NASDAQ:ARAY Accuray Q2 2024 Earnings Report $1.67 -0.07 (-4.02%) Closing price 09/19/2025 04:00 PM EasternExtended Trading$1.68 +0.01 (+0.30%) As of 09/19/2025 07:58 PM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Polygon.io. Learn more. ProfileEarnings HistoryForecast Accuray EPS ResultsActual EPS-$0.10Consensus EPS -$0.05Beat/MissMissed by -$0.05One Year Ago EPS-$0.02Accuray Revenue ResultsActual Revenue$107.24 millionExpected Revenue$107.11 millionBeat/MissBeat by +$130.00 thousandYoY Revenue GrowthN/AAccuray Announcement DetailsQuarterQ2 2024Date1/31/2024TimeAfter Market ClosesConference Call DateWednesday, January 31, 2024Conference Call Time4:30PM ETUpcoming EarningsAccuray's Q1 2026 earnings is scheduled for Wednesday, November 5, 2025, with a conference call scheduled at 4:30 PM ET. Check back for transcripts, audio, and key financial metrics as they become available.Conference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by Accuray Q2 2024 Earnings Call TranscriptProvided by QuartrJanuary 31, 2024 ShareLink copied to clipboard.Key Takeaways Accuray reported 19% year-over-year order growth in Q2 with $94 million in orders and a book-to-bill ratio of 1.8, driven by new product launches and enhanced commercial strategies. Service revenue grew 8% year-over-year to $56 million, reflecting successful pricing actions and contract renewals, and contributed to a 160 basis-point improvement in service margins in H1. The Tomo C system launch in China delivered 44% order growth in the region, tapping into the $600 million Type B market and positioning Q4 and FY 25 for strong revenue and margin expansion. Management reaffirmed its full-year FY 2024 guidance of $460–470 million in revenue and $27–30 million in adjusted EBITDA, with H2 revenue expected between $250–260 million due to product deliveries and backlog conversion. Operationally, the company achieved an 8% reduction in operating expenses (ex-ERP and severance), improved parts consumption and pricing, and is executing margin-expansion initiatives to drive long-term profitability. AI Generated. May Contain Errors.Conference Call Audio Live Call not available Earnings Conference CallAccuray Q2 202400:00 / 00:00Speed:1x1.25x1.5x2xThere are 6 speakers on the call. Operator00:00:00Good day, and welcome to the Accuray Second Quarter Fiscal 20 24 Financial Results. Please note this event is being recorded. I would now like to turn the conference over to Jesse Chu, Senior Vice President, Chief Legal Officer. Please go ahead. Speaker 100:00:43Thank you, operator, and good afternoon, everyone. Welcome to Actuway's conference call to review financial results for the Q2 of fiscal year 2024, which ended December 31, 2023. During our call this afternoon, management will review recent corporate developments. Joining us on today's call are Suzanne Winter, Accurate's President and Chief Executive Officer and Ali Pervez, Accurate's Chief Financial Officer. Before we begin, I would like to remind you that our call today includes forward looking statements. Speaker 100:01:10Actual results may differ materially from those contemplated or implied by these forward looking statements. Factors that could cause these results to differ materially are outlined in the press release we issued just after the market closed this afternoon as well as in our filings with the Securities and Exchange Commission. We base the forward looking statements on this call on the information available to us as of today's date. We assume no obligation to update any forward looking statements as a result of new or future events except to the extent required by applicable securities laws. Accordingly, you should not put undue reliance on any forward looking statements. Speaker 100:01:42A few housekeeping items for today's call. 1st, during the Q and A session, we request that participants limit themselves to 2 questions and then re queue with any follow ups. 2nd, all references to a specific quarter in the prepared remarks are to our fiscal year quarters. For example, statements regarding our Q2 refer to our fiscal Q2 ended December 31, 2023. Additionally, there will be a supplemental slide deck to accompany this call, which you can access by going directly to Accuray's Investor Relations page at investors. Speaker 100:02:13Accuray.com. With that, let me turn the call over to Accuray's Chief Executive Officer, Suzanne Winter. Suzanne? Speaker 200:02:20Thank you, Jesse. Good afternoon and thank you all for joining the call. Accuray delivered another strong quarter with outstanding order growth driven by our new product introductions and both top and bottom line performance consistent with our expectations for the first half. Before I get into the details of the quarter, I want to highlight a few key points from the 3 year outlook we introduced at our ASTRO Investor Day in October. These include driving revenue growth through innovation to advanced care, broadening our product portfolio to compete in the global value segment, accelerating growth in our recurring service solutions business and improving profitability while strengthening our balance sheet. Speaker 200:03:08I'm proud to say that in the first half of FY twenty twenty four, We have made good progress on each of these strategic pillars and advanced significant growth catalysts that will be realized in the coming quarters. We believe new product launches like VitalHold for the Rad Exact, TomoSee in China, Helix, our helical value segment product and CNO's online adaptive capability will be growth catalysts and begin to accelerate revenue and profitability growth in Q4 and into FY 'twenty five and beyond. Reflecting on Q2, I am extremely pleased with order performance, which at $94,000,000 represents 19% year over year growth and a very strong book to bill ratio of 1.8. We believe 1.2 book to bill ratio is a healthy target. So at 1.8 we are very pleased with these results, were driven by customer adoption of our new product innovation and high impact commercial strategies. Speaker 200:04:12We received shonen market clearance for VitalHold in Japan with a full introduction at the Japanese Society For Radiation Oncology conference where we received 7 orders at the close of the conference. VitalHold enhances breast cancer treatment by enabling surface guided therapy designed to protect the heart and lungs and as a result of our joint development with CRAD. We believe this will further strengthen our number 2 market share position in Japan. Additionally, we are advancing progress on gaining market clearance for Sino's online adaptive capabilities on our precision treatment planning solution. This clearance is expected in the second half of the fiscal year the U. Speaker 200:04:56S. Market and we believe that will enhance our competitive win rate and allow us to build our order backlog for trade in trade up replacements and upgrades for our installed base of RadXact systems. Cenos leverages AI technology and is a result of our partnership with Limbus AI And we are encouraged by continued customer interest since ASTRO. We believe it will help drive higher competitive win rates and base growth of the Radixact platform. Now turning to our Tomo C system in China. Speaker 200:05:30Q2 was our first quarter since regulatory approval to market the system in China and was an important indicator of customer response. We saw overall 44% year over year order growth in the China region within the quarter and while this partially represents some pent up demand for Tomo C, we expect order activity to continue to be strong towards fiscal year end with revenue and margin growth beginning in Q4 and into FY 'twenty five pending customer installation timing. As a reminder, Tomo C expands our portfolio in China with a domestic made product and enhances our access into the Type B market, which represents approximately $600,000,000 annually over the next 5 years. Additionally, our Q2 performance in service was outstanding with 8% revenue growth year over year. As we have discussed, the service business is a strategic area of focus the company and each service contract represents a recurring revenue stream over the 10 to 12 year life of the system after the warranty period. Speaker 200:06:38Although we remain in the early innings of our service transformation, I am very pleased to see impact from the strategic actions we put in place to improve commercial performance and enhance our offerings. Finally, Q2 global demand for installation was strong and we ended the quarter with 6% growth year over year in our global installed base of systems. This was led by the APAC region, which celebrated the milestone of 250 systems installed and remains one of our fastest growing installed base regions at 13% year over year growth. As we look at our business model going forward, we see installed base growth as a leading performance indicator and the primary driver behind future service contract revenue. As service revenue grows, we expect to benefit from scale and see a significant bottom line impact from improving margins. Speaker 200:07:36From a region perspective, The EIMEA region continues its outstanding performance in both orders and revenue with 30% and 11% growth year over year respectively. The APAC region had 42% order growth year over year with China delivering 44% growth reflecting strong demand. Revenue in APAC was impacted in Q2 primarily due to customer tender timing in Australia and Taiwan, which resulted in APAC revenues being down 8% year over year. We expect this to resolve by our fiscal year end along with backlog conversion of new Tomo C orders in China to accelerate revenue recovery starting in late Q4. Japan delivered positive order growth and on a constant currency basis was up 8% year over year. Speaker 200:08:28However, the negative impact of FX versus last year reduced actual order growth to 2.4%. Service revenue in the region grew by 10% on a constant currency basis, but total revenue was down 29% due to lower product shipments, which we expect will offset with higher volume in the second half. On the positive side, the region continues to lead with key competitive wins at 50% of new orders coming from competitive replacements. The Americas region showed a strong sequential order growth of 72% from the prior quarter. This is the direct result of focused commercial strategies to help customers with value added solutions to retain and grow the installed base. Speaker 200:09:13In Q2, we saw longer customer installation timelines in the Americas region With revenues down 15% year over year, but we are encouraged by the strong 17% sequential quarterly revenue growth and are cautiously optimistic that conditions will improve over the coming quarters. Operationally, we are executing our margin expansion plan. Ali will discuss our progress in greater detail as we're seeing strong progress in the financial initiatives we laid out at beginning of the year and at our Investor Day. Specifically, we're seeing positive trends in pricing initiatives across our product and service solutions, a reduction in operating costs and lower service costs due to improved parts consumption. This has had a direct impact on service margin which has improved by 160 basis points in the first half of the year compared to the same period last year and gives us a higher degree of confidence in our longer term margin expansion plan. Speaker 200:10:16Margin expansion remains a cultural transformation and over the last 18 months, we have implemented new organizational structures with P and L accountability, new operating mechanisms to ensure we gain incremental price for our differentiated solutions, ensuring a faster and more predictable revenue cycle and continuing to drive cost efficiencies while increasing customer satisfaction and value. I will now turn it over to Ali, who will speak more about our financial performance. Speaker 300:10:48Thank you, Suzanne, and good afternoon, everyone. I want to begin by thanking our global employees and cross functional teams who continue to amaze us with their incredible work ethic and ability to on our strategy. Turning to the financials, product growth orders for the Q2 were approximately $94,000,000 which is a 19% increase versus the prior year and 18% once adjusted for the impact of foreign exchange. This is the strongest order volume we've had in the last 2 fiscal years and as Suzanne mentioned, it speaks to the market's confidence in our products and new innovations. We're proud of our commercial teams across the globe that were able to to the strong results. Speaker 300:11:24This further strengthens our backlog and is a clear sign of the health and vitality of the future of our business. This order intake represents a book to bill of 1.8, mostly driven by customer timing and improved pricing, which grew order margin rate by 8 sequentially across our product portfolio. Net revenue for the second quarter was $107,000,000 which was up sequentially and down 7% versus the prior year. Net revenue on a constant currency basis for the Q2 was $106,000,000 which represents an 8% decrease versus the prior year. Net revenue for the first half of the fiscal year is flat to the prior year. Speaker 300:12:01Service revenue for the quarter was $56,000,000 up 8% from the prior year and up 7% on a constant currency basis, primarily driven by an increase in contract revenue and higher installation, training and spare parts volume as expected. This lift in service revenue exceeds our year over year installed base growth of 6%, illustrating that our pricing actions and our service contracts are now starting to be reflected in our P and L. Service revenue for the first half of the fiscal year is 3% up versus prior year, driven by contract revenue, which was up 6% for the half. Product revenue for the Q2 was $52,000,000 down 19% from the prior year, driven by 6 fewer unit shipments versus last year. As discussed in our last earnings call, our revenue profile in fiscal year 2024 is more back end loaded towards the second half, which is a result of the timing of our new product introductions. Speaker 300:12:52Product revenue for the first half of the fiscal year is down 3% versus the prior year. Moving to the backlog, we ended the 2nd quarter with a product order backlog $492,000,000 which represents greater than 2 years of FY 'twenty three product revenue. This reported backlog is up 1% sequentially and 4% lower than the prior year due to 19 orders representing $40,000,000 that aged beyond 30 months, which we do not include In Q2, we had 3 orders that aged in for approximately $5,000,000 and contributed to product revenue within the quarter. Finally, We had no order cancellations in the quarter. Our overall gross margin for the quarter was 33.5% compared to 37.4% in the prior year. Speaker 300:13:38As you may recall, we experienced a one time cost benefit in Q1 related to lower parts consumption due to the ERP implementation and expected it to offset in Q2 as reflected in our results. Gross margin for the first half was 35.7%, which was slightly below the first half of the prior year, mainly due to product mix. We expect gross margins to improve in the second half as we realize better service pricing along with the full benefits of restructuring actions taken in Q2. Operating expenses in the 2nd quarter were $39,900,000 compared to $40,300,000 in the prior year, down 1%. Excluding ERP implementation costs and severance payouts, operating expenses were down 8% to the prior year illustrating continued cost discipline and focus on return on investment. Speaker 300:14:25Operating income for the quarter was negative $4,000,000 compared to an operating gain of $2,700,000 from the prior year due to lower standard margins, severance and ERP implementation costs. Adjusted EBITDA for the quarter was $2,000,000 compared to $8,500,000 from the prior year. Adjusted EBITDA for the first half of fiscal year 'twenty four was $8,500,000 versus $10,400,000 in the prior year with the decrease mainly driven by lower product volume. We expect adjusted EBITDA to grow in the second half with the full benefit of the restructuring actions taken in Q2 along with higher product revenue volume. We described the reconciliation between GAAP net income and adjusted EBITDA in our earnings release issued today. Speaker 300:15:06Turning to the balance sheet, total cash, cash equivalents and short term restricted cash amounted to $73,000,000 compared to $77,000,000 at the end of last quarter. Net accounts receivable were approximately $77,000,000 flat to the prior quarter. We are very pleased with the strong focus in collections, which resulted in a DSO of 66 days compared to 71 days in the prior year. Our net inventory balance was $155,000,000 up $5,000,000 from the prior quarter due to the timing of system shipments, our teams are continuing to focus on optimizing working capital to improve our cash position. In summary, we are pleased with our Q2 results and are reiterating our full year FY 2024 guidance of $460,000,000 to $470,000,000 on revenue $27,000,000 to $30,000,000 on adjusted EBITDA. Speaker 300:15:54With total revenue of $211,000,000 and adjusted EBITDA of $8,500,000 in the first half, We're expecting a very strong second half with revenue in the range of $250,000,000 to $260,000,000 driven by executing on our strong backlog, new product introductions and service growth and adjusted EBITDA of $18,500,000 to $21,500,000 resulting from higher product volume and our margin expansion efforts starting to deliver. As a reminder, the full year guidance we provided last August assumed in part FX staying consistent with our assumptions coming into the fiscal year. However, year to date in fiscal year 2024, we have particularly seen the Japanese yen continue to weaken versus the beginning of fiscal year 2024. This is noteworthy given the strong product volume we're expecting to contribute to revenue in the second half the Japan region. We are closely monitoring FX as it pertains to our full year guidance, and we'll update you again in the spring. Speaker 300:16:51Additionally, as stated in our last earnings call, the timing of our new product introductions, along with the recognition of the China margin will result in a greater amount of revenue and margins being recognized in Q4. With that in mind, we expect 3rd quarter revenue performance to be in the range of $112,000,000 to $18,000,000 with an expected adjusted EBITDA range of $6,000,000 to $9,000,000 Those are key financial highlights. And with that, I'd like to hand the call back to Suzanne. Speaker 200:17:18Thank you, Ali. In closing, we remain confident in our long term strategy and pipeline of innovation. We have exciting growth catalysts and high impact commercialization strategies that we believe will allow us to deliver above market growth over time. Operationally, we remain laser focused on capital deployment, improving margins and profitability, while strengthening our balance sheet, so that we maximize financial flexibility and create shareholder value. I would like to end by thanking our entire Accuray team their dedication and passion. Speaker 200:17:54We know that the work we do makes a major difference in the lives of the patients we serve. Together, we are moving the organization forward and fulfilling our company mission of creating a better future for people diagnosed cancer. I will now turn it back over to the operator for Q and A. Operator00:18:14We will now begin the question and answer session. Our first question comes from Marie Thibault with BTIG. Please go ahead. Speaker 400:18:41Good afternoon. Thanks for taking the questions, Suzanne and Ali. I wanted to start here, I guess, on the guidance. You talked about a big second half and noted that with your fiscal third quarter guidance, it's implying a rather large bolus in fiscal 4th quarter. Help me understand what gives confidence in that? Speaker 400:19:04What are kind of the inputs from the various geographies that you're most excited about? And yes, I guess I'll leave it there on the first question. Speaker 200:19:14Yes. No, thanks, Marie. Yes, so there are a couple of major drivers of the guidance and really our confidence in the Q4. One for sure is the Tomo Sea. We had just a tremendous order quarter in China and really Q4 is about the time where customers are going from order to delivery. Speaker 200:19:37And So we believe Q4 will be heavily weighted, as a result of the Tomo C. The other is Vital Hold. Again, we had very strong Vital Hold introduction in Japan, and so we do expect that there will be shipments related to those new orders that come in Q4. And then there is some seasonality and customer timing around Japan. They have a very strong Q4. Speaker 200:20:02So those Three things really, have weighted our Q4. And then just from an EBITDA perspective with Tomo C delivery is The China market China margin deferral that we would recognize then in Q4 and also we'll see the full benefit of some of the restructuring actions that we've taken. Speaker 400:20:22Okay. And that all starts to hit there. And remind me on Tomo C, I think we were waiting on a treatment planning system approval. Has that Been secured at this point or is that something we're still waiting on? Speaker 200:20:34We're still waiting on it, and that also adds a little bit to the Q4, we were expecting at the end of March, it is looking like it's going to be either in the April or early May timeframe. Speaker 400:20:46Okay. And you'll be able to start recognizing revenue after that comes in? Speaker 200:20:50Correct. Speaker 400:20:52Okay. And then Sorry for my second question here. Glad to hear that some of the efforts you've made on service margin are paying off. Ali, would you Say at this point, the service margin expansion efforts are sustainable, or should we continue to think of that metric As a little bit lumpy, I know of course volumes and things can make a difference. So how should we be thinking about kind of a floor on that service margin? Speaker 300:21:19Yes. Thanks for the question, Marie. So I would say, our contract revenue is definitely something that is sticky and the pricing that we've introduced on our contract revenue is going to be something that's revenue is going to be something that's certainly sustainable going forward. And so that makes it the lion's share of our service Revenue, so that will continue. What is, I guess, a little bit more, I'll call it volatile quarter over quarter is revenue related to our installation, our training. Speaker 300:21:52And so that really very quarter over quarter, but really excited about is seeing this contract revenue grow. It grew about 6% for the half and that's really going to continue to add to our top and bottom Speaker 400:22:06Okay. Thank you for that great deal. Great detail. Appreciate the questions. Thanks. Operator00:22:14The next question comes from Brooks O'Neil with Lake Street Capital Markets. Please go ahead. Thank you Speaker 500:22:21very much. Good afternoon, everyone. I'd love to get just any additional color you can offer on the response to Tomo C in China. And perhaps if you're seeing any response outside of China in any other markets, it would be interesting to hear about that as well. Speaker 200:22:40Thanks, Brooks. Yes, no, I think we're very pleased with 1 quarter under our belt since we've gotten the regulatory approval of the Tomo As we expected, there's some pent up demand there from an orders perspective, but we actually have our entire China JV leadership team here this week and so we're spending a lot of time with them getting I think details on how the next quarters look and so we feel pretty confident that the market response is very strong. Again, it's a domestic made product. We come into the market with a halo effect of our market share in the Type A market. And again, this is a helical product within the Type B segment. Speaker 200:23:27And so we think it's differentiated and we got the right commercial infrastructure in place to do very well. Speaker 500:23:37Great. I was curious, any response in India or is it too early to say? Speaker 200:23:42Okay. So sorry, that was the second part of your question. Think it's still early, but we did show the Helix at the India Conference in Mumbai in November and No, there was good response to that. We are still waiting for regulatory approval to be able to build our orders funnel, but I think the response was very positive. Speaker 500:24:03Great. And then I'll just tack on one more. Obviously, you mentioned the 50% takeaway Success you're having in the Japanese market, what's your feeling about your opportunity to achieve some competitive takeaways in any other Market, I'm thinking most particularly about the United States. Speaker 200:24:24Yes. No, thanks for the question. Yes, Japan definitely leads in terms The overall percent of orders coming in that are competitive takeaways. In the Americas market, we are very firmly focused on trade in, trade up of our installed base primarily because they're more aged systems. That being said, this past quarter, we did have some competitive takeaways. Speaker 200:24:50And so, we do feel strong that we can compete and win. And even if it's not a replacement, every sale is competitive, Brooks. So every time we win, we feel good about our ability to beat. Speaker 500:25:05Absolutely, that's great. Congratulations. I'm looking forward to the rest of the year. Thanks. Operator00:25:15This concludes our question and answer session. I would like to turn the conference back over to Speaker 200:25:24Thank you, operator. This concludes our earnings call. We look forward toRead morePowered by Earnings DocumentsSlide DeckPress Release(8-K)Quarterly report(10-Q) Accuray Earnings HeadlinesAccuray Announces Consulting Agreement with Departing ExecutiveSeptember 19 at 4:51 PM | tipranks.comAccuray Incorporated's (NASDAQ:ARAY) Shift From Loss To ProfitSeptember 16, 2025 | uk.finance.yahoo.comFront-Run Buffett's Shocking Gold MoveA Historic Gold Announcement Is About to Rock Wall Street? 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Sign up for Earnings360's daily newsletter to receive timely earnings updates on Accuray and other key companies, straight to your email. Email Address About AccurayAccuray (NASDAQ:ARAY) (NASDAQ: ARAY) is a global medical device company that develops, manufactures and markets innovative radiation therapy solutions for the treatment of cancer. The company’s flagship products include the CyberKnife® System, a robotic radiosurgery platform offering sub-millimeter precision, and the TomoTherapy® System, which combines helical computed tomography (CT) imaging with intensity-modulated radiation therapy (IMRT). More recently, Accuray introduced the Radixact® System, an advanced iteration of its TomoTherapy technology designed to enhance treatment speed and clinical workflow. Accuray’s suite of products enables clinicians to deliver highly targeted radiation doses while minimizing exposure to surrounding healthy tissue. The CyberKnife platform is widely used for stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT), supporting treatments across a range of tumor types and anatomical sites. The TomoTherapy and Radixact systems incorporate integrated imaging, adaptive planning and dose-shaping capabilities that support daily adjustments in treatment delivery, helping to improve patient outcomes and operational efficiency in oncology centers. Founded in 1990 and headquartered in Madison, Wisconsin, Accuray serves a broad network of hospitals, cancer centers and research institutions in North America, Europe, Asia-Pacific and other regions. The company maintains additional offices and service centers in locations such as Sunnyvale, California; Milan, Italy; and Singapore to support its global customer base. Since September 2017, Accuray has been led by President and Chief Executive Officer Peter C. 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There are 6 speakers on the call. Operator00:00:00Good day, and welcome to the Accuray Second Quarter Fiscal 20 24 Financial Results. Please note this event is being recorded. I would now like to turn the conference over to Jesse Chu, Senior Vice President, Chief Legal Officer. Please go ahead. Speaker 100:00:43Thank you, operator, and good afternoon, everyone. Welcome to Actuway's conference call to review financial results for the Q2 of fiscal year 2024, which ended December 31, 2023. During our call this afternoon, management will review recent corporate developments. Joining us on today's call are Suzanne Winter, Accurate's President and Chief Executive Officer and Ali Pervez, Accurate's Chief Financial Officer. Before we begin, I would like to remind you that our call today includes forward looking statements. Speaker 100:01:10Actual results may differ materially from those contemplated or implied by these forward looking statements. Factors that could cause these results to differ materially are outlined in the press release we issued just after the market closed this afternoon as well as in our filings with the Securities and Exchange Commission. We base the forward looking statements on this call on the information available to us as of today's date. We assume no obligation to update any forward looking statements as a result of new or future events except to the extent required by applicable securities laws. Accordingly, you should not put undue reliance on any forward looking statements. Speaker 100:01:42A few housekeeping items for today's call. 1st, during the Q and A session, we request that participants limit themselves to 2 questions and then re queue with any follow ups. 2nd, all references to a specific quarter in the prepared remarks are to our fiscal year quarters. For example, statements regarding our Q2 refer to our fiscal Q2 ended December 31, 2023. Additionally, there will be a supplemental slide deck to accompany this call, which you can access by going directly to Accuray's Investor Relations page at investors. Speaker 100:02:13Accuray.com. With that, let me turn the call over to Accuray's Chief Executive Officer, Suzanne Winter. Suzanne? Speaker 200:02:20Thank you, Jesse. Good afternoon and thank you all for joining the call. Accuray delivered another strong quarter with outstanding order growth driven by our new product introductions and both top and bottom line performance consistent with our expectations for the first half. Before I get into the details of the quarter, I want to highlight a few key points from the 3 year outlook we introduced at our ASTRO Investor Day in October. These include driving revenue growth through innovation to advanced care, broadening our product portfolio to compete in the global value segment, accelerating growth in our recurring service solutions business and improving profitability while strengthening our balance sheet. Speaker 200:03:08I'm proud to say that in the first half of FY twenty twenty four, We have made good progress on each of these strategic pillars and advanced significant growth catalysts that will be realized in the coming quarters. We believe new product launches like VitalHold for the Rad Exact, TomoSee in China, Helix, our helical value segment product and CNO's online adaptive capability will be growth catalysts and begin to accelerate revenue and profitability growth in Q4 and into FY 'twenty five and beyond. Reflecting on Q2, I am extremely pleased with order performance, which at $94,000,000 represents 19% year over year growth and a very strong book to bill ratio of 1.8. We believe 1.2 book to bill ratio is a healthy target. So at 1.8 we are very pleased with these results, were driven by customer adoption of our new product innovation and high impact commercial strategies. Speaker 200:04:12We received shonen market clearance for VitalHold in Japan with a full introduction at the Japanese Society For Radiation Oncology conference where we received 7 orders at the close of the conference. VitalHold enhances breast cancer treatment by enabling surface guided therapy designed to protect the heart and lungs and as a result of our joint development with CRAD. We believe this will further strengthen our number 2 market share position in Japan. Additionally, we are advancing progress on gaining market clearance for Sino's online adaptive capabilities on our precision treatment planning solution. This clearance is expected in the second half of the fiscal year the U. Speaker 200:04:56S. Market and we believe that will enhance our competitive win rate and allow us to build our order backlog for trade in trade up replacements and upgrades for our installed base of RadXact systems. Cenos leverages AI technology and is a result of our partnership with Limbus AI And we are encouraged by continued customer interest since ASTRO. We believe it will help drive higher competitive win rates and base growth of the Radixact platform. Now turning to our Tomo C system in China. Speaker 200:05:30Q2 was our first quarter since regulatory approval to market the system in China and was an important indicator of customer response. We saw overall 44% year over year order growth in the China region within the quarter and while this partially represents some pent up demand for Tomo C, we expect order activity to continue to be strong towards fiscal year end with revenue and margin growth beginning in Q4 and into FY 'twenty five pending customer installation timing. As a reminder, Tomo C expands our portfolio in China with a domestic made product and enhances our access into the Type B market, which represents approximately $600,000,000 annually over the next 5 years. Additionally, our Q2 performance in service was outstanding with 8% revenue growth year over year. As we have discussed, the service business is a strategic area of focus the company and each service contract represents a recurring revenue stream over the 10 to 12 year life of the system after the warranty period. Speaker 200:06:38Although we remain in the early innings of our service transformation, I am very pleased to see impact from the strategic actions we put in place to improve commercial performance and enhance our offerings. Finally, Q2 global demand for installation was strong and we ended the quarter with 6% growth year over year in our global installed base of systems. This was led by the APAC region, which celebrated the milestone of 250 systems installed and remains one of our fastest growing installed base regions at 13% year over year growth. As we look at our business model going forward, we see installed base growth as a leading performance indicator and the primary driver behind future service contract revenue. As service revenue grows, we expect to benefit from scale and see a significant bottom line impact from improving margins. Speaker 200:07:36From a region perspective, The EIMEA region continues its outstanding performance in both orders and revenue with 30% and 11% growth year over year respectively. The APAC region had 42% order growth year over year with China delivering 44% growth reflecting strong demand. Revenue in APAC was impacted in Q2 primarily due to customer tender timing in Australia and Taiwan, which resulted in APAC revenues being down 8% year over year. We expect this to resolve by our fiscal year end along with backlog conversion of new Tomo C orders in China to accelerate revenue recovery starting in late Q4. Japan delivered positive order growth and on a constant currency basis was up 8% year over year. Speaker 200:08:28However, the negative impact of FX versus last year reduced actual order growth to 2.4%. Service revenue in the region grew by 10% on a constant currency basis, but total revenue was down 29% due to lower product shipments, which we expect will offset with higher volume in the second half. On the positive side, the region continues to lead with key competitive wins at 50% of new orders coming from competitive replacements. The Americas region showed a strong sequential order growth of 72% from the prior quarter. This is the direct result of focused commercial strategies to help customers with value added solutions to retain and grow the installed base. Speaker 200:09:13In Q2, we saw longer customer installation timelines in the Americas region With revenues down 15% year over year, but we are encouraged by the strong 17% sequential quarterly revenue growth and are cautiously optimistic that conditions will improve over the coming quarters. Operationally, we are executing our margin expansion plan. Ali will discuss our progress in greater detail as we're seeing strong progress in the financial initiatives we laid out at beginning of the year and at our Investor Day. Specifically, we're seeing positive trends in pricing initiatives across our product and service solutions, a reduction in operating costs and lower service costs due to improved parts consumption. This has had a direct impact on service margin which has improved by 160 basis points in the first half of the year compared to the same period last year and gives us a higher degree of confidence in our longer term margin expansion plan. Speaker 200:10:16Margin expansion remains a cultural transformation and over the last 18 months, we have implemented new organizational structures with P and L accountability, new operating mechanisms to ensure we gain incremental price for our differentiated solutions, ensuring a faster and more predictable revenue cycle and continuing to drive cost efficiencies while increasing customer satisfaction and value. I will now turn it over to Ali, who will speak more about our financial performance. Speaker 300:10:48Thank you, Suzanne, and good afternoon, everyone. I want to begin by thanking our global employees and cross functional teams who continue to amaze us with their incredible work ethic and ability to on our strategy. Turning to the financials, product growth orders for the Q2 were approximately $94,000,000 which is a 19% increase versus the prior year and 18% once adjusted for the impact of foreign exchange. This is the strongest order volume we've had in the last 2 fiscal years and as Suzanne mentioned, it speaks to the market's confidence in our products and new innovations. We're proud of our commercial teams across the globe that were able to to the strong results. Speaker 300:11:24This further strengthens our backlog and is a clear sign of the health and vitality of the future of our business. This order intake represents a book to bill of 1.8, mostly driven by customer timing and improved pricing, which grew order margin rate by 8 sequentially across our product portfolio. Net revenue for the second quarter was $107,000,000 which was up sequentially and down 7% versus the prior year. Net revenue on a constant currency basis for the Q2 was $106,000,000 which represents an 8% decrease versus the prior year. Net revenue for the first half of the fiscal year is flat to the prior year. Speaker 300:12:01Service revenue for the quarter was $56,000,000 up 8% from the prior year and up 7% on a constant currency basis, primarily driven by an increase in contract revenue and higher installation, training and spare parts volume as expected. This lift in service revenue exceeds our year over year installed base growth of 6%, illustrating that our pricing actions and our service contracts are now starting to be reflected in our P and L. Service revenue for the first half of the fiscal year is 3% up versus prior year, driven by contract revenue, which was up 6% for the half. Product revenue for the Q2 was $52,000,000 down 19% from the prior year, driven by 6 fewer unit shipments versus last year. As discussed in our last earnings call, our revenue profile in fiscal year 2024 is more back end loaded towards the second half, which is a result of the timing of our new product introductions. Speaker 300:12:52Product revenue for the first half of the fiscal year is down 3% versus the prior year. Moving to the backlog, we ended the 2nd quarter with a product order backlog $492,000,000 which represents greater than 2 years of FY 'twenty three product revenue. This reported backlog is up 1% sequentially and 4% lower than the prior year due to 19 orders representing $40,000,000 that aged beyond 30 months, which we do not include In Q2, we had 3 orders that aged in for approximately $5,000,000 and contributed to product revenue within the quarter. Finally, We had no order cancellations in the quarter. Our overall gross margin for the quarter was 33.5% compared to 37.4% in the prior year. Speaker 300:13:38As you may recall, we experienced a one time cost benefit in Q1 related to lower parts consumption due to the ERP implementation and expected it to offset in Q2 as reflected in our results. Gross margin for the first half was 35.7%, which was slightly below the first half of the prior year, mainly due to product mix. We expect gross margins to improve in the second half as we realize better service pricing along with the full benefits of restructuring actions taken in Q2. Operating expenses in the 2nd quarter were $39,900,000 compared to $40,300,000 in the prior year, down 1%. Excluding ERP implementation costs and severance payouts, operating expenses were down 8% to the prior year illustrating continued cost discipline and focus on return on investment. Speaker 300:14:25Operating income for the quarter was negative $4,000,000 compared to an operating gain of $2,700,000 from the prior year due to lower standard margins, severance and ERP implementation costs. Adjusted EBITDA for the quarter was $2,000,000 compared to $8,500,000 from the prior year. Adjusted EBITDA for the first half of fiscal year 'twenty four was $8,500,000 versus $10,400,000 in the prior year with the decrease mainly driven by lower product volume. We expect adjusted EBITDA to grow in the second half with the full benefit of the restructuring actions taken in Q2 along with higher product revenue volume. We described the reconciliation between GAAP net income and adjusted EBITDA in our earnings release issued today. Speaker 300:15:06Turning to the balance sheet, total cash, cash equivalents and short term restricted cash amounted to $73,000,000 compared to $77,000,000 at the end of last quarter. Net accounts receivable were approximately $77,000,000 flat to the prior quarter. We are very pleased with the strong focus in collections, which resulted in a DSO of 66 days compared to 71 days in the prior year. Our net inventory balance was $155,000,000 up $5,000,000 from the prior quarter due to the timing of system shipments, our teams are continuing to focus on optimizing working capital to improve our cash position. In summary, we are pleased with our Q2 results and are reiterating our full year FY 2024 guidance of $460,000,000 to $470,000,000 on revenue $27,000,000 to $30,000,000 on adjusted EBITDA. Speaker 300:15:54With total revenue of $211,000,000 and adjusted EBITDA of $8,500,000 in the first half, We're expecting a very strong second half with revenue in the range of $250,000,000 to $260,000,000 driven by executing on our strong backlog, new product introductions and service growth and adjusted EBITDA of $18,500,000 to $21,500,000 resulting from higher product volume and our margin expansion efforts starting to deliver. As a reminder, the full year guidance we provided last August assumed in part FX staying consistent with our assumptions coming into the fiscal year. However, year to date in fiscal year 2024, we have particularly seen the Japanese yen continue to weaken versus the beginning of fiscal year 2024. This is noteworthy given the strong product volume we're expecting to contribute to revenue in the second half the Japan region. We are closely monitoring FX as it pertains to our full year guidance, and we'll update you again in the spring. Speaker 300:16:51Additionally, as stated in our last earnings call, the timing of our new product introductions, along with the recognition of the China margin will result in a greater amount of revenue and margins being recognized in Q4. With that in mind, we expect 3rd quarter revenue performance to be in the range of $112,000,000 to $18,000,000 with an expected adjusted EBITDA range of $6,000,000 to $9,000,000 Those are key financial highlights. And with that, I'd like to hand the call back to Suzanne. Speaker 200:17:18Thank you, Ali. In closing, we remain confident in our long term strategy and pipeline of innovation. We have exciting growth catalysts and high impact commercialization strategies that we believe will allow us to deliver above market growth over time. Operationally, we remain laser focused on capital deployment, improving margins and profitability, while strengthening our balance sheet, so that we maximize financial flexibility and create shareholder value. I would like to end by thanking our entire Accuray team their dedication and passion. Speaker 200:17:54We know that the work we do makes a major difference in the lives of the patients we serve. Together, we are moving the organization forward and fulfilling our company mission of creating a better future for people diagnosed cancer. I will now turn it back over to the operator for Q and A. Operator00:18:14We will now begin the question and answer session. Our first question comes from Marie Thibault with BTIG. Please go ahead. Speaker 400:18:41Good afternoon. Thanks for taking the questions, Suzanne and Ali. I wanted to start here, I guess, on the guidance. You talked about a big second half and noted that with your fiscal third quarter guidance, it's implying a rather large bolus in fiscal 4th quarter. Help me understand what gives confidence in that? Speaker 400:19:04What are kind of the inputs from the various geographies that you're most excited about? And yes, I guess I'll leave it there on the first question. Speaker 200:19:14Yes. No, thanks, Marie. Yes, so there are a couple of major drivers of the guidance and really our confidence in the Q4. One for sure is the Tomo Sea. We had just a tremendous order quarter in China and really Q4 is about the time where customers are going from order to delivery. Speaker 200:19:37And So we believe Q4 will be heavily weighted, as a result of the Tomo C. The other is Vital Hold. Again, we had very strong Vital Hold introduction in Japan, and so we do expect that there will be shipments related to those new orders that come in Q4. And then there is some seasonality and customer timing around Japan. They have a very strong Q4. Speaker 200:20:02So those Three things really, have weighted our Q4. And then just from an EBITDA perspective with Tomo C delivery is The China market China margin deferral that we would recognize then in Q4 and also we'll see the full benefit of some of the restructuring actions that we've taken. Speaker 400:20:22Okay. And that all starts to hit there. And remind me on Tomo C, I think we were waiting on a treatment planning system approval. Has that Been secured at this point or is that something we're still waiting on? Speaker 200:20:34We're still waiting on it, and that also adds a little bit to the Q4, we were expecting at the end of March, it is looking like it's going to be either in the April or early May timeframe. Speaker 400:20:46Okay. And you'll be able to start recognizing revenue after that comes in? Speaker 200:20:50Correct. Speaker 400:20:52Okay. And then Sorry for my second question here. Glad to hear that some of the efforts you've made on service margin are paying off. Ali, would you Say at this point, the service margin expansion efforts are sustainable, or should we continue to think of that metric As a little bit lumpy, I know of course volumes and things can make a difference. So how should we be thinking about kind of a floor on that service margin? Speaker 300:21:19Yes. Thanks for the question, Marie. So I would say, our contract revenue is definitely something that is sticky and the pricing that we've introduced on our contract revenue is going to be something that's revenue is going to be something that's certainly sustainable going forward. And so that makes it the lion's share of our service Revenue, so that will continue. What is, I guess, a little bit more, I'll call it volatile quarter over quarter is revenue related to our installation, our training. Speaker 300:21:52And so that really very quarter over quarter, but really excited about is seeing this contract revenue grow. It grew about 6% for the half and that's really going to continue to add to our top and bottom Speaker 400:22:06Okay. Thank you for that great deal. Great detail. Appreciate the questions. Thanks. Operator00:22:14The next question comes from Brooks O'Neil with Lake Street Capital Markets. Please go ahead. Thank you Speaker 500:22:21very much. Good afternoon, everyone. I'd love to get just any additional color you can offer on the response to Tomo C in China. And perhaps if you're seeing any response outside of China in any other markets, it would be interesting to hear about that as well. Speaker 200:22:40Thanks, Brooks. Yes, no, I think we're very pleased with 1 quarter under our belt since we've gotten the regulatory approval of the Tomo As we expected, there's some pent up demand there from an orders perspective, but we actually have our entire China JV leadership team here this week and so we're spending a lot of time with them getting I think details on how the next quarters look and so we feel pretty confident that the market response is very strong. Again, it's a domestic made product. We come into the market with a halo effect of our market share in the Type A market. And again, this is a helical product within the Type B segment. Speaker 200:23:27And so we think it's differentiated and we got the right commercial infrastructure in place to do very well. Speaker 500:23:37Great. I was curious, any response in India or is it too early to say? Speaker 200:23:42Okay. So sorry, that was the second part of your question. Think it's still early, but we did show the Helix at the India Conference in Mumbai in November and No, there was good response to that. We are still waiting for regulatory approval to be able to build our orders funnel, but I think the response was very positive. Speaker 500:24:03Great. And then I'll just tack on one more. Obviously, you mentioned the 50% takeaway Success you're having in the Japanese market, what's your feeling about your opportunity to achieve some competitive takeaways in any other Market, I'm thinking most particularly about the United States. Speaker 200:24:24Yes. No, thanks for the question. Yes, Japan definitely leads in terms The overall percent of orders coming in that are competitive takeaways. In the Americas market, we are very firmly focused on trade in, trade up of our installed base primarily because they're more aged systems. That being said, this past quarter, we did have some competitive takeaways. Speaker 200:24:50And so, we do feel strong that we can compete and win. And even if it's not a replacement, every sale is competitive, Brooks. So every time we win, we feel good about our ability to beat. Speaker 500:25:05Absolutely, that's great. Congratulations. I'm looking forward to the rest of the year. Thanks. Operator00:25:15This concludes our question and answer session. I would like to turn the conference back over to Speaker 200:25:24Thank you, operator. This concludes our earnings call. We look forward toRead morePowered by