The chiropractic profession is changing—and not just in the way practices deliver patient care.
The chiropractic profession is entering one of the most significant periods of change in its history. A massive wave of retirements, larger group ownership, outside investment, and evolving practice models are changing what it means to build, grow, and eventually transition a successful practice. Understanding these shifts isn’t just important for doctors thinking about selling. It’s becoming essential for anyone who wants to build a stronger practice and create more opportunities for the future.
Those are the topics Crystal Misenheimer, CBI, CM&AP, will cover during her presentation, “The Evolving Business of Chiropractic: Ownership Trends Every Doctor Should Understand,” at FCA’s The National 2026, taking place August 13–15, 2026, at the Hyatt Regency Orlando in Orlando, Florida.
Crystal’s session will be held on August 15, giving attendees practical insights into the evolving business side of chiropractic before they head home from the conference.
Hosted by the Florida Chiropractic Association, The National is one of the largest chiropractic conferences in the country, bringing together thousands of chiropractic physicians, CAs, CCPA’s, students, and industry professionals for continuing education, networking, and the latest developments shaping the profession.
Why This Topic Matters Right Now
Many chiropractors assume they have plenty of time to think about the future of their practice. But the reality is that the business of chiropractic is changing now, and many of the decisions doctors make today will dramatically shape their growth, long-term value, and future opportunities.
After evaluating thousands of chiropractic practices and working with buyers, sellers, lenders, and industry leaders across the country, Crystal has observed clear patterns in this space, which we’ll dive into in the 90 minute session.
The good news is that these changes create opportunity as much as they create challenges. Doctors who understand where the profession is headed can make more intentional decisions today, strengthening their practices, protecting their value, and expanding the options available to them, whether they are contemplating retirement or simply want to build a stronger business today.
What You’ll Learn During Crystal’s Presentation
- The major trends reshaping the business of chiropractic and why they matter today.
- How the coming wave of retirements will create both new opportunities and new competitive challenges.
- Why the characteristics of successful practices are changing and what today’s strongest practices are doing differently.
- The impact of larger ownership groups, private equity, and evolving practice models on independent chiropractors.
- How different ownership and transition models influence the way practices are built, valued, and operated.
- Common assumptions that limit practice growth, value, and future opportunities.
- Practical strategies to strengthen your practice, protect its value, and make more intentional business decisions, regardless of your career stage.
The session is designed to give doctors a clearer understanding of where the profession is headed while providing practical ideas they can apply immediately.
Ownership Trends Affect Every Chiropractor
Clarity leads to better decision-making. And understanding how the business of chiropractic is changing helps you make decisions that align with the future you want to create. Whether you’re just beginning your career, growing your practice, planning for retirement, or simply keeping your options open, building with the end in mind doesn’t just improve your future transition. It creates a healthier, more resilient, and more valuable practice today while protecting the opportunities, financial rewards, and legacy your hard work deserves tomorrow.
About Crystal Misenheimer
As Co-Founder of Progressive Practice Sales, Crystal Misenheimer has helped hundreds of chiropractors value, buy, sell, and transition practices across the country. Her experience comes from real transactions, real negotiations, and real conversations with doctors navigating one of the biggest financial decisions of their careers.
Her presentation combines market observations with practical advice, giving attendees an inside look at the trends shaping chiropractic practice ownership today.
Attend Crystal’s Session at FCA’s The National 2026
If you’re attending FCA’s The National 2026, be sure to add Crystal’s presentation to your schedule on August 15.
Event Details
The Evolving Business of Chiropractic: Ownership Trends Every Doctor Should Understand
📅 August 15, 2026
📍 FCA’s The National 2026
📍 Hyatt Regency Orlando
📍 Celebration 12-13
Whether you’re building your first practice, growing a multi-doctor clinic, considering an associate buyout, or simply curious about where the profession is headed, this session offers practical insights you can take back to your practice right away.
Frequently Asked Questions
Is Crystal Misenheimer speaking at FCA’s The National 2026?
Yes. Crystal Misenheimer, CBI, CM&AP, will present “The Evolving Business of Chiropractic: Ownership Trends Every Doctor Should Understand” on August 15, 2026, during FCA’s The National in Orlando, Florida.
Is this presentation only for chiropractors planning to sell?
No. The session is designed for practice owners at every stage of their career. The business decisions that improve a practice today often strengthen its value years before a sale is ever considered.
Will Crystal discuss private equity and corporate buyers?
Yes. The presentation includes how private equity, larger healthcare organizations, and different buyer types are influencing chiropractic practice ownership and what those changes mean for independent practice owners.
What can attendees expect to take away from the session?
Attendees will gain a better understanding of current ownership trends, buyer expectations, practice value drivers, and practical steps they can take to build a stronger, more transferable practice.
Why should chiropractors think about practice value before they’re ready to sell?
The highest-value practices are rarely built in the year they’re listed for sale. Strong financial records, documented systems, well-trained staff, and consistent operations take time to develop. Starting early gives owners more options and often leads to better long-term outcomes.
Interested in learning more about chiropractic practice transitions? Explore Progressive Practice Sales’ resources on practice valuations, buyer resources, seller resources, chiropractic practices for sale, and the Exit Strategy Guide for additional insights before or after the conference.
