Accuray Incorporated
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Range $2 – $2
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About the company
Accuray Incorporated specializes in the design, development, production, and sale of advanced radiosurgery and radiation therapy equipment aimed at treating tumors. Their market footprint spans across North and South America, Australia, New Zealand, Europe, the Middle East, India, Africa, Japan, China, and the broader Asia Pacific region. Among their core offerings is the CyberKnife System, a sophisticated robotic platform for stereotactic radiosurgery and stereotactic body radiation therapy.
- CEO
- Stephen R. LaNeve
- IPO
- 2007
- Employees
- 809
- HQ
- Madison, WI, US
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Similar companies
Peers in the same neighborhood.
- Market Cap
- $31.11M
- P/E
- -0.66
- PEG
- 0.00
- P/S
- 0.08
- P/B
- 0.77
- EV/EBITDA
- -12.16
- Div Yield
- 0.00%
- Gross Margin
- 27.73%
- Op Margin
- -6.58%
- Net Margin
- -12.24%
- ROE
- -99.04%
- ROIC
- -10.09%
Latest fiscal year · YoY change
- Revenue
- $401.95M-12.3%
- Gross Profit
- $111.45M-24.2%
- Op Income
- $-26,442,000
- Net Income
- $-49,194,000-2992.0%
- EPS
- $-0.40-2480.6%
- OCF Growth
- -344.1%
- FCF Growth
- -126.8%
- 52W High
- $2.10
- 52W Low
- $0.22
- 50D MA
- $0.27
- 200D MA
- $0.43
- Beta
- 1.42
- RSI (14)
- 50
- Avg Volume
- 7.08M
Earnings call summaries
Pick a quarter — each call distilled into takeaways, results, and a bull vs bear read.
Accuray said fiscal 2026 was a transformation year, with service growth and margin improvement offset by a sharp drop in product revenue, while a new TCW deal and partnership strategy were positioned to strengthen fiscal 2027 execution.· August 19, 2026
- Q4 revenue was $100.9 million, down 21% year over year; full-year revenue was $402 million, down 12% and down 14% on a constant-currency basis.
- Service revenue grew: Q4 service revenue was $60.1 million, up 6%, and full-year service revenue was $229 million, up 4%.
- Product revenue was weak: Q4 product revenue fell 42% to $40.8 million and full-year product revenue fell 27% to $173 million, with about $58 million of the decline tied to China.
- Gross margin improved in Q4 to 34.8% from 30.6%, but full-year gross margin fell to 27.7% from 32.1% due to lower product volume and tariff/mix pressure.
- Management declined to give formal fiscal 2027 revenue or adjusted EBITDA guidance, but expects service revenue growth, better service margins, and about $15 million of incremental annualized cost and margin improvement from transformation actions.
Net revenue was $100.9 million in Q4, down 21% year over year on both reported and constant-currency basis. Full-year revenue was $402 million, down 12% year over year and down 14% on a constant-currency basis. Q4 service revenue was $60.1 million, up $3.2 million or 6%; full-year service revenue was $229 million, up $8.3 million or 4%. Q4 product revenue was $40.8 million, down $29.9 million or 42%; full-year product revenue was $173 million, down $65 million or 27%. Q4 gross profit was $35.1 million with gross margin of 34.8% versus 30.6% a year ago; full-year gross profit was $111 million with gross margin of 27.7% versus 32.1% a year ago. Q4 operating income was $5.5 million versus $4.2 million last year; full-year operating loss was $26.4 million versus income of $7.8 million. Q4 adjusted EBITDA was $12.9 million versus $9.4 million last year; full-year adjusted EBITDA was $10.6 million versus $28.3 million. Product gross orders were about $38 million in Q4 with a 0.9x book-to-bill; full-year gross orders were $192 million with a 1.1x trailing 12-month book-to-bill; order backlog ended at about $313 million. For fiscal 2027, management gave no formal revenue or adjusted EBITDA guidance, but said it expects continued growth in service revenue, improved service margins, ongoing operating expense discipline, and roughly $15 million of incremental annualized cost and margin improvement from transformation actions.
Stephen R. LaNeve framed fiscal 2026 as a year of broad operational reset: streamlining the organization, tightening accountability, reducing costs, and building a more focused partnership ecosystem. He emphasized that the company is entering a “Phase 2” focused on differentiated innovation, lower cost structure, expanded market reach, and service revenue and margin expansion. His tone was constructive but cautious, noting persistent uncertainty from geopolitics, tariffs, China, and the Middle East that makes product demand and margin trends hard to predict.
Ali Pervaiz led with the numbers: Q4 revenue of $100.9 million, service revenue of $60.1 million, product revenue of $40.8 million, Q4 gross margin of 34.8%, and full-year revenue of $402 million with gross margin of 27.7%. He highlighted service margin progress from pricing actions and lower labor costs, while product margins were hurt by lower China shipments, tariff expense, mix, and an obsolete component write-down. On the balance sheet, cash, cash equivalents and restricted cash were $48.8 million, net receivables were $67.4 million, inventory was $147.1 million, and $5 million was outstanding on the revolver. He also detailed the TCW transaction: $40 million of debt to preferred equity, a $15 million convertible preferred equity investment, up to $5 million of delayed-draw liquidity, 8% dividends on preferred shares, and a covenant holiday through 12/31/2027 with first testing on 03/31/2028.
There were no analyst questions; management said no questions were received and moved directly to closing remarks. As a result, there was no Q&A color on demand trends, margins, China, or the TCW deal beyond what management covered in prepared remarks.
The bullish view is that Accuray is showing tangible transformation benefits, with more than $20 million of cost and margin improvement realized in fiscal 2026 versus a $12 million target, and another $15 million expected in fiscal 2027. Service revenue is growing, service margins improved meaningfully, and management said customer response at ESTRO and traction for products like Stellar and CyberKnife are building commercial momentum. The TCW transaction also materially improves liquidity and capital flexibility, giving the company more runway to execute.
The main bear case is that product revenue remains under heavy pressure, especially in China, where management cited about $58 million of year-over-year decline from geopolitical tension and tariff uncertainty. Full-year operating results deteriorated to a $26.4 million operating loss and gross margin fell to 27.7%, showing the business is still vulnerable to mix and macro headwinds. Management also declined to provide formal fiscal 2027 revenue or adjusted EBITDA guidance, which underscores the uncertainty around product demand, margins, and timing of orders and installations.
AI summary of the company's earnings call · Paraphrased · Not investment advice
- Free Float
- 95.0%
- Shares Outstanding
- 118.96M
- Float Shares
- 113.00M
of shares held by institutions
125 13F filers
Buy/sell ratio 0.00. Sells can include pre-scheduled 10b5-1 plan sales, not just discretionary selling.
Top institutional holders
Largest 13F positions, with quarter-over-quarter change.
| Holder | Shares | Δ Quarter |
|---|---|---|
| Tcw Group Inc | 18.94M | ▲ 3.47M |
| Neuberger Berman Group LLC | 6.07M | ▲ 218.60K |
| Vanguard Group Inc | 5.82M | ▲ 341.90K |
| Armistice Capital, LLC | 5.74M | ▲ 100.00K |
| Weber Capital Management LLC /Adv | 4.93M | ▼ 122.59K |
| Vanguard Capital Management LLC | 4.44M | ▲ 7.41K |
| Blackrock, Inc. | 3.27M | ▼ 5.19M |
| Aqr Capital Management LLC | 2.72M | ▲ 2.10M |
| Jane Street Group, LLC | 2.14M | ▲ 2.14M |
| Renaissance Technologies LLC | 2.07M | ▼ 225.70K |
| Dafna Capital Management LLC | 1.68M | 0 |
| Ubs Group AG | 1.62M | ▲ 222.20K |
Held by 38 ETFs
Biggest fund positions in ARAY by dollar value.
Recent insider transactions
Who's buying, who's selling, and how much.
| Date | Insider | Type | Shares |
|---|---|---|---|
| Sep 23, 26 | Pervaiz Ali | other | 19,811 |
| Sep 23, 26 | Pervaiz Ali | other | 8,915 |
| Jul 29, 26 | TCW GROUP INC | other | 7,987,743 |
| Jul 29, 26 | TCW GROUP INC | other | 598,114 |
| May 29, 26 | Miele Paul Michael | other | 650,000 |
| May 19, 26 | TCW GROUP INC | other | 1,414,040 |
| May 19, 26 | TCW GROUP INC | other | 1,010,028 |
| May 19, 26 | TCW GROUP INC | other | 808,023 |
| May 19, 26 | TCW GROUP INC | other | 105,882 |
| May 19, 26 | TCW GROUP INC | other | 75,630 |
A “Sell” may be a pre-scheduled 10b5-1 plan sale rather than a discretionary decision — read insider selling with that in mind.
Our ARAY coverage
Recent articles, reports, and earnings notes.
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Generate ARAY report →Accuray Announces Stockholder Approval of Key Financing-Related Proposals and Appointment of New Independent Director
prnewswire.com · Oct 6
Accuray and Samsung NeuroLogica Advance Volumetric Imaging Collaboration for the Accuray CyberKnife® Platform
gurufocus.com · Sep 27
Accuray and Samsung NeuroLogica Advance Volumetric Imaging Collaboration for the Accuray CyberKnife® Platform
prnewswire.com · Sep 27
Accuray and RaySearch Agree to Collaboration Integrating RayStation Software with Accuray Platforms to Accelerate Accuray's Online Adaptive Capabilities
gurufocus.com · Sep 11
Accuray and RaySearch Agree to Collaboration Integrating RayStation Software with Accuray Platforms to Accelerate Accuray's Online Adaptive Capabilities
prnewswire.com · Sep 11
BlackRock Inc. Makes New Investment in Accuray Incorporated $ARAY
defenseworld.net · Sep 7
Accuray Incorporated (ARAY) Q4 2026 Earnings Call Transcript
seekingalpha.com · Aug 19
Accuray Reports Fourth Quarter and Fiscal 2026 Financial Results
prnewswire.com · Aug 19
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