Rapidly aging populations; with growing care dependency needs; increasingly require Long-Term Care (LTC). While some large urban settings may suffer less from rapid aging; rural populations are rapidly aging; leaving tens of thousands of elderly people with little support from a small pool of services; and little incentive for the private sector to innovate or supply new services. These populations require quality; integrated services; across health and social care; to help with instrumental activities of daily living (IADLs) and activities of daily living (ADLs); as well as support for the management of multi-morbidities. In the face of this challenge; there is an urgent need to assess the current status of LTC provision and also identify ways of delivering and financing services; as well as the governance and regulatory arrangements in the sector; even as families continue to be the main provider of LTC support to people as they age. This assignment aims to assess the private-sector market for LTC in North Macedonia with the aim of identifying opportunities for and constraints to expanding LTC across geographic areas and populations in the short and medium term.