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The Buyout Show with Fexingo

How Private Equity Is Buying Up Chiropractic Clinics

The Buyout Show with Fexingo · 2026-06-08 · 11 min

Episode notes

Lucas and Luna dig into a quiet but fast-growing corner of healthcare roll-ups: chiropractic clinics. With backing from private equity firms, regional chains like ChiroOne and The Joint Corp are consolidating a fragmented industry of solo practitioners. Lucas walks through the economic logic - stable recurring revenue, low overhead, insurance tailwinds - and why some chiropractors are selling while others resist. Luna asks whether the model actually improves patient care or just boosts billing. Specific numbers: The Joint Corp went from 500 clinics to over 900 since 2020; private equity deal volume in chiropractic grew roughly 25% year-over-year from 2021 to 2025. They also discuss regulatory risks, the rise of cash-pay models, and what the roll-up playbook looks like when applied to a profession that prides itself on independence. A focused look at one niche where the consolidation wave keeps rolling.

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