U.S. Chiropractors: An Industry Analysis
The competitive $15 billion U.S. chiropractic services industry, populated by nearly 40,000 offices, held up well during the Covid-19 pandemic, being an essential service. Chiropractic is now a mainstream healthcare service that provides an alternative to drugs for the treatment of pain. The field has gained legitimacy since the 1990s and future demand looks good.
This new Marketdata report is a comprehensive business and operating analysis covering the nature and operations of chiropractors, industry evolution, services provided, treatment methods, key operating ratios/metrics, dollar size and growth of the industry from 2007 to 2025 Forecast, economic structure of the business (ratios: national, by state, by major city) and more.
The effects of the pandemic are discussed, as well as the outlook for recovery in 2021, and a long-term forecast to 2025. The report also analyses the average yearly revenues per chiropractor office, industry profitability, source of revenues by type insurance/payment, market share, offices by revenue size, and patient demographics, including those suffering from chronic pain, chiropractor employment and wages, dollar market potentials/revenues for 50 states and 75 major cities. Report includes a directory of industry reports, trade associations and magazines.
Sources include: U.S. Census Bureau surveys, County Business Patterns, Bureau of Labor Statistics, Service Annual Survey, ACA, National Board of Chiropractic Examiners, and original Marketdata research, estimates and forecasts.
- Introduction & Scope of the Study
- Information sources and methodology used
- Overview of Major Findings
- Summary of the industry: nature, structure, size, growth, key industry statistics
- Nature of the Industry
- Definition and number of chiropractors, what they do, training/degrees
- Chiropractic’s position vis a vis traditional medicine, fight with MDs for legitimacy
- Evolution of the profession, key turning points, 1990 Supreme Court decision.
- Patients – who do chiropractors serve, typical patient profile, alternative medicine interventions.
- Industry structure: solo clinics, group practice, worksite health centers, hospital-based care – discussion of each
- Key Industry Statistics: number of existing and new chiropractors, education, no. of Americans treated by DCs, etc.
- Industry Status Report – Effects of the Pandemic
- Major trends: Opioid crisis drive demand, DCs serve an aging population, efforts
- To reduce unnecessary healthcare services, franchising, poor reimbursement - discussion
- Market Size, Growth, Forecasts
- Estimates of industry size/no. of chiropractor office by U.S. Census, NAICS code for the industry
- Discussion & analysis of historical growth trends, during last recession, recovery since then, current situation, rationale
- Historical market growth since 1980s, 2002-2008, 2010-2015, 2015-2020,
- Analysis & discussion
- 2020 Performance: Effects of The Pandemic: Analysis & discussion, BLS payroll data, Marketdata estimate of industry receipts
- 2021 Industry Outlook: Prospects for a recovery: Analysis & discussion, recent BLS payroll data, Marketdata estimate of industry receipts, Industry employment in 2020 and 1st qtr. Of 2021 (BLS).
- 2025 Industry Forecast: Long-term outlook: Analysis & discussion, demand factors, Marketdata estimate of industry receipts.
- Discussion of major factors affecting industry growth.
- - Number & annual receipts of U.S. Chiropractors’ offices: 1990-2025 Forecast, annual percent changes
- Operations of Chiropractors
- - Discussion of Survey findings - Practice Analysis of Chiropractic 2020, by Natl. Board of Chiropractic Examiners: no. of chiropractors, gender, education, weekly working hours, employment by type facility, office settings, practice focus, sources of revenue, patient demographics,
- Patient Demographics
- - Discussion of who suffers from pain and how many Americans
- - Discussion of back pain and neck pain
- - Discussion of Back Pain and the Opioid Epidemic
- - Practice focus: percent of DCs providing, by type (injuries, rehab, wellness, etc.)
- - Revenues by source (private insurance, Medicare/Medicaid, out of pocket, etc. 2008, 2015, 2019)
- - Industry Expenses & Net Profits: 2009-2019
- - Chief patient complaints, percent
- - Treatment methods: Percentage of Chiropractors Utilizing Procedures
- - Percentage of adults in the U.S. with low back pain from 2005 to 2016
- - Sources of U.S. adults’ back pain by type, February 2017
- - Percentage of adults in the U.S. who used select techniques to relieve back pain as of February 2017
- - Percentage of U.S. adults who had visited select health care professionals for neck or back pain in the past year, as of 2018
- Industry Economic Structure & Operating Metrics
- Discussion & Analyses
- - Summary of key industry metrics, NAICS code for the industry
- - Number of chiropractor offices in 2019
- - Industry snapshot: 2007, 2012, 2017: no. of estabs., receipts, employees
- - Labor costs & productivity, sales/payroll ratios: 2007, 2012, 2017
- - Avg. receipts per chiropractor office: 2007, 2012, 2017
- - Avg. receipts, avg. payroll, avg. no employees: 2007, 2012, 2017
- - Legal structure: share of receipts by corporations, partnerships, sold proprietors
- - Share of receipts by revenue size of chiropractor office: 2017, 2012
- - Demand for Chiropractors To Increase – Labor Department projections.
- Industry ratios (no. of firms, establishments, receipts, payroll as % receipts for 2017 & 2012) by:
- • legal form of organization -corporations, sole proprietorships, partnerships: no. of employees).
- • Concentration Ratios: ratios for top 4, 8, 20, 50 largest firms
- • Receipts size of establishments (under $100,000 to $10 mill.)
- • No. of chiropractor offices, receipts & avg. receipts per establishment, alpha by state: 2019
- • Ranked number of DC offices, by state: 2019
- • No. of offices, receipts & avg. receipts per establishment, by 75 major cities: 2017.
- • Industries with the highest levels of employment in Chiropractors, annual mean wages
- • Industries with the highest concentration of employment in Chiropractors, annual mean wages
- • Top paying industries for Chiropractors, annual mean wages
- • States with the highest employment level in Chiropractors, annual mean wages
- • States with the highest concentration of jobs and location quotients in Chiropractors, annual mean wages
- • Top paying states for Chiropractors, annual mean wages
- • Top paying metropolitan areas for Chiropractors, annual mean wages
- • Top paying nonmetropolitan areas for Chiropractors, annual mean wages
- • Metropolitan areas with the highest employment level in Chiropractors, annual mean wages
- • Metropolitan areas with the highest concentration of jobs and location quotients in Chiropractors, annual mean wages
- • Nonmetropolitan areas with the highest employment in Chiropractors, annual mean wages
- • Employment of chiropractors, by state, May 2020
- • Location quotient of chiropractors, by state, May 2020
- • Annual mean wage of chiropractors, by state, May 2020
- • Annual mean wage of chiropractors, by area, May 2020
- • Employment of chiropractors, by area, May 2020
- Geographic Analysis
- - Top 6 states, by no. of chiropractor offices
- - Top 7 states, by receipts of chiropractor offices
- - Top 8 states, by highest avg. annual receipts per office.
- Reference Directory
- List of chiropractic and pain trade associations, journals, special industry reports, articles, other key contacts – address & phones