2025 State of HR in Chiropractic Care

Insights and Trends for Practice Owners & HR Professionals in the Chiropractic Industry
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Overcoming HR Pain Points in the Chiropractic Industry

Welcome to the 2025 State of HR in Chiropractic’s! We’re excited to share with you the results of our survey of chiropractic practice owners across the country. In this survey, we asked practice owners about the HR challenges they face, their compliance concerns, and the impact of HR on their practice’s success. From employee disputes and compliance training to wage-related claims, the insights in this report shed light on the pressing issues facing the chiropractic industry and provide guidance on how to tackle them.

At HR for Health, we understand the importance of HR in the healthcare industry, and we offer solutions to help healthcare organizations streamline their HR tasks, reduce compliance issues, and improve productivity and efficiency. Based on the survey data and insights, we believe that there is a significant need for HR solutions in the chiropractic industry, and we’re excited to help chiropractic practices succeed.

In the rest of this report, we’ll dive deeper into the survey data and insights, and highlight the ways that HR for Health can help chiropractic practices overcome their HR challenges and succeed in today’s competitive healthcare landscape.

A Deeper Look Into the Data

Our survey revealed that many practices are struggling with HR-related tasks including managing employee claims and ensuring compliance with state and federal regulations. For example, 65% of practices have had an employee claim or dispute within the last five years, while 52% report dealing with unemployment claims. These findings highlight the need for proactive HR management and effective policies to prevent costly disputes. With the average payout in employee lawsuits reported to reach $81,000, the stakes for compliance are high.

At HR for Health, we offer solutions to help chiropractic practices overcome these challenges and improve their HR function, so they can focus on providing high-quality patient care and growing their practices.

Let’s Dive In

65%

65% of practices had an employee claim or dispute within the last 5 years

Navigating Employee Claims and Disputes

Employee disputes are a significant concern for chiropractic practices, with 65% of respondents experiencing claims or disputes within the past five years. The survey also found that 52% of practices dealt with unemployment claims, which can be challenging to navigate and often lead to further disputes if not managed properly. Employee disputes can strain operations and hurt workplace morale, and they often come with high legal fees and settlements that impact the practice’s finances.

Handling claims and disputes requires a proactive approach to HR and compliance. Clear policies, thorough documentation, and regular training can reduce the risk of disputes and ensure that practices are prepared when issues arise. HR for Health offers resources to help chiropractic practices create and maintain effective policies, establish fair practices, and train staff to prevent disputes, ultimately fostering a healthier, more collaborative work environment.

$81K

Respondents whose colleagues lost legal battles in employee lawsuits paid an average of $81,000.

Employee Handbooks and Policy Updates

With 25% of respondents knowing another doctor or practice owner who faced an employee lawsuit, it’s clear that lawsuits are not uncommon and can have lasting effects on the practice’s stability and growth. Unfortunately – the cost of employee lawsuits in the chiropractic industry is steep, with survey respondents reporting that the payouts their colleagues were required to pay averaged $81,000. This expense can be financially crippling for practices, especially when legal fees, settlement costs, and reputational damage are factored in.

Reducing the risk of costly lawsuits starts with compliance and clear communication. Having updated, compliant employee policies and handbooks, conducting regular compliance training, and documenting HR processes can help protect chiropractic practices from legal challenges. HR for Health provides customized solutions to support chiropractic practices in creating compliant policies, training employees on best practices, and maintaining a fair and legally sound work environment, reducing the likelihood of expensive disputes.

71%

71% of our surveyed practices reported feeling confident about being mostly or fully compliant

Building Compliance Confidence

While 71% of chiropractic practice owners feel that their practices are mostly or fully compliant, the frequency of employee claims and lawsuits suggests that some may overestimate their compliance levels. Ensuring full compliance requires continuous updates to HR policies, regular training, and an understanding of changing regulations. Chiropractic practices are subject to a range of regulations, including HIPAA, OSHA, and the Fair Labor Standards Act, which require regular attention to stay compliant.

HR for Health specializes in helping chiropractic practices stay ahead of compliance requirements. Our team provides tools and guidance to ensure that practices understand and meet their legal obligations, from managing employee rights to maintaining proper documentation. With our support, chiropractic practices can improve their compliance processes, avoid costly claims, and foster a compliant and supportive work environment.

52%

52% of respondents report dealing with unemployment claims

The Hidden Costs of Compliance Gaps

Dealing with compliance issues is not just a legal necessity; it’s a financial imperative. 52% of chiropractic practices reported dealing with unemployment claims, while 10% faced wage disputes related to overtime and meal breaks. These gaps in compliance can lead to serious financial repercussions, including fines, settlements, and increased scrutiny from regulators. In a heavily regulated industry, even minor oversights can snowball into significant financial burdens.

Preventing compliance issues requires a proactive approach, from implementing a clear handbook and policies to offering regular training. HR for Health offers tailored compliance training and policy management solutions, allowing chiropractic practices to address these critical needs. By working with us, practices can reduce their exposure to financial risks, improve workplace standards, and focus more on patient care.

 

Partner with HR for Health:
The Best HR Solution for Your Chiropractic Practice

At HR for Health, we understand the unique challenges that chiropractic practices face when it comes to HR management, compliance, and employee relations. That’s why we offer a range of solutions designed specifically for optometry organizations, from customized employee handbooks and policies to compliance audits, training, and more.

Our team of HR experts has years of experience working with chiropractic practices of all sizes and specialties, and we are dedicated to providing personalized and effective solutions that meet the unique needs of each client. Whether you are looking to outsource your HR tasks, create customized policies and procedures, or receive ongoing guidance and support, we have the expertise and resources to help you succeed.

We believe that by partnering with HR for Health, optometry practices can streamline their HR tasks, reduce the risk of costly compliance issues and employee claims, and free up valuable time and resources to focus on patient care and practice growth. Our solutions are tailored to the specific needs of chiropractic practices, and we work closely with our clients to ensure that they are receiving the support and guidance they need to operate efficiently and successfully.

Highlights of 2025 Survey Data

Dealt with an employee claim or dispute within the last 5 years
0 %
Knew of another doctor or practice owner who faced an employee lawsuit
0 %
Average reported payouts in employee lawsuits
$ 0
Felt they were mostly or full compliant
0 %
Have had to deal with unemployment claims
0 %

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