Case · Strategic investor, 2025
Private healthcare
Evidence
A private health market is first a question of who pays. In Serbia households pay thirty-two of every hundred euros spent on health out of their own pocket, mostly for medicines and for care they cannot get quickly in the public system; in the EU, fifteen.
Who payshealth spending paid by households out of pocket, of every 100 euros, 2023Serbia 32EU 15
Eurostat, health care expenditure by financing scheme, 2023
Question
A strategic investor looking at Serbia wanted to know whether private healthcare is worth entering, where in it the money is made, and which way in would fit.
Approach
No published source measures this market by what providers actually do. We took six years of the statutory accounts of every registered private provider, kept the firms that make most of the revenue in one stable panel, and classified them by hand into seventeen clinical niches that official activity codes do not show. Legal entities were grouped back into the platforms that own them before concentration was measured. For each niche we measured growth, margins, how much profit turns into cash, debt and ownership, and projected private spending to 2030 from income and population.
Findings
- The money works differently from the way it looks. Public contracts cover fixed costs, while self-paying patients and voluntary insurance carry the margin, and the more a provider depends on the public insurer, the slower its cash comes in.
- Most clinics stay small, offer a bit of everything and lean on doctors and referrals from the public system.
- The providers that pull ahead specialise where supply is thin, keep their own doctors and balance their payers.
Where it went
The investor received a map of the market niche by niche, the platforms in each, and the ways in that fit its strategy. The client is not named, and its figures stay with it; the chart above uses public data.
Contact
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Company profile, PDF · Belgrade, Serbia