Abstract: A hose management system (30) for use with a system adapted to provide respiratory therapy. The system includes an elongated, flexible second hose (22). The hose management system (30) includes a housing assembly (32), a rotatable spool assembly (34), and a rotatable coupling (36). The housing assembly has a sidewall assembly (40) defining a substantially enclosed space. The rotatable spool assembly has a spool body (50). The spool body (50) is disposed in the housing assembly (32) enclosed space and rotatably coupled to the housing assembly (32). The rotatable coupling (36) defines a passage (90), the rotatable coupling (36) being a rotatable conduit extending through the housing assembly sidewall and spool body. Wherein the second hose (22) may be substantially wrapped about the spool body (50) and substantially concealed within the housing assembly (32) enclosed space.