Inogen Q2 2026 Earnings Report

Inogen EPS Results

• Actual EPS: -$0.14
• Consensus EPS: -$0.15
• Beat/Miss: Beat by +$0.01
• One Year Ago EPS: N/A

Inogen Revenue Results

• Actual Revenue: $95.08 million
• Expected Revenue: $95.23 million
• Beat/Miss: Missed by -$149.00 thousand
• YoY Revenue Growth: N/A

Inogen Announcement Details

• Quarter: Q2 2026
• Date: 8/6/2026
• Time: After Market Closes
• Conference Call Date: Thursday, August 6, 2026
• Conference Call Time: 5:00PM ET

Inogen (NASDAQ:INGN). (NASDAQ: INGN) is a medical device company specializing in the development, manufacture and marketing of innovative oxygen therapy solutions. The company’s core focus is on portable oxygen concentrators (POCs) designed to support patients with chronic respiratory conditions such as chronic obstructive pulmonary disease (COPD). Inogen’s offerings aim to provide users with mobility and independence by reducing reliance on traditional compressed-gas cylinders and enabling oxygen therapy on the go.

Inogen’s flagship product line, including the Inogen One family of portable oxygen concentrators, leverages proprietary flow technology to deliver continuous and pulse-dose oxygen. These devices are engineered to be lightweight, battery-powered and FAA-approved for in-flight use, addressing both clinical efficacy and user convenience. The company also offers supporting accessories such as batteries, chargers and carrying cases to enhance patient experience and ensure uninterrupted oxygen delivery.

Founded in 2001 and headquartered in Goleta, California, Inogen has obtained regulatory clearance from the U.S. Food and Drug Administration (FDA) and CE Mark approval for distribution in Europe. The company serves a global customer base through direct-to-consumer sales channels as well as partnerships with home healthcare providers and distributors across North America, Europe and parts of the Asia-Pacific region. Inogen is led by President and Chief Executive Officer Scott Wilkinson, under whose leadership the company has invested in research and development to expand its product portfolio and support emerging digital health initiatives.

Inogen Q2 2026 Earnings Call Transcript

Key Takeaways

• Negative Sentiment: Full-year revenue guidance was reduced to $355 million–$361 million from $366 million–$373 million, reflecting ongoing U.S. direct-channel pressure and the timing of international distributor inventory purchases. Management expects third-quarter revenue to be roughly flat year over year.
• Positive Sentiment: International sales increased 15% year over year to $41.3 million, marking the tenth consecutive quarter of double-digit growth. Inogen cited expansion in Eastern Europe, Latin America, and Canada as longer-term growth drivers, although some distributor purchases may be delayed in the second half.
• Positive Sentiment: Profitability improved, with adjusted EBITDA rising 15% year over year to $2.4 million and adjusted gross margin expanding to 45.6%. The company raised full-year adjusted EBITDA guidance to approximately $4 million, up 48% from 2025.
• Positive Sentiment: New products are gaining traction: Boxy has shipped more than 5,000 units, while Aurora CPAP mask customer accounts more than doubled sequentially. Together, Boxy and Aurora contributed slightly more than 100 basis points of second-quarter growth and are expected to accelerate in the second half.
• Neutral Sentiment: U.S. POC unit volume grew at a high-single-digit rate, but U.S. revenue fell 2% and rental revenue declined 12% as HMEs increasingly prescribe portable concentrators at the start of therapy, reducing the traditional rental funnel. Management is reviewing options to improve the rental business while investing in B2B sales execution.

Presentation

[Operator]

Welcome to Inogen's second quarter 2026 earnings conference call. At this time, all participants are in a listen-only mode. Following management's prepared remarks, we will hold a question-and-answer session. To ask a question at that time, please press star followed by one on your touch-tone phone. If anyone has difficulty hearing the conference, please press star and zero for operator assistance. As a reminder, this conference is being recorded today, August 6th, 2026. I'd now like to turn the call over to Lorna Williams, SVP of Investor Relations and Strategic Planning.

[Lorna Williams, SVP of Investor Relations and Strategic Planning at Inogen]

Thank you all for participating in today's call. Joining me are President and CEO, Kevin Smith, and CFO, Jason Richardson. Earlier today, Inogen released financial results for the second quarter of 2026. The earnings release is available in the investor relations section of the company's website, along with a supplemental financial package. During today's call, we will discuss non-GAAP financial measures that we believe provide useful information for investors. This information is not intended to be considered in isolation or as a substitute for GAAP financial information. Reconciliations of these non-GAAP measures to the most directly comparable GAAP measures are included in today's earnings release and supplemental financial package. In addition, our discussion today will include forward-looking statements, including, but not limited to, expectations on our future financial and operating performance. We make these statements based on current expectations and reasonable assumptions.

[Lorna Williams, SVP of Investor Relations and Strategic Planning at Inogen]

However, our actual results could differ due to risks and uncertainties. Please review our annual report and other SEC filings for a discussion of risk factors that could cause our actual results to differ materially from any forward-looking statements made today. Forward-looking statements made on today's call speak only as of today, and Inogen undertakes no obligation to update or revise these statements except as required by law. The company has not provided a reconciliation of forward-looking adjusted EBITDA to the most directly comparable GAAP measure because certain items that impact net income are uncertain or outside the company's control and cannot be reasonably predicted without unreasonable effort. With that, I will turn the call over to Inogen's President and CEO, Kevin Smith.

[Kevin Smith, President and CEO at Inogen]

Good afternoon, and thank you for joining our second quarter 2026 conference call. Starting with the Q2 results. Q2 total revenue came in at $95.1 million, growing 3% year-over-year due to a strong international growth, POC demand, and contributions from our new products, including Voxi and Aurora mask. We believe that our continued strong POC unit volume growth of over 12% demonstrates that we continue to outpace market growth as we continue to expand internationally and gain traction with more U.S. distributors. In addition, we continue investing in product innovation and commercial leadership to expand our presence in the home respiratory care market with a long-term goal of consistently delivering high single-digit revenue growth.

[Kevin Smith, President and CEO at Inogen]

U.S. sales were $42.3 million in the quarter as the strong mid-single-digit revenue growth in our B2B sales channel was not enough to offset the channel mix challenges in DTC. Results in DTC reflect a market shift where HMEs are prescribing POCs from day one, and in turn, HMEs are our largest and most strategic funnel. It is important to note that in total, the U.S. segment unit volume was up high single digits, indicating continued strong interest in our products and bolsters our confidence in our strategy. This quarter, we also increased our investment in the B2B sales force, and the team is working across the commercial organization to sharpen execution and align priorities. That investment is already starting to show a return. We significantly increased the number of U.S. customers moving through the B2B sales channel sequentially over Q1.

[Kevin Smith, President and CEO at Inogen]

The cost of ownership case we're making to HMEs is compelling. An eight-year useful life against a five-year industry standard best-in-class serviceability and a growing body of real-world outcomes data. In addition to POCs, our two new products, Voxi and Aurora, continue to receive positive feedback from patients, physicians, and caregivers. We are starting to build inroads in these markets and are pleased with the progress to date. I remain excited about elastic growth with our core business as we bring new innovation to market. On rental, as more patients enter the long-term oxygen therapy pathway through HMEs with a POC, the traditional funnel for rental is narrowing. While this creates a tailwind in our B2B channel, our direct sales channels are feeling pressure. We are managing the rental business with discipline, balancing growth against profitability.

[Kevin Smith, President and CEO at Inogen]

At the same time, we remain committed to ensuring every patient who wants an Inogen device can get one. International was again a standout. Revenue of $41.3 million grew 15% year-over-year. A mid-teen digit expansion sustained across geographies and commercial initiatives. We are penetrating in existing countries and expanding further across Eastern Europe and Latin America while our teams are deepening distributor relationships. Q2 was continued evidence of a repeatable model. While we do see the timing of select distributor purchases impacting the second half, we expect the trajectory to continue to fuel further growth over the long term. One example of our continued global expansion is the Rove 6 portable oxygen concentrator launch in Canada. Canada is a large opportunity with roughly 2 million COPD patients.

[Kevin Smith, President and CEO at Inogen]

This follows Rove 6's launch in Brazil last quarter, which continues to perform in line with our expectations. These successive launches are the execution of a deliberate international expansion strategy, entering new geographies, building upon established distribution relationships, and extending Inogen's reach to patients who currently have limited access to high-quality portable oxygen therapy. Profitability is an active priority at Inogen, and we are diligently executing toward it. Our adjusted EBITDA this quarter was $2.4 million, reflecting 15% year-over-year improvement. At the same time, we are conducting a thorough review of our P&L. We have been examining every line of the business with a clear mandate to ensure our cost structure is aligned with our growth priorities and that we are deploying capital to drive growth, expand into large growing markets, or expand the value proposition of our market-leading products.

[Kevin Smith, President and CEO at Inogen]

That work is underway and we will share more as it gains progress. Our approach to capital allocation also reflects a simple principle. Every dollar we spend must contribute to building a stronger company and generating sustainable shareholder returns. In practice, that means investing with conviction where we see clear returns, such as the sales force expansion, HME channel development, international market entry, and adding higher-growth, margin-accretive products in adjacent markets. Importantly, we generated $2.9 million of operating cash flow and ended our second quarter with $107 million in cash equivalents, marketable securities, and restricted cash, reflecting our strong capital position and ability to continue investing in innovation and long-term growth. We continue to operate with no debt. Innovation remains central to how we generate long-term value at Inogen. This quarter, we made meaningful progress across our pipeline.

[Kevin Smith, President and CEO at Inogen]

Specifically, Voxi expands our core oxygen product portfolio as a high-quality alternative for home oxygen therapy. To date, we've shipped more than 5,000 units. We continue to receive positive feedback from patients and increase traction with our HME partners. Beyond the encouraging early commercial performance, Voxi addresses an attractive market opportunity. We estimate the SOC market has a TAM of $300 million in the U.S. Importantly, stationary concentrators are a foundational part of oxygen therapy, as virtually every patient who uses a POC also has a stationary oxygen concentrator in the home. By expanding to both POCs and SOCs, we are able to serve a larger portion of the patient journey, deepen relationships with U.S. B2B partners, and capture additional value within our core respiratory care market.

[Kevin Smith, President and CEO at Inogen]

At the same time, we are building traction with Aurora CPAP masks. We are encouraged by the strong early adoption, having more than doubled our customer count sequentially. We continue to expand the Aurora pipeline and convert those opportunities. We expect this momentum to continue. The clinical evidence confirms what our commercial teams have been hearing. At SLEEP 2026 in Baltimore in June, we presented the full results of a 90-day in-home study evaluating experienced CPAP users who are already satisfied with their existing mask. That is a deliberately high bar, as these are not dissatisfied patients looking for an alternative. Yet the data showed that they overwhelmingly preferred Aurora. The discussion at SLEEP, the conversations that followed, and most importantly, the growing traction in Aurora reinforce our conviction. We have a product people want to use and the clinical foundation to prove it.

[Kevin Smith, President and CEO at Inogen]

Our U.S. B2B sales reps are deepening provider conversations. We expect Aurora contributions gradually increase throughout the rest of the year. We estimate the U.S. CPAP mask market at approximately $2.2 billion, growing at a high single-digit rate. Every point of market share is roughly $20 million of potential annual revenue to Inogen. We continue to execute the evidence-driven, HME-focused commercial strategy we have already put into motion to make this market meaningful for us. We are also actively building the clinical and commercial foundation to scale Simeox. We estimate a U.S. TAM of approximately $500 million in non-cystic fibrosis bronchiectasis alone, growing at a high single-digit rate. The path to access that vast market is through CMS reimbursement. Our IMPACTS-200 trial's enrollment is progressing on track, with the goal of providing CMS and payers the clinical and economic rationale to cover this differentiated therapy.

[Kevin Smith, President and CEO at Inogen]

In China, we completed enrollment and achieved last patient's last visit for the SCOPE Study. We expect statistical analysis results later this year. China represents a significant long-term opportunity in respiratory care, and we are moving methodically through the regulatory pathway to access. While we invest aggressively in new products, we are equally committed to deepening the clinical and scientific foundation of our core oxygen therapy business. I want to highlight our recently published manuscript in the ERJ Open Research journal, where we introduce a simple oxygen therapy assessment tool known as the Questionnaire for Oxygen Therapy Evaluation, or QuOTE. Developed among 14 eminent pulmonologists across the U.S. and Europe, QuOTE is a clinical assessment tool designed to improve how patients on long-term oxygen therapy are evaluated and managed. This manuscript demonstrates that Inogen's contribution to respiratory medicine extends beyond our device portfolio.

[Kevin Smith, President and CEO at Inogen]

It strengthens our scientific credibility in oxygen therapy, deepens our engagement with key respiratory thought leaders, and advances the standard of patient assessment and management in the global long-term oxygen therapy market. The early response has been striking. Within days of publication, we received requests for translation into additional languages and interest in further development, validation, and deeper psychometric evaluation. The level of immediate engagement from the global respiratory community speaks to the unmet need this tool addresses. Beyond our current portfolio, we continue to invest in our innovation pipeline, advancing digital health capabilities designed to enhance patient engagement, connectivity, and clinical insight. I would like to take a moment to welcome Andy Reding, who joined Inogen last month as Chief Operating Officer, a newly created role that reflects the operational scale and executional demands of this next chapter.

[Kevin Smith, President and CEO at Inogen]

Andy brings more than 30 years of medtech experience across commercial operations, product development, and healthcare reimbursement. As Chief Commercial Officer of Viant Medical, he led operations across 25 facilities, serving hundreds of device companies, and delivered exceptional growth over six years. Prior to Viant, as VP General Manager of Hillrom Respiratory Health, he held full P&L responsibility and led his team through global sales force expansions, new product launches, and successful FDA and CMS navigation. We are glad to have him on board. Today, Inogen operates across oxygen therapy, sleep therapy, airway clearance, and digital health with an estimated combined TAM of over $3.4 billion. 12 months ago, that number was $400 million. Every investment we have discussed today in leadership, commercial execution, new products, and clinical evidence is oriented towards the same outcome: durable top-line growth and a clear accelerating path to profitability.

[Kevin Smith, President and CEO at Inogen]

We remain committed to at least one new product launch per year. With that, I will turn the call over to Jason to discuss the financial results in more detail. Jason?

[Jason Richardson, CFO at Inogen]

Thank you, Kevin, and good afternoon, everyone. As Kevin mentioned, total revenue for the second quarter was $95.1 million, an increase of 3% from the prior year period, primarily driven by strong international growth, the favorable impact of foreign exchange rates, and new product contributions. For the second quarter, foreign exchange had a positive 240 basis point impact on total revenue. U.S. sales were $42.3 million, down 2% year-over-year. This quarter, our distributor business benefited from both healthy POC volumes through DMEs and contributions from our new product launches. Looking ahead, we expect U.S. sales to return to growth as these new products continue to gain traction and B2B customers convert patient new starts to POCs. The D2C sales channel will continue to be under pressure from the broader market channel mix dynamics.

[Jason Richardson, CFO at Inogen]

As a result, we currently expect gains in the U.S. B2B sales channel to be partially offset by continued declines in DTC in the second half of the year. International sales were $41.3 million, up 15% year-over-year. This marks the 10th consecutive quarter of double-digit growth of our international sales. U.S. rentals were $11.6 million, down 12% year-over-year, reflecting the continued and structural sales channel mix shift Kevin described. Total gross margin was 45.5% in the second quarter of 2026 compared to 44.8% in the prior year period. Adjusted gross margin improved by 65 basis points to 45.6%, compared to 44.9% in the prior year period due to cost improvements and lower warranty expenses. Expanding gross margin over time is critical to our overall profitability goals, particularly given the structural headwinds in the U.S., and we are pleased with the second quarter and first-half expansion.

[Jason Richardson, CFO at Inogen]

Adjusted operating expenses for the second quarter of 2026 was $44.6 million, an increase of 1.2% compared to the prior year period. Adjusted R&D expense in the quarter was $4.9 million, an increase of 13.3% versus the prior year period as we are investing in clinical evidence generation and new product development that we believe will differentiate Inogen over the long term. Adjusted SG&A expense in the quarter was $39.8 million, in line with prior year, as investments to support new products and additions to our U.S. B2B sales channel were offset by cost reductions. GAAP net loss for the second quarter of 2026 was $3.9 million compared to a net loss of $4.2 million in the prior year period.

[Jason Richardson, CFO at Inogen]

Adjusted net loss improved nearly 95% year-over-year to less than $0.1 million in the second quarter of 2026, compared with an adjusted net loss of $0.7 million in the prior year period. Adjusted EBITDA was $2.4 million in the second quarter of 2026. Compared to $2.1 million in the prior year period, an improvement of $300,000. Q2's profitability was a strong quarter for us, and we continue to plan to drive operating leverage and efficiency, while also prioritizing investments that support long-term growth. Moving to cash, we generated positive operating cash flow of $2.9 million in the second quarter of 2026, and free cash flow of $1 million. We ended the quarter with $106.8 million in cash and cash equivalents, marketable securities, and restricted cash, with no debt outstanding.

[Jason Richardson, CFO at Inogen]

In the first half of 2026, we repurchased over 1.1 million shares of our common stock for a total consideration of $7.5 million. We continue to believe our stock is undervalued relative to the fundamentals and the strategic opportunity in front of us. We are well-positioned to return capital to shareholders while investing in growth, and we intend to continue to do it thoughtfully. Now, let me turn to our third quarter and full year 2026 outlook. We are updating our full year 2026 revenue guidance to a range of $355 million-$361 million, representing approximately 3% growth at the midpoint of the range. This represents a reduction from our previous guidance range of $366 million-$373 million. We continue to expect strong demand for our core POC products and further growth in the scaling of Aurora and Voxi.

[Jason Richardson, CFO at Inogen]

These factors will be partly offset by continued U.S. market channel mix shift pressure on our direct businesses and the timing of certain select distributor inventory purchases in international. For the third quarter of 2026, we expect reported revenue to be in line with the third quarter of 2025 reported revenue of $92.4 million. This reflects the impact of continued U.S. sales channel mix, as well as the impact of international distributor inventory purchases. As we manage through channel mix shifts on the top line while prioritizing growth investments, we are pleased to raise our full year adjusted EBITDA guidance. We now expect adjusted EBITDA of approximately $4 million for the full year 2026, representing 48% growth over the $2.7 million reported for the full year 2025. With that, I will turn the call back to Kevin for closing remarks.

[Kevin Smith, President and CEO at Inogen]

Thank you, Jason. I want to address the updated outlook we showed today. While our performance this quarter was in line with our expectations and we are lowering our guidance, we are approaching this period with a clear understanding of the market dynamics, a strong sense of accountability, and a focused plan to drive improvement. As we look ahead, our focus remains on execution. In the second quarter, we delivered continued international POC growth, realized strong U.S. POC unit growth, and made meaningful progress in our U.S. B2B sales channel with new leadership, an expanded sales team, and positive traction for Voxi and Aurora. We have strengthened our leadership team with the addition of a chief operating officer while increasing our focus on financial discipline and operational execution, reflected in the increased full year adjusted EBITDA guidance.

[Kevin Smith, President and CEO at Inogen]

While we remain mindful of near-term headwinds, including international customer inventory management and ongoing channel mix pressure in our U.S. direct business, we are taking decisive action to improve execution, drive profitability, and create long-term shareholder value. Operator, please open the call for questions.

[Operator]

Thank you. We will now be conducting a question and answer session. If you would like to ask a question, please press star and then one on your telephone keypad. A confirmation tone will indicate your line is in the question queue. You may press star and then two if you would like to remove your question from the question queue. For participants using speaker equipment, it may be necessary for you to pick up your handset before pressing the star key. One moment please while we poll for questions. The first question comes from Mike Matson from Needham & Co. Please proceed with your questions, Mike.

[Mike Matson, Analyst at Needham & Co]

Yeah, thanks. Just wanted to ask one on this channel issue with the DTC side of things. Is this the DTC business just sort of like a melting ice cube here that's going to just continue to fall? Is there any ability to sell the CPAP masks or other products through that channel that makes it worth keeping it intact? I understand that while this mix shifts a negative for that part of the business, it's a positive for the B2B side. I understand there's an offset, but I'm just trying to understand if there's any sort of bottom here, or if this thing's going to just keep gradually eroding over time.

[Kevin Smith, President and CEO at Inogen]

Hey, Mike, this is Kevin, and thanks for that question. I think what might be helpful here is if I kind of step back a little bit and then wrap that in here. We have confidence that we do have the right strategy, and many things are going well right now. The core POC business is healthy. The underlying demand is up 12%. International growth is 15%. Geo expansion is contributing 80 basis points to the growth in the second quarter, and the new products, Voxi and Aurora, are gaining traction and velocity. They contributed more than 100 basis points of growth. If I look at this going forward, what's changed from where we were in the previous quarter? One, I'll start off with the international. A few of our distributors have indicated that they're going to be managing inventory in the second half.

[Kevin Smith, President and CEO at Inogen]

We see that as transitory, right? This includes some factors like tenders getting delayed and distributor consolidation that is happening. International continues to grow. That is a highlight for us. We're confident, again, as I said, that this is transitory. This mix shift that we talked about, it's been happening faster than we anticipated. Yes, you're right, that is a tailwind for the B2B. It's the headwind for the direct business. We do see opportunities when we look at the DTC for that to stabilize and that to grow. When we're looking at the second half of this year, we're seeing that total U.S. business, and we bucket that together with the B2B U.S. We see us as being able to overcome that headwind and see overall growth in the U.S. business in the second half.

[Kevin Smith, President and CEO at Inogen]

The other piece of that headwind is the rental business. The rental business is something that we have some additional factors that are in there. One is that shift that's happening with the HMEs providing the POCs first versus the oxygen tanks more frequently. There's also some perspectives in there that we have to evaluate. We brought in some new folks that are taking a look at this for us, giving us a range of options to improve that business. That's important for us going forward. We do believe we have the right strategy. Yes, we believe we can sell more. We've been selling the Voxi through the DTC channel. We do believe that we have opportunities to sell other products in there. That's core to us, and it's something that we're focused on. Jason, anything to add there?

[Jason Richardson, CFO at Inogen]

I think you covered it. I think like you said, that we see a return to growth on the sales side in the second quarter for the U.S., which is really important. I think we have work to do on rental, and we have a few options there to try to improve performance.

[Mike Matson, Analyst at Needham & Co]

Okay, understand. Just with regards to. I mean it was good to see the gross margin up, especially given this mix shift that in B2B from DTC, because I think that margins tend to be higher on the DTC side. I guess what's driving or what drove the gross margin improvement that you saw in the quarter?

[Kevin Smith, President and CEO at Inogen]

Jason, I'll let you take that one.

[Jason Richardson, CFO at Inogen]

Yeah. I'll take this one. It's Jason. No, I think we're really happy with what we're seeing from a gross margin standpoint. I think as you called out, we have the structural headwind from the mix shift. At the same time, we've been able to realize cost-saving initiatives. We did have some modest one-timers in the quarter, but if you look over time, we've been able to, even with this mix shift, be in that 44%-45% range. The other thing I would highlight that's helping us contribute here is we've been realizing lower warranty costs, which for us, quality of our product is a big differentiator for us in the market and particularly with our B2B partners. I think that we expect to really be able to offset some of that mix shift going forward.

[Jason Richardson, CFO at Inogen]

As we look out, I would say, we see that as stable. Mix shift will continue to put pressure. We have some modest inflationary pressures, we continue to have cost improvement initiatives. New products should be accretive. Like I said, we're happy with where we are from a gross margin standpoint.

[Mike Matson, Analyst at Needham & Co]

Okay, thanks. Then I guess my last question is just on getting your POCs into the Chinese market. Can you just give us an update there with your partner?

[Kevin Smith, President and CEO at Inogen]

Yeah, certainly. Mike, we're working through the regulatory process. We haven't guided any further on timing with that specific to the POCs. We'll provide updates as that becomes relevant. One thing I will note also is we continue to make good progress, as noted in the prepared remarks with Simeox in the Chinese market. We do continue to expect to have that regulatory clearance before the end of the year for Simeox in China.

[Mike Matson, Analyst at Needham & Co]

Okay, great. Thanks.

[Operator]

Thank you. Next question comes from Anderson Schock from B. Riley Securities. Please proceed with your questions, Anderson.

[Anderson Schock, Analyst at B. Riley Securities]

Hi, good afternoon. Thank you for taking the questions. First, Aurora and Voxi 5 continue to scale. Could you update us on where each stands today with contribution in the quarter, account penetration, and how much contribution from these is embedded in the revised full-year range versus the original?

[Kevin Smith, President and CEO at Inogen]

Yeah. Maybe I'll start, Jason, then you can take over there. We've been seeing the growth, the trajectory from that velocity I talked about, both from an account basis with a doubling of the accounts on a quarter-on-quarter basis, and we anticipate being able to see that continue to grow. Now, remember that Aurora, the masks, you're picking those up even if though it's account by account, it's also patient by patient in this. We like what we see, and we have good feedback coming from the patients is where as the HCPs, and similarly with Voxi. Voxi is again, good solid feedback that we're hearing in the market. We like the volume that we have. We like the discussions that are continuing on here going forward. We haven't really broken it down any further than that. Jason, anything you want to.

[Jason Richardson, CFO at Inogen]

I think to answer the questions, the contribution here in the second quarter, new products contributed a little over 100 basis points, specifically the Voxi and Aurora. As we think about the second half, we expect that to accelerate. I think importantly, as you think about the guide to guide here, I will tell you that that assumption is unchanged. I think that this is on target to what we were forecasting.

[Anderson Schock, Analyst at B. Riley Securities]

Okay. Got it. Thank you. Then on Simeox, I guess outside of China, could you provide an update on the IMPACTS-200 study and a timeline there from data to a U.S. coverage decision?

[Kevin Smith, President and CEO at Inogen]

Again, with that one, we were progressing well. We're where we expected to be from an enrollment standpoint. We're happy with that. We haven't guided to the timing on that, Anderson. We'll give that update once we get to the last patient and the last visit. We will do something similar as we did with the SCOPE Study in China. Remember also, we'll need a second trial for that we're working through with the investigators on Simeox, because we'll want to have at least two good trials to take to CMS and make sure that we put our best foot forward. You've got really one shot on goal with that.

[Anderson Schock, Analyst at B. Riley Securities]

Okay, got it. Thank you for taking the question.

[Operator]

Thank you. The next question comes from Ilya Zubkov from Freedom Capital Markets. Please proceed with your question.

[Ilya Zubkov, Analyst at Freedom Capital Markets]

Good afternoon, thank you for taking my question. I have just a quick one. As you continue to evolve the mix toward the B2B channel, could you share your perspective on patient and provider stickiness and how transition between different channels typically play out in terms of patient retention?

[Kevin Smith, President and CEO at Inogen]

Certainly. When we think about the channels and patient stickiness, part of our strategy is to really own three buckets as we look at this. Owning the patient and the engagement with the patients, the HCPs, and as well as the HME relationships, the B2B. When you look at the QuOTE study that we have put out, that demonstrates that level of engagement that we're working towards. One with the HCP, because the HCP is going to make the recommendations to the patients. We want them to have the brand preference and loyalty and insist on Inogen. We're working towards the evidence to be able to allow us to continue that engagement and drive preference. Same thing with the patients. With the patients, at this QuOTE study that we have in the questionnaire is a patient and a caregiver, an HCP engagement form.

[Kevin Smith, President and CEO at Inogen]

That enables us to continue to build that brand preference with Inogen as we start to control some of those conversations, or I should more say heavily influence those conversations. When we look at the B2B partner, we're not necessarily giving up the control to the B2B partner. A long-range part of our strategy that we've been building towards is our digital health. The digital health connectivity, again, allows us to engage with the patients, the healthcare partners, and provide that connection back to the B2B partner. It's this broader ecosystem, and we're driving all angles to that.

[Ilya Zubkov, Analyst at Freedom Capital Markets]

Great. Thank you very much.

[Operator]

Thank you. There are no further questions. At this time, I'd like to hand the call back to the CEO, Kevin Smith, for closing remarks. Thank you, Kevin. Over to you.

[Kevin Smith, President and CEO at Inogen]

Thank you. At the midpoint of 2026, our path forward is increasingly clear. Our commercial strategy is gaining traction, our product and clinical pipeline are advancing, and the new additions to our executive team positions us well for the future. This progress would not be possible without the hard work, dedication, and resilience of our employees who drive Inogen forward every day. Thank you for your continued support. We look forward to updating you on our progress next quarter.

[Operator]

Thank you. Ladies and gentlemen, this concludes today's call. Thank you for joining us. You may now disconnect your lines.

Participants

Executives

• Lorna Williams, SVP of Investor Relations and Strategic Planning
• Kevin Smith, President and CEO
• Jason Richardson, CFO

Analysts

• Mike Matson, Analyst at Needham & Co
• Anderson Schock, Analyst at B. Riley Securities
• Ilya Zubkov, Analyst at Freedom Capital Markets