Nearly €9.2 million flowed into North Macedonia’s residential eldercare in 2025

Households that once cared for several generations under one roof are increasingly being replaced by a growing private sector of residential eldercare in North Macedonia. Registered under the activity code "Social protection with accommodation for elderly and infirm persons," 36 facilities now operate in the segment.

Monthly fees at these homes are substantial: there is reportedly no placement available below 36,000 denars. A financial review of the sector for 2025 shows rising revenues and payrolls, but a sharp contraction in overall profitability.

The combined revenue of companies in the activity reached 564.7 million denars, or about 9.18 million euros, marking a 5.2% increase compared with 2024. Total profit, however, amounted to just 21.3 million denars (around 346,000 euros) — a dramatic fall of 55.8% relative to the previous year.

Market leaders and profit distribution

At the top of the revenue ranking in 2025 stood Hunters Life from Petrovec, with income of roughly 1.05 million euros, up 8.3% year‑on‑year. Second was Dom Sofia from Bitola with about 714,000 euros in revenue and a high growth rate of 32.8%. Terzieva from Skopje placed third with nearly 700,000 euros, growing 8.8%.

Profits among the most profitable homes ranged from roughly 11,000 euros to nearly 126,000 euros — the latter figure recorded by Hunters Life, which also led the top ten by profitability. Hunters Life reported profit of about 126,000 euros in 2025, a 1% increase over 2024.

Second-ranked Vitave posted profit of roughly 41,600 euros, with a spectacular rise of 201.8% year‑on‑year — the largest profit increase among the top ten. Third was Mirkoski with about 35,600 euros, although its profit fell by 16.8%.

Wages in the sector remain modest: the average net salary in these homes was barely above 27,000 denars last year. The headline average was skewed by Zhana‑S in Skopje, a home currently in liquidation that reports a single remaining employee and an average salary of 109,163 denars — a jump of 316% that analysts caution reflects workforce reduction rather than a true pay rise. Among actively operating homes, Aktiv in Skopje reported the highest realistic average wage at 36,311 denars.

Photo: Unsplash