# North Macedonia hospital legal developments > Developing situation record from CLSTR: https://clstr.news/situations/north-macedonia-hospital-legal-developments > Updated: 2026-10-31T23:22:01.000Z. Sources: 27. Developments: 3. Legal proceedings involving medical facilities in North Macedonia have seen significant developments. In a major police operation targeting healthcare fraud, authorities arrested Bilal Kara, owner of the Sante Plus hospital group, and former director Geriana Arapi. Kara, a Turkish businessman and honorary consul of North Macedonia in Izmir, was also wanted by Albanian authorities for suspected financial fraud and document falsification related to the International Medicare Hospital in Tirana. Authorities allege a scheme where the private clinic double-billed for eye surgeries, charging patients private fees while simultaneously claiming reimbursements from the Health Insurance Fund. Investigations suggest between 3,000 and 4,000 patients may have been affected, with an estimated 1.7 million euros in damage to the Health Insurance Fund and roughly 4.25 million euros in illegal profits gained by the hospital between 2022 and 2025. The operation also led to the detention of eight other individuals, including former officials from the Health Insurance Fund, and the seizure of approximately 50,000 euros and suspected expired medications. However, Kara has since denied reports of his arrest. In a video addressed to the media, he stated that the reports are untrue and that he remains free to continue his professional activities. While acknowledging an ongoing investigation regarding the European Eye Hospital, Kara claimed he has not been taken into custody and expressed a commitment to cooperating with North Macedonian authorities. Separately, the Supreme Court of North Macedonia annulled the convictions of former clinical hospital directors Florin Besimi and Artan Etemi regarding a 2021 fire at a modular hospital in Tetovo that resulted in 14 deaths and 12 injuries. The court overturned previous three-year prison sentences, citing a failure by lower courts to establish a sufficient causal link between the defendants' actions and the tragedy. ## Claims - The Supreme Court of North Macedonia overturned the convictions of Florin Besimi and Artan Etemi. (reported by 12 sources) - The case has been returned to the Basic Court in Tetovo for retrial. (reported by 12 sources) - The fire at the Tetovo modular hospital on September 8, 2021, killed 14 people and injured 12. (reported by 12 sources) - Bilal Kara was arrested in North Macedonia. (reported by 10 sources) - Geriana Arapi, former director of Sante Plus, was arrested. (reported by 10 sources) - An appellate court in December 2025 had increased the prison sentences for the directors to three years. (reported by 9 sources) - The Supreme Court identified deficiencies in the causal link between the defendants' actions and the tragedy. (reported by 8 sources) - The hospital allegedly double-billed for eye surgeries, charging both the Health Insurance Fund and patients. (reported by 8 sources) - The Supreme Court rejected the extraordinary review request from the Tetovo Clinical Hospital as inadmissible. (reported by 6 sources) - The fine for the Tetovo Clinical Hospital was increased to 1.3 million denars. (reported by 4 sources) - Between 3,000 and 4,000 patients were allegedly affected by the scheme. (reported by 4 sources) - The damage to the Health Insurance Fund is estimated at approximately 1.7 million euros. (reported by 3 sources) ## Timeline ### 2026-10-31: Bilal Kara denies arrest in North Macedonia Turkish businessman Bilal Kara has denied media reports of his arrest in North Macedonia, stating he is free and cooperating with an ongoing investigation into the European Eye Hospital. 2 sources. https://clstr.news/cluster/bilal-kara-denies-arrest-in-north-macedonia ### 2026-10-30: North Macedonia Supreme Court overturns convictions in Tetovo hospital fire case North Macedonia's Supreme Court overturned the convictions of two former hospital directors in the 2021 Tetovo modular hospital fire case, citing insufficient evidence of causality. 16 sources. https://clstr.news/cluster/supreme-court-annuls-convictions-in-tetovo-modular-hospital-fire-case ### 2026-10-29: Bilal Kara arrested in North Macedonia for healthcare fraud Bilal Kara and Geriana Arapi were arrested in North Macedonia for an alleged healthcare fraud scheme involving double-billing eye surgeries and defrauding the Health Insurance Fund of millions. 12 sources. https://clstr.news/cluster/north-macedonia-arrests-leaders-of-international-medicare-hospital --- Cite as: North Macedonia hospital legal developments. CLSTR, https://clstr.news/situations/north-macedonia-hospital-legal-developments