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Inogen Inc.: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 6 August 2026: press release. Guidance figures: 1 raised, 1 lowered, 1 new. The quarter’s numbers.

Key takeaways

  • Revenue rose 3.0% to $95.1M: Second-quarter revenue was $95.1 million, against $92.3 million a year earlier. The company attributed the increase mainly to international demand for portable oxygen concentrators and a foreign exchange effect. Source
  • Adjusted EBITDA was positive: Adjusted EBITDA was $2.4 million, up $0.3 million. First-half adjusted EBITDA was $1.0 million, against $2.1 million, after a first-quarter negative figure of $1.4 million. Source
  • Full-year revenue range lowered: The full-year revenue range was lowered to $355 million to $361 million, reflecting about 3% growth at the midpoint. Source
  • U.S. sales and rentals declined: U.S. sales were $42.3 million, down 2.3%, and U.S. rentals were $11.6 million, down 11.8%. The company said it continued to gain traction with U.S. distributors. Source
  • Adjusted gross margin up 65 basis points: Adjusted gross margin was 45.6%, up 65 basis points, which the company attributed to cost of revenue improvements. Reported gross margin was 45.5%, against 44.8%. Source

“Our second quarter results demonstrate continued demand for our products and validate the progress of our strategy to expand and diversify Inogen’s respiratory care portfolio,”

Kevin Smith, President and Chief Executive Officer

Guidance

AreaPeriodFigureAgainst last quarter
Revenue, third quarter SourceQ3 2026approximately in line with third quarter 2025 revenueNew
Revenue, full year SourceFY 2026$355 million to $361 millionLowered from $366 million to $373 million
Adjusted EBITDA, full year SourceFY 2026approximately $4.0 millionRaised

What changed from last quarter

  • Guidance lowered: Full-year 2026 revenue guidance moved to $355 million to $361 million from $366 million to $373 million. Source
  • Guidance raised: Full-year 2026 adjusted EBITDA guidance was raised to approximately $4.0 million. Source
  • New guidance: Third-quarter 2026 revenue guidance was given for the first time, as in line with third-quarter 2025. Source
  • New: Andy Reding was added as Chief Operating Officer. Source

Results and growth drivers

  • Revenue rose 3.0% to $95.1M: Second-quarter revenue was $95.1 million, against $92.3 million a year earlier. The company attributed the increase mainly to international demand for portable oxygen concentrators and a foreign exchange effect. Source
  • Adjusted EBITDA was positive: Adjusted EBITDA was $2.4 million, up $0.3 million. First-half adjusted EBITDA was $1.0 million, against $2.1 million, after a first-quarter negative figure of $1.4 million. Source
  • Net loss narrowed year over year: GAAP net loss was $3.9 million, against $4.2 million a year earlier. First-half net loss was $12.2 million, against $10.3 million. Source
  • Full-year revenue range lowered: The full-year revenue range was lowered to $355 million to $361 million, reflecting about 3% growth at the midpoint. Source

Segments and regions

  • International sales up 14.8%: International sales were $41.3 million, up 14.8% year over year, or 8.3% at constant currency. Source
  • U.S. sales and rentals declined: U.S. sales were $42.3 million, down 2.3%, and U.S. rentals were $11.6 million, down 11.8%. The company said it continued to gain traction with U.S. distributors. Source
  • First-half U.S. sales down 3.4%: First-half U.S. sales were $77.0 million, down 3.4%, while first-half international sales rose 16.2% to $78.9 million. Source

“We are building momentum through new product launches, gaining traction in key markets, and driving greater operating leverage across the business.”

Kevin Smith, President and Chief Executive Officer

Products and launches

  • Rove 6 launched in Canada: The Rove 6 portable oxygen concentrator launched in Canada, which the company said reaches about two million Canadians with chronic obstructive pulmonary disease. Source
  • QuOTE tool published: Inogen published the QuOTE questionnaire, nine questions for standardizing long-term oxygen therapy patient monitoring at routine clinical visits. Source
  • Simeox H China study enrollment done: Enrollment finished and last patient last visit was reached in the Simeox H SCOPE Study in China. Statistical results are expected in the second half of 2026. Source

Costs, margins and profitability

  • Adjusted gross margin up 65 basis points: Adjusted gross margin was 45.6%, up 65 basis points, which the company attributed to cost of revenue improvements. Reported gross margin was 45.5%, against 44.8%. Source
  • Operating loss narrowed: Loss from operations was $5.1 million, against $6.1 million a year earlier. First-half operating loss was $14.4 million, against $13.8 million. Source
  • Research spending rose: Research and development expense was $5.9 million in the quarter, against $5.2 million, and $11.0 million for the first half, against $9.2 million. Source
  • Administrative cost rose: General and administrative expense was $17.7 million, against $16.9 million. Sales and marketing expense was $24.8 million, against $25.4 million. Source
  • Some costs excluded from adjusted EBITDA: Restructuring-related charges of $214,000 and stockholder engagement costs of $580,000 were excluded from adjusted EBITDA in the quarter. Source

Demand, rentals and distributors

  • Third-quarter revenue held near prior year: Third-quarter revenue is expected near last year's level, reflecting the U.S. channel mix shift and timing of some international distributor inventory purchases. Source
  • Rental patient base shrank: Net rental patients at the end of the first quarter were 47,300, against 50,400 a year earlier. The second-quarter figure is listed among the operating measures.

Capital, cash and returns to shareholders

  • Cash of $106.8M, no debt: Cash, cash equivalents, marketable securities and restricted cash totaled $106.8 million at June 30, 2026, with no debt outstanding. Source
  • Share repurchases of $7.5M in first half: The company repurchased 1,145,150 shares for $7.5 million in the first half, under the program announced in the first quarter. Source
  • Free cash flow positive in quarter: Free cash flow was $1.0 million in the second quarter, against $0.5 million a year earlier. First-half free cash flow was negative $6.4 million. Source

Coming up, as management said on 6 August 2026

  • Simeox H statistical results due: Statistical analysis results from the Simeox H SCOPE Study are expected in the second half of 2026. Source
  • Form 10-Q to carry EPS reconciliation: The reconciliation of basic and diluted net loss per share is to be included in the Form 10-Q for the quarter ended June 30, 2026. Source

Risks management discussed

  • Demand: The company cited the U.S. channel mix shift and the timing of some international distributor inventory purchases as affecting third-quarter revenue. Source
  • Demand: U.S. sales and rentals were below the prior-year period in the quarter. Source
  • External: The company said higher international revenue was driven partly by a favorable foreign exchange rate effect. Source
  • Financial: Operating cash use in the first half was $3.7 million, against $12.4 million a year earlier. Source
  • External: Stockholder engagement and proxy defense costs were incurred in the quarter and excluded from adjusted EBITDA. Source

Earlier plans management reported on

  • Not stated: In the first-quarter release the company said it remained committed to positive adjusted EBITDA improvement in 2026. The second-quarter release raised the full-year adjusted EBITDA guidance.
  • Not stated: The first-quarter release said the company believed its priorities would position it for growth acceleration and improved profitability in the second half and beyond.
  • Not stated: The first-quarter release reiterated full-year revenue of $366 million to $373 million. The second-quarter release gave a revised range.
  • Not stated: The company authorized a $30.0 million share repurchase program in the first quarter. The second-quarter release reported repurchases under that program.

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.