Competitive Analysis

ChiroHD Market Position & Recommendations

A comprehensive analysis of ChiroHD's competitive landscape with strategic recommendations for winning market share.

This analysis was developed using AI-augmented research—demonstrating an AI-forward product management superpower.
Executive Summary

Key Insights & Feature Recommendations

ChiroHD is well-positioned to take market share from ChiroTouch because it's cloud-native and widely praised for usability and support, while ChiroTouch is seen as feature-rich but often clunky and costly to switch away from.

Key insight:

The biggest growth constraint isn't "missing features" in isolation—it's that switching and onboarding are still too human-dependent to scale, and a few "obvious" workflow gaps create friction at the exact moments clinics evaluate ChiroHD against incumbents.

4.8/5

ChiroHD user satisfaction

12,500+

ChiroTouch practices (market leader)

1,500+

ChiroHD practitioners (growing)

Recommended Features

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ChiroTouch → ChiroHD

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Attacks ChiroTouch's moat (high switching costs)

Auto-Populated Initial Exam Note

Intake-to-Exam Smart Notes

Eliminate double-entry by automatically converting patient intake into a draft initial exam note with provider review flow. This "obvious" missing feature wins against older incumbents.

Amplifies ChiroHD's strength (modern, efficient workflows)

Feature Parity Matrix

How ChiroHD compares to key competitors across major feature categories.

FeatureChiroHDChiroTouchGenesisChiroFusionCHIROSPRINGJane
Scheduling & Capacity Rules
Patient Portal & Communications
Electronic Forms / e-Sign
Clinical Documentation Depth
Billing & RCM
Integrated Payments
Reporting & Analytics
Integrations Ecosystem
Multi-Location Support
Onboarding / Data Migration
Full Support Partial/Add-on Not Supported

ChiroHD SWOT Analysis

Strengths

  • Focused All-in-One

    Built "from the cloud up" specifically for chiropractic—scheduling, notes, billing, and patient engagement in one platform.

  • Superior UX & Support

    4.8/5 satisfaction rating. Testimonials rave about quick notes, responsive support, and easy learning curve.

  • Innovative & Agile

    Acquired SKED and Spark to rapidly expand capabilities. Development team iterates faster than legacy players.

  • Growing Credibility

    1,500+ practitioners and endorsements from 100% Chiropractic franchise. SKED/Spark acquisition brought influential industry figures.

Weaknesses

  • Lower Market Share

    Still small compared to ChiroTouch (12k+ clinics). Some prospects hesitate to choose a newer company.

  • Feature Gaps in Niche Areas

    Reporting not as deep as enterprise systems. No e-prescribing for multi-discipline clinics.

  • Third-Party Dependencies

    Relies on external clearinghouses and payment processors. Less control than fully-integrated competitors.

  • US Chiropractic Focus

    Limited international/multi-discipline support. Specialization is strength but limits versatility.

Opportunities

  • Convert Legacy Holdouts

    Many chiropractors still use paper or outdated software. Younger, tech-comfortable practitioners are entering the market.

  • Multi-Clinic Groups

    New ecosystem (SKED/Spark) appeals to franchises. Enterprise dashboards could win large deals.

  • Value-Added Services

    Opportunity for RCM services, analytics packages, patient-facing tech (online stores, telehealth).

  • Regulatory Tailwinds

    Post-COVID telehealth acceptance, increasing documentation demands drive adoption of modern systems.

Threats

  • Competitive Moves

    EverCommerce investing in ChiroTouch. CHIROSPRING and ChiroUp innovating with AI. Features arms race.

  • Economic Downturn

    Small practices may tighten budgets, defer upgrades, or choose cheaper alternatives.

  • Security Incidents

    Any breach would severely damage trust. Smaller company perception could be used as FUD by competitors.

  • Healthcare Landscape Changes

    Value-based models, health information exchanges, or payer mandates could favor larger players.

Competitive Landscape

Detailed profiles of key competitors in the chiropractic EHR market.

ChiroHD Positioning

ChiroHD is a rising cloud-based chiropractic EHR/Practice Management platform targeting small to mid-size clinics (1-25 providers). It differentiates with an integrated "all-in-one" approach—scheduling, documentation, billing, patient engagement—and a strong focus on usability and support (rated 4.9/5).

Recent acquisitions of SKED (scheduling/reminders) and Spark (AI patient engagement) have expanded ChiroHD into a connected ecosystem that automates front-desk tasks and patient follow-up.

ChiroTouch

Direct12,500+ practices

Longest-established chiro-specific platform (25+ years). All-in-one with scheduling, documentation, billing, payments, compliance.

Strengths

  • • Deep insurance/billing workflows
  • • Large market presence
  • • Feature-rich
  • • New Rheo documentation engine (92% time savings claimed)

Weaknesses

  • • Clunky UX
  • • High switching costs
  • • Legacy architecture
  • • Steep learning curve

Incumbent leader. Competes on comprehensive feature depth and brand recognition.

Genesis/ClinicMind

Direct10,000+ users

Cloud-based chiropractic EHR designed by chiropractors, tightly integrated with revenue cycle management.

Strengths

  • • Integrated RCM services
  • • Comprehensive billing
  • • 97% collection rate advertised
  • • Strong automation

Weaknesses

  • • Complex implementation
  • • Less modern UX
  • • RCM percentage can be costly

Turnkey system with outsourced billing option. Targets clinics wanting to boost collections.

ChiroFusion

Direct14,000+ users

Cloud-based chiropractic software focused on streamlining core workflows at an affordable price point.

Strengths

  • • Cloud-native
  • • Competitive pricing ($129/mo)
  • • Simple and fast
  • • Good for new practitioners

Weaknesses

  • • Smaller feature set
  • • Less advanced reporting
  • • Limited integrations

Budget leader. Appeals to cost-conscious clinics upgrading from paper.

CHIROSPRING

DirectGrowing (180+ reviews)

Modern cloud platform with AI-assisted documentation and highly customizable workflows.

Strengths

  • • Modern interface
  • • AI-assisted note writing
  • • Highly customizable
  • • GrowthHub marketing tools

Weaknesses

  • • Newer entrant
  • • Building feature depth
  • • Mid-range pricing

Innovation-forward. Competes on modern UX and AI features.

Jane App

AdjacentThousands (multi-discipline)

All-in-one practice management for health & wellness clinics. Not chiro-specific but widely adopted.

Strengths

  • • Excellent UX
  • • Low cost ($74/mo)
  • • Great patient portal
  • • Month-to-month, no contracts

Weaknesses

  • • No pre-made chiro templates
  • • Limited insurance billing
  • • Not specialized for chiropractic

Cash practice favorite. Wins on simplicity and affordability.

PayDC

DirectNiche following

Cloud-based EHR/PM built around compliance, collections, and care plan management.

Strengths

  • • Compliance-first design
  • • Integrated care plans
  • • Automated coding checks
  • • Concierge support

Weaknesses

  • • Smaller market presence
  • • Less marketing visibility

The "compliance rebel." Targets audit-conscious insurance-heavy practices.

Voice of Customer Themes

What chiropractors actually say about their software choices—synthesized from G2, Capterra, Reddit, and industry forums.

Ease of Use

ChiroHD and Jane lauded for being "easy to navigate." ChiroTouch and ECLIPSE cited as "outdated" with steep learning curves.

"I've used other softwares for 5+ years and ChiroHD is finally a user friendly option that is simple to use..."

Support Quality

ChiroHD support is a standout—multiple testimonials praise "incredible team" and fast help. Genesis also noted for comprehensive training.

"Their response time and attention to detail has been some of the best customer service...like no other company."

Documentation Speed

Crucial for high-volume chiropractors. ChiroHD gets props for quick notes with macros. ChiroUp users report dramatically faster charting.

"Very intuitive, looks clean, notes are quick and customizable."

Billing & Claims

Genesis/ClinicMind praised for improved collections and fewer denials. PayDC users feel "safer in audits." ChiroFusion users sometimes outsource.

"Our collections went up...Genesis forces our notes and codes to match."

What Buyers Care About Most

  • "Will this save me time every day?" — Above all, chiropractors care about reducing administrative time.
  • Support & Reliability — They want a vendor that "has my back" so they can focus on patients.
  • Cost-Effectiveness — Not just sticker price, but value. "Am I getting everything I need without paying for stuff I don't?"
  • Workflow Fit — Software that "thinks" like a chiropractor—SOAP notes, quick daily notes, easy scheduling.

Porter's Five Forces Analysis

Industry dynamics in the chiropractic PM/EHR market.

Threat of New Entrants

Moderate

Barriers have lowered (cloud software is easier to build), but credibility takes time. Switching costs dampen threat.

Bargaining Power of Buyers

Moderate-High

Many alternatives exist. Low cost to consider switching. Forums and reviews influence decisions.

Bargaining Power of Suppliers

Low

Clearinghouses, cloud hosting, and payment processors are commoditized. No single supplier has high power.

Threat of Substitutes

Moderate

Paper systems, DIY stacks (Google Calendar + outsourced billing), and wellness software like Mindbody are alternatives.

Rivalry Among Competitors

High

Crowded market with a dozen serious players. Zero-sum game for new graduates and switches. Price competition is evident.

Strategic Opportunities

Reduce Switching Friction

Make "switching" a product capability (not a service), turning the hardest objection into a differentiator.

Workflow Polish

Address "obvious" workflow gaps that create friction during competitive evaluations (e.g., intake → clinical notes).

Scale Onboarding

Productize what is currently custom, manual, and specialist-driven to enable sustainable growth.

AI Differentiation

Leverage Spark acquisition for AI-powered patient engagement and explore AI-assisted documentation to match CHIROSPRING.

Enterprise Play

Build enterprise dashboards and multi-site management tools to win franchise and multi-location deals.

Value-Added Services

Consider RCM services, analytics packages, or telehealth integration to deepen customer lock-in and increase ARPU.

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