Hanger, Inc.

James Edward Hanger, the first documented amputee of the American Civil War, founded the company in Virginia in 1861.[4]

A remark in Ambrose Bierce's postwar memoir that "We shot off a Confederate leg at Philippi" refers to Hanger.[5] At 18 years of age, Hanger joined the Confederate cavalry at Philippi, Virginia, on June 2, 1861. One day later, during the Battle of Philippi, Hanger was sheltering inside a stable with the rest of the Churchville (Virginia) Cavalry when the "first solid Union cannon shot of the war" bounced into the stable and struck his leg. The injury required amputation of Hanger's leg above the knee, and he underwent the first battlefield amputation of the war, at the hands of Union surgeons.[5] Hanger returned to his parents’ home to recuperate wearing a prosthesis that was basically a wooden peg. His dissatisfaction with the fit and function of the limb replacement led Hanger to design and construct a new prosthesis from whittled barrel staves, rubber and wood, with hinges at the knee and foot. The device worked well, and the state legislature commissioned him to manufacture the “Hanger Limb” for other wounded soldiers.[6]

Manufacturing operations for J.E. Hanger, Inc., were established in the cities of Staunton and Richmond. Hanger was awarded his first patent for an artificial limb, number 155, from the United States Patent Office on March 23, 1863.[7] Over the years Hanger developed and patented additional products for veterans and other amputees.

In 1906, Hanger moved the company’s headquarters to Washington, DC. In 1915, he traveled to Europe to help World War I amputees and to learn from European prosthetists.

Hanger’s five sons were active in operating the family business. In 1915, they divided J.E. Hanger, Inc., into four separate companies, with each operating in a different region of the country. At the time of Hanger’s death in 1919, the companies had branches in Atlanta, St, Louis, Philadelphia, Pittsburgh, London and Paris.[6]

Significant technological advances in the U.S. prosthetic industry were largely absent in the years leading up to World War II. The new wave of amputee veterans demanded better prosthetic options, and in 1946, the federal government began providing funds for research and development in prosthetics. J.E. Hanger, Inc., was able to introduce new prosthetic socket designs made from improved materials such as thermosetting resins.

Also around this time, the orthotics industry (braces /supports) sought to combine with the prosthetics industry. In 1950, the American Orthotics and Prosthetics Association was formed, and with that came a new emphasis on the education and certification of clinical practitioners. By the mid 1950s, J.E.Hanger, Inc., had added orthotic services to its business, and had expanded to 50 offices in the U.S. and 25 in Europe.[8]

The 1960s and 70s held relatively few technological improvements, but the 1980s marked the beginning of a period of advanced technological development that continues to the present day. In 1986, Sequel Corporation, a Colorado-based communications company, sold off its cellular phone business and began investing in the orthotics and prosthetics industry. In 1989, Sequel bought J. E. Hanger, Inc., of Washington, DC. At the time of purchase, J. E. Hanger, Inc., was an $8 million business with offices in 11 cities and eight states. Soon after, Sequel changed the name of the company to the Hanger Orthopedic Group. Ivan Sabel, president and chief operating officer, was focused on centralizing the design and manufacturing of the company's prosthetic and orthotic devices and distributing them nationally.[8]

In 1996, the company bought J. E. Hanger, Inc., of Georgia. This acquisition doubled the size of the company, which now had 175 patient care centers, six distribution sites, four manufacturing plants and 1,000 employees in 30 states. Hanger continued purchasing small companies and by 1998, was operating 256 patient care centers. In 1999, Hanger Orthopedic Group bought its biggest competitor and the industry leader, the orthotics and prosthetics division of NovaCare. This added an additional 369 patient care centers. In 1999, Fortune Magazine ranked Hanger Orthopedic Group as 79th on its list of One Hundred Fastest-Growing Companies.[9] Following the NovaCare acquisition, the company continued to expand its corporate holdings with related specialty businesses.

Hanger, Inc. operates seven business lines within two segments: Patient Care and Products & Services.

Hanger, Inc.'s Patient Care segment comprises Hanger Clinic and Linkia.

Its Products & Services segment includes Accelerated Care Plus, Hanger Fabrication Network (formerly National Labs), Innovative Neurotronics, Southern Prosthetic Supply (SPS), and SureFit.

SPS has distribution centers in five states, distributing more than 400,000 products offerings. Through its SureFit subsidiary, SPS also manufactures and sells therapeutic footwear for diabetic patients in the podiatric market, and through Hanger Fabrication Network, it is a fabricator of O&P devices both for our patient care clinics and competitor clinics.

Innovative Neurotronics, Inc., specializes in the development and commercialization of emerging neuromuscular technologies. Neuromuscular refers to the use of electrical stimulation to improve the functionality of an impaired extremity.

Linkia is a network management company that works exclusively with the orthotics and prosthetics industry.

Employees of the company are editors and contributing authors of textbooks such as Prosthetics and patient management: a comprehensive clinical approach,[10] Functional Restoration of Adults and Children with Upper Extremity Amputation,[11] and Physical medicine and rehabilitation: principles and practice.[12]

In 2004, allegations of billing fraud were made against the company when an office administrator reported Hanger employees in New York for forging false prescriptions for non existent patients.[13] A class action lawsuit was brought against Hanger for allegedly using the fraud to artificially raise stock prices.[14] Although 14 offices were named in the lawsuit, Hanger said that only one location was involved in the fraud.[15]

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