THERE’S POWER IN NUMBERS! While most chiropractic clinics remain independently owned, franchising is reshaping the industry, offering chiropractors a way to grow with proven business models. TAC’s Market Review Capsule explores this rapidly expanding sector, where chiropractic franchises are gaining traction—now surpassing $571 million in annual revenue, with projections reaching $5.9-$6.3 billion by 2033.
Whether you’re looking to own or operate a practice with the backing of an established brand, understanding the latest trends and opportunities is key. Join us as we break down the forces driving this transformation and how partnering with a franchise or business system could offer a strategic path to success in chiropractic care.
The chiropractic care industry in the United States is extensive yet highly fragmented. An estimated 39,000 to 65,000 clinics operate nationwide, with most run independently. Annual spending on chiropractic services exceeds $20 billion, serving approximately 35 million Americans. Despite this market size, franchised clinics account for less than 10% of industry revenue. The largest franchisor, The Joint Chiropractic, represents about 6% of self-pay spending, underscoring the dominance of independent practices.
The Franchise Times Top 400 ranks the largest U.S. franchises by sales, with The Joint Chiropractic reaching #150 in 2024, marking its fifth consecutive year in the top 200. The franchise sector is expanding beyond a single player—100% Chiropractic debuted at #372 in 2024, reflecting its rapid growth.
Demand for chiropractic services is rising, driven by greater acceptance of non-invasive, drug-free treatments and an aging population. While the overall market grows modestly at l%-4% annually, the franchise segment is expanding much faster. The franchised chiropractic market was valued at $450.7 million in 2022 and reached $571 million by 2023. Projections estimate it will grow to $2.87 billion by 2030 and $5.9-$6.3 billion by 2033, with a CAGR of 26%-28%. As franchise brands scale, more independent chiropractors are exploring alignment with established systems for marketing and operational support.
This List includes Franchisers, Practice Coaches & Corporate Practice Providers
References:
1. HealthSource Chiropractic, (n.d.). The HealthSource story - Atop health and wellness franchise. Retrieved March 1, 2025, from https://hsfranchising.com/rese...
2. IBISWorld. (2024). The 10 industries with the highest profit margin in the US - 2025 (Chiropractors in the US segment). IBISWorld Industry Insider, https:// www.ibisworld.com/united-state...
3. Knox, D. (2020, June 4). How franchising can transform a fragmented industry. Forbes, https://www.forbes.com/sites/d...
4. LaRosa, J. (2021, October 26). U.S. chiropractic industry held up well during the pandemic. MarketResearch.com. https://blog.marketresearch.eo...
5. Paluch, M. (2024, October 23). 100% Chiropractic, a fast-growing franchise, taps into the longevity boom. 100% Chiropractic Franchise Blog. https://100percentfranchise.co...
6. The Joint Corp. (2024, October 10). The Joint Chiropractic ranks No. 150 on the Franchise Times Top 400 [Press release], PR Newswire. https://www.prnewswire.com/new...
7. Grand View Research - U. S. Chiropractic Market Size, Share & Trends Analysis Report 2023-2030
8. NovaOne Advisor - U.S. Chiropractic Market Analysis and Forecast 2024-2033
9. Vision Research Reports - U.S. Chiropractic Market Growth Forecast 2024-2033
The journey is ongoing, but one thing is certain— HealthSource is leading the way toward a healthier, happier tomorrow.
HealthSource has emerged as a beacon of success, rewriting the narrative of franchising with its unique approach and commitment to excellence. With a focus on customer service, support, training, and continuous growth, HealthSource is the leading brand in the chiropractic and rehab industry. We offer a unique and impactful franchise opportunity for chiropractors and entrepreneurs looking to improve the health and well-being of their community while running their own business. Traditional chiropractic facilities often prioritize quick adjustments, but HealthSource differentiates itself by offering a diverse range of treatments tailored to individual needs. This comprehensive approach not only ensures more effective and long-lasting care but has also resulted in an unmatched 99% patient satisfaction rating.
Joining the HealthSource franchise family is more than just a business decision; it’s a commitment to ongoing support. This comprehensive support system ensures that franchisees can focus on delivering exceptional care to their patients. On the other hand, the administrative and operational aspects of the business are seamlessly managed. As HealthSource CEO and founder, Dr. Chris Tomshack, adds, “When you join the HealthSource franchise family, you are never alone.”
What sets HealthSource apart is not just the success stories but the voices of the franchisees themselves. Many express their love for the culture, community, and the continuous support and training provided by HealthSource. It’s a testament to the thriving environment that the company has cultivated, where chiropractors feel empowered and connected.
As we look ahead, HealthSource has ambitious plans for the future. With a solid foundation of success, a commitment to innovation, and a focus on empowering franchisees, it aims to continue revolutionizing the chiropractic industry. “The journey is ongoing, but one thing is certain—HealthSource is leading the way toward a healthier, happier tomorrow.”
For more information on HealthSource and franchising opportunities, please contact our Director of Development, Maz Nejad DC MBA, Mnejad@ HealthSourceChiro.com or visit our website, www.HSFranchising.com
Welcome to the world of Non-Surgical Spinal Decompression. It is our goal to provide success and not just philosophy. Disc Centers of America doctors offer Non-Surgical Spinal Decompression, which is a conservative approach to disc restoration, maintenance, and support through TDC Therapy, exclusive to Disc Centers of America
It is estimated that 85% of the US population will experience an episode of EBP in their lifetime. The cost for the treatment of low back pain is staggering. Back pain is a billion dollar industry. According to Newsweek magazine in an article The Price of Pain, by Karen Springer, that in the year 2005 American spent $85.9 billion looking for relief from back and neck pain through surgery doctor’s visits, X-rays, MRI scans and medication, up from $52.1 billion in 1997, according to a study in the Feb 13 issue of the Journal of the American Medical Association (JAMA).
Become the solution to the Back Pain Epidemic by becoming the “GO-TO” Specialist in Spinal Decompression, peripheral neuropathy and joint care mastery in your market.
Your One-of-a-Kind Training includes:
✓ Decompression Marketing
✓ Laser Marketing
/ Internet Marketing
✓ Lead Gen. Marketing
✓ Cash Streams Marketing
✓ Weight Loss Marketing
✓ Massage Marketing
/ Trial Pack Marketing
✓ Neuropathy Marketing
✓ Branded Marketing
/ M.D./D.C. Marketing
✓ Specialty Marketing
✓ Personal Injury Marketing
/ B2B Marketing
✓ Workshop Marketing
✓ Social Media Marketing
Learn how to reinvent your practice to become a true cash package profit machine. We teach the highest converting cash package system from A-Z to Doctors who have made the conscious decision to simply become the best. Disc Centers of America provides many of the tools that a franchise provides however never charges a franchise fee.
For more information call 888-362-3472 or visit disccenterofamerica.com.
The Premier Career Destination for Chiropractors
With over 150 locations across 12 states, Chiro One Wellness Centers stands as a employer-of-choice in the chiropractic industry, offering a unique and rewarding career opportunity for chiropractors who prioritize patient outcomes, employee satisfaction, and strong revenue generation. Unlike many practices that focus on high volume, Chiro One is committed to providing high-value care, ensuring that every patient receives personalized treatment that leads to long-term health improvements.
Chiro One’s focus is on delivering exceptional patient care through comprehensive chiropractic adjustments, wellness education, and lifestyle coaching. This approach allows chiropractors to spend quality time with each patient, developing customized treatment plans that address individual needs. As a result, practitioners have the opportunity to foster deeper patient relationships, improving outcomes and creating a loyal client base.
For chiropractors, Chiro One offers an environment where they can thrive professionally. The company’s career packages are some of the best in the industry, offering not just competitive compensation but also comprehensive benefits. These include health insurance, retirement plans, paid time off, and performance incentives that reward high-quality care and practice success. The company also provides ample opportunities for ongoing training and professional development, ensuring that its practitioners stay ahead of the curve in an evolving healthcare landscape.
Moreover, Chiro One places a strong emphasis on employee satisfaction, creating a collaborative, supportive atmosphere that encourages teamwork and personal growth. Chiropractors at Chiro One have the freedom to focus on delivering the best patient care while being supported by a team of professionals dedicated to the practice’s mission of high-value, results-driven wellness care.
At Chiro One Wellness Centers, chiropractors find not just a job, but a rewarding career where they can make a significant impact on patient lives while enjoying top-tier benefits and a work environment designed for success.
If you’d like to be a part of a mission-driven, high-valued organization that provides exceptional chiropractic care, visit Join the Chiro One DC Team | Chiro One or www.chiroone.com/careers-dc
In business for yourself not by yourself
Chiropractic can be a lonely profession when you don’t have a support system behind you. Too many good doctors have to close their doors due to a lack of business strength. Chiropractic schools train you to be a great adjuster, not a great business owner. If you’ve ever made a bad hire, or spent too much on ads that didn’t produce, or lost frack of your collections, you know the pain it can cause. At AlignLife, we provide the systems you can rely on to help you navigate the business of chiropractic.
Here are a few ways we can support you:
• An operations manual with over 400 pages of detailed instructions on how to solve most issues that may arise.
• Team training and franchisee coaching throughout the year, both virtual and in person, as well as on-site visits.
• A dedicated marketing department to assist with internal and external efforts, website management, and SEO refinement.
• An onboarding team to help with location selection, leasing, build-out, and launch.
AlignLife was founded by powerhouse siblings, Drs. Joe and Cristina Esposito, to share a system that could help chiropractors become accomplished business owners. The AlignLife chiropractic franchise can help you build a successful chiropractic practice, whether you’re starting fresh, growing your existing clinic, or adding locations. Leverage our resources, experience, and supportive community to reach your goals, aid more patients, and create the career and lifestyle you deserve. Our mission is to educate and inspire chiropractors to be successful by serving their communities with principled chiropractic care and functional nutrition testing that helps manage body toxicities and nutrient deficiencies. We want every American to understand the power of chiropractic healing and reveal the pathway to optimal health.
AlignLife’s chief goal is to help eveiy patient live up to Iris or her physical, mental and emotional potential. That means offering a frill range of chiropractic services, and also providing support though supplemental services including functional nutrition, lab testing, and more. An AlignLife center is a “one-stop shop” for natural, integrated health.
To benefit from a support system that has your back from day one, please contact j [email protected], visit alignlifefranchise.com, or call us directly at 877-977-7802.
