The Best 7 Chiropractic Franchises of 2025: Costs & Stats
The chiropractic industry in the U.S. is growing rapidly, with the market projected to reach $19.5 billion by 2028, driven by increased awareness of non-invasive healthcare options. With over 35 million Americans visiting chiropractors annually, demand for chiropractic care is on the rise.
For entrepreneurs, investing in a chiropractic franchise offers a lucrative opportunity in this expanding sector.
In this guide, we will explore the best chiropractic franchises, focusing on their initial investment, average unit volume (AUV), and growth potential, helping you make an informed decision for your business.
The 7 Best Chiropractic Franchises of the USA in 2025
| Franchise Name | Franchising Since | Locations* | Initial Investment | Average Revenue (AUV) |
|---|---|---|---|---|
| 100% Chiropractic | 2015 | 89 | $347,000 – $829,000 | $708,000 |
| AlignLife | 2009 | 33 | $83,000 – $364,000 | $357,000 |
| ChiroWay | 2012 | 11 | $102,000 – $155,000 | $154,000 |
| Health Atlast | 2012 | 5 | $101,000 – $304,000 | $909,000 |
| HealthSource America’s Chiropractor | N/A | N/A | $115,000 – $492,000 | $425,000 |
| NuSpine Chiropractic | 2013 | 26 | $205,000 – $405,000 | $276,000 |
| The Joint Chiropractic | 2003 | 712 | $215,000 – $479,000 | $561,000 |
The most profitable franchises to own in 2025
We have compiled the list of the top 400 franchises across 9 industries. Download the report below.
100% Chiropractic
Franchising Since: 2015
Franchised Units: 89
Initial Investment: $347,000 - $829,000
Franchise Fee: $50,000
Royalty Fee: 6.50%
100% Chiropractic is a chain of full-service wellness clinics that focuses on correcting vertebral subluxations. It offers corrective chiropractic care, massage therapy, family wellness, personal injury, and nutritional supplements.
Headquartered in Rancho Santa Fe, California, 100% Chiropractic was established in 2004 by Drs. Jason and Vanessa Helfrich to help patients achieve optimal health and wellness through chiropractic adjustments.
100% Chiropractic began franchising in 2015, and as of 2023, it had opened 101 locations with 97 franchises in the US.
With annual global wellness growth estimated at 6.4%, 100% Chiropractic is well positioned in the industry, and franchise owners can thrive in their businesses as they help more people revolutionize their wellness.
AlignLife
Franchising Since: 2009
Franchised Units: 33
Initial Investment: $83,000 - $364,000
Franchise Fee: $49,000
Royalty Fee: 7.00%
AlignLife is a chiropractic and natural health franchise headquartered in Peoria, Illinois. Its clinics offer an integrated approach that includes hands-on chiropractic, active rehabilitation, clinical nutrition, and a customized treatment plan to help customers reach their life goals.
AlignLife was founded in 1999 by Dr. Joseph Esposito with the mission of helping clients of all ages live a life of health and vitality. It began franchising in 2009, and by 2020, it had opened 27 locations, with 23 of them being franchises in the US.
Backed by an improved chiropractic wellness business model and a commitment to creating an outstanding franchise network, AlignLife continues to position itself competitively in the $70 billion wellness industry. With more than two-thirds of Americans fighting obesity, demand for natural chiropractic and weight loss services is also on the rise.
ChiroWay
Franchising Since: 2012
Franchised Units: 11
Initial Investment: $102,000 - $155,000
Franchise Fee: $30,000
Royalty Fee: 4.00%
ChiroWay is an emerging chiropractic franchise founded in 2012 by Trent Scheidecker. It is headquartered in Woodbury, Minnesota, and offers franchising opportunities to qualified individuals willing to make a positive impact through streamlined, affordable, and convenient chiropractic care.
With its pocket-friendly, monthly flat fee subscription model, ChiroWay has gone from strength to strength to become a revolutionary name as far as chiropractic care goes.
By 2022, ChiroWay had provided about 2.5 million chiropractic adjustments across their various franchise locations in the US.
Growing at a steady rate since beginning its franchise operations in 2012, ChiroWay has expanded to over 10 locations across the US, fully managed and operated by qualified chiropractors.
Health Atlast
Franchising Since: 2012
Franchised Units: 5
Initial Investment: $101,000 - $304,000
Franchise Fee: $50,000
Royalty Fee: 8.00%
Health Atlast is a one-of-a-kind medical practice that has excelled with its comprehensive, multidisciplinary approach to healthcare. Founded in 1987 by Stephanie and Wayne Higashi, Health Atlast provides an exciting mix of services using professionals drawn from different sub-sectors within the healthcare industry.
With their belief in a coordinated approach to healthcare and healing, Health Atlast presents a unique selling point that not only benefits franchise owners but also attracts guaranteed, repeat clients.
Headquartered in Los Angeles, California, Health Atlast has grown into a massive, multidisciplinary franchise operating in 11 locations worldwide with 10 franchised units in the US.
By integrating chiropractic, medical, physical therapy, acupuncture, nutrition, and massage, Health Atlast presents an exciting opportunity for franchisees willing to venture into the fast-growing wellness industry.
HealthSource America’s Chiropractor
Franchising Since: 2006
Franchised Units: 138
Initial Investment: $115,000 - $492,000
Franchise Fee: $60,000
Royalty Fee: 7.00%
HealthSource America’s Chiropractor is a provider of chiropractor care with a focus on eliminating the patient’s pain while improving their overall health and well-being. Founded in 1996 by Dr. Chris Tomshack, the healthcare franchise provides chiropractic, wellness, and rehab services using a personalized approach to ensure every client’s needs are fully met.
With over 250 licensed doctors of chiropractic in their ranks and 16,000+ 5-star reviews, HealthSource America’s Chiropractor has cemented its reputation in the multi-billion dollar healthcare industry with a long-term goal to revolutionize chiropractic care.
Going from strength to strength since beginning its franchise operations in 2006, HealthSource America’s Chiropractor now operates 135 franchises in the US.
The provision of multiple revenue streams and a 99% patient satisfaction rate make it an appealing prospect for franchisees looking to increase their income while positively impacting their communities.
The most profitable franchises to own in 2025
We have compiled the list of the top 400 franchises across 9 industries. Download the report below.
NuSpine Chiropractic
Franchising Since: 2013
Franchised Units: 26
Initial Investment: $205,000 - $405,000
Franchise Fee: $39,000
Royalty Fee: 7.00%
NuSpine Chiropractic is a fast-growing chiropractic franchise headquartered in Scottsdale, Arizona. It offers personalized chiropractic care services in an affordable, convenient, and exciting way.
NuSpine Chiropractic was founded in 2013 in Lincoln, Nebraska, to offer fast, affordable, and convenient healthcare services. It began franchising in 2020, and currently, it has opened 32 franchises in the US.
NuSpine Chiropractic is a promising business opportunity in the $18.5 billion+ chiropractic industry. It offers potential franchise owners a simple business model and a convenient franchise support system to help them join one of the fastest-growing industries in the US and worldwide.
Through quality and fast service, as well as outstanding customer care, the NuSpine Chiropractic franchise presents franchise owners, doctors, and patients with an exciting business with the potential to scale to multiple units.
The Joint Chiropractic
Franchising Since: 2003
Franchised Units: 712
Initial Investment: $215,000 - $479,000
Franchise Fee: $39,900
Royalty Fee: 7.00%
The Joint Chiropractic is a chain of chiropractors headquartered in Scottsdale, Arizona. Its franchisees operate chiropractic clinics that provide chiropractic services and products to the general public.
The Joint Chiropractic was founded in 1999 with the vision of making the traditional, often misunderstood concept of routine more convenient, accessible, and affordable.
The Joint Chiropractic began franchising in 2003, and currently, it has 724 franchises in the US and 127 company-owned locations.
With a focus on quality, affordable, and accessible healthcare for patients and simplified operations for chiropractors and investors, The Joint Chiropractic has revolutionized the $20 billion chiropractic industry.
It is an attractive business opportunity for franchisees looking to work with one of the fastest-growing chiropractic providers in the country and continue helping millions of people find holistic relief from chronic back and neck pain.
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