Chiropractic Clinics NAICS 621310

May 7, 2025 - Acquisitions By Institutional Investors Increase

• The chiropractic market, once dominated by solo entrepreneurs and chiropractic-specific groups, is now seeing larger institutional buyers entering the space, according to Chiropractic Economics. There are several different types of investors in the market for chiropractic. Private equity (PE) firms typically focus on buying larger, mature clinic groups, and will almost always partner with the existing owner to ensure that they keep the chiropractic and regional knowledge in the company. Incubator programs, a type of private equity, train business executives to lead new ventures formed by acquiring existing businesses, with PE support in funding and mentorship. This model allows for acquiring smaller businesses by sharing the costs of advisory resources across multiple organizations. Venture capital (VC) firms, a newer player in chiropractic, are interested in being disruptors. They look for industries with foundational challenges and inefficiencies and focus on building a better model that can revolutionize the space. Family offices manage high-net-worth family wealth with a long-term focus, prioritizing stability and legacy over quick resale. Being acquired by a family office can mean avoiding some of the pressured growth timelines typical of PE and VC institutional buyers.
• Insurers’ losses on medical malpractice claims have increased rapidly in some states since 1998, according to a US General Accounting Office (GAO) report. The increased losses appeared to be the greatest contributor to increased premium rates, according to the Medical Malpractice Insurance: Multiple Factors Have Contributed to Increased Premium Rates report. The American Medical Association cited the report as evidence of the need for tort reform and as a refutation of claims by opponents of reform, especially the trial lawyers association, who say that the real reason for rising rates has to do with insurance company investment strategies. Those opponents say that insurance company premiums were artificially low during the bull-market years of the 1990s, when insurance companies were reaping profits from investments. Rates are rising now to cover losses as investment income has decreased.

• Educational institutions are seeing more female students enrolling in chiropractic programs, according to Chiropractic Economics Magazine. Female enrollment at Cleveland University-Kansas City was about 36% in 2009 but had increased to 51% by the fall of 2023. That’s a nearly 42%. Women are also assuming management and leadership positions, according to Chiropractic Economics. They are becoming heads of associations, directors of educational programs, and owners of private practices.
• Chiropractic industry sales are forecast to increase at a 6.08% compounded annual rate from 2024 to 2028, faster than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund, Inc. Chiropractic industry employment decreased slightly and average wages for nonsupervisory employees increased slightly during the first month of 2025, according to the US Bureau of Labor Statistics.