Chiropractic Clinics

Industry Profile Report

Dive Deep into the industry with a 25+ page industry report (pdf format) including the following chapters

Industry Overview Current Conditions, Industry Structure, How Firms Operate, Industry Trends, Credit Underwriting & Risks, and Industry Forecast.

Call Preparation Call Prep Questions, Industry Terms, and Weblinks.

Financial Insights Working Capital, Capital Financing, Business Valuation, and Financial Benchmarks.

Industry Profile Excerpts

Industry Overview

The 39,400 chiropractic clinics in the US provide care that is focused on the spine and neck to patients suffering from disorders or injuries to the musculoskeletal system. Chiropractors may specialize in sports medicine, neurology, pediatrics, orthopedics, nutrition, or radiology. Some practices offer health and wellness counseling, as well as nutritional supplements.

Competition from Other Providers

In addition to chiropractors, other medical providers, such as physical therapists and osteopaths, can treat patients for back or joint pain.

Growing Acceptance of Chiropractic Care

Changing perceptions of alternative medicine and more rigorous educational requirements have led to gradual acceptance of chiropractic care.

Industry size & Structure

A typical chiropractic clinic operates out of a single location, employs about 3-4 workers, and generates $450,000 in annual revenue.

    • The chiropractic industry consists of about 39,400 companies, which employ 147,000 workers and generates $17.7 billion annually.
    • Most chiropractors are solo practitioners who own and operate a single clinic. About 95% of chiropractic clinics employ less than 10 workers.
    • No national chiropractic chains exist. The largest chains are confined by state boundaries.
    • Half of all patients suffering from persistent back pain receive chiropractic treatment.
                                Industry Forecast
                                Chiropractic Clinics Industry Growth
                                Source: Vertical IQ and Inforum

                                Recent Developments

                                Mar 7, 2025 - Health Spending Continues Increasing
                                • US health spending increased 7.4% year over year in November 2024 and represented 18.1% of GDP, according to health care nonprofit organization Altarum. Personal health care spending growth in November was 7.4% year over year, with utilization growth continuing to outpace price growth. Growth among major spending categories continued to be highest for home health care, at 10.1% year over year, while spending growth for prescription drugs was the lowest, at 5.5%. Among the major health care categories, prices for hospitals (3.3%) and dental care (3.0%) were the fastest-growing, while prescription drugs was the slowest (1.1%).
                                • 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.
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