방문요양, 방문목욕 등 2개 이상의 서비스 가능함" — one body can hold several service registrations, each with its own wage ratio. Published quarterly by the 요양자원실, contact 이종민. No closure or renewal-refusal series is published alongside it.
The wage floor under the 87%: ₩10,320 an hour
The 2026 minimum wage, all industries, in force 1 January to 31 December 2026, with a monthly equivalent of ₩2,156,880 on 209 hours. It is the floor, not the market: visiting-care work is paid per visit-hour, and the base case here posts ₩12,000, 16.3% above the minimum. The gap matters more than it looks — every ₩1,000 an hour added to the posted rate moves 4.40 points of revenue out of the social worker's pool, because ₩1,000 × 1.27 ÷ ₩22,746.67 = 5.583%, of which the owner was keeping 87 in every 100.
Twenty-four clients on one side of the line, fifty-four on the other
$5,000/mo × 1,333.5463 = ₩6,667,732; ₩80,012,778 a year; $500 = ₩666,773. Revenue per care hour = 34,120 ÷ 1.5 = ₩22,746.67. Worker cost = 12,000 × 1.27 = ₩15,240 = 66.999% of revenue; 87.0 − 66.999 = 20.001% salary pool; + 13.0% outside = 33.001% against 13.0%, a ratio of 2.539×. Overhead ₩1,050,000/mo (office 600,000, utilities and telecoms 150,000, accounting 150,000, 전문인 배상책임보험 30,000, consumables and travel 120,000). Pre-tax crossings: (6,667,732 + 1,050,000) ÷ 0.33001 = ₩23,386,234/mo and ÷ 0.13 = ₩59,367,165/mo. Client = 60 hours/mo = ₩1,364,800, so 17.14 and 43.50 clients. Average agency = 6,818,400,000,000 ÷ 18,392 ÷ 12 = ₩30,893,867/mo = 22.64 clients; owner-only income there = 0.13 × 30,893,867 − 1,050,000 = ₩2,966,203 = 44.5% of target. After personal tax, single filer, no other income, 근로소득공제 on the salary and 종합소득세율 with 10% 지방소득세: 24 clients nets ₩6,880,476/mo [$5,160]; the average agency nets ₩6,489,643 [$4,866]; 30 clients nets ₩8,370,908 [$6,277]; 10 clients at a ₩13,000 posted wage nets ₩2,104,929 [$1,578]. On the owner-only side the same after-tax target needs 54 clients, ₩73,699,200 a month, 2.39× the average agency.
The ladder
From $500 to $5,000 a month · ₩667,635 → ₩6,676,350제11조의2's table decides who may be paid out of 87% of your future revenue, and for visiting care it names two trades: 요양보호사 and 사회복지사. Everything else on this page is downstream of holding one of them. 사회복지사 2급 is the one that also satisfies 제57조 and qualifies you to be the 시설의 장.
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Buy the credential before you buy anything else
제11조의2's table decides who may be paid out of 87% of your future revenue, and for visiting care it names two trades: 요양보호사 and 사회복지사. Everything else on this page is downstream of holding one of them. 사회복지사 2급 is the one that also satisfies 제57조 and qualifies you to be the 시설의 장.
87.0% · 요양보호사, 사회복지사 -
Spend the capital on the room, not on the company
별표 9 asks for 16.5㎡ of dedicated floor, an office, a telephone line and the fittings the work needs — and names no capital at all. ₩666,773 is a deposit contribution and a first month of fittings, nothing more. Price a 월세 사무실 on the edge of a dense residential district before you price anything else; this is the line that actually binds.
₩666,773 → 16.5㎡ · no 자본금 -
Register visiting care, and resist the urge to add day care
주·야간보호 keeps 51.4% against visiting care's 13.0%, which is why everybody drifts toward it. It also needs a building, a kitchen, a vehicle and a programme. One body may hold several service registrations, each with its own ratio — so the second registration is a capital decision wearing a margin costume.
13.0% vs 51.4% · and a building -
Fill the 제57조 post yourself from the first client
The duty starts at fifteen recipients; the economics start at one. Every month you are not the social worker, 20.0% of billings must leave as somebody else's salary, and the whole route collapses back to a 13.0% business. The work is real — a monthly home visit to every client during care, a written needs assessment and plan — and 제57조제4항 will not let you skip the same client three months running.
20.0% + 13.0% = 33.0% -
Count clients, never hours
Your inventory is a book of recipients, each carrying a published monthly ceiling. Three hours a day for twenty days bills ₩1,364,800, which clears grade 3 and grade 4 and is ₩155,900 over the grade 5 cap. Twenty-four such clients is the whole route; forty-three is the same route attempted without the credential.
24 clients · ₩1,364,800 each -
Post the worker rate high and file the ledger on time
제11조의3 sends last month's wage ledger to the fund with every claim, so the ratio is audited monthly by construction, not by inspection. Underpaying is both the obvious temptation and the one that is machine-checked. Pay above the ₩10,320 floor — the base case here posts ₩12,000 — and treat the remaining pool as salary, not as profit.
₩12,000/h · ledger filed monthly -
Know the two dates that end it
First, the 고시. The 87.0% is not in the Act; it is a ministry notice reissued this month, and a point moved is 1.0% of your revenue moved straight out of the pool. Second, 제32조의3: six years, renewed only on application 90 days ahead, judged again on the district's own demand. Watch 입법예고 on the 고시 and your 시·군·구청's supply notices, not the trade press.
87.0% · 6년 · D-90
Sources
10 primary documents- 「노인장기요양보험법」 법률 제21690호, 시행 2026-05-26 — 제31조, 제32조의3, 제32조의4, 제37조, 제38조제6항 — read 31 Oct 2026
- 「장기요양급여 제공기준 및 급여비용 산정방법 등에 관한 고시」 보건복지부고시 제2026-189호, 시행 2026-10-01 — 제11조의2, 제13조, 제18조, 제19조의2, 제57조, 제58조 — read 31 Oct 2026
- 「노인복지법 시행규칙」 별표 9 — 재가노인복지시설의 시설기준 및 직원배치기준 — read 31 Oct 2026
- 「소득세법」 법률 제21221호, 시행 2026-07-01 — 제47조 근로소득공제, 제55조 세율 — read 31 Oct 2026
- 「부가가치세법 시행령」 대통령령 제36133호, 시행 2026-04-01 — 제35조제14호 (장기요양급여는 면세) — read 31 Oct 2026
- 고용노동부고시 제2025-47호, 2025-08-05 — 2026년 적용 최저임금 시간급 10,320원 — read 31 Oct 2026
- 국민건강보험공단 보도자료 「2025 노인장기요양보험 통계연보」, 2026-06-29 — 방문요양 급여비용 68,184억원 (+10.0%), 인정자 1,235,045명, 요양보호사 654,034명 — read 31 Oct 2026
- 국민건강보험공단 자율공시 「장기요양기관 현황」, 작성기준일 2026-06-30 — 방문요양 18,613개소 — read 31 Oct 2026
- 보건복지부 「2026년도 장기요양보험료율 0.9448%」, 2025-11-04 — read 31 Oct 2026
- xe.com — USD/KRW mid-market 1,333.5463, 15:46 UTC 30 Oct 2026 — read 31 Oct 2026
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