Total Orthotic & Prosthetic Solutions Inc.

Total Orthotic & Prosthetic Solutions Inc., doing business as Hanger Clinic, is a Hispanic American-owned small business based in El Paso, Texas, that manufactures and supplies lower extremity prosthetic devices and related orthotic solutions to the Department of Veterans Affairs as a prime contractor on a 100% full-and-open (non-set-aside) basis. The company is a subsidiary of Hanger, Inc., a publicly held prosthetics and orthotics manufacturer. Hanger Clinic operates exclusively within the federal healthcare space, with all 286 awards in its prime footprint directed to VA purchasing offices since its first SAM registration in October 2004.

Hanger Clinic's capability portfolio centers on the design, fabrication, fitting, and delivery of individualized prosthetic devices—primarily lower extremity prostheses, backup prostheses, socket replacements, water-resistant limbs, and microprocessor-controlled ankle and foot devices—tailored to veteran patient needs. The company performs all work directly from its El Paso facility with no subcontractor engagement. Representative contracts include a $131,958 firm fixed-price purchase order from Veterans Integrated Service Network 17 (VISN 17) for an express-report right-side prosthesis awarded February 2024, a $93,397 purchase order for prosthetic limbs and sockets from VISN 17 awarded April 2022, and a $82,146 purchase order for express-report prosthetics from VISN 17 awarded May 2023. Individual purchase orders typically range from approximately $10,000 to $131,958, with most work executed under firm fixed-price express-report contracts that bundle design, fabrication, and fitting for individual veteran beneficiaries.

Customer concentration is extreme and singular. Veterans Integrated Service Network 17 (South Texas region covering El Paso) accounts for 243 awards and $9.7 million of the combined potential value—85% of all awards and 67% of total dollars. VISN 22 (Texas Gulf Coast) holds 10 awards and $4.1 million. VISN 12 holds one award for $38 thousand. The two customer-ranking metrics align completely: VISN 17 dominates both volume and dollar value with no tension between them. This is a single-VISN dependent vendor with minimal geographic and customer diversification.

Hanger Clinic sits on two parent procurement vehicles through VA: Blanket Purchase Agreement VA25814A0018 (69 task orders, $835 thousand combined potential value) and Indefinite Delivery Contract VA258P0212 (69 task orders, $1 million combined potential value). Both vehicles are VA-internal, VISN 17–managed purchasing mechanisms; neither is a government-wide GWAC, IDIQ, or multi-agency vehicle.

Activity has declined substantially in recent years. The company won 14 awards in 2022, 10 in 2023, 4 in 2024, 6 in 2025, and 3 to date in 2026. Only three awards (combined potential value $113 thousand) complete in the next twenty-four months, presenting minimal near-term recompete exposure but underscoring the downward trajectory. Combined potential value across all 286 awards stands at $14.5 million, with $4.7 million obligated to date (33% execution rate). The company carries no identified subcontracts to other primes and generates no teaming revenue. Award activity is routed entirely through purchase orders—express reports for individualized prosthetic fabrication—rather than through larger IDIQs or streamlined vehicle task orders.

Hanger Clinic is classified under NAICS 339113 (Surgical Appliance and Supplies Manufacturing), with 228 of 286 awards under that code, and PSC 6530 (Medical and Surgical Instruments, Equipment, and Supplies), with 263 of 286 awards assigned there. The company operates as a direct subsidiary of Hanger, Inc., a national prosthetics and orthotics network. Hanger Clinic's federal footprint is narrow, localized, and dependent on sustained VISN 17 utilization; it does not compete for work outside the VA healthcare system and carries no visibility into non-VA federal prosthetic or orthotic procurement.