Practice management / Chiropractic
ChiroHD is pulling practices off ChiroTouch one at a time. Orbital has mapped 1,500 so far.
ChiroHD is the Mainsail-backed growth challenger eating into ChiroTouch’s installed base, and the 1,500 practices Orbital has mapped are the account list every vendor selling into chiropractic wants and almost nobody has right. An owner-operated DC, a per-practice subscription with no free tier, and a 26 million dollar growth round behind it: every account on the list is a paying business with a named buyer.
monthly subscription floor
ChiroHD starts around 299 dollars a month per practice with unlimited providers and users. Add-ons for the patient app and SMS messaging push the average ticket higher. No public free tier, so every account on the list is a paying account.
raised from Mainsail Partners
ChiroHD has raised roughly 34 million dollars total, including a 26 million dollar growth round in May 2025. Sked and Spark Patients were acquired to extend the platform into scheduling and patient engagement, which is how the per-account spend keeps growing.
end users behind 1,500 practices
Behind the practice count sits roughly 5,000 end users: lead DCs, associates, front-desk staff, billing. For a vendor that sells per-seat or per-provider, that multiplier matters more than the practice count.
Source: Orbital data team, June 2026 snapshot.
per-practice subscription floor
iraised, including $26M from Mainsail (May 2025)
iproviders in the typical buyer practice
iThe buying conversation
The five platforms on the other browser tab when a practice short-lists ChiroHD.
When a chiropractic practice evaluates ChiroHD, it is almost always running ChiroTouch or ChiroFusion on the other tab. Knowing which competitor a prospect is also weighing is the difference between a relevant outreach and a generic one. For vendors selling into the same practices, the competitive map tells you which install base each office is coming from.
| # | Alternative | Category | Positioning vs ChiroHD |
|---|---|---|---|
| 1 | ChiroTouch | Chiropractic EHR | The incumbent ChiroHD is displacing. Established chiropractic EHR with deep billing and scheduling. The headline migration story in the category right now is ChiroTouch to ChiroHD. |
| 2 | ChiroFusion | Chiropractic EHR | Cloud EHR and billing built specifically for chiropractors, lower price point. The competitor a smaller solo practice picks before ever entering the ChiroHD conversation. |
| 3 | Genesis Chiropractic | Practice management | Practice-management and billing software for chiropractic clinics with a coaching layer. Often shortlisted alongside ChiroHD by practices that want a structured KPI framework. |
| 4 | Jane App | Multi-discipline wellness | Booking, charting, and billing for health and wellness clinics including chiropractic and physiotherapy. The non-chiropractic-native option for multi-discipline practices. |
| 5 | Aesthetic Record | Med spa EMR | EMR and charting specialized in med-spa and aesthetics workflows. Surfaces in the ChiroHD evaluation when a chiropractor adds a med-spa arm and wants one system across both books. |
Source: Orbital data team, June 2026 snapshot. Category mapping reflects what practices actually short-list, not vendor-supplied taxonomy.
Who buys this data
Who sells into the 1,500 ChiroHD practices Orbital has mapped.
This page is for the teams selling into chiropractic offices that run ChiroHD, not the offices themselves. If you ship one of the categories below, the named-owner cut is what your AE team has been asking for.
The long version
Detail, on demand.
ChiroHD skews to high-volume cash-pay and insurance-billing chiropractic practices, including franchise and multi-location groups. The whole base is in one vertical, which is the reason the dataset is useful in the first place. Anyone selling into chiropractic offices that run ChiroHD is selling into a single category, not a cross-vertical mush.
Notable named accounts inside the dataset: AlignLife, 100% Chiropractic, Novo Chiropractic, Crossroads Chiropractic, LTL Chiropractic, Eden Family Chiropractic, Skyline Chiropractic, The Center for Human Restoration, Aware Chiropractic, and Freedom Restorative Health. These are the public anchors. The long tail under them is where the volume sits.
For B2B vendors, the practical shape is this. AlignLife and 100% Chiropractic are multi-location groups where the buying decision often sits with the franchise office or a regional ops lead. The single-clinic accounts are owner-operated: the lead DC is the buyer, the front-desk staff is the daily user, and the contract gets signed in one conversation. Both buying motions live on the same list. The owner row tells you which one you are walking into.
Orbital is a custom agent platform, not a scraped list. The ChiroHD customer dataset is assembled by a stack of agents that each do one job and hand the row to the next.
How the 1,500-practice figure is built
- Start with the US chiropractic universe. Orbital’s data team pulls every active US chiropractic office. The 1,500 figure is the count of those offices the tech stack agent flags as running ChiroHD as of June 2026.
- Detect the stack at pull time. The tech stack agent crawls each practice site on demand, inspects patient-portal links, booking widgets, and intake-form markers, and flags ChiroHD versus ChiroTouch, ChiroFusion, Jane App, or Genesis Chiropractic.
- Roll up the multi-location groups. AlignLife, 100% Chiropractic, and the bigger franchise and DSO-style banners surface as parent groups with their individual locations underneath, not collapsed into a single row that hides the buying seat.
- Find the owner. Most chiropractic practices are owner-operated. The owner finder names the lead DC, confirms them on LinkedIn, and pairs the row with a deliverability-checked work email and a direct dial scored as a dial or skip.
- Drop the dead pins. Practices that closed, sold, or migrated off ChiroHD drop off on the next refresh. We do not keep a stale signature file alive for a year just to hold the headline count up.
- Refresh on a rolling schedule. June 2026 is the snapshot quoted on this page. Counts move when practices open, close, change hands, or migrate between EHR platforms.
Want a cut by state, by practice size, or by AlignLife and 100% Chiropractic group membership? Ask. We do not hide the working.
Chiropractic supply distributors selling adjusting tables, decompression equipment, capital goods, and consumables to active practices. ChiroHD users skew high-volume and paying above the market floor, which is the buyer profile for the next table refresh and the next traction unit.
Outsourced billing and revenue-cycle services pitching chiropractors who are tired of running insurance claims in-house. ChiroHD has billing inside the platform, which is the trigger for the displacement pitch: the vendor who can beat the built-in option gets the conversation.
Standard Process, Metagenics, and the next wave of practitioner-sold supplement brands distributed through DC offices. The owner DC opens the account; the front desk reorders. Both contacts live on the same row.
Cash-pay chiropractic coaching programs like Remarkable Practice, plus website and SEO agencies. ChiroHD’s high-volume base is the exact ICP profile these programs are hunting, and the named owner on each row cuts the cold-call qualification step entirely.
CareCredit and the next-generation patient-financing platforms that let a practice present a 24-month payment plan at the checkout desk. The ChiroHD cash-pay tilt is where these conversion gains land hardest.
ChiroTouch, ChiroFusion, Genesis Chiropractic, and Jane App teams running displacement campaigns against the ChiroHD installed base. The named owner is the lead the win-back team actually needs, not the generic practice directory entry.
Do not buy this if any of the following are true.
You sell to chiropractic patients directly. Patient acquisition tools, supplement DTC brands, and consumer wearables want a different set: the patient-side database, not the B2B owner contacts on this list.
You sell to solo cash-only practices on the cheapest EHR. The single-shop DC running on a 99-dollar-a-month cloud stack is on ChiroFusion, not ChiroHD. ChiroHD’s price floor of 299 dollars filters them out before we ever crawl the site. The ChiroFusion customer dataset is the right cut for that motion.
You sell into multi-discipline wellness clinics, not chiropractic-only offices. Physiotherapy, naturopathy, and acupuncture practices that happen to have a DC on staff live on Jane App, not ChiroHD. The Jane App customer cut is the right list for that motion.
You only sell at the hospital-system tier. If your motion is one annual contract with an integrated health system, you do not need a 1,500-practice list of independent chiropractic offices. Save your budget for the IDN sales rep.
Your sales motion only fires above 100,000 dollars in annual contract value. The single-clinic chiropractic owner pays 299 dollars a month for the EHR. A six-figure annual check is not the day-one motion here.
You need real-time license status. State chiropractic licensing boards publish that, with appeal periods and reinstatement windows that move daily. We refresh monthly, which is right for prospecting and wrong for compliance gating.
If you bought “ChiroHD customers” from a generalist B2B database last quarter, you bought the active US chiropractor universe with a ChiroHD label glued on top. The file you paid for has roughly 35,000 rows of “chiropractors in the US” tagged as ChiroHD users, against the 1,500 practices Orbital actually detects running it. That is a 23x inflation. The reply rate tells you which number is real.
The same problem shows up in broker files. The typical broker cut is a single LinkedIn scrape from eighteen months ago, never re-detected against the live site, that quietly includes a few hundred practices that have since migrated to ChiroTouch, ChiroFusion, or back to paper. The list looks like a list right up until the SDR team works it for a week.
The right sequence is: start with the active US chiropractic universe, detect the stack at pull time, name the owner DC, then call the row a ChiroHD customer. Tech stack first. Owner second. Contact third. The 1,500-practice count on this page is what comes out of that order, and the count will move on the next refresh because two of the larger multi-location groups are mid-rollout and a long tail of solo clinics are migrating off ChiroTouch every month.
This is the gap Orbital sits in. We map the universe of US small and mid-market businesses, sort each location into its market, detect the tools that location actually runs, name the owner, and ship a verified contact before the conversation starts. That works for ChiroHD the same way it works for field-service software, dental EHRs, and convenience retail loyalty platforms.
Questions
Before you ask sales about the ChiroHD dataset.
How many practices use ChiroHD?
Orbital has mapped 1,500+ chiropractic practices running ChiroHD, with roughly 5,000 end users behind the seats, as of June 2026. That base has been growing on the back of a 26 million dollar growth round from Mainsail Partners in May 2025 and acquisitions of Sked and Spark Patients, which pulled scheduling and patient-engagement workloads inside the ChiroHD stack.
What are the best ChiroHD alternatives for vendors mapping the chiropractic stack?
The five alternatives in the same buying conversation are ChiroTouch, ChiroFusion, Genesis Chiropractic, Jane App, and Aesthetic Record. ChiroTouch is the incumbent ChiroHD is displacing. ChiroFusion and Genesis Chiropractic are the lower-priced cloud options. Jane App sits adjacent in multi-discipline wellness clinics. Aesthetic Record overlaps when a chiropractor adds a med-spa arm.
How do you know a practice actually runs ChiroHD versus a competitor?
Orbital's tech stack agent crawls each practice site on demand and looks for ChiroHD-specific markers in the patient-portal links, booking widget, and intake forms. The detection runs at pull time, not from a stale signature file, so the customer flag matches what is actually loaded in the browser the day you export the list.
Can I get a verified owner contact for each ChiroHD practice?
Yes. Every record carries the named owner or lead DC, a deliverability-checked work email, and a direct dial scored as a dial or skip. The owner finder confirms the contact against LinkedIn before the row is released. This is the layer the broker files do not ship and it is the reason vendors come back for the next refresh.
See the ChiroHD customer dataset before you pay for it.
Tell us the states, group affiliations, or practice sizes you want. We send a free sample of around 100 verified owner records you can check against your own pipeline, no commitment, no list-broker back-and-forth.
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