Macroeconomic Impacts of the Expansion of Social Services for Ageing Population of the Czech Republic Czech society is ageing, and the availability of these services should be important part of social strategy for the Czech Republic. Thus, the development in this area is not optimal and much more attention should be put on. Increasing life expectancy cause not only higher demands on the pension systems but also higher demands on social services. This is emphasised by the slower increase of healthy life expectancy and therefore it can be assumed that more people in higher age will require more social services. The paper deals with the issue of the macroeconomic costs and benefits of satisfying the requirements for residential care activities, especially for homes for the elderly as one of the most important area of social care. The aim of the paper is to estimate overall direct and indirect macroeconomic effects for the Czech Republic at the level of the regions. The relation between demand and supply of residential care activities is illustrated for 2013. While some issues can simply be related to the Czech population as a whole, some estimates are presented at the regional level. Economic impacts on the gross domestic product, employment and government finance are estimated by the semi-dynamic input-output analysis. It is illustrated how the investments into social facilities are transformed into economic development with different regional scale.