Clark & Associates

What Clark & Associates does

Clark & Associates is an Iowa-based, practitioner-owned provider of custom prosthetic and orthotic clinical services, founded in 1953 and headquartered in Waterloo. The firm operates eight clinic locations across Iowa (Cedar Rapids, Coralville, Des Moines, Dubuque, Marshalltown, Mason City, Sioux City, and Waterloo) staffed by ABC-certified prosthetists and orthotists who design, fabricate, and fit lower- and upper-extremity prosthetics, spinal and lower-limb orthoses, pediatric bracing, and 3D-printed cranial remolding helmets. Its clinical practice is supported by technology partnerships with leading component manufacturers — Ottobock (C-Leg microprocessor knee, bebionic hand, Harmony vacuum system), Ossur (Rheo Knee, i-Limb Quantum, Re-Flex Rotate), Proteor USA (Freedom Plie 3, Kinterra), Fillauer, and others — giving patients access to premium-tier devices typically concentrated in large academic centers.

The firm's go-to-market is sales-led and referral-driven, anchored by dedicated resource programs for physicians, physical and occupational therapists, and case managers, supplemented by free continuing education for healthcare facilities, patient success-story content, and community events such as the adaptive ski program at Sundown Mountain. Care is delivered in-person at the eight Iowa offices, with custom devices produced using a mix of 3D scanning, anatomical casting/molding, traditional fabrication, and additive manufacturing (notably for cranial helmets). Revenue is generated primarily on a per-case basis through insurance billing for prosthetic and orthotic services, with no subscription or platform monetization, and services are quote-priced with free initial consultations.

Commercially, the business is a long-tenured, self-funded clinical services firm: it has no external funding rounds, no disclosed institutional ownership, and operates under a practitioner-partner model (e.g., Travis Carlson, Ken Horsfall as named partners). Strategic relationships with the Walter Reed National Military Medical Center and the University of Iowa Hospitals and Clinics residency program provide clinical prestige and a recruiting pipeline, while HIPAA compliance and ABC facility accreditation frame the regulatory posture of the business.

Name

Clark & Associates

Legal name

Clark and Associates, Inc.

Website

https://clarkpo.com

Company type

Private

Founded year

1953

Operating status

Operating

Headcount range

11–50 employees

Short description

Clark & Associates is an Iowa-based, practitioner-owned provider of custom prosthetic and orthotic clinical services, operating eight clinic locations across the state and serving amputee, pediatric, and orthopedic patients since 1953.

Ownership category

akta.pro rank

Product category

Prosthetics and Orthotics Services

NAICS

Surgical Appliance and Supplies Manufacturing (339113)

SIC

Orthopedic, Prosthetic & Surgical Appliances & Supplies (3842)

akta.pro primary industry

Prosthetic Components & Rehabilitation Accessories (Liners, Feet, Knees, Sockets) (HLAHAMAD)

akta.pro secondary industries

Orthotics & Bracing (Spinal/Lower/Upper Extremity Orthoses) (HLAHAEAI), Limb Prosthetics (Upper/Lower Extremity Prosthetic Systems) (HLAHAEAH), Prosthetics, Orthotics & Bracing (POB) (HSABAKAG), Maxillofacial Prosthetics & Craniofacial Appliances (HLABAJAH)

Keywords

• Custom prosthetic devices
• Orthotic bracing services
• Pediatric orthotics care
• Cranial remolding helmets
• Mastectomy care services

Headquarters

HQ city

Waterloo

HQ country

United States

HQ region

North America

Offices8 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Infrastructure, Marketing or Sales, Technology or R&D

Revenue model

1. Prosthetic Device Sales and Fitting: Custom-designed and fabricated prosthetic devices for upper and lower extremity amputations, including microprocessor-controlled knees, myoelectric hands, and cosmetic restoration. Revenue generated from device fabrication, fitting, and ongoing adjustment services.
2. Orthotic Device Sales and Fitting: Custom and prefabricated orthotic bracing for various body parts including spinal orthoses (TLSO, LSO), ankle-foot orthoses (AFO, KAFO), cranial helmets, and upper extremity orthotics. Revenue from device creation, fitting, and follow-up care.
3. Healthcare Operations and Treatment Services: Healthcare operations including patient care coordination, insurance billing for prosthetic and orthotic services, and compliance with healthcare regulations. Services billed to insurance companies for medical necessity.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Clark & Associates fabricates and fits custom prosthetic devices (lower extremity, upper extremity, and cosmetic restoration), custom orthotic bracing across all body parts (spinal, lower-limb, upper-limb, cranial), pediatric orthotics including 3D printed cranial remolding helmets, and mastectomy care. Services include patient evaluation, custom device design and fabrication, in-person fitting, adjustments, and follow-up care delivered through 8 Iowa clinical offices with billing handled through major insurance plans.

Product overview

Clark & Associates is a prosthetics and orthotics service provider offering a comprehensive portfolio of custom-fitted medical devices. The core offerings include Lower Extremity Prosthetics (with microprocessor-controlled knees like C-Leg and Rheo Knee, and prosthetic feet including Freedom Kinterra, Rush 87, BiOM) and Upper Extremity Prosthetics (including i-Limb Bionic Hand, bebionic Hand, and Utah Arm 3+). Their orthotics portfolio encompasses Custom Orthotics for all body parts including spinal bracing (TLSO, LSO), lower limb orthotics (Custom AFO, Carbon Fiber AFO, Arizona AFO, KAFO, CROW Walker, Tectus Orthosis), and upper extremity orthotics. Pediatric services include cranial remolding helmets available in traditional and 3D printed versions. The company also offers cosmetic restoration services for upper extremity prosthetics. All products are provided through eight clinic locations across Iowa, with practitioners providing patient evaluation, fitting, and ongoing care.

Differentiator

Problem solved

Functional benefit

Products and services

• Lower Extremity Prosthetics
• Upper Extremity Prosthetics
• Custom Orthotics
• Pediatric Orthotics
• 3D Printed Cranial Remolding Helmets
• Custom Ankle Foot Orthosis (AFO)
• Carbon Fiber AFO
• Arizona AFO
• Knee-Ankle-Foot Orthosis (KAFO)
• CROW Walker
• Tectus Orthosis
• TLSO Spinal Orthosis
• LSO Spinal Orthosis
• Mastectomy Care Services Prosthetic, orthotic, pediatric, and mastectomy care services for post-mastectomy patients, provided alongside the company's broader prosthetic and orthotic offerings across Iowa offices.

Quantifiable outcome

• Over 100,000 C-Leg fittings worldwide demonstrating proven microprocessor knee technology
• +1 more outcomes

Named customers8 records

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature6 records

Partnerships

Seven partnerships are on record, tiered core and minor.

• OttobockcoreTechnology or IntegrationTechnology partner providing C-Leg microprocessor knees (over 100,000 fittings), bebionic myoelectric hands, flexible inner socket systems, and Harmony vacuum volume management. Clark & Associates practitioners are trained in Ottobock product fitting and utilize their advanced prosthetic components.
• OssurcoreTechnology or IntegrationTechnology partner providing Rheo Knee microprocessor-controlled systems that learn movement patterns, i-Limb Quantum bionic hands with titanium digits, Proprio Foot, and Re-Flex Rotate dynamic feet with shock absorption and energy return.
• Proteor USAcoreTechnology or IntegrationTechnology partner providing Freedom Kinterra Foot and Freedom Plie 3 Knee - the fastest microprocessor-controlled knee responding 10-20 times more rapidly than other MPC knees.
• Walter Reed Army Medical CentercoreStrategic or Co-development PartnerEstablished partnership with Walter Reed National Military Medical Center in Bethesda, MD. Clark & Associates staff members have provided care to wounded service members, and prosthetic residents have traveled to Walter Reed to provide care to military personnel injured in Iraq and Afghanistan operations.
• University of Iowa Hospitals and ClinicsminorStrategic or Co-development PartnerHealthcare partnership providing orthotic and prosthetic residency experience for practitioners. Clark & Associates practitioners have completed residencies at University of Iowa Hospitals and Clinics.
• Northwestern UniversityminorStrategic or Co-development PartnerEducational partnership for practitioner training. Several Clark & Associates practitioners including Travis Carlson and Mark McDonald graduated from Northwestern University's prosthetics and orthotics programs.
• American Board for Certification (ABC)coreOthersABC-Certified practitioners provide assurance of quality care. ABC certification is recognized by the American Medical Association (AMA) as the only certificate in orthotics and prosthetics. Practitioners hold credentials including CO, CP, CPO, LPO, BOCO, and CPed.

Scale indicators3 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Hanger Clinic: Largest U.S. operator of patient-care O&P clinics with ~900 locations; competes head-to-head with Clark & Associates in prosthetic and orthotic services, including microprocessor knees, cranial helmets, and pediatric orthotics, but at national scale with PE backing.
• BioTech Limb and Brace: Regional O&P provider offering custom prosthetics and orthotic bracing across multiple clinic locations; mirrors Clark & Associates' practitioner-owned clinic model and full-limb/orthotic service scope.
• Comprehensive Prosthetics & Orthotics: Independent multi-clinic O&P provider serving the U.S. Midwest with custom prosthetic, orthotic, and pediatric services — directly comparable regional practice profile to Clark & Associates' Iowa operation.
• Ability Prosthetics & Orthotics: Multi-location independent O&P provider in the U.S. Mid-Atlantic/Southeast offering custom prosthetics, orthotics, and pediatric cranial remolding — directly comparable service mix and clinic-based delivery model to Clark & Associates.
• Medical Center Orthotics & Prosthetics (MCOP): Mid-Atlantic regional O&P provider with multiple clinic locations, fitting microprocessor-controlled prosthetics and custom orthotics; shares the same clinical delivery model and patient mix as Clark & Associates.

Broad incumbents

• Össur Americas: Leading global O&P manufacturer of prosthetics (Rheo Knee, i-Limb, Re-Flex) and orthotic devices; supplies Clark & Associates but increasingly competes via direct-to-patient channels and clinic partnerships in the same clinical category.
• Breg: U.S. orthopedic bracing and cold therapy manufacturer serving the same sports medicine and post-surgical bracing indications as Clark & Associates' orthotics line; broader portfolio but overlapping patient indications.
• DJO / Enovis: Large medical device company offering orthopedic braces, DME, and rehabilitation products; competes broadly in the orthotics and bracing category where Clark & Associates delivers custom AFO/KAFO/TLSO solutions.
• Ottobock Patient Care: Global O&P manufacturer that also operates its own patient-care clinic network in the U.S.; a current technology supplier to Clark & Associates but also a competitor in the same patient-fitting services space via Ottobock-owned clinics.

Regional players

• Shriners Hospitals for Children — P&O: Pediatric specialty hospital system with in-house prosthetics and orthotics services, including cranial remolding; competes for pediatric and complex pediatric cases that Clark & Associates also serves through its pediatric orthotics line.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/ClarkPO

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Clark & Associates