Chiropractor Practice Checklist

Use this checklist to assess businesses in this industry for SBA 7(a) lending and underwriting.

πŸ‘¨β€πŸ’Ό Owner Dependency + Credentialing

  • Is the owner the sole licensed chiropractor?
  • Is there an associate or backup provider?
  • Has a fair market wage been applied to clinical work?
  • Are licensing and credentialing transferable or replicable?

🏷️ Payer Mix + Revenue Quality

  • What percentage of revenue is cash pay vs. insurance?
  • Are insurance reimbursements timely and normalized?
  • Is visit frequency stable or irregular?
  • Are revenues documented via EHR or manual logs?

πŸ“Š CapEx + Equipment Assessment

  • Are adjustment tables, digital x-ray, or EHR systems included?
  • Has CapEx for wellness and therapy tools been normalized?
  • Is there deferred equipment or technology spend?
  • Are any assets personally owned or excluded from valuation?

πŸ“„ Patient Retention + Transferability

  • Will patients stay after the owner exits?
  • Is there a structured transition plan?
  • Are visit plans, memberships, or referrals documented?
  • Is goodwill based on brand or personal care style?

🚩 Red Flags

  • Solo provider with no succession strategy
  • Cash payments tracked manually or inconsistently
  • Addbacks include supplements, wellness, or family health
  • Equipment outdated or omitted from CapEx review

πŸ“Œ SBA SOP Tip

Chiropractic practices must reflect transferable labor, payer-adjusted revenue, and recurring visit flow. Solo owners with lifestyle addbacks and no transition plan pose high SBA valuation risk.