Practitioners in this industry provide diagnostic and therapeutic treatment of the neuromusculoskeletal systems, with a focus on manipulation and adjustment of the spinal column. No major companies dominate the industry.
Demand for chiropractic services is driven by demographics and by the overall acceptance of alternative medicine and chiropractic care. The profitability of individual companies depends on effective marketing and maximizing billable hours. Large companies have advantages in regional name recognition. Small companies can compete effectively by serving a small community or integrating the practice into a larger holistic health practice. The US industry is highly fragmented: the top 50 companies generate less than 10% of revenue.
Products, Operations & Technology
Patient services account for 95% of industry revenue; other sources of revenue include sales of medical devices, vitamins, and OTC drugs.