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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 September 30, 2004

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 an accelerated filer (as defined in Exchange Act Rule 12b-2 of the Exchange Act):  Yes  X   No  __

        As of November 8, 2004, 21,578,547 shares of common stock, $.01 par value per share were outstanding.


HANGER ORTHOPEDIC GROUP, INC.

INDEX

Page No.
 
Part I.    FINANCIAL INFORMATION  

Item 1.
Financial Statements

Unaudited Consolidated Balance Sheet - September 30, 2004 and
Consolidated Balance Sheet - December 31, 2003 1

Unaudited Consolidated Statements of Operations for the Three and Nine
Months Ended September 30, 2004 and Unaudited, Restated Consolidated
Statements of Operations for Three and Nine Months Ended
September 30, 2003 3

Unaudited Consolidated Statement of Cash Flows for the Nine Months Ended
September 30, 2004 and Unaudited, Restated Consolidated Statement of Cash
Flows for the Nine Months Ended September 30, 2003 4

Notes to Consolidated Financial Statements (Unaudited)
5

Item 2.
Management's Discussion and Analysis of Financial
Condition and Results of Operations 24

Item 3.
Quantitative and Qualitative Disclosures About Market Risk 35

Item 4.
Controls and Procedures 36

Part II.    OTHER INFORMATION

Item 1.
Legal Proceedings 38

Item 6.
Exhibits 39

SIGNATURES
40

Exhibit Index
41

Certifications of Chief Executive Officer and Chief Financial Officer
42

HANGER ORTHOPEDIC GROUP, INC.
CONSOLIDATED BALANCE SHEETS
(Dollars in thousands, except share and per share amounts)

September 30,
2004

December 31,
2003

(unaudited) (audited)
ASSETS

CURRENT ASSETS
           
              Cash and cash equivalents   $ 10,746   $ 15,363  
              Accounts receivable, less allowance for doubtful accounts  
                 of $6,832 and $3,875 in 2004 and 2003, respectively    110,909    112,936  
              Inventories    61,914    60,643  
              Prepaid expenses, other assets and income taxes receivable    6,053    10,160  
              Deferred income taxes    12,137    10,275  


                 Total current assets    201,759    209,377  



PROPERTY, PLANT AND EQUIPMENT
  
              Land    3,562    3,562  
              Buildings    6,119    6,073  
              Machinery and equipment    22,845    18,857  
              Computer and software    36,483    28,755  
              Furniture and fixtures    11,546    11,093  
              Leasehold improvements    26,911    23,484  


                 Property, plant and equipment, gross    107,466    91,824  
              Less accumulated depreciation and amortization    57,696    48,554  


                 Property, plant and equipment, net    49,770    43,270  



INTANGIBLE ASSETS
  
              Excess cost over net assets acquired    440,304    468,930  
              Patents and other intangible assets of $9,794 and $10,232 less  
                 accumulated amortization of $5,166 and $5,274  
                 in 2004 and 2003, respectively    4,628    4,958  


                 Total intangible assets, net    444,932    473,888  



OTHER ASSETS
  
              Debt issuance costs, net    9,933    10,816  
              Other assets    5,086    997  


                 Total other assets    15,019    11,813  



TOTAL ASSETS
   $ 711,480   $ 738,348  


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

1


HANGER ORTHOPEDIC GROUP, INC.
CONSOLIDATED BALANCE SHEETS
(Dollars in thousands, except share and per share amounts)

September 30,
2004

December 31,
2003

(unaudited) (audited)
LIABILITIES, REDEEMABLE PREFERRED STOCK
AND SHAREHOLDERS' EQUITY

CURRENT LIABILITIES
           
    Current portion of long-term debt   $ 5,566   $ 4,944  
    Accounts payable    15,658    17,959  
    Accrued expenses    6,961    5,232  
    Accrued interest payable    3,922    9,103  
    Accrued compensation related costs    31,881    30,866  
    Income taxes payable    2,436    --  


        Total current liabilities    66,424    68,104  



LONG-TERM LIABILITIES
  
    Long-term debt, less current portion    405,497    404,492  
    Deferred income taxes    32,274    34,326  
    Other liabilities    3,375    1,888  


        Total long-term liabilities    441,146    440,706  


        Total liabilities    507,570    508,810  



REDEEMABLE PREFERRED STOCK
  
    10% Redeemable Convertible Preferred Stock, liquidation  
        preference $1,000 per share    54,665    51,463  



SHAREHOLDERS' EQUITY
  
    Common stock, $.01 par value; 60,000,000 shares  
        authorized, 21,749,489 and 21,491,101 shares issued  
        and outstanding in 2004 and 2003, respectively    217    215  
    Additional paid-in capital    157,876    156,521  
    Unearned compensation    (2,238 )  (2,599 )
    Retained (deficit) earnings    (5,954 )  24,594  


     149,901    178,731  
    Treasury stock at cost (141,154 shares)    (656 )  (656 )


        Total shareholders' equity    149,245    178,075  



TOTAL LIABILITIES, REDEEMABLE PREFERRED
  
    STOCK AND SHAREHOLDERS' EQUITY   $ 711,480   $ 738,348  


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 Nine Months Ended September 30,
(Dollars in thousands, except share and per share amounts)

Three Months Ended
September 30,
Nine Months Ended
September 30,
2004
2003
2004
2003
(unaudited) (unaudited, restated)

Net sales
    $ 146,133   $ 140,045   $ 422,867   $ 405,109  
Cost of goods sold (exclusive of depreciation and amortization)    70,248    64,799    207,590    190,905  




   Gross profit    75,885    75,246    215,277    214,204  

Selling, general and administrative
    57,560    48,110    160,495    139,093  
Depreciation and amortization    3,311    2,810    9,986    7,883  
Goodwill impairment    45,808    --    45,808    --  




  (Loss) income from operations    (30,794 )  24,326    (1,012 )  67,228  

Interest expense, net
    9,054    9,786    25,650    28,236  




   (Loss) income before taxes    (39,848 )  14,540    (26,662 )  38,992  

(Benefit) provision for income taxes
    (4,946 )  5,863    684    15,771  




   Net (loss) income    (34,902 )  8,677    (27,346 )  23,221  

Preferred stock dividend and accretion
    1,351    1,404    3,202    4,142  




   Net (loss) income applicable to common stock   $ (36,253 ) $ 7,273   $ (30,548 ) $ 19,079  





Basic Per Common Share Data
  
Net (loss) income   $ (1.68 ) $ 0.35   $ (1.42 ) $ 0.92  




Shares used to compute basic per common share amounts    21,548,925    20,658,239    21,437,443    20,690,950  





Diluted Per Common Share Data
  
Net (loss) income   $ (1.68 ) $ 0.32   $ (1.42 ) $ 0.87  




Shares used to compute diluted per common share amounts    21,548,925    27,090,296    21,437,443    26,824,410  




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

3


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

2004
2003
(unaudited) (unaudited, restated)
Cash flows from operating activities:            
      Net (loss) income   $ (27,346 ) $ 23,221  
Adjustments to reconcile net income to net cash provided by  
      operating activities:  
      Gain on disposal of assets    (223 )  (73 )
      Provision for bad debts    15,285    16,426  
      Depreciation and amortization    9,986    7,883  
      Amortization of debt issuance costs    1,845    1,919  
      Goodwill impairment, net of tax effect    38,643    --  
      Compensation expense on restricted shares    669    146  
      Proceeds from termination of swaps    --    2,795  
      Amortization of terminated interest rate swaps    (384 )  (43 )
      Changes in assets and liabilities, net of effects of acquired companies:  
           Accounts receivable    (10,006 )  (17,400 )
           Inventories    (238 )  (2,076 )
           Prepaid expenses, other current assets, and income taxes receivable    107    (1,722 )
           Deferred income taxes    3,251    5,133  
           Other assets    (803 )  109  
           Accounts payable    (2,426 )  (3,214 )
           Accrued expenses, accrued interest payable, and income taxes payable    2,225    17,618  
           Accrued compensation related cost    726    (9,988 )
           Other liabilities    1,269    (418 )


Net cash provided by operating activities    32,580    40,316  



Cash flows from investing activities:
  
      Purchase of property, plant and equipment    (15,396 )  (12,962 )
      Acquisitions and earnouts    (19,668 )  (8,613 )
      Purchase of technology license    (298 )  --  
      Proceeds from sale of certain assets    366    640  


Net cash used in investing activities    (34,996 )  (20,935 )



Cash flows from financing activities:
  
      Borrowings under revolving credit agreement    38,000    22,000  
      Repayments under revolving credit agreement    (37,500 )  (32,000 )
      Repayment of long-term debt    (2,839 )  (4,159 )
      Increase in financing costs    (963 )  (1,097 )
      Proceeds from issuance of Common Stock    1,101    1,394  


Net cash used in financing activities    (2,201 )  (13,862 )



(Decrease) increase in cash and cash equivalents
    (4,617 )  5,519  
Cash and cash equivalents, at beginning of period    15,363    6,566  


Cash and cash equivalents, at end of period   $ 10,746   $ 12,085  


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 nine months ended September 30, 2004 and 2003 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 to represent fairly the consolidated balance sheets, consolidated operating results, and consolidated cash flows for the periods presented in accordance with accounting principles generally accepted in the United States of America (“GAAP”). The consolidated balance sheet at December 31, 2003 included herein has been restated to reflect accounting for the correction of an error related to a write-off of uncollectible accounts receivable (See Note C). Certain information and footnote disclosures normally included in annual financial statements prepared in accordance with GAAP have been omitted in accordance with the rules and regulations for interim reporting of the SEC.

Certain prior period amounts have been reclassified to conform to the current period presentation.

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 and the Form 10-K/A for the year ended December 31, 2003, filed by the Company with the SEC.

NOTE B – SIGNIFICANT ACCOUNTING PRINCIPLES

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.

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. For its patient-care centers segment, the Company calculates cost of goods sold in accordance with the gross profit method. The Company bases the estimates used in applying the gross profit method on the actual results of the most recently completed fiscal year and other factors affecting cost of goods sold during the current reporting periods, such as a change in the sales mix or changes in the trend of purchases. Estimated cost of goods sold during the period is reconciled and adjusted when the

5


NOTE B – SIGNIFICANT ACCOUNTING PRINCIPLES (CONTINUED)

Inventories (continued)

annual physical inventory is taken. The Company treats these adjustments as changes in accounting estimates. For its distribution segment, a perpetual inventory is maintained. Management adjusts the 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 activities are reported as part of cost of goods sold.

Goodwill

The Company assesses goodwill for impairment when events or circumstances indicate that the carrying value may not be recoverable, or, at a minimum, annually at October 1. During August 2004, the decline in the fair value of the Company’s stock triggered an interim valuation of goodwill and other intangible assets. The interim evaluation, based on a discounted cash flow model, resulted in an impairment estimate of $45.8 million as of August 31, 2004, which was recognized during the three months ended September 30, 2004. During the fourth quarter, the Company will finalize its estimate in accordance with the provisions of Statement of Financial Accounting Standards 142, Goodwill and Other Intangible Assets, and update the valuation to October 1, 2004, the Company’s annual testing date. The Company will record any changes to its estimate at that time.

Stock-Based Compensation

Restricted Shares of Common Stock

The Company issues restricted shares of common stock to its directors and certain employees. The Company recognizes the fair value of those shares at the date of grant as unearned compensation and amortizes such amount to compensation expense ratably over the vesting period of each grant.

During the three months ended September 30, 2004 the Company did not grant restricted shares of common stock. During the three months ended September 30, 2003, the Company granted 196,313 restricted shares of common stock. The Company granted 19,725 and 206,593 restricted shares of common stock during the nine months periods ended September 30, 2004 and 2003, respectively. At September 30, 2004 and 2003, a total of 171,475 and 206,593 restricted shares of common stock were outstanding, respectively. These shares had an aggregate market value of $2.5 million and $2.8 million at September 30, 2004 and 2003, respectively, as determined at the date of grant. The shares have vesting dates through April 2008, of which 49,563 shares became fully vested during the three months ended September 30, 2004.

6


NOTE B – SIGNIFICANT ACCOUNTING PRINCIPLES (CONTINUED)

Stock-Based Compensation (continued)

Options

The Company has multiple stock-based employee compensation plans and has outstanding non-qualified options held by employees. Stock-based compensation is accounted for using the intrinsic value based method. No stock-based employee compensation expense for stock options is reflected in net income as all options granted under these plans and the non-qualified options granted to employees had an exercise price equal to the market value of the underlying common stock on the date of grant. The following table illustrates the effect on net income and earnings per share if the Company had applied the fair value recognition to stock-based employee compensation for all awards:

Three Months Ended
September 30,
Nine Months Ended
September 30,
2004
2003
2004
2003
(In thousands, except per share amounts) (unaudited) (unaudited, restated)

Net (loss) income applicable to common stock, as reported
    $ (36,253 ) $ 7,273   $ (30,548 ) $ 19,079  
Add: restricted shares of common stock compensation expense,  
   net of related tax effects, included in net income as reported    195    87    395    87  
Deduct: total stock-based employee compensation  
   expense determined under the fair value method for all  
   awards, net of related tax effects    (821 )  (501 )  (1,641 )  (1,253 )




Pro forma net (loss) income applicable to common stock   $ (36,879 ) $ 6,859   $ (31,794 ) $ 17,913  





(Loss) earnings per share:
  
   Basic - as reported   $ (1.68 ) $ 0.35   $ (1.42 ) $ 0.92  
   Basic - pro forma    (1.71 )  0.33    (1.48 )  0.87  
   Diluted - as reported    (1.68 )  0.32    (1.42 )  0.87  
   Diluted - pro forma    (1.71 )  0.31    (1.48 )  0.82  

The fair value of these options was estimated at the date of grant using a Black-Scholes option pricing model with the following weighted average assumptions:

Three Months Ended
September 30,
Nine Months Ended
September 30,
2004
2003
2004
2003
Expected term (years)      4.5    5.0    4.5    5.0  %
Volatility factor    72  %  78  %  72  %  78  %
Risk free interest rate    3.5  %  3.1  %  3.4  %  2.9  %
Dividend yield    0.0  %  0.0  %  0.0  %  0.0  %
Fair value   $ --   $ 4.57   $ 9.51   $ 7.98  
Exercise price   $ --   $ 13.85   $ 15.77   $ 13.40  

7


NOTE B – SIGNIFICANT ACCOUNTING PRINCIPLES (CONTINUED)

Stock-Based Compensation (continued)

Options (continued)

For the three months ended September 30, 2004 the Company did not grant options to purchase shares of the Company’s common stock. During the three months ended September 30, 2003, the Company granted aggregate options to purchase 159,031 shares of the Company’s common stock. The Company granted aggregate options to purchase 131,865 and 301,503 shares of the Company’s common stock during the nine months periods ended September 30, 2004 and 2003, respectively.

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 K.

NOTE C – CORRECTION OF AN ERROR, RESTATEMENT OF ACCOUNTS RECEIVABLE

The previously issued consolidated balance sheet as of December 31, 2003 and the consolidated statements of operations and cash flows for the three and nine months ended September 30, 2003 have been restated to reflect a correction of an error that led to the overstatement of recorded accounts receivable and an equal understatement of bad debt expense. The error resulted in an understatement of selling, general and administrative expense of $0.3 million and $0.8 million for the three and nine months ended September 30, 2003, respectively.

The correction of the error decreased previously reported income before taxes by $0.3 million and $0.8 million for the three and nine months ended September 30, 2003, respectively. The impact of the correction decreased previously reported net income applicable to common stock by $0.2 million and $0.4 million for the three and nine month periods ended September 30, 2003, respectively. The impact of the correction decreased previously reported basic and diluted net income per share by $0.01 and $0.02 for the three and nine months ended September 30, 2003, respectively.

The discrepancy was discovered during the preparation of the Company’s June 30, 2004 financial statements. By June, the Company had substantially completed the roll-out of its new billing and cash collection system (O/P/S), which aided in the discovery of the discrepancy. The O/P/S system replaced more than 15 different billing and cash collection platforms previously utilized in the Company’s over 600 practices to bill and collect for products and services. The new system provides the Company better visibility over its accounts receivable and improved

8


NOTE C – CORRECTION OF AN ERROR, RESTATEMENT OF ACCOUNTS RECEIVABLE (CONTINUED)

controls over its inter-branch cash collection activity. After a successful pilot test, the Company commenced the installation of this system in September 2003 and by the end of June 2004 had installed the system in all practices except the patient-care centers of three recent acquisitions and three central billing offices which require an enhanced multi-user version of the system for which testing has not yet been completed.

The conversion to the O/P/S single billing and cash collection platform permitted reconciliation of inter-branch cash collection activity and the Company determined that certain receivables were uncollectible. The Company, with the concurrence of its independent registered public accounting firm, concluded that this adjustment should be reported as a correction of an error to previously issued financial statements.

NOTE D – SUPPLEMENTAL CASH FLOW FINANCIAL INFORMATION

The following are the supplemental disclosure requirements for the consolidated statements of cash flows:

Nine Months Ended
September 30,
(In thousands) 2004
2003

Cash paid (received) during the period for:
           
Interest   $ 30,325   $ 26,880  
Income taxes    (2,011 )  (7,197 )

Non-cash financing and investing activities:
  
Preferred stock dividends declared and accretion   $ 3,202   $ 4,142  
Issuance of notes in connection with acquisitions    4,350    5,308  
Unearned compensation for restricted stock issued    308    2,816  

NOTE E – ACQUISITIONS

During the trailing twelve months ended September 30, 2004, the Company acquired eight orthotics and prosthetics companies that operated a total of 41 patient-care centers. The Company paid an aggregate purchase price of $25.2 million for these acquisitions. None of these acquisitions were material to the Company. As of September 30, 2004, the purchase price allocation of two of the purchased companies has been determined on a preliminary basis due to the lack of final information necessary for measurement.

The Company believes that the purchased entities contributed to a higher market share and allowed the Company to enter new markets. All acquired entities have been profitable and have immediately contributed to the Company’s operating income and earnings per share. These

9


NOTE E – ACQUISITIONS (CONTINUED)

acquired entities generated a total of $22.9 million in the trailing twelve months’ net sales as of September 30, 2004 and $7.2 million in net sales for the quarter ended September 30, 2004. The results of operations of the acquired companies are included in the Company’s consolidated results of operations effective as of their respective acquisition dates.

During the first quarter of 2004, the Company recorded a $0.7 million restructuring reserve, included in accrued expenses, related to one of the orthotics and prosthetics companies purchased. The restructuring plan calls for the closure/merger of nine facilities and the payment of severance costs to 20 terminated employees. At September 30, 2004 four of the nine patient-care centers had been closed/merged and approximately $0.1 million in lease costs were paid. As of September 30, 2004, 11 employees had been terminated and $0.1 million of severance payments and benefits are expected to be paid through January 2005. Approximately $0.5 million of lease payments are expected to be paid through April 2008.

Earnouts are defined in the purchase agreement and are accrued based on earnout targets for the following quarter being attained. These estimates are adjusted in the actual quarter the payment is made. The Company made earnout payments of $0.8 million and $0.9 million in the nine months ended September 30, 2004 and 2003, 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 an additional $2.4 million related to earnout provisions in future periods.

The activity related to goodwill for the nine months ended September 30, 2004 is as follows:

(In thousands)        
Balance at December 31, 2003   $ 468,930  
Additions due to acquisitions    16,023  
Additions due to earnouts    1,159  
Impairment charge    (45,808 )

Balance at September 30, 2004   $ 440,304  

The additions to goodwill during the period will be deductible for tax purposes in future periods.

NOTE F – NET 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 Redeemable Convertible Preferred Stock and are calculated using the treasury stock method.

10


NOTE F – NET INCOME PER COMMON SHARE (CONTINUED)

Income per share is computed as follows:

Three Months Ended
September 30,
Nine Months Ended
September 30,
2004
2003
2004
2003
(In thousands, except share and per share amounts) (unaudited) (unaudited, restated) (unaudited) (unaudited, restated)

Net (loss) income
    $ (34,902 ) $ 8,677   $ (27,346 ) $ 23,221  
Less preferred stock dividends declared and accretion    1,351    1,404    3,202    4,142  




Net (loss) income applicable to common stock   $ (36,253 )  7,273   $ (30,548 )  19,079  
Plus preferred stock dividends declared and accretion (a)    --    1,404    --    4,142  




    $ (36,253 ) $ 8,677   $ (30,548 ) $ 23,221  





Shares of common stock outstanding used to compute
  
    basic per common share amounts    21,548,925    20,658,239    21,437,443    20,690,950  
Effect of dilutive options (b)    780,088    1,578,517    1,142,999    1,279,920  
Effect of dilutive preferred shares    --    4,853,540    --    4,853,540  




Shares used to compute diluted per common share amounts    22,329,013    27,090,296    22,580,442    26,824,410  





Basic (loss) income per share applicable to common stock
   $ (1.68 ) $ 0.35   $ (1.42 ) $ 0.92  
Diluted (loss) income per share applicable to common stock   $ (1.68 ) $ 0.32   $ (1.42 ) $ 0.87  

(a)     For the three and nine months ended September 30, 2004, excludes the effect of the conversion of the Redeemable Convertible Preferred Stock as it is considered anti-dilutive. For the three months and nine months ended September 30, 2003, it became more dilutive to net income per common share to convert the Company’s outstanding Redeemable Convertible Preferred Stock to common stock. Therefore, the preferred stock dividends declared and accretion were not included in the computation of diluted per common share data for those periods.

(b)     For the three months ended September 30, 2004 and 2003, options to purchase 1,863,301and 1,385,529 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 the options were greater than the average market price of the Company’s common stock during the period. Options to purchase 1,591,710 and 1,535,029 shares of common stock were outstanding at September 30, 2004 and 2003, respectively, and are not included in the computation of diluted income per share for the nine month periods ended September 30, 2004 and 2003, respectively, as these options are anti-dilutive.

NOTE G – INVENTORY

Inventories consist of the following:

(In thousands) September 30,
2004

December 31,
2003


Raw materials
    $ 26,438   $ 27,930  
Work in process    22,103    21,815  
Finished goods    13,373    10,898  


    $ 61,914   $ 60,643  





11


NOTE H – LONG TERM DEBT

Long-term debt consists of the following:

(In thousands) September 30,
2004

December 31,
2003


Revolving credit facility
    $ 30,500   $ 30,000  
10 3/8% Senior Notes due 2009 (a)    202,240    202,624  
11 1/4% Senior Subordinated Notes due 2009    15,562    15,562  
Term Loan    148,875    150,000  
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 6% to 11.572%, maturing through December 2011    13,886    11,250  


     411,063    409,436  
Less current portion    (5,566 )  (4,944 )


Total long-term debt   $ 405,497   $ 404,492  


(a)     At September 30, 2004 and December 31, 2003, includes $2.2 million and $2.6 million, respectively, of deferred interest rate swap termination income to be recognized as a reduction of interest expense, using the effective interest method, over the remaining life of the Senior Notes.

In September 2004, the Revolving Credit Facility was amended to modify certain covenant calculations. The amended provisions increased the total leverage and the senior secured leverage ratio limitations, reduced the interest coverage and fixed charge coverage ratio limitations and reduced permitted acquisitions and capital expenditures. The Company paid $0.4 million and $1.0 million in debt financing costs during the three and nine months ended September 30, 2004, respectively. At September 30, 2004, the Company had $52.2 million available under the Revolving Credit Facility.

NOTE I – COMMITMENTS AND CONTINGENT LIABILITIES

Commitments

In October 2001, the Company entered into a supply agreement with United States Manufacturing Company (“USMC”), under which it agreed to purchase certain products and components for use solely by the Company’s patient-care centers during a five-year period following the date of the agreement. In connection with the supply agreement, $3.0 million was placed in escrow. The Company satisfied its obligation to purchase from USMC during the first two years following the date of the agreement. Accordingly, the escrow agent released $2.0 million in escrowed funds to the Company for the satisfaction of such purchase obligations, leaving $1.0 million in escrow at September 30, 2004.

12


NOTE I – COMMITMENTS AND CONTINGENT LIABILITIES (CONTINUED)

Commitments (continued)

The Company executed a Master Amendment with Seattle Systems (as the successor of USMC), dated as of October 2003, pursuant to which the supply agreement and escrow arrangement relating thereto between the Company and USMC/Seattle Systems was amended to reduce the remaining life of the agreement to two years, increase the minimum annual purchase amount, include the Company’s distribution subsidiary’s purchases in the annual purchase threshold, and amend certain shipping and discount terms. In addition, the amendment reflected that $1.0 million remained in escrow and that the Company would receive it in two annual installments of $0.5 million each if it meets the minimum annual purchase amounts. If the Company fails to make such minimum annual purchases for any of the purchase years, then the $0.5 million escrow payment for that purchase year shall be released from escrow to Seattle Systems.

As of October 2004, the Company had met its purchase requirements and USMC has agreed to release an additional $0.5 million which will be received in the fourth quarter of 2004.

Contingencies

From time to time, the Company may become subject to legal proceedings and claims which arise in the ordinary course of its business, including claims related to alleged contingent additional payments under business purchase agreements. In the opinion of management, the amount of the ultimate liability, if any, with respect to these actions, will not have a materially adverse effect on the financial position, liquidity or results of operations of the Company.

Matters Relating to Billing Allegations

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 the law firm of McDermott, Will & Emery to serve as independent counsel to the committee and to conduct an independent investigation of the allegations. The scope of that independent investigation has been expanded to cover certain of the Company’s other patient-care centers. 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.

13


NOTE I – COMMITMENTS AND CONTINGENT LIABILITIES (CONTINUED)

Matters Relating to Billing Allegations (continued)

Based on the preliminary results of the independent investigation, management believes that any billing discrepancies are likely to be primarily at the West Hempstead patient-care center. Based on the preliminary results of the investigation, 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 net sales of the West Hempstead facility for the nine months ended September 30, 2004 and the year ended December 31, 2003 and were $1.0 million and $1.9 million, respectively, or less than 0.5% of the Company’s net sales for those periods.

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.

Class Action Litigation

On June 25, 2004, the Company announced that substantially similar class actions on behalf of certain shareholders of the Company had been filed against the Company and certain of its executive officers and directors in the U.S. District Court for the Eastern District of New York and the U.S. District Court for the Eastern District of Virginia. The complaints in those cases, which repeat the above-referenced employee allegations of misconduct at the West Hempstead, New York patient-care center, are described below. The Company believes that the class action allegations of fraudulent conduct by the Company’s executive directors and officers are without merit and it intends to vigorously defend the suits. The claims have been reported to the Company’s insurance carrier.

A suit captioned Twist Partners vs. Hanger Orthopedic Group, Inc., Thomas F. Kirk, George E. McHenry and Ivan R. Sabel, (Case No. CV 04 2585) was filed on June 22, 2004 in the U.S. District Court for the Eastern District of New York. Mr. Kirk is President and a director of the Company, Mr. McHenry is Chief Financial Officer of the Company and Mr. Sabel is the Chairman of the Board and Chief Executive Officer of the Company. The complaint alleges that throughout the class period (July 29, 2003 through June 14, 2004), the defendants engaged in “an illegal scheme to bill the Medicaid and Medicare programs, the Veterans Administration and private insurers,” and alleges that the improperly booked sales artificially inflated the Company’s reported revenues and earnings. The complaint also alleges that the defendants were motivated to engage in the fraud so that the Company’s insiders could effect sales of their shares of the Company’s common stock at artificially inflated prices, citing the sale of a total of 120,270 shares for total proceeds of $1,931,198. The suit alleges violations of the anti-fraud provision contained in Section 10(b) of the Securities Exchange Act of 1934 and Rule 10b-5 thereunder, and asserts violations of Section 20(a) against the individual defendants as controlling persons. The suit seeks an unspecified amount of compensatory damages against all

14


NOTE I – COMMITMENTS AND CONTINGENT LIABILITIES (CONTINUED)

Class Action Litigation (continued)

defendants, jointly and severally for all damages sustained, including interest thereon, as well as reasonable costs and expenses incurred, including counsel and expert fees.

Three substantially identical suits, captioned Robert Imperato vs. Hanger Orthopedic Group, Inc., Ivan R. Sabel, Thomas Kirk, and George E. McHenry (Civil Action No. CV 04 2736), Kenneth Walters vs. Hanger Orthopedic Group, Inc., Thomas F. Kirk, George E. McHenry, and Ivan R. Sabel (Civil Action No. CV 04 2826), and Adam Shapiro vs. Hanger Orthopedic Group, Inc., Ivan R. Sabel and George E. McHenry (Case CV 04 2681) were filed on June 29, 2004, July 6, 2004 and June 28, 2004, respectively, in the U.S. District Court for the Eastern District of New York. A suit captioned Curt Browne vs. Hanger Orthopedic Group, Inc., Ronald N. May, Thomas P. Cooper, Jason P. Owen, Ivan R. Sabel, Richard J. Taylor, George E. McHenry, Glenn M. Lohrmann and Risa J. Lavizzo-Mourey (Case No. 1:04 cv 715) was filed in the U.S. District Court for the Eastern District of Virginia on June 23, 2004. Mr. May is the President of Southern Prosthetic Supply (the Company’s distribution division), Mr. Cooper is a director of the Company, Mr. Owen is Treasurer of the Company, Mr. Taylor is Executive Vice President of the Company, Mr. Lohrmann is Vice President and Secretary of the Company and Ms. Lavizzo-Mourey is a former director of the Company. The complaint’s allegations are substantially similar to those set forth in the above-referenced action and specifies a class period of February 26, 2003 through June 14, 2004. The complaint alleges sales by the individual defendants of a total of 167,270 shares for total proceeds of $2.4 million. The complaint seeks damages in an unspecified amount, including interest, and reasonable costs, including attorneys’ fees.

Guarantees and Indemnifications

In the ordinary course of its business, the Company may enter into 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 under the agreement. The Company does not believe that its obligations under existing contracts containing indemnification or guarantees will result in any material liability.

NOTE J – REDEEMABLE CONVERTIBLE PREFERRED STOCK

The Certificate of Designations associated with the issuance of the Redeemable Convertible Preferred Stock calls for an increase in the stock’s dividend rate in the event the Company does not declare or pay cash dividends on the fifth anniversary of issuance. Accordingly, the dividend rate on the Redeemable Convertible Preferred Stock increased from 7% to 10% effective July 1, 2004. The Company continues to accrue dividends ratably over the life of the Redeemable Convertible Preferred Stock.

15


NOTE K – SEGMENT AND RELATED INFORMATION

The Company has identified two reportable segments based on the products and services it provides. The Company evaluates segment performance and allocates resources based on the segment’s EBITDA. EBITDA is defined as income from operations plus depreciation and amortization and other charges, if any. Other charges may include extinguishments of debt and goodwill impairment. Other EBITDA not directly attributable to reportable segments is primarily related to corporate general and administrative expenses.

The two 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 orthotic and prosthetic (“O&P”) patient-care centers, fabrication centers of O&P components and OPNET. 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. OPNET is a national managed-care agent for O&P services and a patient referral clearing house.

Distribution – This segment distributes O&P products and components to both the O&P industry and the Company’s own patient-care centers.

The accounting principles of the segments are the same as those described in Note B, “Significant Accounting Principles-Segment Information.”

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 that approximate market values.





16


NOTE K – SEGMENT AND RELATED INFORMATION (CONTINUED)

(In thousands) Patient-Care
Centers

Distribution
Other and
Eliminations

Total

Three Months Ended September 30, 2004
                   
Net sales  
   Customers   $ 135,519   $ 10,614   $ --   $ 146,133  
   Intersegment    --    17,161    (17,161 )  --  
EBITDA    22,444    4,248    (8,367 )  18,325  


Three Months Ended September 30, 2003
  
Net sales  
   Customers   $ 130,489   $ 9,556   $ --   $ 140,045  
   Intersegment    --    15,868    (15,868 )  --  
EBITDA    28,572    3,470    (4,906 )  27,136  
         
         
(In thousands) Patient-Care
Centers

Distribution
Other and
Eliminations

Total

Nine Months Ended September 30, 2004
  
Net sales  
   Customers   $ 392,987   $ 29,880   $ --   $ 422,867  
   Intersegment    --    52,052    (52,052 )  --  
EBITDA    66,083    10,056    (21,357 )  54,782  


Nine Months Ended September 30, 2003
  
Net sales  
   Customers   $ 378,691   $ 26,418   $ --   $ 405,109  
   Intersegment    --    45,691    (45,691 )  --  
EBITDA    82,462    8,490    (15,841 )  75,111  




17


NOTE K – SEGMENT AND RELATED INFORMATION (CONTINUED)

The following tables reconcile EBITDA to consolidated net income:

Three Months Ended
September 30,
(In thousands) 2004
2003
(unaudited) (unaudited, restated)

EBITDA
    $ 18,325   $ 27,136  
Depreciation and amortization    3,311    2,810  
Goodwill impairment    45,808    --  
Interest expense, net    9,054    9,786  
(Benefit) provision for income taxes    (4,946 )  5,863  


Net (loss) income   $ (34,902 ) $ 8,677  





 
Nine Months Ended
September 30,
(In thousands) 2004
2003
(unaudited) (unaudited, restated)
EBITDA   $ 54,782   $ 75,111  
Depreciation and amortization    9,986    7,883  
Goodwill impairment    45,808    --  
Interest expense, net    25,650    28,236  
Provision for income taxes    684    15,771  


Net (loss) income   $ (27,346 ) $ 23,221  


NOTE L – CONSOLIDATING FINANCIAL INFORMATION

The Company’s Revolving Credit Facility, Senior Notes, Senior Subordinated Notes, and Term Loan are guaranteed fully, jointly and severally, and unconditionally by all of the Company’s current and future domestic subsidiaries. The following is summarized condensed consolidating financial information, as of September 30, 2004 and December 31, 2003, and for the three and nine month periods ended September 30, 2004 and 2003 of the Company, segregating the parent company (Hanger Orthopedic Group, Inc.) and its guarantor subsidiaries, as each of the Company’s subsidiaries is wholly-owned.




18


NOTE L – CONSOLIDATING FINANCIAL INFORMATION (CONTINUED)

BALANCE SHEET - September 30, 2004
(In thousands)

Hanger Orthopedic
Group (Parent
Company)

Guarantor
Subsidiaries

Consolidating
Adjustments

Consolidated Totals
(unaudited)

ASSETS
                   
Cash and cash equivalents   $ 4,853   $ 5,893   $ --   $ 10,746  
Accounts receivable    --    110,909    --    110,909  
Inventories    --    61,914    --    61,914  
Prepaid expenses, other current assets and income taxes receivable    473    5,580    --    6,053  
Intercompany receivable    478,042    --    (478,042 )  --  
Deferred income taxes    12,137    --    --    12,137  




   Total current assets    495,505    184,296    (478,042 )  201,759  





Property, plant and equipment, net
    6,662    43,108    --    49,770  
Intangible assets, net    --    444,932    --    444,932  
Investment in subsidiaries    140,638    --    (140,638 )  --  
Other assets    10,189    4,830    --    15,019  




   Total assets   $ 652,994   $ 677,166   $ (618,680 ) $ 711,480  





LIABILITIES, REDEEMABLE PREFERRED STOCK
  
AND SHAREHOLDERS' EQUITY  
Current portion of long-term debt   $ 1,875   $ 3,691   $ --   $ 5,566  
Accounts payable    1,722    13,936    --    15,658  
Accrued expenses    4,590    2,371    --    6,961  
Accrued interest payable    3,618    304    --    3,922  
Accrued compensation related cost    1,067    30,814    --    31,881  
Income taxes payable    7,181    (4,745 )  --    2,436  




   Total current liabilities    20,053    46,371    --    66,424  





Long-term debt, less current portion
    395,302    10,195    --    405,497  
Deferred income taxes    32,274    --    --    32,274  
Intercompany payable    --    478,042    (478,042 )  --  
Other liabilities    1,455    1,920    --    3,375  




   Total long-term liabilities    429,031    490,157    (478,042 )  441,146  




   Total liabilities    449,084    536,528    (478,042 )  507,570  





Redeemable preferred stock
    54,665    --    --    54,665  





Common stock
    217    35    (35 )  217  
Additional paid-in capital    157,876    7,460    (7,460 )  157,876  
Unearned compensation    (2,238 )  --    --    (2,238 )
Retained earnings    (5,954 )  133,683    (133,683 )  (5,954 )
Treasury stock    (656 )  (540 )  540    (656 )




   Total shareholders' equity    149,245    140,638    (140,638 )  149,245  




   Total liabilities, redeemable preferred stock  
      and shareholders' equity   $ 652,994   $ 677,166   $ (618,680 ) $ 711,480  




19


NOTE L – CONSOLIDATING FINANCIAL INFORMATION (CONTINUED)

BALANCE SHEET - December 31, 2003
(In thousands)

Hanger Orthopedic
Group (Parent
Company)

Guarantor
Subsidiaries

Consolidating
Adjustments

Consolidated Totals
(audited)

ASSETS
                   
Cash and cash equivalents   $ 10,665   $ 4,698   $ --   $ 15,363  
Accounts receivable    --    112,936    --    112,936  
Inventories    --    60,643    --    60,643  
Prepaid expenses, other current assets and income taxes receivable    960    9,200    --    10,160  
Intercompany receivable    505,338    --    (505,338 )  --  
Deferred income taxes    10,275    --    --    10,275  




   Total current assets    527,238    187,477    (505,338 )  209,377  





Property, plant and equipment, net
    4,365    38,905    --    43,270  
Intangible assets, net    --    473,888    --    473,888  
Investment in subsidiaries    135,465    --    (135,465 )  --  
Other assets    11,061    752    --    11,813  




   Total assets   $ 678,129   $ 701,022   $ (640,803 ) $ 738,348  





LIABILITIES, REDEEMABLE PREFERRED STOCK
  
AND SHAREHOLDERS' EQUITY  
Current portion of long-term debt   $ 1,875   $ 3,069   $ --   $ 4,944  
Accounts payable    1,670    16,289    --    17,959  
Accrued expenses    3,377    1,855    --    5,232  
Accrued interest payable    8,990    113    --    9,103  
Accrued compensation related cost    1,404    29,462    --    30,866  




   Total current liabilities    17,316    50,788    --    68,104  





Long-term debt, less current portion
    396,311    8,181    --    404,492  
Deferred income taxes    34,326    --    --    34,326  
Intercompany payable    --    505,338    (505,338 )  --  
Other liabilities    638    1,250    --    1,888  




   Total long-term liabilities    431,275    514,769    (505,338 )  440,706  




   Total liabilities    448,591    565,557    (505,338 )  508,810  





Redeemable preferred stock
    51,463    --    --    51,463  





Common stock
    215    35    (35 )  215  
Additional paid-in capital    156,521    7,460    (7,460 )  156,521  
Unearned compensation    (2,599 )  --    --    (2,599 )
Retained earnings    24,594    128,510    (128,510 )  24,594  
Treasury stock    (656 )  (540 )  540    (656 )




   Total shareholders' equity    178,075    135,465    (135,465 )  178,075  




   Total liabilities, redeemable preferred stock  
      and shareholders' equity   $ 678,129   $ 701,022   $ (640,803 ) $ 738,348  




20


NOTE L – CONSOLIDATING FINANCIAL INFORMATION (CONTINUED)

STATEMENT OF OPERATIONS
Three Months Ended September 30, 2004

(In thousands)

Hanger Orthopedic
Group (Parent
Company)

Guarantor
Subsidiaries

Consolidating
Adjustments

Consolidated Totals
(unaudited)

Net sales
    $ --   $ 146,133   $ --   $ 146,133  
Cost of goods sold (exclusive of depreciation and amortization)    --    70,248    --    70,248  




   Gross profit    --    75,885    --    75,885  

Selling, general and administrative
    7,154    50,406    --    57,560  
Depreciation and amortization    542    2,769    --    3,311  
Goodwill impairment    --    45,808    --    45,808  




   Loss from operations    (7,696 )  (23,098 )  --    (30,794 )

Interest expense, net
    8,870    184    --    9,054  
Equity in earnings of subsidiaries    (23,282 )  --    23,282    --  




Loss before taxes    (39,848 )  (23,282 )  23,282    (39,848 )

Benefit for income taxes
    (4,946 )  --    --    (4,946 )




Net loss    (34,902 ) $ (23,282 ) $ 23,282   $ (34,902 )




         
         
STATEMENT OF OPERATIONS
Three Months Ended September 30, 2003

(In thousands)





(unaudited, restated)

Net sales
   $ --   $ 140,045   $ --   $ 140,045  
Cost of goods sold (exclusive of depreciation and amortization)    --    64,799    --    64,799  




   Gross profit    --    75,246    --    75,246  

Selling, general and administrative
    5,172    42,938    --    48,110  
Depreciation and amortization    365    2,445    --    2,810  




   (Loss) income from operations    (5,537 )  29,863    --    24,326  

Interest expense, net
    9,639    147    --    9,786  
Equity in earnings of subsidiaries    29,716    --    (29,716 )  --  




Income before taxes    14,540    29,716    (29,716 )  14,540  

Provision for income taxes
    5,863    --    --    5,863  




Net income   $ 8,677   $ 29,716   $ (29,716 ) $ 8,677  







21


NOTE L – CONSOLIDATING FINANCIAL INFORMATION (CONTINUED)

STATEMENT OF OPERATIONS
Nine Months Ended September 30, 2004

(In thousands)

Hanger Orthopedic
Group (Parent
Company)

Guarantor
Subsidiaries

Consolidating
Adjustments

Consolidated Totals
(unaudited)

Net sales
    $ --   $ 422,867   $ --   $ 422,867  
Cost of goods sold (exclusive of depreciation and amortization)    --    207,590    --    207,590  




   Gross profit    --    215,277    --    215,277  

Selling, general and administrative
    19,650    140,845    --    160,495  
Depreciation and amortization    1,414    8,572    --    9,986  
Goodwill impairment    --    45,808    --    45,808  




   (Loss) income from operations    (21,064 )  20,052    --    (1,012 )

Interest expense, net
    25,041    609    --    25,650  
Equity in earnings of subsidiaries    19,443    --    (19,443 )  --  




(Loss) income before taxes    (26,662 )  19,443    (19,443 )  (26,662 )

Provision for income taxes
    684    --    --    684  




Net (loss) income   $ (27,346 ) $ 19,443   $ (19,443 ) $ (27,346 )




         
         
STATEMENT OF OPERATIONS
Nine Months Ended September 30, 2003

(In thousands)





(unaudited, restated)

Net sales
   $ --   $ 405,109   $ --   $ 405,109  
Cost of goods sold (exclusive of depreciation and amortization)    --    190,905    --    190,905  




   Gross profit    --    214,204    --    214,204  

Selling, general and administrative
    16,612    122,481    --    139,093  
Depreciation and amortization    1,088    6,795    --    7,883  




   (Loss) income from operations    (17,700 )  84,928    --    67,228  

Interest expense, net
    27,797    439    --    28,236  
Equity in earnings of subsidiaries    84,489    --    (84,489 )  --  




Income before taxes    38,992    84,489    (84,489 )  38,992  

Provision for income taxes
    15,771    --    --    15,771  




Net income    23,221   $ 84,489   $ (84,489 ) $ 23,221  







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NOTE L – CONSOLIDATING FINANCIAL INFORMATION (CONTINUED)

STATEMENTS OF CASH FLOWS
Nine Months Ended September 30, 2004

(In thousands)

Hanger Orthopedic
Group (Parent
Company)

Guarantor
Subsidiaries

Consolidating
Adjustments

Consolidated Totals
(unaudited)

Cash flows (used in) provided by operating activities
    $ (15,885 ) $ 48,465   $ --   $ 32,580  




Cash flows provided by (used in) investing activities:  
Purchase of property, plant and equipment    (3,710 )  (11,686 )  --    (15,396 )
Acquisitions and earnouts    --    (19,668 )  --    (19,668 )
Purchase of technology license and patent registration    --    (298 )  --    (298 )
Intercompany dividend    14,270    (14,270 )  --    --  
Proceeds from sale of certain assets    --    366    --    366  




Net cash provided by (used in) investing activities    10,560    (45,556 )  --    (34,996 )




Cash flows used in financing activities  
Borrowings under revolving credit agreement    38,000    --    --    38,000  
Repayments under revolving credit agreement    (37,500 )  --    --    (37,500 )
Repayment of long-term debt    (1,125 )  (1,714 )  --    (2,839 )
Increase in financing costs    (963 )  --    --    (963 )
Proceeds from issuance of Common Stock    1,101    --    --    1,101  




Net cash used in financing activities    (487 )  (1,714 )  --    (2,201 )




Net (decrease) increase in cash and cash equivalents    (5,812 )  1,195    --    (4,617 )
Cash and cash equivalents, beginning of period    10,665    4,698    --    15,363  




Cash and cash equivalents, end of period   $ 4,853   $ 5,893   $ --   $ 10,746  




         
         
STATEMENTS OF CASH FLOWS
Nine Months Ended September 30, 2003

(In thousands)





(unaudited, restated)

Cash flows provided by operating activities
   $ 1,612   $ 38,704   $ --   $ 40,316  




Cash flows provided by (used in) investing activities:  
Purchase of property, plant and equipment    (620 )  (12,342 )  --    (12,962 )
Acquisitions and earnouts    --    (8,613 )  --    (8,613 )
Intercompany dividend    14,212    (14,212 )  --    --  
Proceeds from sale of certain assets    5    635    --    640  




Net cash provided by (used in) investing activities    13,597    (34,532 )  --    (20,935 )




Cash flows used in financing activities  
Borrowings under revolving credit agreement    22,000    --    --    22,000  
Repayments under revolving credit agreement    (32,000 )  --    --    (32,000 )
Repayment of long-term debt    --    (4,159 )  --    (4,159 )
Increase in financing costs    (1,097 )  --    --    (1,097 )
Proceeds from issuance of Common Stock    1,394    --    --    1,394  




Net cash used in financing activities    (9,703 )  (4,159 )  --    (13,862 )




Net increase in cash and cash equivalents    5,506    13    --    5,519  
Cash and cash equivalents, beginning of period    570    5,996    --    6,566  




Cash and cash equivalents, end of period   $ 6,076   $ 6,009   $ --   $ 12,085  







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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 certain assumptions that we consider reasonable. Our actual results may differ materially from those indicated in the forward looking statements.

We are the largest operator and developer of orthotic and prosthetic (“O&P”) patient-care centers in the United States. Orthotics is the design, fabrication, fitting and device maintenance of custom-made braces and other devices (such as spinal, knee and sports-medicine braces) that provide external support to treat musculoskeletal disorders. Musculoskeletal disorders are ailments of the back, extremities or joints caused by traumatic injuries, chronic conditions, diseases, congenital disorders or injuries resulting from sports or other activities. Prosthetics is the design, fabrication and fitting of custom-made artificial limbs for patients who have lost limbs as a result of traumatic injuries, vascular diseases, diabetes, cancer or congenital disorders. We have two segments, the patient-care centers segment, which generated approximately 93.0% of our net sales in the first nine months of 2004, and the distribution of O&P components segment, which accounted for 7.0% of our net sales. Our operations are located in 44 states and the District of Columbia, with a substantial presence in California, Florida, Georgia, Illinois, New York, Ohio, Pennsylvania and Texas.

Patient Care

We generate sales primarily from patient care services related to the fabrication, fitting and maintenance of O&P devices. Same-center sales growth represents the aggregate increase or decrease of our patient-care centers’ sales in the current period compared to the comparable period in the preceding year. Patient-care centers that have been owned by the Company for a full year are included in the computation. During the nine months ended September 30, 2004, same-center sales decreased by 1.2% from the same period in 2003 as a result of lower sales volume and declining reimbursement. Total net sales increased by 4.4% over the same period in 2003, entirely due to acquisitions. We operated 625 and 588 patient-care centers at September 30, 2004 and 2003, respectively.

Our revenues and results of operations are affected by seasonal considerations. Revenues during the first nine months of 2004 have also been impacted by an overall reduction in reimbursement which has impacted our margins. During the first quarter of each year, we have generally experienced lower net sales. This is due to two factors, the adverse weather conditions often experienced in certain geographical areas of the United States, and a greater degree of patients’ sole responsibility for payment of their insurance deductible during the beginning of each benefit year.

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In our patient-care centers segment, we calculate cost of goods sold in accordance with the gross profit method. 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 changes in our sales mix, purchase trends and other factors affecting cost of goods sold. Estimated cost of goods sold is adjusted in the fourth quarter after the annual physical inventory is conducted and compiled, and a new accrual rate is established.

We believe that the expansion of our business through a combination of the return to growth in same-center sales, the addition of new facilities, the creation of Linkia, LLC, a preferred O&P managed-care provider, and a program of selective acquisitions is critical to the continued increase in our net sales and improvement in our profitability since our cost structure is largely fixed.

Distribution

Southern Prosthetic Supply, Inc. (“SPS”), our distribution segment, is the largest distributor of O&P devices in the United States. SPS had net sales of $81.9 million for the nine months ended September 30, 2004 with $52.0 million, or 63.5%, of total net sales made to our patient-care centers, and $29.9 million, or 36.5%, made to external parties.

SPS has three distribution centers strategically located in the United States. SPS is able to fill virtually any order within 48 hours of receipt. The ability to quickly fill orders from its extensive product line allows us to maintain much lower levels of inventory in our patient-care centers.

Results and Outlook

Net income did not meet management’s expectations for the three and nine month periods ended September 30, 2004 due principally to a same-center sales decline caused by a reduction in prosthetic units sold and a reduction in reimbursement levels. The Company also experienced an increase in operating expenses. Material costs increased due to a change in the mix of sales as well as reduced reimbursement. Selling, general and administrative expenses increased due to investments in new products, the acquisition of national contracts through Linkia, increased marketing and advertising costs, the cost of compliance with Sarbanes-Oxley Act Section 404 and the rollout of O/P/S and Insignia. However, we are aggressively moving to address these factors in three ways:

  Continued deployment of our wholly-owned subsidiary, Linkia, the first managed-care organization dedicated solely to serving the O&P market. Linkia partners with healthcare insurance companies by securing national and regional contracts to coordinate all of the O&P needs of those companies. In March 2004, Linkia entered into its first significant contract; and we expect to sign at least two additional significant contracts in the remainder of fiscal 2004 and through the first quarter of 2005. While it is too early to assess the overall success of this effort, we expect Linkia’s contracts to begin to impact sales in the fourth quarter of 2004 and throughout 2005 as the coverage is phased in on a geographic basis.

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  Training and deployment of a business development workforce whose goal is to develop local relationships and demonstrate quality to referral sources. The sales force was deployed in January 2004 in approximately one third of our markets. While the Company is incurring the costs of this workforce, this effort has not yet yielded a meaningful increase in same-center sales.

  Continued deployment of new technology, such as our Insignia scanning system, so that our practitioners are able to provide the highest level of customer service and quality clinical outcomes.

We expect that our continued investment in marketing, both in terms of a local sales force, and in personnel and systems to support the effort to acquire national contracts, will enable us to reverse the current same-center sales decline and increase same-center sales and our market share and that we will see the impact of these efforts beginning in 2005. However, to date we have not generated any measurable increase in sales from this effort and there is no guarantee that this effort will ultimately be successful.

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 thereof, for the nine months ended September 30, 2004 decreased to 70.6 days compared to 72.8 days for the same period last year. Management has targeted our DSO to be fewer than 70 days. We believe that this target will be attained in fiscal 2005 due to the efficiencies expected as a result of our centralized billing system.

As of June 30, 2004 our new centralized patient billing system, O/P/S, was rolled out to all patient-care centers except three central billing offices, which require an enhanced multi-user version of O/P/S for which testing has not yet been completed, and the patient-care centers of three recent acquisitions. We expect to complete the rollout in the first half of 2005. This system will continue to provide us with improved functionality and reporting, and the ability to more fully standardize our field operations. We expect the information provided by the system to start having a favorable effect on operations beginning in 2005 as we develop new reporting capabilities and a database of information to draw upon from all our practices.

Critical Accounting Estimates

Our analysis and discussion of our financial condition and results of operations are based upon our Consolidated Financial Statements that have been prepared in accordance with accounting principles generally accepted in the United States of America (“GAAP”). The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions, including adjustments to reflect the restatement discussed in Note C that affect the reported amounts of assets and liabilities and 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. GAAP provides the framework from which to make these estimates, assumptions, adjustments, and disclosures. We have chosen accounting policies within GAAP that management believes are appropriate to accurately and fairly report our operating results and financial position in a consistent manner. Management regularly assesses these policies in light of current and forecasted economic conditions. Our significant accounting policies are stated in Note B to the Consolidated Financial Statements as presented elsewhere in this Form 10-Q and in our Annual Report on Form 10-K and Form 10-K/A for the year ended December 31, 2003. 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) there are no uncertainties regarding customer acceptance; (ii) persuasive evidence of an arrangement exists; (iii) the sales price is fixed and determinable; and (iv) collectibility is deemed probable. 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 both deposits made prior to the final fitting and acceptance by the patient and prepaid tuition and fees received from students enrolled in our practitioner education program.

  Revenue recorded at our patient-care centers segment is recorded at net realizable value, taking into consideration 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 and our older computerized billing systems currently in place, are 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.

  At the present time, we are unable to determine the composition of our accounts receivable by payor or the composition of the allowance for doubtful accounts and bad debt expense by payor. Prior to the implementation O/P/S, the Company utilized approximately 15 legacy billing systems, each with somewhat different functionality and reporting capabilities. The payor mix information mentioned above was not available from the combined reporting capabilities of these legacy platforms. Upon completion of the rollout of O/P/S, we will develop a report to provide this information for the period after the conversion. In order to allow time to test the accuracy of the report and new database, we believe the first report in which we will be able to disclose this information will be in the first quarter of 2005. However, the information will not be comparative until the first quarter of 2006.

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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 rates and simultaneously record a disallowed sale to reduce the sale to net realizable 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, if applicable, 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 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.

  The previously issued consolidated balance sheet as of December 31, 2003 and the consolidated statements of operations and cash flows for the three and nine months ended September 30, 2003 have been restated to reflect a correction of an error that led to the overstatement of recorded accounts receivable and an equal understatement of bad debt expense. The error resulted in an understatement of selling, general and administrative expense of $0.3 million and $0.8 million for the three and nine months ended September 30, 2003, respectively. See Note C for additional information.

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  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. 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. Estimated 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.

  Intangible Assets: Excess cost over net assets acquired (“goodwill”) represents the excess of purchase price over the value assigned to net identifiable assets of purchased businesses. We assess goodwill for impairment when events or circumstances indicate that the carrying value may not be recoverable, or, at a minimum, annually. Any impairment would be recognized by a charge to operating results and a reduction in the carrying value of the intangible asset. We performed an interim valuation of goodwill and other intangible assets during the quarter as a result of the decline in our stock’s fair value, and recognized an estimated charge of $45.8 million. We will complete our annual impairment evaluation during the fourth quarter but we do not expect that our estimate will materially change. See Note B for additional information.

  Non-compete agreements are recorded based on agreements entered into by us and are amortized, using the straight-line method, over their terms ranging from five to seven years. Other definite-lived intangible assets are recorded at cost and are amortized, using the straight-line method, over their estimated useful lives of up to 16 years. Whenever the facts and circumstances indicate that the carrying amounts of these intangibles may not be recoverable, management reviews and assesses the future cash flows expected to be generated from the related intangible for possible impairment. Any impairment would be recognized as a charge to operating results and a reduction in the carrying value of the intangible asset.

  Deferred Tax Assets (Liabilities): We account for certain income and expense items differently for financial accounting purposes than for income tax purposes. Deferred income taxes are provided in recognition of these temporary differences. We recognize deferred tax assets if it is more likely than not the assets will be realized in future years.

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Results of Operations

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

Three Months Ended
September 30,
Nine Months Ended
September 30,
2004
2003
2004
2003
(unaudited) (unaudited, restated) (unaudited) (unaudited, restated)

Net sales
     100.0  %  100.0  %  100.0  %  100.0  %
Cost of goods sold    48.1    46.3    49.0    47.1  




Gross profit    51.9    53.7    51.0    52.9  
Selling, general and administrative    39.4    34.3    38.0    34.4  
Depreciation and amortization    2.3    2.0    2.4    1.9  
Goodwill impairment    31.3    --    10.8    --  




(Loss) income from operations    (21.1 )  17.4    (0.2 )  16.6  
Interest expense, net    6.2    7.0    6.1    7.0  




(Loss) income before taxes    (27.3 )  10.4    (6.3 )  9.6  
(Benefit) provision for income taxes    (3.4 )  4.2    0.2    3.9  




Net (loss) income    (23.9 )  6.2    (6.5 )  5.7  




Three Months Ended September 30, 2004 Compared to the Three Months Ended September 30, 2003

Net Sales. Net sales for the three months ended September 30, 2004 were $146.1 million, an increase of $6.1 million, or 4.4%, versus net sales of $140.0 million for the three months ended September 30, 2003. The sales growth was the result of a $1.1 million, or 11.1%, increase in outside sales of the distribution segment and $7.2 million from acquired practices that are not part of the same-center sales calculation. Same-center sales at our patient-care centers segment declined $1.5 million, or 1.2%. The sales decline was attributable principally to a decline in the number of prosthetic units sold and pressure on reimbursement levels which decreased our gross margin. Overall, sales for the quarter were consistent with management’s expectations despite a $1.0 million shortfall in the Southeast of the country due to the effects of the hurricanes.

Gross Profit. Gross profit for the three months ended September 30, 2004 was $75.9 million, a decrease of approximately $0.7 million, or 0.9%, versus $75.2 million for the three months ended September 30, 2003. Gross profit as a percentage of net sales for the three months ended September 30, 2004 decreased to 51.9% from 53.7% for the three months ended September 30, 2003 as a result of an increase in materials and labor costs. A change in the mix of sales at our patient-care centers and declining reimbursements resulted in higher material costs of 28.0% as a percentage of net sales for the three months ended September 30, 2004 compared to 26.7% for the comparable period of the prior year. Labor costs as a percent of net sales increased by 0.6% to 20.1% compared to the prior year rate of 19.5% due to modest pay increases and the relatively fixed nature of this expense.

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Selling, General and Administrative. Selling, general and administrative expenses for the three months ended September 30, 2004 increased by $9.5 million compared to the three months ended September 30, 2003. The increase was principally due to a $4.5 million increase in salaries and bonus, marketing and business development costs, $1.6 million in expenses related to acquired practices, and a $1.1 million increase in professional fees related to Sarbanes-Oxley Act Section 404 compliance expenses and legal costs. The balance of the increase was due to costs associated with increased patient clinics, marketing salaries, and normal inflationary rent increases. As a percentage of net sales, selling, general and administrative expenses increased to 39.4% in 2004 from 34.3% in 2003.

Depreciation and Amortization. Depreciation and amortization for the three months ended September 30, 2004 was $3.3 million versus $2.8 million for the three months ended September 30, 2003. This increase was primarily due to the depreciation of hardware and software for our new billing system.

Goodwill Impairment. We recognized a $45.8 million non-cash charge as of August 31, 2004 as a result of an interim valuation of goodwill and other intangible assets. The goodwill impairment charge, net of tax, had the effect of decreasing net income from $3.7 million to a loss of $34.9 million and diluted earnings per share from $0.11 to a loss of $1.68 for the three months ended September 30, 2004. The interim valuation was triggered by the decline in our stock’s fair value during August 2004. During the fourth quarter, we will finalize our estimate in accordance with the provisions of Statement of Financial Accounting Standards 142, Goodwill and Other Intangible Assets, and update the valuation to October 1, 2004, our annual test date. We will record any changes to our estimate at that time.

(Loss) Income from Operations. As a result of the above, loss from operations for the three months ended September 30, 2004 was $30.8 million compared to income of $24.3 million for the three months ended September 30, 2003. (Loss) income from operations, as a percentage of net sales, decreased to (21.1)% in the three months ended September 30, 2004 versus 17.4% for the prior year’s comparable period.

Interest Expense, Net. Interest expense in the three months ended September 30, 2004 decreased to $9.1 million compared to $9.8 million in the three months ended September 30, 2003 despite a slightly higher outstanding debt balance due to the refinancing of our 11¼% Senior Subordinated Notes with the variable rate Term Loan during the quarter ended December 31, 2003.

Income Taxes. The income tax benefit of $4.9 million for the three months ended September 30, 2004 includes the effect of the $45.8 million goodwill impairment charge. Excluding the goodwill impairment charge, income tax expense for the three months ended September 30, 2004 was $2.4 million compared to $5.9 million for the same period the prior year. The change in the income tax provision was primarily the result of lower income from operations. Excluding the goodwill impairment charge, the effective tax rate for the three months ended September 30, 2004 was 41.0% compared to 40.3% for the three months ended September 30, 2003.

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Net (Loss) Income. As a result of the above, we recorded a net loss of $34.9 million, or $1.68 per diluted share, for the three months ended September 30, 2004, compared to net income of $8.7 million, or $0.32 per diluted share, for the same period in the prior year.

Preferred Stock Dividend and Accretion. In accordance with the provisions of the Certificate of Designations, the dividend rate on the Redeemable Convertible Preferred Stock increased from 7% to 10% effective July 1, 2004.

Nine Months Ended September 30, 2004 Compared to the Nine Months Ended September 30, 2003

Net Sales. Net sales for the nine months ended September 30, 2004 were $422.9 million, an increase of $17.8 million, or 4.4% versus net sales of $405.1 million for the nine months ended September 30, 2003. The sales growth was the result of a $3.5 million, or 13.1%, increase in outside sales of the distribution segment and $20.4 million from acquired practices. Same-center sales at our patient-care centers segment declined $4.5 million, or 1.2%. The sales decline was attributable principally to a decline in the number of prosthetic units sold and pressure on reimbursement levels which decreased our gross margin.

Gross Profit. Gross profit for the nine months ended September 30, 2004 was $215.3 million, an increase of approximately $1.1 million, or 0.5%, versus $214.2 million for the nine months ended September 30, 2003. Gross profit as a percentage of net sales for the nine months ended September 30, 2004 decreased to 51.0% from 52.9% for the nine months ended September 30, 2003 as a result of an increase in materials and labor costs. A change in the mix of sales at our patient-care centers and declining reimbursements resulted in higher material costs of 28.3% as a percentage of net sales for the nine months ended September 30, 2004 compared to 27.0% for the comparable period of the prior year. The increase in labor costs as a percentage of net sales from 20.1% at September 30, 2003 to 20.7% at September 30, 2004 was due to a combination of the impact of modest annual salary increases effective January 1, 2004 and the decrease in same-center net sales.

Selling, General and Administrative. Selling, general and administrative expenses for the nine months ended September 30, 2004 increased by $21.4 million compared to the nine months ended September 30, 2003. The increase was principally the result of $5.3 million related to acquisitions, a $2.6 million increase in health and liability insurance, and $2.2 million in Sarbanes-Oxley Act Section 404 compliance and legal expenses. The balance of the increase was due to increased marketing costs and normal inflationary increases in wages and rent. As a percentage of net sales, selling, general and administrative expenses increased to 38.0% in 2004 from 34.4% in 2003.

Depreciation and Amortization. Depreciation and amortization for the nine months ended September 30, 2004 was $10.0 million versus $7.9 million for the nine months ended September 30, 2003. This increase was primarily due to the depreciation of hardware and software for our new billing system.

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Goodwill Impairment. We recognized a $45.8 million non-cash impairment charge, as of August 31, 2004 as a result of an interim valuation of goodwill and other intangible assets. The goodwill impairment charge, net of tax, had the effect of decreasing net income from $11.3 million to a loss of $27.3 million and diluted earnings per share from $0.36 to a loss of $1.42 for the three months ended September 30, 2004. This interim valuation was triggered by the decline in the fair value of our stock during August 2004. We will finalize our interim estimate during the fourth quarter in accordance with the provisions of Statement of Financial Accounting Standards 142, Goodwill and Other Intangible Assets, and update the valuation to October 1, 2004, our annual test date. We will record any changes to our estimates at that time.

(Loss) Income from Operations. As a result of the above, loss from operations for the nine months ended September 30, 2004 was $26.7 million compared to income of $39.0 million for the nine months ended September 30, 2003. (Loss) income from operations, as a percentage of net sales, decreased to (0.2)% in the nine months ended September 30, 2004 versus 16.6% for the prior year’s comparable period.

Interest Expense, Net. Interest expense in the nine months ended September 30, 2004 decreased to $25.7 million compared to $28.2 million in the nine months ended September 30, 2003 despite slightly higher borrowings due to the refinancing of our 11¼% Senior Subordinated Notes with the variable rate Term Loan during the quarter ended December 31, 2003.

Income Taxes. The income tax provision balance of $0.7 million for the nine months ended September 30, 2004 has been effected for the $45.8 million goodwill impairment charge. Excluding the goodwill impairment charge, income tax expense for the nine months ended September 30, 2004 was $7.9 million compared to $15.8 million for the same period the prior year. The decrease was the result of lower income from operations for the current period. Excluding the goodwill impairment charge, the effective tax rate for the nine months ended September 30, 2004 was 41.0% compared to 40.4% for the nine months ended September 30, 2003.

Net (Loss) Income. As a result of the above, we recorded net loss of $27.3 million, or $1.42 per diluted share, for the nine months ended September 30, 2004, compared to income of $23.2 million, or $0.87 per diluted share, for the nine months ended September 30, 2003.

Preferred Stock Dividend and Accretion. In accordance with the provisions of the Certificate of Designations, the dividend rate on the Redeemable Convertible Preferred Stock increased from 7% to 10% effective July 1, 2004.



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Financial Condition, Liquidity, and Capital Resources

Our working capital at September 30, 2004 was $135.3 million which was lower compared to $141.3 million at December 31, 2003. Current assets decreased by $7.6 million primarily due to a reduction in cash and deferred taxes. The decrease in current assets was offset by a decrease in accounts payable and accrued interest. Our ratio of current assets to current liabilities was 3.0 to 1 at September 30, 2004 compared to 3.1 to 1 at December 31, 2003. Available cash under our Revolving Credit Facility decreased to $52.2 million from $64.0 million at December 31, 2003.

Net cash provided by operating activities for the nine months ended September 30, 2004 was $32.6 million, compared $40.3 million for the nine months ended September 30, 2003. The current year decline was primarily due to the reduction in operating income and an $8.4 income tax refund in 2003.

Net cash used in investing activities was $35.0 million for the nine months ended September 30, 2004, versus $20.9 million for the same period in the prior year. The increase was primarily due to acquisitions and earnouts. During the nine months ended September 30, 2004, we capitalized approximately $2.5 million in costs related to development of software.

Net cash used in financing activities was $2.2 million for the nine months ended September 30, 2004 compared to $13.9 million for the nine months ended September 30, 2003. The increase in cash used by financing activities was primarily due to net draws on the Revolving Credit Facility to fund the first quarter bonus payment, the increase in capital additions and the cash portion of acquisitions.

We believe that, based on current levels of operations and anticipated growth, cash generated from operations, together with other available sources of liquidity, including borrowings available under the Revolving Credit Facility, will be sufficient for the foreseeable future to fund anticipated capital expenditures and make required payments of principal and interest on our debt, including payments due on our outstanding debt. In addition, we continually evaluate potential acquisitions and expect to fund such acquisitions from our available sources of liquidity, as discussed above.

The following table sets forth our contractual obligations and commercial commitments as of September 30, 2004:

Payments Due by Period
2004
2005
2006
2007
2008
Thereafter
Total
(In thousands)                                
Long-term debt (1)    2,458    4,571    4,351    34,961    3,712    358,770    408,823  
Operating leases    4,272    23,050    18,294    13,930    9,766    9,840    79,152  
Unconditional purchase commitments (2)    9,000    9,000    --    --    --    --    18,000  
Other long-term obligations    2,095    3,731    2,991    2,484    2,660    7    13,968  







Total contractual cash obligations   $ 17,825   $ 40,352   $ 25,636   $ 51,375   $ 16,138   $ 368,617   $ 519,943  







(1)     Long-term debt payments do not include interest.

(2)     Reflects the commitments under the supply agreement with USMC, as amended in February 2004, and excludes cash payments related to accounts payable and accrued expenses.

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Market Risk

We are exposed to the market risk that is associated with changes in interest rates. At September 30, 2004, 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.)

Other

Inflation has historically not had a significant effect on our operations, as increased costs generally have been offset by increased prices of products and services sold. However, in the first three quarters of 2004, we experienced downward pressure on reimbursements, which impacted our gross margin. We primarily provide customized devices and services throughout the United States and are reimbursed, in a large part, by the patients’ third-party insurers or governmentally-funded health insurance programs. The ability of our debtors to meet their obligations is principally dependent upon the financial stability of our patients’ insurers and future legislation and regulatory actions.

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 Senior Notes, Senior Subordinated Notes, Term Loan, Subordinated Seller Notes, and Redeemable Convertible Preferred Stock. As of September 30, 2004, 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 $100.0 million revolving credit facility, with an outstanding balance of $30.5 million at September 30, 2004, as discussed in Note H to our Consolidated Financial Statements. The rates at which interest accrues under the entire outstanding balance are variable.

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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 September 30, 2004, we had three contracts outstanding which fixed LIBOR at 5.63%, 5.68% and 5.48%, and were set to expire on December 15, 2004, December 24, 2004 and December 31, 2004, respectively.

Presented below is an analysis of our financial instruments as of September 30, 2004 that are sensitive to changes in interest rates. The table demonstrates the change in cash flow related to the outstanding balance under the Term Loan and the Revolving Credit Facility, calculated for an instantaneous parallel shift in interest rates, plus or minus 50 basis points (“BPS”), 100 BPS, and 150 BPS.

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)
Fair Value
50 BPS
100 BPS
150 BPS

Term Loan
    $ 5,958   $ 6,703   $ 7,447   $ 8,192   $ 8,936   $ 9,680   $ 10,425  
Revolving Credit Facility    1,270    1,422    1,575    1,727    1,880    2,032    2,185  







    $ 7,228   $ 8,125   $ 9,022   $ 9,919   $ 10,816   $ 11,712   $ 12,610  







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 September 30, 2004.

Internal Control Over Financial Reporting

In connection with the preparation of the Company’s financial statements for the quarter ended June 30, 2004, the Company’s management, including the Chief Executive Officer and Chief Financial Officer, determined to effect a change in the Company’s internal control over financial reporting that materially affected, or could be deemed to be reasonably likely to materially affect, the Company’s internal control over financial reporting, as discussed below.

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Under auditing standards adopted by the Public Company Accounting Oversight Board, a material weakness in a company’s internal control over financial reporting is defined to be a significant deficiency, or combination of significant deficiencies, that results in more than a remote likelihood that a material misstatement of the financial statements will not be prevented or detected. In connection with the preparation of the Company’s financial statements for the quarter ended June 30, 2004, it became apparent, with the enhanced visibility provided by the Company’s new O/P/S billing and cash collection system, that its previously reported accounts receivable balance at March 31, 2004 was overstated by $3.8 million. As more fully reported in the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2004, the Company’s management, including the Chief Executive Officer and Chief Financial Officer, determined that there was a material weakness in the Company’s internal control over financial reporting which lead to the overstatement of recorded accounts receivable and an equal understatement of bad debt expense, resulting in an understatement of selling, general and administrative expenses of $0.3 million for the quarter ended March 31, 2004, and $1.0 million, $1.0 million and $1.5 million for the years ended December 31, 2003, 2002 and 2001, respectively. Consequently, management determined, with the concurrence of its independent registered public accounting firm, that the Company’s financial statements for the year ended December 31, 2003 and the quarter ended March 31, 2004, should be restated to correct that error. The Company effected restatements of such financial statements and filed amendments to its Annual Report on Form 10-K for the year ended December 31, 2003, and Quarterly Report on Form 10-Q for the quarter ended March 31, 2004.

As stated above, the need for the restatement was discovered during preparation of the Company’s financial statements for the quarter ended June 30, 2004. By that date, the Company had substantially completed the roll-out of its new O/P/S billing and cash collection system. That system replaced more than 15 different billing and cash collection platforms previously utilized in the Company’s over 600 practices to bill and collect for products and services. The new system provides the Company better visibility over its accounts receivable and improved controls over its inter-branch cash collection activity. After a successful pilot test, the Company commenced the installation of the system in September 2003 and by the end of June 2004 had installed the system in all practices except three central billing offices, which will require an enhanced multi-user version of the system for which testing has not yet been completed and the patient-care centers of three recent acquisitions.

Information regarding the above matter was fully disclosed to the Company’s independent registered public accounting firm and the Audit Committee of the Company’s Board of Directors during the quarter ended September 30, 2004.

Sarbanes-Oxley Act Section 404 Compliance

Section 404 of the Sarbanes-Oxley Act of 2002 (the “Act”) will require the Company to include an internal control report from management in its Annual Report on Form 10-K for the year ended December 31, 2004 and in subsequent Annual Reports thereafter. The internal control report must include the following: (1) a statement of management’s responsibility for establishing and maintaining adequate internal control over financial reporting, (2) a statement identifying the framework used by management to conduct the required evaluation of the effectiveness of the Company’s internal control over financial reporting, (3) management’s assessment of the effectiveness of the Company’s internal control over financial reporting as of December 31, 2004, including a statement as to whether or not internal control over financial reporting is effective, and (4) a statement that the Company’s independent auditors have issued an attestation report on management’s assessment of internal control over financial reporting.

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Management acknowledges its responsibility for establishing and maintaining internal controls over financial reporting and seeks to continually improve those controls. In addition, in order to achieve compliance with Section 404 of the Act within the required timeframe, the Company has been conducting a process to document and evaluate its internal controls over financial reporting. In this regard, the Company has dedicated internal resources, engaged outside consultants and adopted a detailed work plan to: (i) assess and document the adequacy of internal control over financial reporting; (ii) take steps to improve control processes where required; (iii) validate through testing that controls are functioning as documented; and (iv) implement a continuous reporting and improvement process for internal control over financial reporting. The Company believes its process for documenting, evaluating and monitoring its internal control over financial reporting is consistent with the objectives of Section 404 of the Act.

During the first nine months of 2004, the Company commenced documentation and testing of its internal controls. Given the risks inherent in the design and operation of internal controls over financial reporting, the Company can provide no assurance as to its conclusions at December 31, 2004 with respect to the effectiveness of its internal controls over financial reporting.

It should be noted that any system of controls, however well designed and operated, can provide only reasonable, and not absolute, assurance that the objectives of the control system are met. In addition, the design of any control system is based in part upon certain assumptions about the likelihood of future events. Because of these and other inherent limitations of control systems, there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions, regardless of how remote.

Part II. Other Information

ITEM 1. Legal Proceedings

For a description of certain legal proceedings, refer to the disclosure set forth under “Matters Relating to Billing Allegations” set forth in Note I (“Commitments and Contingent Liabilities”) in Part I, Item 1 (“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.

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ITEM 6: Exhibits

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

  Exhibit No.          Document

  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.






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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:  November 8, 2004
/s/ Ivan R. Sabel
Ivan R. Sabel, CPO
Chairman and Chief Executive Officer
(Principal Executive Officer)


Dated:  November 8, 2004
/s/ George E. McHenry
George E. McHenry
Executive Vice President and
Chief Financial Officer
(Principal Financial Officer)


Dated:  November 8, 2004
/s/ Glenn M. Lohrmann
Glenn M. Lohrmann
Vice President, Secretary and Controller
(Principal Accounting Officer)




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Exhibit Index

  Exhibit No. Document

  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





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