COMPARISON

Excel and Word or software for 24-hour live-in care?

Last updated: 13 August 2026

Spreadsheets work for longer than you might think — until the day they don't. Where exactly the limit lies and what switching costs.

HerzensManagement dashboard with clients, rotations and open tasks of a 24-hour live-in care agency
IN SHORT

Excel works up to about ten clients. After that, it costs you time and nerves.

A small agency can be run with Excel, Word and Outlook. But the workload does not grow steadily, it grows in leaps: every new client means another rotation to be extended by hand, another contract to be copied together, and another invoice that someone types up again every month. On top of that, nobody but you knows where everything is.

Industry software such as HerzensManagement costs from €7 per active client per month, €11 for the full package. With ten clients, that is €70 to €110 a month — usually less than the working time that monthly invoicing by hand costs on its own.

In short: Switching does not pay off from a certain size, but from the moment you are doing repetitive work that software can handle.

IN EVERYDAY WORK

The same tasks, two ways.

Task With Excel, Word and Outlook With HerzensManagement
Creating a new clientRow in the spreadsheet, folder in the file system, details gathered by phoneFamily registers itself via a one-time link, structured assessment included
Finding a suitable caregiverLook through the spreadsheet, match in your headAI matching suggests suitable caregivers, AI search answers questions like “Caregivers with a driving licence”
Planning a rotationExtend the calendar by hand, enter changeover days one by oneautomatically from start date and rotation length, changeover days separately, conflicts are reported
Creating a care contractCopy the Word template, type in the details, print, post or scanfills itself from over 400 placeholders, goes out by email, is signed on a mobile phone
Issuing the monthly invoicetype each invoice from scratch, track incoming payments in a second spreadsheetrecurring invoices generated and sent automatically, payment status in the system
Handing over to accountingCollect receipts, retype figuresBMD export (for the Austrian accounting software BMD)
Keeping relatives informedPhone and emailtheir own app access with health overview, invoices, contracts and chat
Language barrier with the caregiverTranslation app, misunderstandingsChat with automatic translation in both directions
Tracing something back“Who changed this?”Change history and audit log
Data backuphopefully someonedaily backups
Responsible person unavailableKnowledge is in her head and her fileseverything in the system, any colleague can take over

Table scrolls horizontally.

RISK

The problem isn't the work, it's what happens when something goes wrong.

The three places where spreadsheets really hurt.

The forgotten changeover day.

The date is in the spreadsheet, but nobody gets a reminder. In the system, the rotation is extended and the conflict is reported.

The invoice that was never issued.

With twenty clients, a missing monthly invoice is only noticed during bank reconciliation. Recurring invoices run automatically.

Data protection.

Client data in spreadsheets on a local computer, contracts in the mailbox, photos in the messaging app — in the system they are in one place, with permissions, a log and a daily backup.

SWITCHING

You send us your spreadsheets, we turn them into your system.

We migrate clients, caregivers, contracts and documents from your existing files free of charge and rebuild your Word templates as PDF templates. After 7 days at the latest, you are working productively. You keep your old files, of course.

All about switching →
Template list in HerzensManagement with a care agency's document templates
PRICE

€7 per client per month — so €70 for ten clients.

€11 for the full package with all four modules. No setup fee, no minimum size, no base fee. If you switch from another provider, you pay nothing until the end of your current notice period — the cancellation confirmation is enough. And if it's not right for you: your money back for 6 months from go-live, informally by email, no reason needed.

Frequently asked questions

When does software for 24-hour live-in care pay off?
As soon as you are doing repetitive work that the software can handle — usually from around ten clients. With ten clients, HerzensManagement costs €70 a month in the base package and €110 for the full package.
Can I bring over my Excel lists?
Yes. We migrate clients, caregivers, contracts and documents from your existing files free of charge and rebuild your Word templates. You are up and running in 7 days.
How much does software for 24-hour live-in care cost?
HerzensManagement costs €7 per active client per month in the base package and €11 for the full package with all four modules, with no setup fee and no minimum size.
Is Excel compliant with data protection rules for client data?
Spreadsheets on individual computers, contracts in mailboxes and photos in messaging apps are hard to control: there are no access rights, no log and no organised backups. In HerzensManagement the data is in one place, with permissions, an audit log and daily backups.
What happens if the colleague who keeps all the spreadsheets is unavailable?
In a shared system any colleague can take over, because client files, rotations, contracts and invoices are visible to everyone authorised and every change is recorded in the history.
Do I even need dedicated software as a small agency?
There is no minimum size. You pay per active client, so €35 a month in the base package for five clients.

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Made in Austria. In use in Austria, Germany and Switzerland.