-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, CRg3jFSlQp6Refi3Wkm01EMlFuSK3DaaNnMSLbBwZH0/yu5B8WQVJPIbsO2/Ns14 SDyU0hxJfOFvSze7yxlGqQ== 0000897069-07-001589.txt : 20070808 0000897069-07-001589.hdr.sgml : 20070808 20070807191334 ACCESSION NUMBER: 0000897069-07-001589 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20070630 FILED AS OF DATE: 20070808 DATE AS OF CHANGE: 20070807 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HANGER ORTHOPEDIC GROUP INC CENTRAL INDEX KEY: 0000722723 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 840904275 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-10670 FILM NUMBER: 071033076 BUSINESS ADDRESS: STREET 1: TWO BETHESDA METRO CENTER STREET 2: SUITE 1300 CITY: BETHESDA STATE: MD ZIP: 20814 BUSINESS PHONE: 3019860701 MAIL ADDRESS: STREET 1: TWO BETHESDA METRO CENTER STREET 2: SUITE 1300 CITY: BETHESDA STATE: MD ZIP: 20814 FORMER COMPANY: FORMER CONFORMED NAME: SEQUEL CORP DATE OF NAME CHANGE: 19890814 FORMER COMPANY: FORMER CONFORMED NAME: CELLTECH COMMUNICATIONS INC DATE OF NAME CHANGE: 19860304 10-Q 1 cmw2945.htm QUARTERLY REPORT

SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

____________________

FORM 10-Q

(Mark One)

[X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended      June 30, 2007      

OR

[_] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from _______________________ to _______________________

Commission file number      1-10670     

           HANGER ORTHOPEDIC GROUP, INC.           
(Exact name of registrant as specified in its charter)

      Delaware            84-0904275     
(State or other jurisdiction of (IRS Employer Identification No.)
incorporation or organization)  

Two Bethesda Metro Center, Suite 1200, Bethesda, MD 20814
(Address of principal executive offices) (Zip Code)

Registrant’s telephone number, including area code:
     (301) 986-0701     

_________________________________________________________________________________
Former name, former address and former fiscal year, if changed since last report.

        Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days: Yes |X| No |_|

        Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one).

        Large accelerated filer |_|      Accelerated filer |X|      Non-accelerated filer |_|

        Indicate by check mark whether the registrant is a shell company as defined in Rule 12b-2 of the Exchange Act. Yes |_| No |X|

        As of August 3, 2007, 22,582,651 shares of common stock, $.01 par value per share were outstanding.


HANGER ORTHOPEDIC GROUP, INC.

INDEX

    Page No.

Part I.      FINANCIAL INFORMATION
 

Item 1.
Consolidated Financial Statements (Unaudited)  
 
Unaudited Consolidated Balance Sheets - June 30, 2007 and
 
  December 31, 2006
 
Unaudited Consolidated Statements of Operations for the
 
  Three and Six Months ended June 30, 2007 and 2006
 
Unaudited Consolidated Statements of Cash Flows for the
 
  Six Months ended June 30, 2007 and 2006
 
Notes to Consolidated Financial Statements (Unaudited)

Item 2.
Management’s Discussion and Analysis of Financial  
  Condition and Results of Operations 23 

Item 3.
Quantitative and Qualitative Disclosures About Market Risk 41 

Item 4.
Controls and Procedures 42 

Part II.      OTHER INFORMATION
 

Item 1.
Legal Proceedings 42 

Item 1A.
Risk Factors 43 

Item 4.
Submission of Matters to a Vote of Security Holders 44 

Item 6.
Exhibits 45 

SIGNATURES
46 

Certifications of Chief Executive Officer and Chief Financial Officer


HANGER ORTHOPEDIC GROUP, INC.
CONSOLIDATED BALANCE SHEETS
(Dollars in thousands)
(Unaudited)

ASSETS June 30,
2007

December 31,
2006


CURRENT ASSETS
           
     Cash and cash equivalents   $ 30,086   $ 23,139  
     Accounts receivable, less allowance for doubtful accounts  
       of $3,323 and $3,369 in 2007 and 2006, respectively    96,173    99,403  
     Inventories    75,079    75,803  
     Prepaid expenses, other assets and income taxes receivable    10,677    8,805  
     Deferred income taxes    7,060    7,962  


           Total current assets    219,075    215,112  



PROPERTY, PLANT AND EQUIPMENT
  
     Land    1,065    1,065  
     Buildings    5,287    5,287  
     Furniture and fixtures    12,570    12,283  
     Machinery and equipment    27,711    26,323  
     Leasehold improvements    37,605    33,811  
     Computer and software    52,878    49,750  


           Total property, plant and equipment    137,116    128,519  
     Less accumulated depreciation and amortization    93,066    86,225  


           Total property, plant and equipment    44,050    42,294  



INTANGIBLE ASSETS
  
     Excess cost over net assets acquired    446,616    446,371  
     Patents and other intangible assets, net    2,529    2,935  


           Total intangible assets, net    449,145    449,306  



OTHER ASSETS
  
     Debt issuance costs, net    10,215    10,853  
     Other assets    3,230    1,557  


           Total other assets    13,445    12,410  



TOTAL ASSETS
   $ 725,715   $ 719,122  


The accompanying notes are an integral part of the consolidated financial statements.




1


HANGER ORTHOPEDIC GROUP, INC.
CONSOLIDATED BALANCE SHEETS
(Dollars in thousands)
(Unaudited)

LIABILITIES, CONVERTIBLE PREFERRED STOCK
AND SHAREHOLDERS’ EQUITY
June 30,
2007

December 31,
2006


CURRENT LIABILITIES
           
     Current portion of long-term debt   $ 5,592   $ 5,386  
     Accounts payable    18,686    19,093  
     Accrued expenses    7,946    10,862  
     Accrued interest payable    1,726    1,803  
     Accrued compensation related costs    19,703    20,760  


        Total current liabilities    53,653    57,904  



LONG-TERM LIABILITIES
  
     Long-term debt, less current portion    403,592    405,238  
     Deferred income taxes    33,391    30,741  
     Other liabilities    11,546    9,908  


        Total liabilities    502,182    503,791  



COMMITMENTS AND CONTINGENCIES (Note H)
  

CONVERTIBLE PREFERRED STOCK
  
     Series A Convertible Preferred stock, liquidation preference of $1,000  
       per share, 50,000 shares authorized, issued and outstanding in 2007    47,654    47,654  



SHAREHOLDERS’ EQUITY
  
     Common stock, $.01 par value; 60,000,000 shares authorized,  
       23,427,624 shares and 22,377,551 shares issued and  
       outstanding in 2007 and 2006, respectively    234    224  
     Additional paid-in capital    158,866    156,480  
     Retained earnings    17,435    11,629  


     176,535    168,333  
     Treasury stock at cost (141,154 shares)    (656 )  (656 )


        Total shareholders’ equity    175,879    167,677  



TOTAL LIABILITIES, CONVERTIBLE PREFERRED STOCK
  
    AND SHAREHOLDERS’ EQUITY   $ 725,715   $ 719,122  


The accompanying notes are an integral part of the consolidated financial statements.



2


HANGER ORTHOPEDIC GROUP, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
For the Three and Six Months Ended June 30,
(Dollars in thousands, except share and per share amounts)
(Unaudited)

Three Months Ended
June 30,
Six Months Ended
June 30,
2007
2006
2007
2006

Net sales
    $ 160,366   $ 152,855   $ 304,217   $ 293,300  
Cost of goods sold (exclusive of depreciation and amortization)    78,945    75,346    151,494    145,561  
Selling, general and administrative    59,714    57,751    114,872    113,378  
Depreciation and amortization    3,878    3,759    7,626    7,447  




   Income from operations    17,829    15,999    30,225    26,914  

Interest expense
    9,125    9,914    18,465    19,414  
Extinguishment of debt    --    16,415    --    16,415  




   Income (loss) before taxes    8,704    (10,330 )  11,760    (8,915 )

Provision (benefit) for income taxes
    3,612    (4,606 )  4,884    (4,020 )




   Net income (loss)    5,092    (5,724 )  6,876    (4,895 )
Preferred stock dividend and accretion-7% Redeemable  
   Preferred Stock    --    1,186    --    2,751  
Preferred stock dividend-Series A Convertible Preferred Stock    416    167    833    167  
Accretion of beneficial conversion feature    --    2,224    --    2,224  




   Net income (loss) applicable to common stock   $ 4,676   $ (9,301 ) $ 6,043   $ (10,037 )





Basic Per Common Share Data
  
Net income (loss) applicable to common stock   $ 0.21   $ (0.42 ) $ 0.27   $ (0.46 )




Shares used to compute basic per common share amounts    22,399,292    21,946,319    22,295,606    21,891,694  





Diluted Per Common Share Data
  
Net income (loss) applicable to common stock   $ 0.17   $ (0.42 ) $ 0.23   $ (0.46 )




Shares used to compute diluted per common share amounts    30,049,735    21,946,319    29,908,304    21,891,694  




The accompanying notes are an integral part of the consolidated financial statements.




3


HANGER ORTHOPEDIC GROUP, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
For the Six Months Ended June 30,
(Dollars in thousands)
(Unaudited)

2007
2006
Cash flows from operating activities:            
     Net (loss) income   $ 6,876   $ (4,895 )
Adjustments to reconcile net income to net cash provided by operating activities:  
     Extinguishment of debt    --    16,415  
     Premiums paid on early extinguishment of debt    --    (11,393 )
     Gain on disposal of assets    38    10  
     Provision for bad debt    8,774    9,208  
     Provision for deferred income taxes    2,628    (234 )
     Depreciation and amortization    7,626    7,447  
     Amortization of debt issuance costs    902    1,122  
     Compensation expense on stock options and restricted stock    1,404    765  
     Amortization of terminated interest rate swaps    --    (205 )
     Changes in assets and liabilities, net of effects of acquired companies:  
         Accounts receivable    (5,541 )  (3,578 )
         Inventories    882    (1,604 )
         Prepaid expenses, other assets, and income taxes receivable    (3,176 )  (10,982 )
         Other assets    66    68  
         Accounts payable    (235 )  (1,002 )
         Accrued expenses, accrued interest payable, and income taxes payable    (3,631 )  (6,228 )
         Accrued compensation related costs    (1,058 )  (3,174 )
         Other liabilities    4,551    1,186  


Net cash provided by (used in) operating activities    20,106    (7,074 )



Cash flows from investing activities:
  
     Purchase of property, plant and equipment (net of acquisitions)    (9,094 )  (5,177 )
     Acquisitions and contingent purchase price (net of cash acquired)    (1,461 )  (506 )
     Proceeds from sale of property, plant and equipment    158    57  


Net cash used in investing activities    (10,397 )  (5,626 )



Cash flows from financing activities:
  
     Borrowings under revolving credit agreement    --    21,000  
     Repayments under revolving credit agreement    --    (26,000 )
     Repayment of term loan    (1,151 )  (146,625 )
     Repayment of senior notes    --    (190,921 )
     Repayment of senior subordinated debt    --    (15,485 )
     Repurchase of 7% Redeemable Preferred Stock    --    (64,693 )
     Proceeds from new term loan facility    --    230,000  
     Proceeds from senior note issuance    --    175,000  
     Proceeds from issuance of Series A Convertible Preferred Stock    --    50,000  
     Scheduled repayment of long-term debt    (1,219 )  (1,129 )
     Financing costs    (265 )  (13,263 )
     Proceeds from issuance of Common Stock    706    253  
     Preferred stock dividends paid    (833 )  --  
     Change in book overdraft    --    (667 )


Net cash provided by (used in) financing activities    (2,762 )  17,470  



Increase in cash and cash equivalents
    6,947    4,770  
Cash and cash equivalents, at beginning of period    23,139    7,921  


Cash and cash equivalents, at end of period   $ 30,086   $ 12,691  


The accompanying notes are an integral part of the consolidated financial statements.

4


HANGER ORTHOPEDIC GROUP, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

NOTE A – BASIS OF PRESENTATION

The unaudited interim consolidated financial statements as of and for the three and six months ended June 30, 2007 and 2006 have been prepared by the Company pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”) for interim financial reporting. These consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) necessary for a fair statement for the periods presented. The year-end consolidated data was derived from audited financial statements but does not include all disclosures required by accounting principles generally accepted in the United States of America (“GAAP”).

These consolidated financial statements should be read in conjunction with the consolidated financial statements of Hanger Orthopedic Group, Inc. (the “Company”) and notes thereto included in the Annual Report on Form 10-K for the year ended December 31, 2006, filed by the Company with the SEC.

NOTE B – SIGNIFICANT ACCOUNTING PRINCIPLES

Principles of Consolidation

The consolidated financial statements include the accounts of the Company and its wholly-owned subsidiaries. All intercompany transactions and balances have been eliminated.

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.

Revenue Recognition

Revenues on the sale of orthotic and prosthetic devices and associated services to patients are recorded when the device is accepted by the patient, provided that (i) delivery has occurred or services have been rendered; (ii) persuasive evidence of an arrangement exists; (iii) the sales price is fixed or determinable; and (iv) collectibility is reasonably assured. Revenues on the sale of orthotic and prosthetic devices to customers by our distribution segment are recorded upon the shipment of products, in accordance with the terms of the invoice, net of merchandise returns received and the amount established for anticipated returns. Discounted sales are recorded at net realizable value. Deferred revenue represents prepaid tuition and fees received from students enrolled in our practitioner education program.

5


NOTE B – SIGNIFICANT ACCOUNTING PRINCIPLES (CONTINUED)

Revenue Recognition (continued)

Revenue at our patient-care centers segment is recorded net of all governmental adjustments, contractual adjustments and discounts. We employ a systematic process to ensure that our sales are recorded at net realizable value and that any required adjustments are recorded on a timely basis. The contracting module of our centralized, computerized billing system is designed to record revenue at net realizable value based on our contract with the patient’s insurance company. Updated billing information is received periodically from payors and is uploaded into our centralized contract module and then disseminated to all patient-care centers electronically.

Disallowed sales generally relate to billings to payors with whom we do not have a formal contract. In these situations we record the sale at usual and customary rates and simultaneously record a disallowed sale to reduce the sale to net value, based on our historical experience with the payor in question. Disallowed sales may also result if the payor rejects or adjusts certain billing codes. Billing codes are frequently updated within our industry. As soon as updates are received, we reflect the change in our centralized billing system.

As part of our preauthorization process with payors, we validate our ability to bill the payor for the service we are providing before we deliver the device. Subsequent to billing for our devices and services, there may be problems with pre-authorization or with other insurance coverage issues with payors. If there has been a lapse in coverage, the patient is financially responsible for the charges related to the devices and services received. If we do not collect from the patient, we record bad debt expense. Occasionally, a portion of a bill is rejected by a payor due to a coding error on our part and we are prevented from pursuing payment from the patient due to the terms of our contract with the insurance company. We appeal these types of decisions and are generally successful. This activity is factored into our methodology to determine the estimate for the allowance for doubtful accounts. We immediately record, as a reduction of sales, a disallowed sale for any claims that we know we will not recover and adjust our future estimates accordingly.

Certain accounts receivable may be uncollectible, even if properly pre-authorized and billed. Regardless of the balance, accounts receivable amounts are periodically evaluated to assess collectibility. In addition to the actual bad debt expense recognized during collection activities, we estimate the amount of potential bad debt expense that may occur in the future. This estimate is based upon our historical experience as well as a review of our receivable balances. On a quarterly basis, we evaluate cash collections, accounts receivable balances and write-off activity to assess the adequacy of our allowance for doubtful accounts. Additionally, a company-wide evaluation of collectibility of receivable balances older than 180 days is performed at least semi-annually, the results of which are used in the next allowance analysis. In these detailed reviews, the account’s net realizable value is estimated after considering the customer’s payment history, past efforts to collect on the balance and the outstanding balance, and a specific reserve is recorded if needed. From time to time, the Company may outsource the collection of such accounts to outsourced agencies after internal collection efforts are exhausted. In the cases when valid accounts receivable cannot be collected, the uncollectible account is written off to bad debt expense.

6


NOTE B – SIGNIFICANT ACCOUNTING PRINCIPLES (CONTINUED)

Inventories

Inventories, which consist principally of raw materials, work-in-process and finished goods, are stated at the lower of cost or market using the first-in, first-out method. At our patient-care centers segment, we calculate cost of goods sold in accordance with the gross profit method for all reporting periods. We base the estimates used in applying the gross profit method on the actual results of the most recently completed fiscal year and other factors, such as sales mix and purchasing trends among other factors, affecting cost of goods sold during the current reporting periods. Cost of goods sold during the period is adjusted when the annual physical inventory is taken. We treat these adjustments as changes in accounting estimates. At our distribution segment, a perpetual inventory is maintained. Management adjusts our reserve for inventory obsolescence whenever the facts and circumstances indicate that the carrying cost of certain inventory items is in excess of its market price. Shipping and handling costs are included in cost of goods sold.

Property, Plant and Equipment

We record property, plant and equipment at cost. Equipment acquired under capital leases is recorded at the lower of fair market value or the present value of the future lease payments. The cost and related accumulated depreciation of assets sold, retired or otherwise disposed of are removed from the respective accounts, and any resulting gains or losses are included in the Consolidated Statements of Operations. Depreciation is computed for financial reporting purposes using the straight-line method over the estimated useful lives of the related assets as follows:


Furniture and fixtures 5 years

Machinery and equipment 5 years

Computers and software 5 years

Buildings 10 to 40 years

Assets under capital leases Shorter of asset life or term of lease

Leasehold improvements Shorter of asset life or term of lease

We capitalize internally developed computer software costs incurred during the application development stage in accordance with Statement of Position 98-1, Accounting for the Costs of Computer Software Developed or Obtained for Internal Use.

Stock-Based Compensation

The Company issues options and restricted shares of common stock under two active share-based compensation plans, one for employees and the other for non-employee members of the Board of Directors. At June 30, 2007, 4.7 million shares of common stock are authorized for issuance under the Company’s share-based compensation plans. Shares of common stock issued under the share-based compensation plans are released from the Company’s authorized shares. Stock option and restricted share awards are granted at the fair market value of the Company’s common stock on the date immediately preceding the date of grant. Stock option awards vest over a period determined by the compensation plan, ranging from one to three years, and generally have a maximum term of ten years. Restricted shares of common stock vest over a period of time determined by the Compensation Committee of the Board of Directors ranging from one to four years.

7


NOTE B – SIGNIFICANT ACCOUNTING PRINCIPLES (CONTINUED)

Stock-Based Compensation (continued)

The Company follows the provisions of Statement of Financial Accounting Standards 123R, Share-Based Payment (“SFAS 123R”), which requires companies to measure and recognize compensation expense for all share-based payments at fair value. For the three month periods ended June 30, 2007 and 2006, the Company recognized $0.7 million and $0.4 million in compensation expense, respectively, of which approximately $0.01 million related to options in both periods. The Company recognized $1.4 million and $0.7 million in compensation expense for the six month periods ended June 30, 2007 and 2006, respectively, of which approximately $0.03 million and $0.1 million related to options, respectively. The Company calculates the fair value of stock options using the Black-Scholes model. The total value of the stock option awards is expensed ratably over the requisite service period of the employees receiving the awards.

Segment Information

The Company applies a “management” approach to disclosure of segment information. The management approach designates the internal organization that is used by management for making operating decisions and assessing performance as the basis of the Company’s reportable segments. The description of the Company’s reportable segments and the disclosure of segment information are presented in Note M.

Restructuring

During 2001 and 2004 the Company recorded certain restructuring charges. As of June 30, 2007, the remaining liability approximates $0.08 million and relates to lease termination and other exit costs to be paid through 2012.

Income Taxes

We adopted the provisions of Financial Accounting Standards Board (FASB) Interpretation No. 48, “Accounting for Uncertainty in Income Taxes”, on January 1, 2007. As a result of adoption, we recognized a decrease of approximately $0.2 million to the January 1, 2007 retained earnings balance. As of the adoption date, we had gross tax affected unrecognized tax benefits of $3.3 million of which $1.1 million, if recognized, would affect the effective tax rate. Over the next 12 months we may recognize gross tax affected unrecognized tax benefits of up to $1.5 million, a substantial portion of which is not expected to impact the effective tax rate, due to the pending expiration of the period of limitations for assessing tax deficiencies for certain income tax returns. As of the adoption date, we had accrued interest expense and penalties related to the unrecognized tax benefits of $0.4 million and $0.4 million, respectively. We recognize interest accrued and penalties related to unrecognized tax benefits as a component of income tax expense. Total penalties and interest accrued as of June 30, 2007 was $0.9 million, including $0.1 million in the current income tax provision for the six month period ended June 30, 2007. The Company files numerous consolidated and separate income tax returns in the United States Federal jurisdiction and in many state jurisdictions. The Company is no longer subject to US Federal income tax examinations for years before 2003 and with few exceptions is no longer subject to state and local income tax examinations by tax authorities for years before 2002.

8


NOTE B – SIGNIFICANT ACCOUNTING PRINCIPLES (CONTINUED)

New Accounting Guidance

In September 2006, the FASB issued SFAS 157, Fair Value Measurements (“SFAS 157”). SFAS 157 provides guidance on the application of fair value measurement objectives required in existing GAAP literature to ensure consistency and comparability. Additionally, SFAS 157 requires additional disclosures on the fair value measurements used. SFAS 157 is effective for fiscal years beginning after November 15, 2007. The Company is currently evaluating the impact of adopting SFAS 157 on our financial statements.

In February 2007, the FASB issued SFAS 159, The Fair Value Option for Financial Assets and Financial Liabilities Fair Value Measurements (“SFAS 159”). SFAS 159 permits entities to choose to measure many financial instruments and certain other items at fair value that are not currently required to be measured at fair value. Unrealized gains and losses on items for which the fair value option has been elected will be reported in earnings. SFAS 159 does not affect any existing accounting literature that requires certain assets and liabilities to be carried at fair value. SFAS 159 is effective for fiscal years beginning after November 15, 2007. The Company believes the adoption of SFAS 159 will not have a material impact on its financial statements.

NOTE C — SUPPLEMENTAL CASH FLOW FINANCIAL INFORMATION

The supplemental disclosure requirements for the statements of cash flows are as follows:

Six Months Ended
June 30,
(In thousands) 2007
2006

Cash paid during the period for:
           
   Interest   $ 18,264   $ 24,618  
   Income taxes    4,024    4,254  

Non-cash financing and investing activities:
  
   Preferred stock dividends declared   $ 833   $ 2,898  
   Preferred stock accretion    --    20  
   Issuance of notes in connection with acquistions    930    --  
   Accretion of beneficial conversion feature    --    2,224  
   Issuance (cancellation) of restricted shares of common stock    7,114    (32 )

9


NOTE D — GOODWILL AND OTHER INTANGIBLE ASSETS

The Company determined that it has two reporting units, which were the same as its reportable segments: (i) patient-care centers and (ii) distribution. The Company completed its annual goodwill impairment analysis in October 2006, which did not result in an impairment. The fair value of the Company’s reporting units were primarily determined based on the income approach and considers the market and cost approach.

The activity related to goodwill for the six month period ended June 30, 2007 is as follows:

(In thousands) Patient-Care
Centers

Distribution
Total
Balance at December 31, 2006     $ 417,988   $ 28,383   $ 446,371  
Additions due to acquisitions   245   --    245  

Balance at June 30, 2007   $ 418,233   $ 28,383   $ 446,616  

NOTE E – ACQUISITIONS

During the three and six month periods ended June 30, 2007, the Company acquired one orthotic and prosthetics company that operated a total of 4 patient-care centers, for which it paid an aggregate purchase price of $1.5 million, consisting of $0.7 million cash, and a $0.8 million promissory note. The Company acquired the assets of a footwear company during the six month period ended June 30, 2007, for which it paid an aggregate purchase price of $0.5 million, consisting of $0.3 million in cash, a $0.2 million promissory note and other transaction costs. The Company did not make any acquisitions during the three and six month periods ended June 30, 2006.

The Company accounts for its acquisitions using the purchase method of accounting. The results of operations for these acquisitions are included in the Company’s results of operations from their date of acquisition. Pro forma results would not be materially different.

In connection with acquisitions, the Company occasionally agrees to make earnout payments if cash collection targets are reached that verify the value of the target negotiated at acquisition. Earnouts are defined in the purchase agreement and are accrued based on attainment of earnout targets. In connection with these agreements, the Company made earnout payments of $0.2 million and $0.5 million during the six month periods ended June 30, 2007 and 2006, respectively. The Company has accounted for these amounts as additional purchase price, resulting in an increase in excess cost over net assets acquired. The Company estimates that it may pay up to a total of $1.3 million related to earnout provisions in future periods.

10


NOTE F – INVENTORY

Inventories, which are recorded at the lower of cost or market using the first-in, first-out method, were as follows:

June 30,
2007

December 31,
2006

(In thousands)            
Raw materials   $ 28,267   $ 29,032  
Work-in-process    29,286    27,279  
Finished goods    17,526    19,492  


    $ 75,079   $ 75,803  


NOTE G – LONG TERM DEBT

Long-term debt consists of the following:

June 30,
2007

December 31,
2006

(In thousands)            
Term Loan   $ 227,700   $ 228,852  
10 1/4% Senior Notes due 2014    175,000    175,000  
Subordinated seller notes, non-collateralized, net of unamortized discount  
   with principal and interest payable in either monthly, quarterly or annual  
   installments at effective interest rates ranging from 5.0% to 10.8%, maturing  
   through December 2011    6,484    6,772  


     409,184    410,624  
Less current portion    (5,592 )  (5,386 )


    $ 403,592   $ 405,238  


Refinancing

On May 26, 2006, the Company refinanced its debt and preferred stock with the issuance of the following instruments: (i) $175.0 million of 10 ¼% Senior Notes due 2014; (ii) a $230.0 million term loan facility; and (iii) $50.0 million of Series A Convertible Preferred Stock. The Company also established a new $75.0 million revolving credit facility, which was unused at June 30, 2007. The proceeds from these instruments were used to retire (i) $200.0 million of 10 3/8% Senior Notes; (ii) $15.6 million of 11 ¼% Senior Subordinated Notes; (iii) $146.3 million of the Term Loan; (iv) $11.0 million outstanding under the Revolving Credit facility; (v) $64.7 million of 7% Redeemable Preferred Stock; and (vi) pay $24.7 million of transaction costs. In conjunction with the refinancing, the Company incurred a $17.0 million loss on the extinguishment of debt. The extinguishment loss is comprised of $11.4 million of premiums paid to debt holders, $0.3 million of fees paid to the 7% Redeemable Preferred Stock holders and $6.0 million write-off of debt issuance costs, offset by a $1.3 million gain related to the interest rate swap.

11


NOTE G – LONG TERM DEBT (CONTINUED)

Revolving Credit Facility

The $75.0 million Revolving Credit Facility matures on May 26, 2011 and bears interest, at the Company’s option, of LIBOR plus 2.75% or a Base Rate (as defined in the credit agreement) plus 1.75%. The obligations under the Revolving Credit Facility are guaranteed by the Company’s subsidiaries and are secured by a first priority perfected interest in the Company’s subsidiaries’ shares, all of the Company’s assets and all the assets of the Company’s subsidiaries. The Revolving Credit Facility requires compliance with various covenants including but not limited to a maximum total leverage ratio and a maximum annual capital expenditures limit. As of June 30, 2007, the Company has not made draws on the Revolving Credit Facility and has $72.0 million available under that facility. Availability under the Company’s Revolving Credit Facility is net of standby letters of credit of approximately $3.0 million.

Term Loan

The $230.0 million Term Loan matures on May 26, 2013 and requires quarterly payments commencing September 30, 2006. From time to time, mandatory payments may be required as a result of capital stock issuances, additional debt incurrence, asset sales or other events as defined in the credit agreement. The Term Loan bears interest, at the Company’s option, at LIBOR plus 2.25% or a Base Rate (as defined in the credit agreement) plus 1.50%. At June 30, 2007, the interest rate on the Term Loan was 7.61%. The obligations under the Term Loan are guaranteed by the Company’s subsidiaries and are secured by a first priority perfected interest in the Company’s subsidiaries’ shares, all of the Company’s assets and all the assets of the Company’s subsidiaries. The Term Loan is subject to covenants that mirror those of the Revolving Credit Facility.

10 ¼% Senior Notes

The 10 ¼% Senior Notes mature June 1, 2014, are senior indebtedness and are guaranteed in full and unconditionally, on a senior unsecured basis by all of the Company’s current and future domestic subsidiaries as well as all the assets of the Company. The parent company has no independent assets or operation and all subsidiaries are 100% owned by the Company. Interest is payable semi-annually on June 1 and December 1, commencing December 1, 2006. On or prior to June 1, 2009, the Company may redeem up to 35% of the aggregate principal amount of the notes at a redemption price of 110.250% of the principal amount thereof, plus accrued and unpaid interest and additional interest, if any, with the net cash proceeds of an equity offering; provided that (i) at least 65% of the aggregate principal amount of the notes remains outstanding immediately after the redemption (excluding notes held by the Company and its subsidiaries); and (ii) the redemption occurs within 90 days of the date of the closing of the equity offering. Except as discussed above, the notes are not redeemable at the Company’s option prior to June 1, 2010. On or after June 1, 2010, the Company may redeem all or part of the notes upon not less than 30 days and no more than 60 days’ notice, for the twelve-month period beginning on June 1 of the following years; at (i) 105.125% during 2010; (ii) 102.563% during 2011; and (iii) 100.0% during 2012 and thereafter.

12


NOTE G – LONG TERM DEBT (CONTINUED)

General

The terms of the Senior Notes and the Revolving Credit Facility limit the Company’s ability to, among other things, incur additional indebtedness, create liens, pay dividends on or redeem capital stock, make certain investments, make restricted payments, make certain dispositions of assets, engage in transactions with affiliates, engage in certain business activities and engage in mergers, consolidations and certain sales of assets. At June 30, 2007, the Company is in compliance with all covenants under these debt agreements.

NOTE H – COMMITMENTS AND CONTINGENT LIABILITIES

Commitments

The Company’s wholly-owned subsidiary, Innovative Neurotronics, Inc. (“IN, Inc.”), is party to a non-binding purchase agreement under which it agrees to purchase assembled WalkAide System kits. As of June 30, 2007, IN, Inc. had outstanding purchase commitments of approximately $0.4 million.

Contingencies

Regulatory Inquiry

On June 15, 2004, the Company announced that an employee at its patient-care center in West Hempstead, New York alleged in a television news story aired on June 14, 2004 that there were instances of billing discrepancies at that facility. On June 18, 2004, the Company announced that on June 17, 2004, the Audit Committee of the Company’s Board of Directors had engaged a law firm to serve as independent counsel to the Audit Committee and to conduct an independent investigation of the allegations. The scope of that independent investigation was expanded to cover certain of the Company’s other patient-care centers and included consideration of some of the allegations made in the Amended Complaint filed in the class actions discussed below. On June 17, 2004, the U.S. Attorney’s Office for the Eastern District of New York subpoenaed records of the Company regarding various billing activities and locations. In addition, the Company also announced on June 18, 2004 that the Securities and Exchange Commission had commenced an informal inquiry into the matter. The Company is cooperating with the regulatory authorities. The Audit Committee’s investigation will not be complete until all regulatory authorities have indicated that their inquiries are complete.

13


NOTE H – COMMITMENTS AND CONTINGENT LIABILITIES (CONTINUED)

Management believes that any billing discrepancies are likely to be primarily at the West Hempstead patient-care center. Furthermore, management does not believe the resolution of the matters raised by the allegations will have a materially adverse effect on the Company’s financial statements. The West Hempstead facility generated $0.3 million in net sales during each of the six month periods ended June 30, 2007 and 2006, respectively, or less than 0.2% of the Company’s net sales, for each period. It should be noted that additional regulatory inquiries may be raised relating to the Company’s billing activities at other locations. No assurance can be given that the final results of the regulatory agencies’ inquiries will be consistent with the results to date or that any discrepancies identified during the ongoing regulatory review will not have a material adverse effect on the Company’s financial statements.

Consolidated Class Action

Between June 22, 2004 and July 1, 2004, five putative securities class action complaints were filed against the Company, four in the Eastern District of New York, Twist Partners v. Hanger Orthopedic Group, Inc., et al., No. 1:04-cv-02585 (filed 06/22/2004, E.D.N.Y); Shapiro v. Hanger Orthopedic Group, Inc., et al., No. 1:04-cv-02681 (filed 06/28/2004, E.D.N.Y.); Imperato v. Hanger Orthopedic Group, Inc., No. 1:04-cv-02736 (filed 06/30/2004, E.D.N.Y.); Walters v. Hanger Orthopedic Group, Inc., et al., No. 1:04-cv-02826 (filed 07/01/2004, E.D.N.Y.); and one in the Eastern District of Virginia, Browne v. Hanger Orthopedic Group, Inc., et al., No. 1:04-cv-7 15 (filed 06/23/2004, E.D. Va.). The complaints asserted that the Company’s reported revenues were inflated through certain billing improprieties at one of the Company’s facilities. The plaintiffs in Browne subsequently dismissed their complaint without prejudice, and the four remaining cases were consolidated into a single action in the Eastern District of New York encaptioned In re Hanger Orthopedic Group, Inc. Securities Litigation, No. 1:04-cv-2585 (the “Consolidated Securities Class Action”). On February 28, 2006, the court granted the Company’s motion to transfer the Consolidated Securities Class Action to the District of Maryland. On June 12, 2006, a Second Consolidated Amended Class Action Complaint was filed against the Company in the District of Maryland, In re Hanger Orthopedic Group, Inc. Securities Litigation, No. 8:06-cv-00579-AW (the “Second Amended Complaint”). The Second Amended Complaint asserted that the Company’s reported revenues were inflated through certain billing improprieties at some of the Company’s facilities. In addition, the Second Amended Complaint asserted that the Company violated the federal securities laws in connection with a restatement announced by the Company on August 16, 2004, restating certain of the Company’s financial statements during 2001 through the first quarter of 2004. The Second Amended Complaint purported to allege violations of Section 10(b) of the Securities Exchange Act of 1934 (the “Exchange Act”) and Rule 10b-5 promulgated thereunder, as well as violations of Section 20(a) of the Exchange Act by certain of the Company’s executives as “controlling persons” of the Company. On September 1, 2006, the Company filed a motion to dismiss the Second Amended Complaint and oral argument took place on February 21, 2007. On March 16, 2007, the United States District Court for the District of Maryland Southern Division dismissed the Second Amended Complaint with prejudice. The following thirty-day period during which the plaintiffs were permitted to file an appeal or motion for reconsideration passed without the filing of any such appeal or motion, resulting in final dismissal of the case.

14


NOTE H – COMMITMENTS AND CONTINGENT LIABILITIES (CONTINUED)

Derivative Action

On September 8, 2005, a derivative action was filed against the Company and certain of its current and former directors in the United States District Court for the Eastern District of New York. The lawsuit, which is encaptioned Green Meadows Partners, LLP v. Ivan R. Sabel, et al, No. CV 05 4259 (E.D.N.Y.), largely repeated the allegations made in the consolidated amended complaint filed by the plaintiffs in In re Hanger Orthopedic Group, Inc. Securities Litigation, discussed above. On that basis, the Green Meadows Partners complaint purported to assert claims against the individual defendants, on behalf of the Company, for contribution in connection with the In re Hanger Orthopedic Group, Inc. Securities Litigation matter; forfeiture of certain bonuses and other incentive-based or equity-based compensation pursuant to Section 304; breach of fiduciary duty; unjust enrichment; and “abuse of control.” The Complaint sought unspecified compensatory damages, restitution and disgorgement, injunctive relief, and award of attorneys’ fees and costs. The defendants did not file a response to the Green Meadows Partners Complaint. After the transfer of the Consolidated Securities Class Action to the District of Maryland, the parties agreed to the transfer of the Green Meadows Partners case to the District of Maryland and to stay the case pending the outcome of the defendants’ motion to dismiss the Consolidated Securities Class Action case. As discussed above, the Consolidated Securities Class Action was dismissed with prejudice by the District Court of Maryland Southern Division on March 16, 2007, and the thirty-day period during which the plaintiffs were permitted to file an appeal or motion for reconsideration passed without the filing of any such appeal or motion, resulting in dismissal of the case. On May 30, 2007 the derivative action was dismissed without prejudice.

Other Proceedings

The Company is also party to various legal proceedings that are ordinary and incidental to its business. Management does not expect that any legal proceedings currently pending will have a material adverse impact on the Company’s financial statements.

Guarantees and Indemnifications

In the ordinary course of its business, the Company may enter into service agreements with service providers in which it agrees to indemnify or limit the service provider against certain losses and liabilities arising from the service provider’s performance of the agreement. The Company has reviewed its existing contracts containing indemnification or clauses of guarantees and does not believe that its liability under such agreements will result in any material liability.

15


NOTE I — PREFERRED STOCK

In May 2006, in connection with its debt refinancing, the Company redeemed 37,881 shares of its 7% Redeemable Preferred Stock for $64.7 million and issued 50,000 shares of Series A Convertible Preferred Stock (“Series A Preferred”) with a stated value of $1,000 per share. The Company incurred $0.3 million of fees in connection with the redemption of the 7% Redeemable Preferred Stock and $2.3 million of costs to issue the Series A Preferred shares. The Series A Preferred provides for cumulative dividends at a rate of 3.33% per annum, payable quarterly in arrears. The Company may elect to defer the payment of dividends. The Series A Preferred may be converted into common shares at $7.56 per share at the option of the holders after a required holding period of 61 days which has since passed or at the option of the Company upon satisfaction of certain conditions. In addition, the initial holders of the Series A Preferred are entitled to have representation on the board of directors of the Company and are entitled to vote on all matters on which the holders of the Company’s common stock are entitled to vote.

The Company has separately accounted for the beneficial conversion feature granted to the holders of the Series A Preferred. The value of the beneficial conversion feature is $3.8 million and is comprised of $1.8 million related to the cost paid by the Company on behalf of the holders and $2.0 million related to the difference between the stated conversion price of the preferred shares and the fair market value of the common stock at the commitment date. The beneficial conversion feature has been included in the value of the Series A Preferred; and was amortized as a reduction of income available to common shareholders over the 61 day holding period.

NOTE J – NET (LOSS) INCOME PER COMMON SHARE

Basic per common share amounts are computed using the weighted average number of common shares outstanding during the period. Diluted per common share amounts are computed using the weighted average number of common shares outstanding during the period and dilutive potential common shares. Dilutive potential common shares consist of stock options, restricted shares, and convertible preferred stock, and are calculated using the treasury stock method.

16


NOTE J – NET (LOSS) INCOME PER COMMON SHARE (CONTINUED)

Net (loss) income per share is computed as follows:

Three Months Ended
June 30,
Six Months Ended
June 30,
(In thousands, except share and per share data) 2007
2006
2007
2006

Net income (loss)
    $ 5,092   $ (5,724 ) $ 6,876   $ (4,895 )
Preferred stock dividends declared and accretion-7% Redeemable  
   Preferred Stock (1)    --    (1,186 )  --    (2,751 )
Preferred stock dividends -Series A Convertible Preferred Stock (1)    (416 )  (167 )  (833 )  (167 )
Accretion of beneficial conversion feature    --    (2,224 )  --    (2,224 )





Net income (loss) applicable to common stock
   $ 4,676   $ (9,301 ) $ 6,043   $ (10,037 )





Shares of common stock outstanding used to compute basic
  
    per common share amounts    22,399,292    21,946,319    22,295,606    21,891,694  
Effect of dilutive restricted stock and options    1,036,686    --    998,941    --  
Effect of dilutive convertible preferred stock    6,613,757    --    6,613,757    --  




Shares used to compute dilutive per common share amounts (2)    30,049,735    21,946,319    29,908,304    21,891,694  





Basic income (loss) per share applicable to common stock
   $ 0.21   $ (0.42 ) $ 0.27   $ (0.46 )
Diluted income (loss) per share applicable to common stock    0.17    (0.42 )  0.23    (0.46 )

(1) For the three and six month periods ended June 30, 2006, excludes the effect of the conversion of the 7% Redeemable Preferred Stock as it is considered anti-dilutive. For the three and six month periods ended June 30, 2006, excludes the effect of the Series A Convertible Preferred Stock as it is considered anti-dilutive.

(2) For the three months and six months ended ended June 30, 2007 and 2006, options to purchase 1,401,960, 1,461,065, 1,684,065, and 1,684,065 shares of common stock, respectively, are not included in the computation of diluted income per share as these options are anti-dilutive because the exercise prices of these options were greater than the average market price of the Company’s stock during the period.

NOTE K – SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN

The Company’s unfunded noncontributory defined benefit plan (the “Plan”) covers certain senior executives, is administered by the Company and calls for annual payments upon retirement based on years of service and final average salary. Benefit costs and liabilities balances are calculated based on certain assumptions including benefits earned, discount rates, interest costs, mortality rates and other factors. Actual results that differ from the assumptions are accumulated and amortized over future periods, affecting the recorded obligation and expense in future periods.

The following assumptions were used in the calculation of the net benefit cost and obligation at June 30, 2007:

Discount rate      5.75 %
Average rate of increase in compensation    3.00 %

17


NOTE K – SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (CONTINUED)

We believe the assumptions used are appropriate, however, changes in assumptions or differences in actual experience may affect our benefit obligation and future expenses. The change in the Plan’s net benefit obligation is as follows:

(In thousands)

Net benefit cost accrued at December 31, 2006
    $ 5,851  
Service cost    1,041  
Interest cost    168  
Amortization of (gain) loss    --  

Net benefit cost accrued at June 30, 2007   $ 7,060  

NOTE L — STOCK-BASED COMPENSATION

Employee Plans

Under the Company’s 2002 Stock Option Plan, 1.5 million shares of common stock were authorized for issuance. Options may only be granted at an exercise price that is not less than the fair market value of the common stock on the date of grant and may expire no later than ten years after grant. Vesting and expiration periods are established by the Compensation Committee of the Board of Directors, generally with vesting of four years following the date of grant and generally with expirations of ten years after grant. During 2003, the 2002 Stock Option Plan was amended to permit the grant of restricted shares of common stock in addition to stock options and to change the name of the plan to the 2002 Stock Incentive Plan. During May 2006, an additional 2.7 million shares of common stock were authorized for issuance. In May 2007, the Company’s shareholders approved amendments to the 2002 Stock Incentive Plan, most notably the incorporation of the Company’s current annual incentive plan for certain executive officers into the 2002 Stock Incentive Plan. The amendments resulted in the following changes to the 2002 Stock Incentive Plan: (i) addition of performance-based cash awards (“Incentive Awards”) and renaming the 2002 Stock Incentive Plan to be the 2002 Stock Incentive and Bonus Plan; (ii) limitation on the number of options, shares of restricted stock, annual Incentive Awards and long-term Incentive Awards that an individual can receive during any calendar year; (iii) addition of a list of specific performance goals that the Company may use for the provision of awards under the 2002 Stock Incentive and Bonus Plan; (iv) limitation on the total number of shares of stock issued pursuant to the exercise of incentive stock options; and (v) addition of a provision allowing for the Company to institute a compensation recovery policy, which would allow the Compensation Committee, in appropriate circumstances, to seek reimbursement of certain compensation realized under awards granted under the 2002 Stock Incentive and Bonus Plan.

18


NOTE L — STOCK-BASED COMPENSATION (CONTINUED)

Employee Plans (continued)

During the six months ended June 30, 2007, no shares were cancelled under the 2002 Stock Incentive and Bonus Plan. At June 30, 2007, 3,041,002 shares of common stock were available for issuance.

Director Plans

During April and May 2003, the Compensation Committee of the Board of Directors and the shareholders of the Company, respectively, approved the 2003 Non-Employee Directors’ Stock Incentive Plan (“2003 Directors’ Plan”) which replaced the Company’s 1993 Non-Employee Director Stock Option Plan (“Director Plan”). The 2003 Directors’ Plan authorized 500,000 shares of common stock for grant and permits the issuance of stock options and restricted shares of common stock. The 2003 Directors’ Plan also provides for the automatic annual grant of 8,500 shares of restricted shares of common stock to each director and permits the grant of an additional restricted stock in the event the director elects to receive his or her annual director fee in restricted shares of common stock rather than cash. Options may only be granted at an exercise price that is not less than the fair market value of the common stock on the date of grant and may expire no later than ten years after grant. Vesting and expiration periods are established by the Compensation Committee of the Board of Directors, generally with vesting of three years following grant and generally with expirations of ten years after grant. In May 2007, the Company’s shareholders further approved an amendment to the 2003 Directors’ Plan providing for the issuance by the Company of restricted stock units to its non-employee directors, at the option of such director. The restricted stock units effectively allow the director to elect to defer receipt of the shares of restricted stock which the director would ordinarily receive on an annual basis until (i) the January 15th of the year following the calendar year in which the director terminates service on the Board of Directors, or (ii) the fifth, tenth or fifteenth anniversary of the annual meeting date on the election form for that year. The director may elect to receive his or her annual grant of restricted stock, including shares to be received in lieu of the annual director fee, in the form of restricted stock units, with such election to take place on or prior to the date of the annual meeting of stockholders for such year. The restricted stock units are subject to the same vesting period as the shares of restricted stock issued under the 2003 Directors’ Plan. During the six months ended June 30, 2007, no shares were cancelled under the 2003 Directors’ Plan. At June 30, 2007, 310,261 shares of common stock were available for issuance.

19


NOTE L — STOCK-BASED COMPENSATION (CONTINUED)

Restricted Shares of Common Stock

A summary of the activity of restricted shares of common stock for the six months ended June 30, 2007 is as follows:

Employee Plans
Director Plans
Shares
Weighted
Average Grant
Date Fair Value

Shares
Weighted
Average Grant
Date Fair Value

Nonvested at December 31, 2006      993,375   $ 7.91    79,135   $ 7.52  
Granted    --    --    70,200    11.38  
Vested    (250,187 )  7.61    (24,962 )  7.54  
Forfeited    (14,250 )  7.95    --    --  



Nonvested at June 30, 2007
    728,938   $ 8.01    124,373   $ 9.70  


During the three and six month periods ended June 30, 2007, 209,024 and 275,149 restricted shares of common stock, with an intrinsic value of $1.7 million and $2.1 million, respectively, became fully vested. As of June 30, 2007, total unrecognized compensation cost related to unvested restricted shares of common stock was approximately $6.2 million and the related weighted-average period over which it is expected to be recognized is approximately 2.7 years. The aggregate granted shares have vesting dates through June 2010.

Options

The summary of option activity and weighted average exercise prices are as follows:

Employee Plans
Director Plans
Non-Qualified Awards
(In thousands, except per share and weighted average price amounts) Shares
Weighted
Average Price

Shares
Weighted
Average Price

Shares
Weighted
Average Price


Outstanding at December 31, 2006
     2,388,983   $ 10.70    188,411   $ 10.04    406,000   $ 5.95  
Granted    --    --    --    --    --    --  
Terminated    (110,700 )  16.21    --    --    --    --  
Exercised    (154,540 )  3.39    (35,298 )  5.68    --    --  




Outstanding at June 30, 2007
    2,123,743   $ 10.95    153,113   $ 11.04    406,000   $ 5.95  




Aggregate intrinsic value at June 30, 2007
   $ 23,239,226       $ 1,691,179       $ 2,415,000      
Weighted average remaining contractual term (years)    2.7        5.3        2.8      

The intrinsic value of options exercised during the three and six months ended June 30, 2007 was $0.1 million and $0.7 million, respectively. Options exercisable under the Company’s share-based compensation plans at June 30, 2007 were 2.7 million shares with a weighted average exercise price of $10.22, an average remaining contractual term of 2.9 years, and an aggregate intrinsic value of $27.3 million. Cash received by the Company related to the exercise of options during the three and six months ended June 30, 2007 amounted to $0.07 million and $0.3 million, respectively. As of June 30, 2007, total unrecognized compensation cost related to stock option awards was approximately $0.01 million and the related weighted-average period over which it is expected to be recognized is approximately 2.9 years.

20


NOTE L — STOCK-BASED COMPENSATION (CONTINUED)

Information concerning outstanding and exercisable options as of June 30, 2007 is as follows:

Options Outstanding
Options Exercisable
Number of Weighted Average
Number of Weighted
Range of
Exercise Prices

Options
or Awards

Remaining
Life (Years)

Exercise
Price

Options
or Awards

Average
Exercise Price

                   
$1.64  to  $1.65  377,266    2.0   $ 1.64    377,266   $ 1.64  
  4.63  to    6.02  744,525    2.2    5.38    728,531    5.38  
  8.08  to  12.10  162,105    5.6    9.32    162,105    9.32  
12.96  to  18.63  1,293,960    3.3    14.58    1,293,960    14.58  
22.13  to  22.50  105,000    1.4    22.31    105,000    22.31  





     2,682,856    2.9   $ 10.19    2,666,862   $ 10.22  





NOTE M – SEGMENT AND RELATED INFORMATION

The Company has identified two reportable segments in which it operates based on the products and services it provides. The Company evaluates segment performance and allocates resources based on the segments’ income from operations. The reportable segments are: (i) patient-care centers and (ii) distribution. The reportable segments are described further below:

Patient-Care Centers – This segment consists of the Company’s owned and operated patient-care centers and fabrication centers of O&P components. The patient-care centers provide services to design and fit O&P devices to patients. These centers also instruct patients in the use, care and maintenance of the devices. Fabrication centers are involved in the fabrication of O&P components for both the O&P industry and the Company’s own patient-care centers.

Distribution – This segment distributes orthotic and prosthetic (“O&P”) products and components to both the O&P industry and the Company’s own patient-care practices.

Other – This segment consists of Hanger Corporate, IN, Inc. and Linkia. IN, Inc. specializes in bringing emerging MyoOrthotics Technologies® to the O&P market. MyoOrthotics Technologies represents the merging of orthotic technologies with electrical stimulation. Linkia is a national managed-care agent for O&P services and a patient referral clearing house.

The accounting policies of the segments are the same as those described in the summary of “Significant Accounting Policies” in Note B to the condensed consolidated financial statements. Summarized financial information concerning the Company’s reportable segments is shown in the following table. Intersegment sales mainly include sales of O&P components from the distribution segment to the patient-care centers segment and were made at prices which approximate market values.

21


NOTE M – SEGMENT AND RELATED INFORMATION (CONTINUED)

Patient-Care
Centers

Distribution
Other
Consolidating
Adjustments

Total
(In thousands)                        
Three Months Ended June 30, 2007  
Net sales  
   Customers   $ 144,372   $ 15,522   $ 472   $ --   $ 160,366  
   Intersegments    --    31,735    140    (31,875 )  --  
Depreciation and amortization    3,047    86    745    --    3,878  
Income (loss) from operations    24,007    4,715    (11,409 )  516    17,829  
Interest (income) expense    (1,628 )  1,728    9,025    --    9,125  
Income (loss) before taxes    25,635    2,987    (20,434 )  516    8,704  

Three Months Ended June 30, 2006
  
Net sales  
   Customers   $ 138,416   $ 14,439   $ --   $ --   $ 152,855  
   Intersegments    --    27,878    (1,462 )  (26,416 )  --  
Depreciation and amortization    3,138    76    545    --    3,759  
Income (loss) from operations    21,090    4,916    (9,534 )  (473 )  15,999  
Interest (income) expense    (1,586 )  1,727    9,773    --    9,914  
Income (loss) before taxes    22,676    3,188    (35,721 )  (473 )  (10,330 )

(In thousands)
  
Six Months Ended June 30, 2007  
Net sales  
   Customers   $ 274,981   $ 28,570   $ 666   $ --   $ 304,217  
   Intersegments    --    60,575    567    (61,142 )  --  
Depreciation and amortization    6,052    168    1,406    --    7,626  
Income (loss) from operations    43,159    8,335    (22,121 )  852    30,225  
Interest (income) expense    (3,255 )  3,460    18,260    --    18,465  
Income (loss) before taxes    46,414    4,875    (40,381 )  852    11,760  

Total assets
    661,092    98,674    (34,051 )  --    725,715  
Capital expenditures    5,352    377    3,365    --    9,094  

Six Months Ended June 30, 2006
  
Net sales  
   Customers   $ 265,555   $ 27,745   $ --   $ --   $ 293,300  
   Intersegments    --    51,981    (1,462 )  (50,519 )  --  
Depreciation and amortization    6,241    152    1,054    --    7,447  
Income (loss) from operations    36,878    9,582    (19,073 )  (473 )  26,914  
Interest (income) expense    (3,160 )  3,454    19,120    --    19,414  
Income (loss) before taxes    40,039    6,128    (54,609 )  (473 )  (8,915 )

Total assets
    628,817    86,550    3,549    --    718,916  
Capital expenditures    4,198    45    934    --    5,177  

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ITEM 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Overview

The following is a discussion of our results of operations and financial position for the periods described below. This discussion should be read in conjunction with the Consolidated Financial Statements included in this report. Our discussion of our results of operations and financial condition includes various forward-looking statements about our markets, the demand for our products and services and our future results. These statements are based on our current expectations, which are inherently subject to risks and uncertainties. Our actual results and the timing of certain events may differ materially from those indicated in the forward looking statements.

Business Overview

General

We are the largest owner and operator of orthotic and prosthetic (“O&P”) patient-care centers (“patient-care centers”), accounting for approximately 22% of the $2.5 billion O&P patient-care market, in the United States. In addition, through our wholly-owned subsidiary, Southern Prosthetic Supply, Inc. (“SPS”), we are the largest distributor of branded and private label O&P devices and components in the United States, all of which are manufactured by third parties. We also create products, through our wholly-owned subsidiary, Innovative Neurotronics, Inc. (“IN, Inc.”), for sale in our patient-care centers and through a sales force, to patients who have had a loss of mobility due to strokes, multiple sclerosis or other similar conditions. Another subsidiary, Linkia, LLC (“Linkia”), develops programs to manage all aspects of O&P patient care for large private payors.

For the three and six month periods ended June 30, 2007, our net sales were $160.4 million and $304.2 million, respectively, and we recorded net income of $5.1 million and $6.9 million, respectively.

We conduct our operations in two segments – patient-care centers and distribution. For the three months ended June 30, 2007, net sales attributable to our patient-care services segment and distribution segment were $144.4 million and $47.3 million, respectively. For the six months ended June 30, 2007, net sales attributable to our patient-care services segment and distribution segment were $275.0 million and $89.1 million, respectively. See Note M to our consolidated financial statements contained herein for further information related to our segments.

Patient Care Centers

At June 30, 2007, we operated 621 O&P patient-care centers in 45 states and the District of Columbia and employed in excess of 1,000 revenue-generating O&P practitioners (“practitioners”).

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In our orthotics business, we design, fabricate, fit and maintain a wide range of standard and custom-made braces and other devices (such as spinal, knee and sports-medicine braces) that provide external support to patients suffering from musculoskeletal disorders, such as ailments of the back, extremities or joints and injuries from sports or other activities. In our prosthetics business, we design, fabricate, fit and maintain custom-made artificial limbs for patients who are without one or more limbs as a result of traumatic injuries, vascular diseases, diabetes, cancer or congenital disorders. O&P devices are increasingly technologically advanced and are custom-designed to add functionality and comfort to patients’ lives, shorten the rehabilitation process and lower the cost of rehabilitation.

Patients are referred to our local patient-care centers directly by physicians as a result of our reputation with them or through our agreements with managed care providers. Practitioners, technicians and office administrators staff our patient-care centers. Our practitioners generally design and fit patients with, and the technicians fabricate, O&P devices as prescribed by the referring physician. Following the initial design, fabrication and fitting of our O&P devices, our technicians conduct regular, periodic maintenance of O&P devices as needed.

Our practitioners are also responsible for managing and operating our patient-care centers and are compensated, in part, based on their success in managing costs and collecting accounts receivable. We provide centralized administrative, marketing and materials management services to take advantage of economies of scale and to increase the time practitioners have to provide patient care. In areas where we have multiple patient-care centers, we also utilize shared fabrication facilities where technicians fabricate devices for practitioners in that region.

Distribution

Our distribution segment, SPS, is the largest distributor in the O&P market with a dedicated sales force and four distribution sites in the United States. SPS purchases and distributes O&P products to our patient-care centers as well as independent O&P providers. In July 2007, SPS acquired certain assets of SureFit, LLC, a leading manufacturer and distributor of therapeutic footwear for diabetic patients in the podiatric market.

Product Development

In 2004, we formed a new subsidiary, IN, Inc. Specializing in the field of functional electrical stimulation, IN, Inc. identifies emerging MyoOrthotics Technologies® developed at research centers and universities throughout the world that use neuromuscular stimulation to improve the functionality of an impaired limb. MyoOrthotics Technologies represents the merging of orthotic technologies with electrical stimulation. Working with the inventors, IN, Inc. advances the design and manufacturing, the regulatory and clinical aspects of the technology and then introduces the devices to the marketplace through a variety of distribution channels. IN, Inc.‘s first product, the WalkAide System, has received U.S. Food and Drug Administration (“FDA”) approval and was released for sale through our patient-care centers on May 1, 2006. In November 2006, we received ISO 13485 certification as well as the European CE Mark which are widely accepted quality management standards for medical devices and related services. In July 2007, the Company announced its international distribution agreement with Teijin Pharma Limited in Japan. We anticipate continued development of additional channels, both internationally and within the United States, for the WalkAide product.

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Provider Network Management

Linkia is the first provider network management service company dedicated solely to serving the O&P market. Linkia was created in 2003 and is dedicated to managing the O&P services of national insurance companies. Linkia partners with healthcare insurance companies by securing national and regional contracts to manage the O&P networks. In 2004, Linkia entered into its first contract and in September 2005, Linkia signed an agreement with CIGNA HealthCare that covers over nine million beneficiaries. We will continue the deployment of the Linkia network and although it is too early to assess the overall success of this effort, we expect the Linkia contracts to positively impact patient-care center sales, as the CIGNA contract is phased in.

Industry Overview

We estimate that the O&P patient care market in the United States is approximately $2.5 billion, of which we account for approximately 22%. The O&P patient care services market is highly fragmented and is characterized by local, independent O&P businesses, with the majority generally having a single facility with annual revenues of less than $1.0 million. We do not believe that any of our patient care competitors account for a market share of more than 2% of the country’s total estimated O&P patient care services revenue.

The care of O&P patients is part of a continuum of rehabilitation services including diagnosis, treatment and prevention of future injury. This continuum involves the integration of several medical disciplines that begins with the attending physician’s diagnosis. A patient’s course of treatment is generally determined by an orthopedic surgeon, vascular surgeon or physiatrist, who writes a prescription and refers the patient to an O&P patient care services provider for treatment. A practitioner then, using the prescription, consults with both the referring physician and the patient to formulate the design of an orthotic or prosthetic device to meet the patient’s needs.

The O&P industry is characterized by stable, recurring revenues, primarily resulting from the need for periodic replacement and modification of O&P devices. Based on our experience, the average replacement time for orthotic devices is one to three years, while the average replacement time for prosthetic devices is three to five years. There is also an attendant need for continuing O&P patient care services. In addition to the inherent need for periodic replacement and modification of O&P devices and continuing care, we expect the demand for O&P services will continue to grow as a result of several key trends, including:

Aging U.S. Population. The growth rate of the over-65 age group is nearly triple that of the under-65 age group. There is a direct correlation between age and the onset of diabetes and vascular disease, which is the leading cause of amputations. With broader medical insurance coverage, increasing disposable income, longer life expectancy, greater mobility expectations and improved technology of O&P devices, we believe the elderly will increasingly seek orthopedic rehabilitation services and products.

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Growing Physical Health Consciousness. The emphasis on physical fitness, leisure sports and conditioning, such as running and aerobics, is growing, which has led to increased injuries requiring orthopedic rehabilitative services and products. These trends are evidenced by the increasing demand for new devices that provide support for injuries, prevent further or new injuries or enhance physical performance.

Increased Efforts to Reduce Healthcare Costs. O&P services and devices have enabled patients to become ambulatory more quickly after receiving medical treatment in the hospital. We believe that significant cost savings can be achieved through the early use of O&P services and products. The provision of O&P services and products in many cases reduces the need for more expensive treatments, thus representing a cost savings to third-party payors.

Advancing Technology. The range and effectiveness of treatment options for patients requiring O&P services have increased in connection with the technological sophistication of O&P devices. Advances in design technology and lighter, stronger and more cosmetically acceptable materials have enabled patients to replace older O&P devices with new O&P products that provide greater comfort, protection and patient acceptability. As a result, treatment can be more effective or of shorter duration, giving the patient greater mobility and a more active lifestyle. Advancing technology has also increased the prevalence and visibility of O&P devices in many sports, including skiing, running and tennis.

Competitive Strengths

The combination of the following competitive strengths will help us in growing our business through an increase in our net sales, net income and market share:

  Leading market position, with an approximate 22% share of total industry revenues and operations in 45 states and the District of Columbia, in an otherwise fragmented industry;

  National scale of operations, which has better enabled us to:

  - establish our brand name and generate economies of scale;

  - implement best practices throughout the country;

  - utilize shared fabrication facilities;

  - contract with national and regional managed care entities;

  - identify, test and deploy emerging technology; and

  - increase our influence on, and input into, regulatory trends;

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  Distribution of, and purchasing power for, O&P components and finished O&P products, which enables us to:

  - negotiate greater purchasing discounts from manufacturers and freight providers;

  - reduce patient-care center inventory levels and improve inventory turns through centralized purchasing control;

  - quickly access prefabricated and finished O&P products;

  - promote the usage by our patient-care centers of clinically appropriate products that also enhance our profit margins;

  - engage in co-marketing and O&P product development programs with suppliers; and

  - expand the non-Hanger client base of our distribution segment;

  Development of leading-edge technology for sale in our practices and through distributors;

  Full O&P product offering, with a balanced mix between orthotics services and products and prosthetics services and products;

  Practitioner compensation plans that financially reward practitioners for their efficient management of accounts receivable collections, labor, materials, and other costs, and encourages cooperation among our practitioners within the same local market area;

  Proven ability to rapidly incorporate technological advances in the fitting and fabrication of O&P devices;

  History of successful integration of small and medium-sized O&P business acquisitions, including 57 O&P businesses since 1997, representing over 155 patient-care centers;

  Highly trained practitioners, whom we provide with the highest level of continuing education and training through programs designed to inform them of the latest technological developments in the O&P industry, and our certification program located at the University of Connecticut; and

  Experienced and committed management team.

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Business Strategy

Our goal is to continue to provide superior patient care and to be the most cost-efficient, full service, national O&P operator. The key elements of our strategy to achieve this goal are to:

  Improve our performance by:

  - developing and deploying new processes to improve the productivity of our practitioners;

  - continuing periodic patient evaluations to gauge patients' device and service satisfaction;

  - improving the utilization and efficiency of administrative and corporate support services;

  - enhancing margins through continued consolidation of vendors and product offering; and

  - leveraging our market share to increase sales and enter into more competitive payor contracts;

  Increase our market share and net sales by:

  - continued marketing of Linkia to regional and national providers and contracting with national and regional managed care providers who we believe select us as a preferred O&P provider because of our reputation, national reach, density of our patient-care centers in certain markets and our ability to help reduce administrative expenses;

  - increasing our volume of business through enhanced comprehensive marketing programs aimed at referring physicians and patients, such as our Patient Evaluation Clinics program, which reminds patients to have their devices serviced or replaced and informs them of technological improvements of which they can take advantage; and our “People in Motion” program which introduces potential patients to the latest O&P technology;

  - expanding the breadth of products being offered out of our patient-care centers; and

  - increasing the number of practitioners through our residency program;

  Develop businesses that provide services and products to the broader rehabilitation and post-surgical healthcare areas as demonstrated by our emerging venture called TotalCare;

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  Continue to create, license or patent and market devices based on new cutting edge technology. We anticipate bringing new technology to the market through our IN, Inc. product line. The first new product, the WalkAide System, was released for sale on May 1, 2006;

  Selectively acquire small and medium-sized O&P patient care service businesses and open satellite patient-care centers primarily to expand our presence within an existing market and secondarily to enter into new markets; and

  Provide our practitioners with:

  - the training necessary to utilize existing technology for different patient service facets, such as the use of our Insignia scanning system for burns and cranial helmets;

  - career development and increased compensation opportunities;

  - a wide array of O&P products from which to choose;

  - administrative and corporate support services that enable them to focus their time on providing superior patient care; and

  - selective application of new technology to improve patient care.

Results and Outlook

Net sales for the three months ended June 30, 2007 increased by $7.5 million, or 4.9%, to $160.4 million from $152.9 million in the prior year’s second quarter. The sales increase was principally the result of a $5.8 million, or 4.2%, increase in same-center sales in our patient care business and an increase of $1.0 million in external sales of our distribution segment. Income from operations increased by $1.8 million for the three months ended June 30, 2007, to $17.8 million, or 11.2% of net revenues, from $16.0 million, or 10.4% of net revenues, in the same period of the prior year due principally to the sales increase. Income from operations as a percentage of net revenues increased 0.8% due to improvements in selling, general and administrative costs, which are generally fixed, offset by a slight increase in cost of material. Net income applicable to common stock for the three months ended June 30, 2007 increased $13.9 million to $4.7 million, from a loss of $9.3 million in the same period of the prior year. The current period benefited from the increased sales volume and lower interest costs, which resulted from the Company’s refinancing efforts which were completed in the prior year. The prior year’s results include a $16.4 million charge related to the extinguishment of debt.

Net sales for the six months ended June 30, 2007 increased by $10.9 million, or 3.7%, to $304.2 million from $293.3 million in the same period of the prior year. The sales increase was principally the result of a $9.1 million, or 3.5%, increase in same-center sales in our patient care business, and a $0.8 million increase in external sales of our distribution segment. Income from operations increased by $3.3 million for the six months ended June 30, 2007, to $30.2 million, or 9.9% of net revenues, from $26.9 million, or 9.1% of net revenues, in the same period of the prior year due principally to the sales increase. Income from operations as a percentage of net revenues increased 0.8% due to improvements in selling, general and administrative costs, which are generally fixed, offset by a slight increase in cost of material. Net income applicable to common stock for the six months ended June 30, 2007 increased $16.0 million to $6.0 million, from a loss of $10.0 million in the same period of the prior year. The current period benefited from the increased sales volume and lower interest costs, which resulted from the Company’s refinancing efforts which were completed in the prior year. The prior year’s results include a $16.4 million charge related to the extinguishment of debt.

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We continue to improve upon our cash collections. Day’s sales outstanding (“DSO”), which is the number of days between the billing for our O&P services and the date of our receipt of payment, decreased to 57 days as of June 30, 2007 compared to 60 days at June 30, 2006. The decrease in DSO is due to continued efforts at the patient-care centers to target collections as well as other work flow enhancements.

We expect to continue to see an increase in our sales volume over the next year as a result of the increase in Medicare reimbursement, continued roll out of Linkia national contracts, sales from IN, Inc.‘s WalkAide and growth from our distribution segment. We will also continue our efforts to counter the cyclical trends and challenges present in our market by undertaking several specific initiatives:

  continued marketing of the Linkia model to national and large regional insurance carriers;
  the utilization of our centralized billing system, OPS, to analyze related O&P procedures in an effort to provide comprehensive services;
  the introduction of new products by entering into exclusive distribution contracts with O&P product manufacturers; and
  continuing discussions with rehabilitation providers to enable us to provide more comprehensive O&P services.

Critical Accounting Policies & Estimates

Our analysis and discussion of our financial condition and results of operations are based upon our Consolidated Financial Statements. The unaudited interim consolidated financial statements as of and for the three and six months ended June 30, 2007 and 2006 have been prepared by the Company pursuant to the rules and regulations of the Securities and Exchange Commission (the “SEC”) for interim financial reporting. These consolidated statements are unaudited and, in the opinion of management, include all adjustments (consisting of normal recurring adjustments and accruals) necessary for a fair statement for the periods presented. The year-end consolidated data was derived from audited financial statements but does not include all disclosures required by accounting principles generally accepted in the United States of America (“GAAP”).

These consolidated financial statements should be read in conjunction with the consolidated financial statements of Hanger Orthopedic Group, Inc. (the “Company”) and notes thereto included in the Annual Report on Form 10-K for the year ended December 31, 2006, filed by the Company with the SEC. We believe the following accounting policies are critical to understanding the results of operations and affect the more significant judgments and estimates used in the preparation of the Consolidated Financial Statements.

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  Revenue Recognition: Revenues on the sale of orthotic and prosthetic devices and associated services to patients are recorded when the device is accepted by the patient, provided that (i) delivery has occurred or services have been rendered; (ii) persuasive evidence of an arrangement exists; (iii) the sales price is fixed or determinable; and (iv) collectibility is reasonably assured. Revenues on the sale of orthotic and prosthetic devices to customers by our distribution segment are recorded upon the shipment of products, in accordance with the terms of the invoice, net of merchandise returns received and the amount established for anticipated returns. Discounted sales are recorded at net realizable value. Deferred revenue represents prepaid tuition and fees received from students enrolled in our practitioner education program.

  Revenue at our patient-care centers segment is recorded net of all governmental adjustments, contractual adjustments and discounts. We employ a systematic process to ensure that our sales are recorded at net realizable value and that any required adjustments are recorded on a timely basis. The contracting module of our centralized, computerized billing system is designed to record revenue at net realizable value based on our contract with the patient’s insurance company. Updated billing information is received periodically from payors and is uploaded into our centralized contract module and then disseminated to all patient-care centers electronically.

  The following represents the composition of our patient-care segment’s accounts receivable balance by payor:

June 30, 2007
(In thousands) 0-60 days 61-120 days Over 120 days Total
Commercial and other     $ 31,263   $ 8,899   $ 8,350   $ 48,512  
Private pay    3,037    1,376    1,305    5,718  
Medicaid    6,112    2,340    2,546    10,998  
Medicare    18,070    2,918    2,400    23,388  
VA    897    243    156    1,296  




    $ 59,379   $ 15,776   $ 14,757   $ 89,912  





December 31, 2006
(In thousands) 0-60 days 61-120 days Over 120 days Total
Commercial and other     $ 27,957   $ 15,730   $ 9,866   $ 53,553  
Private pay    3,111    1,310    1,222    5,643  
Medicaid    4,639    3,686    2,778    11,103  
Medicare    13,796    5,908    2,978    22,682  
VA    833    435    177    1,445  




    $ 50,336   $ 27,069   $ 17,021   $ 94,426  





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  Disallowed sales generally relate to billings to payors with whom we do not have a formal contract. In these situations we record the sale at usual and customary ratesand simultaneously record a disallowed sale to reduce the sale to net value, based on our historical experience with the payor in question. Disallowed sales may also result if the payor rejects or adjusts certain billing codes. Billing codes are frequently updated within our industry. As soon as updates are received, we reflect the change in our centralized billing system.

  As part of our preauthorization process with payors, we validate our ability to bill the payor for the service we are providing before we deliver the device. Subsequent to billing for our devices and services, there may be problems with pre-authorization or with other insurance coverage issues with payors. If there has been a lapse in coverage, the patient is financially responsible for the charges related to the devices and services received. If we do not collect from the patient, we record bad debt expense. Occasionally, a portion of a bill is rejected by a payor due to a coding error on our part and we are prevented from pursuing payment from the patient due to the terms of our contract with the insurance company. We appeal these types of decisions and are generally successful. This activity is factored into our methodology to determine the estimate for the allowance for doubtful accounts. We immediately record, as a reduction of sales, a disallowed sale for any claims that we know we will not recover and adjust our future estimates accordingly.

  Certain accounts receivable may be uncollectible, even if properly pre-authorized and billed. Regardless of the balance, accounts receivable amounts are periodically evaluated to assess collectibility. In addition to the actual bad debt expense recognized during collection activities, we estimate the amount of potential bad debt expense that may occur in the future. This estimate is based upon our historical experience as well as a review of our receivable balances. On a quarterly basis, we evaluate cash collections, accounts receivable balances and write-off activity to assess the adequacy of our allowance for doubtful accounts. Additionally, a company-wide evaluation of collectibility of receivable balances older than 180 days is performed at least semi-annually, the results of which are used in the next allowance analysis. In these detailed reviews, the account’s net realizable value is estimated after considering the customer’s payment history, past efforts to collect on the balance and the outstanding balance, and a specific reserve is recorded if needed. From time to time, the Company may outsource the collection of such accounts to outsourced agencies after internal collection efforts are exhausted. In the cases when valid accounts receivable cannot be collected, the uncollectible account is written off to bad debt expense.

  Inventories: Inventories, which consist principally of raw materials, work-in-process and finished goods, are stated at the lower of cost or market using the first-in, first-out method. At our patient-care centers segment, we calculate cost of goods sold in accordance with the gross profit method for all reporting periods. We base the estimates used in applying the gross profit method on the actual results of the most recently completed fiscal year and other factors, such as sales mix and purchasing trends among other factors, affecting cost of goods sold during the current reporting periods. Cost of goods sold during the period is adjusted when the annual physical inventory is taken. We treat these adjustments as changes in accounting estimates. At our distribution segment, a perpetual inventory is maintained. Management adjusts our reserve for inventory obsolescence whenever the facts and circumstances indicate that the carrying cost of certain inventory items is in excess of its market price. Shipping and handling costs are included in cost of goods sold.

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  Property, Plant and Equipment: We record property, plant and equipment at cost. Equipment acquired under capital leases is recorded at the lower of fair market value or the present value of the future lease payments. The cost and related accumulated depreciation of assets sold, retired or otherwise disposed of are removed from the respective accounts, and any resulting gains or losses are included in the Consolidated Statements of Operations. Depreciation is computed for financial reporting purposes using the straight-line method over the estimated useful lives of the related assets as follows:


Furniture and fixtures 5 years

Machinery and equipment 5 years

Computers and software 5 years

Buildings 10 to 40 years

Assets under capital leases Shorter of asset life or term of lease

Leasehold improvements Shorter of asset life or term of lease


  We capitalize internally developed computer software costs incurred during the application development stage in accordance with Statement of Position 98-1, Accounting for the Costs of Computer Software Developed or Obtained for Internal Use.

  Income Taxes: We adopted the provisions of Financial Accounting Standards Board (FASB) Interpretation No. 48, “Accounting for Uncertainty in Income Taxes”, on January 1, 2007. As a result of adoption, we recognized a decrease of approximately $0.2 million to the January 1, 2007 retained earnings balance. As of the adoption date, we had gross tax affected unrecognized tax benefits of $3.3 million of which $1.1 million, if recognized, would affect the effective tax rate. Over the next 12 months we may recognize gross tax affected unrecognized tax benefits of up to $1.5 million, a substantial portion of which is not expected to impact the effective tax rate, due to the pending expiration of the period of limitations for assessing tax deficiencies for certain income tax returns. As of the adoption date, we had accrued interest expense and penalties related to the unrecognized tax benefits of $0.4 million and $0.4 million, respectively. We recognize interest accrued and penalties related to unrecognized tax benefits as a component of income tax expense. Total penalties and interest accrued as of June 30, 2007 was $0.9 million, including $0.1 million in the current income tax provision for the six month period ended June 30, 2007. The Company files numerous consolidated and separate income tax returns in the United States Federal jurisdiction and in many state jurisdictions. The Company is no longer subject to US Federal income tax examinations for years before 2003 and with few exceptions is no longer subject to state and local income tax examinations by tax authorities for years before 2002.

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New Accounting Guidance

In September 2006, the FASB issued SFAS 157, Fair Value Measurements (“SFAS 157”). SFAS 157 provides guidance on the application of fair value measurement objectives required in existing GAAP literature to ensure consistency and comparability. Additionally, SFAS 157 requires additional disclosures on the fair value measurements used. SFAS 157 is effective for fiscal years beginning after November 15, 2007. We are currently evaluating the impact of adopting SFAS 157 on our financial statements.

In February 2007, the FASB issued SFAS 159, The Fair Value Option for Financial Assets and Financial Liabilities Fair Value Measurements (“SFAS 159”). SFAS 159 permits entities to choose to measure many financial instruments and certain other items at fair value that are not currently required to be measured at fair value. Unrealized gains and losses on items for which the fair value option has been elected are reported in earnings. SFAS 159 does not affect any existing accounting literature that requires certain assets and liabilities to be carried at fair value. SFAS 159 is effective for fiscal years beginning after November 15, 2007. The Company believes the adoption of SFAS 159 will not have a material impact on its financial statements.

Results of Operations

The following table sets forth for the periods indicated certain items from our Consolidated Statements of Operations as a percentage of our net sales:

Three Months Ended
June 30,
Six Months Ended
June 30,
2007
2006
2007
2006

Net sales
     100.0  %  100.0  %  100.0  %  100.0  %
Cost of goods sold    49.2    49.3    49.8    49.6  
Selling, general and administrative    37.2    37.8    37.8    38.8  
Depreciation and amortization    2.4    2.5    2.5    2.5  




Income from operations    11.2    10.4    9.9    9.1  
Interest expense, net    5.7    6.5    6.1    6.6  
Extinguishment of debt    --    10.7    --    5.6  




(Loss) income before taxes    5.5    (6.8 )  3.8    (3.1 )
(Benefit) provision for income taxes    2.3    (3.1 )  1.6    (1.4 )




Net (loss) income    3.2    (3.7 )  2.2    (1.7 )




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Three Months Ended June 30, 2007 Compared to the Three Months Ended June 30, 2006

Net Sales. Net sales for the three months ended June 30, 2007 were $160.4 million, an increase of $7.5 million, or 4.9%, versus net sales of $152.9 million for the three months ended June 30, 2006. The sales increase was primarily the result of a $5.8 million, or 4.2%, same-center sales growth; and a $1.0 million, or 6.6%, increase in external sales of our distribution segment.

Cost of Goods Sold. Cost of goods sold for the three months ended June 30, 2007 was $78.9 million, an increase of $3.6 million, or 4.8%, over $75.3 million for the same period in the prior year. The increase was the result of the increased sales volume at our patient-care centers and distribution segments. Cost of goods sold as a percentage of net sales decreased to 49.2% in 2007 from 49.3% in 2006.

Selling, General and Administrative. Selling, general and administrative expenses for the three months ended June 30, 2007 increased by $1.9 million to $59.7 million, or 37.2% of net sales from $57.8 million, or 37.8% of net sales, for the three months ended June 30, 2006. The increase was principally due to an increase of $1.5 million in personnel costs and a $0.5 million increase in facility costs. The decrease of the percentage of net revenues from 37.8% to 37.2% is due to leveraging fixed cost over increased sales volume.

Depreciation and Amortization. Depreciation and amortization for the three months ended June 30, 2007 was $3.9 million versus $3.8 million for the three months ended June 30, 2006.

Income from Operations. Principally due to the increase in net sales, income from operations for the three months ended June 30, 2007 was $17.8 million compared to $16.0 million for the three months ended June 30, 2006. Income from operations, as a percentage of net sales, increased to 11.2% for the three months ended June 30, 2007 versus 10.4% for the prior year’s comparable period. Income from operations as a percentage of net revenues increased 0.8% due to improvements in selling, general and administrative costs, which are generally fixed, offset by a slight increase in cost of material.

Interest Expense, Net. Interest expense in the three months ended June 30, 2007 decreased to $9.1 million compared to $9.9 million in the three months ended June 30, 2006. During the three months ended June 30, 2006, the Company refinanced all of its existing debt and preferred stock, which resulted in more favorable interest costs.

Extinguishment of Debt. During May of 2006, we completed a refinancing of substantially all our outstanding debt and preferred stock, in connection with which we recognized a $16.4 million loss on extinguishment of debt.

Income Taxes. Income tax provision of $3.6 million was recognized for the three months ended June 30, 2007 compared to benefit of $4.6 million for the same period of the prior year. The change in the income tax provision was primarily the result of higher income from operations and the prior year charge for the extinguishment of debt related to the debt refinancing. The effective tax rate for the three months ended June 30, 2007 was 41.5% compared to 44.6% for the three months ended June 30, 2006. The effective tax rate for the three month periods ended June 30, 2007 and 2006 consists principally of the federal statutory tax rate of 35.0% and state income taxes.

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Net Income. As a result of the above, we recorded net income of $5.1 million for the three months ended June 30, 2007, compared to net loss of $5.7 million for the same period in the prior year. The increase is primarily due to the increase in current year’s net sales and the refinancing of certain debt instruments in the prior year.

Six Months Ended June 30, 2007 Compared to the Six Months Ended June 30, 2006

Net Sales. Net sales for the six months ended June 30, 2007 were $304.2 million, an increase of $10.9 million, or 3.7%, versus net sales of $293.3 million for the six months ended June 30, 2006. The sales increase was primarily the result of a $9.1 million, or 3.5%, same-center sales growth and a $0.8 million, or 3.0%, increase in external sales of our distribution segment.

Cost of Goods Sold. Cost of goods sold for the six months ended June 30, 2007 was $151.5 million, an increase of $5.9 million, or 4.1%, over $145.6 million for the same period in the prior year. The increase was the result of the increased sales volume at our patient-care centers and distribution segments. Cost of goods sold as a percentage of net sales increased to 49.8% in 2007 from 49.6% in 2006.

Selling, General and Administrative. Selling, general and administrative expenses for the six months ended June 30, 2007 increased by $1.5 million to $114.9 million, or 37.8% of net sales from $113.4 million, or 38.8% of net sales, for the six months ended June 30, 2006. The increase was principally due to a $1.8 million increase in personnel costs and a $0.7 million increase in facility costs, offset by a $1.1 million decrease in other variable operating expense. The decrease of the percentage of net sales from 38.8% to 37.8% is due to leveraging fixed cost over increased sales volume.

Depreciation and Amortization. Depreciation and amortization for the six months ended June 30, 2007 was $7.6 million versus $7.4 million for the six months ended June 30, 2006. This increase was primarily due to the depreciation of computer related assets.

Income from Operations. As a result of the above, income from operations for the six months ended June 30, 2007 was $30.2 million compared to $26.9 million for the six months ended June 30, 2006. Income from operations, as a percentage of net sales, increased to 9.9% for the six months ended June 30, 2007 versus 9.1% for the prior year’s comparable period primarily as a result of the increase in net sales in the six month period ended June 30, 2007. Income from operations as a percentage of net sales increased 0.8% due to improvements in selling, general and administrative costs, which are generally fixed, offset by a slight increase in cost of material.

Interest Expense, Net. Interest expense in the six months ended June 30, 2007 decreased to $18.5 million compared to $19.4 million in the six months ended June 30, 2006. During the three months ended June 30, 2006, the Company refinanced all of its existing debt and preferred stock, which resulted in more favorable interest costs.

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Extinguishment of Debt. In May 2006, we completed a refinancing of substantially all of our outstanding debt and preferred stock; in conjunction with this transaction, a $16.4 million loss on extinguishment of debt was recorded.

Income Taxes. Income tax provision of $4.9 million was recognized for the six months ended June 30, 2007 compared to a benefit of $4.0 million for the same period of the prior year. The change in the income tax provision was primarily the result of higher income from operations and the prior year charge for the extinguishment of debt related to the debt refinancing. The effective tax rate for the six months ended June 30, 2007 was 41.5% compared to 45.1% for the six months ended June 30, 2006. The effective tax rate for the six month periods ended June, 2007 and 2006 consists principally of the federal statutory tax rate of 35.0% and state income taxes.

Net Income. As a result of the above, we recorded net income of $6.9 million for the six months ended June 30, 2007, compared to net loss of $4.9 million for the same period in the prior year. The increase is primarily due to the increase in current year’s net sales and the refinancing of certain debt instruments in the prior year.

Financial Condition, Liquidity, and Capital Resources

Cash Flows

Our working capital at June 30, 2007 was $165.4 million compared to $157.2 million at December 31, 2006. Working capital increased principally as a result of continued strong cash collections as evidenced by the decrease in accounts receivable. Operating cash flows of $20.1 million for the six months ended June 30, 2007 compared favorably to $7.1 million of cash used in operations in the prior year primarily due to prior year’s extinguishment and the payment of premiums related to the refinancing of certain debt instruments. Days sales outstanding (“DSO”), which is the number of days between the billing for our O&P services and the date of our receipt of payment thereof, for the three months ended June 30, 2007, decreased to 57 days, compared to 60 days for the same period last year. The decrease in DSO is due to a continued effort at our patient-care centers to target collections. At June 30, 2007 the company’s availability under its Revolving Credit Facility was $72.0 million, net of $3.0 million of standby letters of credit.

Net cash used in investing activities was $10.4 million for the six months ended June 30, 2007, versus $5.6 million for the same period in the prior year. Cash used in investing activities in the current period included $9.1 million related to the purchase of computer related assets, machinery and equipment and leasehold improvements and $1.5 million related to the acquisition of O&P practices.

Net cash used in financing activities was $2.8 million for the six months ended June 30, 2007, compared to $17.5 million of net cash provided for the six months ended June 30, 2006. The decrease in cash provided by financing activities was primarily due to the debt refinancing in May 2006.

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Long-term debt consists of the following:

June 30,
2007

December 31,
2006

(In thousands)            
Term Loan   $ 227,700   $ 228,852  
10 1/4% Senior Notes due 2014    175,000    175,000  
Subordinated seller notes, non-collateralized, net of unamortized discount  
   with principal and interest payable in either monthly, quarterly or annual  
   installments at effective interest rates ranging from 5.0% to 10.8%, maturing  
   through December 2011    6,484    6,772  


     409,184    410,624  
Less current portion    (5,592 )  (5,386 )


    $ 403,592   $ 405,238  


Refinancing

On May 26, 2006, the Company refinanced its debt and preferred stock with the issuance of the following instruments: (i) $175.0 million of 10 ¼% Senior Notes due 2014; (ii) a $230.0 million term loan facility; and (iii) $50.0 million of Series A Convertible Preferred Stock. The Company also established a new $75.0 million revolving credit facility, which was unused at June 30, 2007. The proceeds from these instruments were used to retire (i) $200.0 million of 10 3/8% Senior Notes; (ii) $15.6 million of 11 ¼% Senior Subordinated Notes; (iii) $146.3 million of the Term Loan; (iv) $11.0 million outstanding under the Revolving Credit facility; (v) $64.7 million of 7% Redeemable Preferred Stock; and (vi) pay $24.7 million of transaction costs. In conjunction with the refinancing, the Company incurred a $17.0 million loss on the extinguishment of debt. The extinguishment loss is comprised of $11.4 million of premiums paid to debt holders, $0.3 million of fees paid to the 7% Redeemable Preferred Stock holders and $6.0 million write-off of debt issuance costs, offset by a $1.3 million gain related to the interest rate swap.

Revolving Credit Facility

The $75.0 million Revolving Credit Facility matures on May 26, 2011 and bears interest, at the Company’s option, of LIBOR plus 2.75% or a Base Rate (as defined in the credit agreement) plus 1.75%. The obligations under the Revolving Credit Facility are guaranteed by the Company’s subsidiaries and are secured by a first priority perfected interest in the Company’s subsidiaries’ shares, all of the Company’s assets and all the assets of the Company’s subsidiaries. The Revolving Credit Facility requires compliance with various covenants including but not limited to a maximum total leverage ratio and a maximum annual capital expenditures limit. As of June 30, 2007, the Company has not made draws on the Revolving Credit Facility and has $72.0 million available under that facility. Availability under the Company’s Revolving Credit Facility is net of standby letters of credit of approximately $3.0 million.

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Term Loan

The $230.0 million Term Loan matures on May 26, 2013 and requires quarterly payments commencing September 30, 2006. From time to time, mandatory payments may be required as a result of capital stock issuances, additional debt incurrence, asset sales or other events as defined in the credit agreement. The Term Loan bears interest, at the Company’s option, at LIBOR plus 2.25% or a Base Rate (as defined in the credit agreement) plus 1.50%. At June 30, 2007, the interest rate on the Term Loan was 7.61%. The obligations under the Term Loan are guaranteed by the Company’s subsidiaries and are secured by a first priority perfected interest in the Company’s subsidiaries’ shares, all of the Company’s assets and all the assets of the Company’s subsidiaries. The Term Loan is subject to covenants that mirror those of the Revolving Credit Facility.

10 ¼% Senior Notes

The 10 ¼% Senior Notes mature June 1, 2014, are senior indebtedness and are guaranteed in full and unconditionally, on a senior unsecured basis by all of the Company’s current and future domestic subsidiaries as well as all the assets of the Company. The parent company has no independent assets or operation and all subsidiaries are 100% owned by the Company. Interest is payable semi-annually on June 1 and December 1, commencing December 1, 2006. On or prior to June 1, 2009, the Company may redeem up to 35% of the aggregate principal amount of the notes at a redemption price of 110.250% of the principal amount thereof, plus accrued and unpaid interest and additional interest, if any, with the net cash proceeds of an equity offering; provided that (i) at least 65% of the aggregate principal amount of the notes remains outstanding immediately after the redemption (excluding notes held by the Company and its subsidiaries); and (ii) the redemption occurs within 90 days of the date of the closing of the equity offering. Except as discussed above, the notes are not redeemable at the Company’s option prior to June 1, 2010. On or after June 1, 2010, the Company may redeem all or part of the notes upon not less than 30 days and no more than 60 days’notice, for the twelve-month period beginning on June 1 of the following years; at (i) 105.125% during 2010; (ii) 102.563% during 2011; and (iii) 100.0% during 2012 and thereafter.

General

The terms of the Senior Notes and the Revolving Credit Facility limit the Company’s ability to, among other things, incur additional indebtedness, create liens, pay dividends on or redeem capital stock, make certain investments, make restricted payments, make certain dispositions of assets, engage in transactions with affiliates, engage in certain business activities and engage in mergers, consolidations and certain sales of assets. At June 30, 2007, the Company is in compliance with all covenants under these debt agreements.

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Obligations and Commercial Commitments

The following table sets forth our contractual obligations and commercial commitments as of June 30, 2007:

Payments Due by Period


 
2007
2008
2009
2010
2011
Thereafter
Total
(In thousands)                                
Long-term debt   $ 3,115   $ 4,806   $ 3,325   $ 2,696   $ 2,680   $ 392,562   $ 409,184  
Interest payments on long-term debt    17,807    35,325    35,022    34,801    34,602    66,365    223,922  
Operating leases    29,729    26,146    20,148    12,808    7,793    13,285    109,909  
Capital leases and other long-term obligations    720    482    521    16,299    1,845    780    20,647  







Total contractual cash obligations   $ 51,371   $ 66,759   $ 59,016   $ 66,604   $ 46,920   $ 472,992   $ 763,662  








(1) Other long-term obligations consist primarily of amounts related to our Supplemental Executive Retirement Plan, earnout payments and payments under the restructuring plans.

In addition to the table above the company has other certain tax liabilities as of June 30, 2007 comprised of $3.3 million of unrecognized tax benefits of which $0.3 million is expected to be settled in the fiscal year 2007, with the remainder thereafter.

Dividends.

The Series A Convertible Preferred Stock are entitled to cumulative dividends, accruing at an annual rate of 3.33%, or $1.7 million, payable quarterly in arrears. We have elected to pay the dividend, however we may elect to defer the future payments of dividends otherwise payable on a dividend payment date. In such event, the amount of deferred dividends will be added to the stated value. Accrued but unpaid dividends will be payable upon our liquidation in cash and upon a Holder Conversion (as defined in the Amended and Restated Preferred Stock Purchase Agreement), at the option of the Holder, either in cash (to the extent permitted under applicable law and the terms of our indebtedness) or in additional shares of our common stock. Immediately prior to the occurrence of an acceleration event prior to the fifth anniversary of the original issue date, the stated value of each share of Series A Convertible Preferred Stock will be increased by an amount per share equal to all dividends that would otherwise be payable on a share of Series A Convertible Preferred Stock on each dividend payment date on and after the occurrence of such acceleration event and prior to and including the fifth anniversary of the original issuance date.

Off-Balance Sheet Arrangements

The Company’s wholly-owned subsidiary, Innovative Neurotronics, Inc. (“IN, Inc.”), is party to a non-binding purchase agreement under which it agrees to purchase assembled WalkAide System kits. As of June 30, 2007, IN, Inc. had outstanding purchase commitments of approximately $0.4 million.

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Market Risk

We are exposed to the market risk that is associated with changes in interest rates. At June 30, 2007, all our outstanding debt, with the exception of the Revolving Credit Facility and the Term Loan, is subject to a fixed interest rate. (See Item 3 below.)

Forward Looking Statements

This report contains forward-looking statements setting forth our beliefs or expectations relating to future revenues, contracts and operations, as well as the results of an internal investigation and certain legal proceedings. Actual results may differ materially from projected or expected results due to changes in the demand for our O&P products and services, uncertainties relating to the results of operations or recently acquired O&P patient-care centers, our ability to enter into and derive benefits from managed-care contracts, our ability to successfully attract and retain qualified O&P practitioners, federal laws governing the health-care industry, uncertainties inherent in incomplete investigations and legal proceedings, governmental policies affecting O&P operations and other risks and uncertainties generally affecting the health-care industry. Readers are cautioned not to put undue reliance on forward-looking statements. We disclaim any intent or obligation to publicly update these forward-looking statements, whether as a result of new information, future events or otherwise.

ITEM 3. Quantitative and Qualitative Disclosures about Market Risk

We have existing obligations relating to our 10 ¼ % Senior Notes, Term Loan, Subordinated Seller Notes, and Series A Convertible Preferred Stock. As of June 30, 2007, we have cash flow exposure to the changing interest rate on the Term Loan and Revolving Credit Facility. The other obligations have fixed interest or dividend rates.

We have a $75.0 million revolving credit facility, with no outstanding balance at June 30, 2007, as discussed in Note G to our Condensed Consolidated Financial Statements. The rates at which interest accrues under the entire outstanding balance are variable.

In addition, in the normal course of business, we are exposed to fluctuations in interest rates. From time to time, we execute LIBOR contracts to fix interest rate exposure for specific periods of time. At June 30, 2007, we had one contract outstanding which fixed LIBOR at 7.61% and expiring on September 28, 2007.

Presented below is an analysis of our financial instruments as of June 30, 2007 that are sensitive to changes in interest rates. The table demonstrates the change in estimated annual cash flow related to the outstanding balance under the Term Loan and the Revolving Credit Facility (the Revolving Credit Facility did not have an outstanding balance at June 30, 2007), calculated for an instantaneous parallel shift in interest rates, plus or minus 50 basis points (“BPS”), 100 BPS, and 150 BPS.

41


Cash Flow Risk
Annual Interest Expense Given an Interest Rate
Decrease of X Basis Points

No Change in
Interest Rates

Annual Interest Expense Given an Interest Rate
Increase of X Basis Points

(In thousands) (150 BPS)
(100 BPS)
(50 BPS)
50 BPS
100 BPS
150 BPS

Term Loan
    $ 13,912   $ 15,051   $ 16,189   $ 17,328   $ 18,466   $ 19,605   $ 20,743  







Revolving Credit Facility    --    --    --    --    --    --    --  








 
   $ 13,912   $ 15,051   $ 16,189   $ 17,328   $ 18,466   $ 19,605   $ 20,743  








ITEM 4. Controls and Procedures

Disclosure Controls and Procedures

The Company’s disclosure controls and procedures are designed to provide reasonable assurance that information required to be disclosed by it in its periodic reports filed with the Securities and Exchange Commission is recorded, processed, summarized and reported, within the time periods specified in the Commission’s rules and forms. Based on an evaluation of the Company’s disclosure controls and procedures conducted by the Company’s Chief Executive Officer and Chief Financial Officer, such officers concluded that the Company’s disclosure controls and procedures were effective as of June 30, 2007 to ensure that information required to be disclosed in the reports filed with the Exchange Act was accumulated and communicated to management, including the Company’s Chief Executive Officer and Chief Financial Officer, to allow timely decisions regarding required disclosures.

Change in Internal Control Over Financial Reporting

In accordance with Rule 13a-15(d) under the Securities Exchange Act of 1934, management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, determined that there was no change in the Company’s internal control over financial reporting that occurred during the quarter ended June 30, 2007, that has materially effected, or is reasonably likely to materially effect, the Company’s internal control over financial reporting.

Part II. Other Information

ITEM 1. Legal Proceedings

For a description of certain legal proceedings, refer to the disclosure set forth in Note H (“Commitments and Contingent Liabilities”) in Part I, Item 1 (“Condensed Consolidated Financial Statements”).

The Company is also party to various legal proceedings that are ordinary and incidental to its business. Management does not expect that any legal proceedings currently pending will have a material adverse impact on the Company’s financial statements.

42


ITEM 1A. Risk Factors

Item 1A (“Risk Factors”) of the Company’s Annual Report on Form 10-K for the year ended December 31, 2006 sets forth information relating to important risks and uncertainties that could materially adversely affect the Company’s business, financial condition or operating results. Those risk factors continue to be relevant to an understanding of the Company’s business, financial condition and operating results. Certain of those risk factors have been updated in this Form 10-Q to provide updated information, as set forth below. References to “we,” “our” and “us” in these risk factors refer to the Company.

We incurred net losses for the year ended December 31, 2004 and could incur net losses in the future.

We incurred a net loss of $23.4 million for the year ended December 31, 2004 primarily as a result of the recognition of $45.8 million in non-cash charges related to goodwill impairment. For the three months ended June 30, 2007, the six months ended June 30, 2007 and the year ended December 31, 2006, we recorded net income of $5.1 million, $6.9 million and $3.4 million, respectively. We cannot assure that we will not incur net losses in the future.

Changes in government reimbursement levels could adversely affect our net sales, cash flows and profitability.

We derived 41.1% and 41.4% of our net sales for the three months ended June 30, 2007 and 2006, respectively, from reimbursements for O&P services and products from programs administered by Medicare, Medicaid and the U.S. Veterans Administration. For the six month periods ended June 30, 2007 and 2006, we derived 40.7% and 41.5%, respectively, in reimbursements from the programs administered by Medicare, Medicaid and the U.S. Veterans Administration. Each of these programs sets maximum reimbursement levels for O&P services and products. If these agencies reduce reimbursement levels for O&P services and products in the future, our net sales could substantially decline. In addition, the percentage of our net sales derived from these sources may increase as the portion of the U.S. population over age 65 continues to grow, making us more vulnerable to maximum reimbursement level reductions by these organizations. Reduced government reimbursement levels could result in reduced private payor reimbursement levels because fee schedules of certain third-party payors are indexed to Medicare. Furthermore, the healthcare industry is experiencing a trend towards cost containment as government and other third-party payors seek to impose lower reimbursement rates and negotiate reduced contract rates with service providers. This trend could adversely affect our net sales. Medicare provides for reimbursement for O&P products and services based on prices set forth in fee schedules for ten regional service areas. In November 2003, Congress legislated a three-year freeze on Medicare reimbursement levels which ended December 31, 2006 on all O&P services. The effect of this legislation was a downward pressure on our income from operations. During 2006, Congress enacted legislation that increased Medicare reimbursement levels by approximately 4.3% effective January 1, 2007. If the U.S. Congress were to legislate additional modifications to the Medicare fee schedules, our net sales from Medicare and other payors could be adversely and materially affected. We cannot predict whether any such modifications to the fee schedules will be enacted or what the final form of any modifications might be.

43


On April 24, 2006, the Centers for Medicare & Medicaid Services announced a proposed rule that would call for a competitive bidding program for certain covered prosthetic and orthotic equipment as required by the Medicare Modernization Act of 2003. We cannot now identify the impact of such proposed rule on us.

If we cannot collect our accounts receivable and effectively manage our inventory, our business, results of operations, financialcondition and ability to satisfy our obligations under our indebtedness could be adversely affected.

As of June 30, 2007 and December 31, 2006, our accounts receivable over 120 days represented approximately 16.5% and 16.3% of total accounts receivable outstanding in each period, respectively. If we cannot collect our accounts receivable, our business, results of operations, financial condition and ability to satisfy our obligations under our indebtedness could be adversely affected. In addition, our principal means of control with respect to accounting for inventory and costs of goods sold is a physical inventory conducted on an annual basis. This accepted method of accounting controls and procedures may result in an understatement or overstatement, as the case may be, of inventory between our annual physical inventories. In conjunction with our physical inventory performed on October 1, 2006, we recorded a $4.4 million decrease to inventory. Adjustments to inventory during interim periods following our physical inventory could adversely affect our results of operations and financial condition.

ITEM 4. Submission of Matters to a Vote of Security Holders

The Company’s Annual Meeting of Shareholders was held on May 10, 2007.

The first proposal was the election of directors. The following persons were nominated and elected to serve as members of the Board of Directors for one year or until their successors are elected and qualified by the votes indicated: Bennett Rosenthal (17,683,622 shares for and 606,674 shares withheld), Edmond E. Charrette, M.D. (17,162,451 shares for and 1,129,045 shares withheld), Thomas P. Cooper, M.D. (17,161,251 shares for and 1,129,045 shares withheld), Cynthia L. Feldman (17,161,131 shares for and 1,129,265 shares withheld), Eric A. Green (17,136,751 shares for and 1,153,545 shares withheld), Isaac Kaufman (17,670,047 shares for and 620,249 shares withheld), Thomas F. Kirk (17,669,167 shares for and 621,129 shares withheld), Ivan R. Sabel (17,663,227 shares for and 627,069 shares withheld), and H.E. Thranhardt (17,694,527 shares for and 595,769 shares withheld).

The second proposal was a proposed amendment to the Company’s 2002 Stock Incentive Plan to include variable compensation payments. The proposal was approved by the holders of more than the required majority of the shares of Common Stock voting at the meeting. The proposal was approved by a vote of 17,589,080 shares of Common Stock for (representing approximately 96.17% of the shares voting), 566,040 shares of Common Stock against, with 135,178 shares of Common Stock abstaining.

44


The third proposal was a proposed amendment to the Company’s 2003 Non-Employee Directors’ Stock Incentive Plan to provide for the deferral of income related to stock-based compensation for directors. The proposal was approved by the holders of more than the required majority of the shares of Common Stock voting at the meeting. The proposal was approved by a vote of 12,550,580 shares of Common Stock for (representing approximately 68.62% of the shares voting), 510,580 shares of Common Stock against, with 130,610 shares of Common Stock abstaining.

ITEM 6. Exhibits

  (a) Exhibits. The following exhibits are filed herewith:

  Exhibit No.          Document

  10.1 2002 Stock Incentive and Bonus Plan, as amended by the Registrant’s shareholders on May 10, 2007. (Incorporated herein by reference to Appendix 1 to the Registrant’s proxy statement, dated April 10, 2007.)

  10.2 2003 Non-Employee Directors Stock Incentive Plan, as amended by the Registrant’s shareholders on May 10, 2007. (Incorporated herein by reference to Appendix 2 to the Registrant’s proxy statement, dated April 10, 2007.)

  31.1 Written Statement of the Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

  31.2 Written Statement of the Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

  32 Written Statement of the Chief Executive Officer and Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

45


SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

HANGER ORTHOPEDIC GROUP, INC.



Dated:  August 7, 2007
/s/ Ivan R. Sabel
Ivan R. Sabel, CPO
Chairman and Chief Executive Officer
(Principal Executive Officer)


Dated:  August 7, 2007
/s/ George E. McHenry
George E. McHenry
Executive Vice President and
Chief Financial Officer
(Principal Financial Officer)


Dated:  August 7, 2007
/s/ Thomas C. Hofmeister
Thomas C. Hofmeister
Vice President of Finance
(Chief Accounting Officer)

46

EX-31.1 2 cmw2945a.htm CERTIFICATION

Exhibit 31.1

Certification of Chief Executive Officer
Pursuant to Section 302 of the Sarbanes-Oxley Act and Rule 13a-14(a)
or 15d-14(a) under the Securities Exchange Act of 1934

I, Ivan R. Sabel, certify that:

1.     I have reviewed this quarterly report on Form 10-Q of Hanger Orthopedic Group, Inc.;

2.     Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.     Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.     The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

  a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

  b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

  c) evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation, and

  d) disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s second fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.     The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):


  a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

  b) any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date:  August 7, 2007 /s/ Ivan R. Sabel
  Ivan R. Sabel, CPO
  Chairman and Chief Executive Officer


EX-31.2 3 cmw2945b.htm CERTIFICATION

Exhibit 31.2

Certification of Chief Financial Officer
Pursuant to Section 302 of the Sarbanes-Oxley Act and Rule 13a-14(a)
or 15d-14(a) under the Securities Exchange Act of 1934

I, George E. McHenry, certify that:

1.     I have reviewed this quarterly report on Form 10-Q of Hanger Orthopedic Group, Inc.;

2.     Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3.     Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4.     The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

  a) designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

  b) designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

  c) evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation, and

  d) disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s second fiscal quarter that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5.     The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent functions):


  a) all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

  b) any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date:   August 7, 2007 /s/ George E. McHenry
  George E. McHenry
  Executive Vice President and
  Chief Financial Officer


EX-32 4 cmw2945c.htm CERTIFICATION

Exhibit 32

Written Statement of the Chief Executive Officer and Chief Financial Officer
Pursuant to 18 U.S.C. Section 1350, as adopted
Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

Solely for the purposes of complying with 18 U.S.C. §1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, the undersigned Chief Executive Officer and Chief Financial Officer of Hanger Orthopedic Group, Inc. (the “Company”), hereby certify, based on our knowledge, that the Quarterly Report on Form 10-Q of the Company for the three months ended June 30, 2007 (the “Report”) fully complies with the requirements of Section 13(a) of the Securities Exchange Act of 1934 and that information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.


/s/ Ivan R. Sabel
Ivan R. Sabel
Chairman and Chief Executive Officer


/s/ George E. McHenry
George E. McHenry
Executive Vice President and
Chief Financial Officer

August 7, 2007

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