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

                                Dec 17, 2024 - Health Spending Continues Increasing
                                • US health spending increased 7.5% year over year in September and represented 17.7% of GDP, according to health care nonprofit organization Altarum. Personal health care spending growth in September was 7.8%, year over year, with utilization growth continuing to outpace price growth. Nominal health care wage growth in September 2024 was 3.6% year over year. The overall Health Care Price Index (HCPI) increased 2.6% year over year in September, down 0.4 percentage points from August’s revised value. Year-over-year growth in the overall Consumer Price Index (CPI) increased 0.2 percentage points to 2.6% in September and growth in the Producer Price Index (PPI) increased 0.5 percentage points to 2.4%.
                                • Global merger and acquisition (M&A) activity increased 18% year over year in Q3 2024 to $582 billion, according to GlobalData. Mergers and acquisitions have long played an important role in the life cycle of many chiropractic practices, according to Chiropractic Economics magazine. "Prospects of rate cuts in certain markets and an overall improving global growth outlook could drive increased activity," said Priya Toppo, Analyst at GlobalData's Thematic Intelligence. "However, mega deals will continue to face significant challenges, especially in the US, where antitrust concerns are a key focus for regulators.” An M&A transaction can help a practice expand, move into new areas of practice, and become more efficient with one simple transaction, according to Chiropractic Economics. A merger or acquisition is a proven strategy for cutting overhead costs, increasing efficiency, or competing successfully against a larger firm.
                                • 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 increased slightly and average wages for nonsupervisory employees decreased slightly during the first 10 months of 2024, according to the US Bureau of Labor Statistics.
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