The Evolving Business of Chiropractic: How Ownership Trends Are Changing Practice Value, Growth, and Transitions

Speakers in this session...

• 

  Crystal Misenheimer

  

  Sponsors

  • Progressive Practice Sales

    Progressive Practice Sales is the premier consulting and brokerage firm specializing in chiropractic practices. Our industry-leading team provides expertise + guidance in chiropractic practice sales, valuations, financing acquisition, and consulting on practice growth + exit strategy. With a stellar reputation and a laser-focused approach, our hands-on team of specialists is here to help you build value throughout the arc of your chiropractic career!

  Crystal Misenheimer CBI, CM, AP

  Crystal Misenheimer is the nation’s leading expert in chiropractic practice sales, valuations, and succession planning. As Lead Broker at Progressive Practice Sales and a former clinic owner, she brings unmatched insight into the complexities of transition strategy and market trends. She is the first—and only—chiropractic specialist to earn the Certified Business Intermediary (CBI) designation, placing her among the top 3% of business brokers nationwide. An award-winning broker recognized for her high-volume success and industry leadership, Crystal is also a trusted contributor to Forbes and a sought-after speaker for national conferences, CE-accredited seminars, and NCMIC’s speaker’s bureau. Her expertise is regularly featured across leading business and chiropractic publications, podcasts, and industry media.

  Sessions...

  The Evolving Business of Chiropractic: How Ownership Trends Are Changing Practice Value, Growth, and Transitions

  Regional Event: national

  Start Date: 08/15/2026 3:20 pm

  End Date: 08/15/2026 5:00 pm

  Location: Celebration 12-13

  Session details

  Course Description

  Nearly 70% of today’s chiropractors are expected to retire within the next 20 years, creating the largest shift in practice ownership the profession has ever seen. At the same time, trends such as larger group ownership, outside investment by private equity firms, and evolving practice models are reshaping what it means to own and grow a chiropractic practice, influencing everything from day-to-day operations to long-term value and practice sale outcomes. Yet many doctors are making key decisions in this rapidly changing environment without fully understanding how those choices will affect their practice stability, growth trajectory, value, and future exit options. Without a clear understanding of how these dynamics are shaping your practice, it can take years to see their full effect. Understanding them early can significantly influence both your growth potential and the options available when the time comes to sell. This course is designed to help you connect these dots, so you can better understand what these changes mean for your practice and how to apply them to both growth and future planning. Whether early in your career or preparing for retirement, you will learn how to begin with the end in mind, so the decisions you make today support your practice’s value, transition readiness, and the options available when the time comes to sell. Through real-world examples and practical tools, you will leave with clear strategies to strengthen your practice, protect its value, and prepare for a successful transition in a changing business environment.

  Learning Objectives:

  1. Identify key ownership and demographic trends impacting chiropractic practices. 
  2. Explain how private equity and consolidation influence practice value and transitions. 
  3. Compare different chiropractic ownership and practice models. 
  4. Apply strategies to improve practice growth, scalability, and transition readiness. 
  5. Develop plans for successful practice ownership transitions and retirement preparation.