Chiropractic Practice Valuation
Chiropractic Business Valuation Calculator & Exit Planning Built for Chiropractors
We built one platform that tracks your chiropractic business's value monthly, identifies exit gaps early, and ensures your personal finances align with your exit timeline.
1,000+ Businesses have joined YourExitValue.com
Most Chiropractic Owners Have No Idea What Their Business is Actually Worth
Current Chiropractic Valuation Multiples (2026)
Chiropractic values are strong due to increased buyer demand from chiropractic groups, wellness franchises, individual DCs. Here's what companies sell for:
Every business is different. That's why you need to track your value.
Included in Your Exit Value is a complete Exit Planning Assessment where you track your progress quarterly against your results from the previous quarter.
Know your number and watch it grow
Most business owners guess at their value. You'll know it with precision.
Our platform uses six proven valuation methodologies to give you a complete picture of what your business is worth today—and tracks how that number changes month over month. No more waiting for annual appraisals or paying $15K+ for outdated reports.
See your trends. Spot opportunities. Make informed decisions
What Actually Drives Chiropractic Business Value
Revenue and earnings are the two most influential factors in your chiropractic business's valuation. But not all companies are valued equally. Here are the factors that move your number up—or down:
Cash/Wellness Revenue
40%+ Cash Pay
Cash-based wellness patients are more profitable. Practices with 40%+ cash revenue command premium multiples because they're not dependent on insurance reimbursement and DIR-style clawbacks.
Insurance-only = reimbursement risk
Visit Volume
150+ Visits/Week
Under 100 is difficult. 150+ shows strong retention. Weekly visit volume demonstrates practice health and patient retention—low volume practices struggle with overhead coverage.
Low volume = struggling
Associate DC
1+ Associate
Associate handling 30%+ proves practice works without owner. Solo practitioners face 100% transition risk—an associate already treating patients dramatically reduces buyer's patient retention concerns.
Solo DC = transition risk
Ancillary Services
Rehab + Massage
Rehab and massage capture more revenue per patient. Ancillary services increase average patient value and create differentiation beyond adjustment-only practices.
Adjustment-only limits revenue
Patient Retention
PVA of 15+
Patient Visit Average of 15+ indicates good case management. Low PVA suggests patients aren't completing care plans—high PVA indicates proper case acceptance and treatment plan compliance.
Low PVA = incomplete care
Documentation Quality
Clean EHR Data
Proper documentation supports billing and demonstrates quality. Clean EHR documentation protects against audits and demonstrates clinical quality—poor documentation creates compliance risk buyers avoid.
Poor docs = audit risk
How to Value a Chiropractic Practice
The U.S. chiropractic industry includes approximately 70,000 practices generating over $19 billion in annual revenue. Chiropractic practices vary widely in model — from insurance-based to cash-pay wellness — and valuation approaches must account for this diversity.
Seller's Discretionary Earnings (SDE) is the primary valuation method for chiropractic practices. SDE adds back owner-chiropractor compensation, benefits, and discretionary expenses. Chiropractic practices typically sell for 1.0x to 2.5x SDE. The wide range reflects the significant impact of owner dependence — practices where the DC is the sole provider and primary patient relationship holder sell at the lower end.
Revenue multiples for chiropractic practices generally range from 0.30x to 0.60x annual collections. Cash-based practices with membership models sometimes command higher revenue multiples because the revenue is more predictable and not subject to insurance reimbursement declines.
The unique valuation factor in chiropractic is the business model and patient retention system. Insurance-dependent practices face reimbursement pressure and visit limits, while cash-pay and membership-based practices have more predictable revenue streams. Practices with wellness membership programs — where patients pay a monthly fee for ongoing adjustments — create recurring revenue that buyers find highly attractive. Active patient count, visit frequency, and patient retention rates are the metrics that most directly drive chiropractic valuations.
The chiropractic industry has seen growing interest from multi-unit operators and franchise models like The Joint Chiropractic. Practices with modern billing systems, strong online reviews, and documented care protocols are best positioned for premium valuations. Use our free calculator above to get your instant estimate, then track your value monthly with YourExitValue.
Frequently Asked Questions
What multiple do chiropractic businesses sell for?
Most chiropractic businesses sell for 1.5x – 2.5x SDE or 0.4x – 0.65x annual revenue. However, the range is wide. Companies with strong cash/wellness revenue can command significantly higher multiples. YourExitValue tracks exactly where you fall on each value driver.
How does cash/wellness revenue affect my company's value?
Cash/Wellness Revenue is one of the biggest value drivers for chiropractic businesses. Chiropractic groups, wellness franchises, individual dcs specifically look for companies with strong performance here. Improving this metric can significantly increase your multiple.
How long before selling should I start tracking my chiropractic business value?
Ideally 1 to 5 years before your target exit. This gives you time to improve your cash/wellness revenue, reduce owner dependence, strengthen your team, and document growth trends buyers pay premium prices for.
Who buys chiropractic businesses?
Common buyers include chiropractic groups, wellness franchises, individual DCs, as well as individual buyers looking to own a business and strategic acquirers. Each buyer type values different aspects. YourExitValue helps you understand what each looks for.
What valuation method is used for chiropractic businesses?
Most chiropractic businesses are valued using SDE (Seller's Discretionary Earnings) multiples for smaller companies under $1M in earnings, and EBITDA multiples for larger companies. Revenue multiples (0.4x – 0.65x) are sometimes used as quick reference.
What's the fastest way to increase my chiropractic business value?
The fastest improvements typically come from: 1) Improving your cash/wellness revenue to hit the target, 2) Reducing owner dependence, 3) Documenting your systems and processes, and 4) Cleaning up financials. Most owners add 20-40% in 12-24 months.