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U.S. Chiropractors: An Industry Analysis

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    Report

  • 66 Pages
  • October 2021
  • Region: United States
  • Marketdata LLC
  • ID: 5457905

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 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, the 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. The 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 research, estimates and forecasts.


Table of Contents

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, publisher estimate of industry receipts
  • 2021 Industry Outlook: Prospects for a recovery: Analysis & discussion, recent BLS payroll data, publisher estimate of industry receipts, Industry employment in 2020 and 1st qtr. Of 2021 (BLS).
  • 2025 Industry Forecast: Long-term outlook: Analysis & discussion, demand factors, publisher estimate of industry receipts.
  • Discussion of major factors affecting industry growth.

Table:


  • 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

Tables:


  • 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.

Tables:


  • 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

Maps:


  • 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

Methodology

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