Many of the nation's chiropractic colleges, like other small colleges that rely heavily on tuition, are struggling to stay in business. At the same time that they are working to improve their stature in higher education and broadening their missions to increase their appeal, a number of the colleges are seeing enrollments plummet--and revenues are falling with them. The colleges are also hampered by their own decisions to dole out hefty paychecks to their executives, compensation packages that, in some cases, have raised outsiders' concerns about the effectiveness of oversight on the campuses. Though public and private colleges alike are facing questions about how much their leaders are paid in light of budget cuts and stagnating faculty pay, those questions are even sharper for chiropractic institutions. Struggling with shrinking enrollments and revenues, these specialized institutions may have to change to survive. Concerns about management are central to the issues surrounding chiropractic colleges, and overcoming them may be key to the institutions' efforts to build their reputations in mainstream higher education, draw more students, and ultimately, survive.