4.10.5.4Vertical

Sports & Performance Chiropractic

Chiropractic clinics specializing in athletic performance and sports injury treatment.

Market snapshot

These figures describe Chiropractic Practices (4.10.5), the segment that Sports & Performance Chiropractic sits within — not Sports & Performance Chiropractic on its own.

Market size
~$16B
Growth
~3.4%CAGR (2017–22, nominal)
Companies
~40,200
FragmentationHighly fragmentedEstimate

U.S. Census Bureau 2022 CBP/Economic Census, NAICS 621310 (Offices of Chiropractors).

Business model & economics

Revenue model

Cash-pay and insurance-reimbursed visits; memberships

Key economics

Recurring revenue
Moderate–High

recurring and membership visits

EBITDA margin
15–25%
Capex intensity
Low

Characteristics

  • Largely cash-pay musculoskeletal and wellness care.
  • Franchise and membership models scaling.
  • Highly fragmented independent-practice base.

Geographic concentration

AlabamaAlaskaArizonaColoradoFloridaGeorgiaIndianaKansasMaineMassachusettsNew JerseyNorth CarolinaOklahomaPennsylvaniaTexasWyomingConnecticutMissouriWest VirginiaIllinoisNew MexicoArkansasCaliforniaDelawareDistrict of ColumbiaHawaiiKentuckyMarylandMichiganMississippiMontanaNew HampshireNew YorkOhioOregonTennesseeUtahVirginiaWashingtonWisconsinNebraskaSouth CarolinaIdahoNevadaVermontLouisianaRhode IslandMinnesotaNorth DakotaSouth DakotaIowa

Chiropractic practices are strongly over-represented in the Upper Midwest — Iowa, North Dakota, South Dakota, and Minnesota — the profession's historical heartland (its founding college is in Davenport, Iowa).

IowaNorth DakotaSouth DakotaMinnesota

U.S. Census Bureau — 2022 County Business Patterns (establishments by state), NAICS 621310. Concentration shown by location quotient.

M&A deal context

Deal activityModerate

Who’s acquiring

  • Chiropractic franchise networks
  • PE-backed integrated-care platforms
  • Practice consolidators

What’s driving deals

  • Franchise and membership-model expansion.
  • Conservative musculoskeletal-care demand.
  • Roll-up of fragmented practices.

Find Sports & Performance Chiropractic acquisition targets

Search Acquisera’s index for companies classified under Sports & Performance Chiropractic (4.10.5.4) and build a targeted deal pipeline.

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