Accuray Q3 2026 Earnings Report

Accuray EPS Results

• Actual EPS: -$0.09
• Consensus EPS: -$0.05
• Beat/Miss: Missed by -$0.04
• One Year Ago EPS: N/A

Accuray Revenue Results

• Actual Revenue: $104.85 million
• Expected Revenue: $111.90 million
• Beat/Miss: Missed by -$7.05 million
• YoY Revenue Growth: N/A

Accuray Announcement Details

• Quarter: Q3 2026
• Date: 5/6/2026
• Time: After Market Closes
• Conference Call Date: Wednesday, May 6, 2026
• Conference Call Time: 4:30PM ET

Accuray (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. Arduini, whose background in medical technology and healthcare operations has guided the company’s focus on product innovation and clinical collaboration.

Accuray Q3 2026 Earnings Call Transcript

Key Takeaways

• Negative Sentiment: Withdrew financial guidance due to indefinite shipment delays in the Middle East/North Africa/Pakistan and persistent China/tariff headwinds, making near-term revenue and installations unpredictable.
• Neutral Sentiment: Q3 net revenue was $104.8 million (down 7% YoY, up 3% sequentially); product revenue drove most of the decline, while book-to-bill was 1.0 and reported backlog was roughly $356 million.
• Positive Sentiment: The Transformation Plan is progressing—~15% workforce reduction and other cost actions target $25 million of annualized operating improvements, with about $10 million realized to date and management on track to exceed the $12 million FY2026 target.
• Negative Sentiment: Gross margin compressed to 24.1% from 27.9% YoY, primarily driven by a sharp drop in service margins due to higher parts consumption, logistics/duties and tariff impacts that reduced profitability.
• Positive Sentiment: Management is strengthening differentiation via strategic partnerships and clinical evidence efforts—leveraging its large motion-tracked treatment dataset and a multi-center registry, and adding Paul Miele as Chief Commercial Officer to accelerate commercial execution and service monetization.

Presentation

[Operator]

I would now like to turn the conference over to Steve Monroe, Vice President of Financial Planning and Analysis. Please go ahead.

[Steve Monroe, VP of Financial Planning and Analysis at Accuray]

Thank you, and good afternoon, everyone. Welcome to Accuray's conference call to review financial results for the third quarter of fiscal year 2026, which ended March 31st, 2026. During our call this afternoon, management will review recent corporate developments. Joining us on today's call are Steve La Neve, Accuray's President and Chief Executive Officer, and Ali Pervaiz, Accuray's Chief Financial Officer. Before we begin, I would like to remind you that our call today includes forward-looking statements. Actual results may differ materially from those contemplated or implied by these forward-looking statements. Factors that can 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.

[Steve Monroe, VP of Financial Planning and Analysis at Accuray]

We assume no obligation to update any forward-looking statements as a result of new information or future events, except to the extent required by applicable securities laws. Accordingly, you should not put undue reliance on any forward-looking statements. A few housekeeping items for today's call. All references to a specific quarter in the prepared remarks are to our fiscal year quarters. For example, statements regarding our third quarter refer to our fiscal third quarter ended March 31st. 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.accuray.com. As you review our prepared remarks and guidance today, please note that our outlook represents our current estimates and reflects the operating environment as we understand it today, including, among other things, current tariff impacts and geopolitical conditions.

[Steve Monroe, VP of Financial Planning and Analysis at Accuray]

As always, the situation remains dynamic. We will continue to update investors as visibility improves. With that, let me turn the call over to Accuray's Chief Executive Officer, Steve La Neve. Steve?

[Steve La Neve, President and CEO at Accuray]

Thank you, Steve. Good afternoon, thank you for joining us. Since joining Accuray last October, I've spent time with teams across the company and in our key markets. What stands out is the strength of our technology, the commitment of our people, the conviction healthcare providers and patients have in our solutions, and the scale of the opportunity ahead of us. Turning to the quarter. Total revenue was approximately $105 million, up 3% sequentially, down 7% year-over-year. In the third quarter, we had product shipments planned to certain customers in the Middle East, North Africa, and Pakistan that have been delayed indefinitely due to increased geopolitical disruption in the Middle East, which is also impacting our service revenue in those regions. We don't know how long this regional dynamic might continue.

[Steve La Neve, President and CEO at Accuray]

Additionally, our business in China continues to face headwinds that we discussed during our last earnings call, which pertained to geopolitical tensions and ongoing tariff uncertainty. These are markets that remain strategically important to Accuray over the long term, but the current environment has added volatility and uncertainty that is largely outside of our control and difficult to predict. That said, restating our strategy, we are prioritizing investment in innovation, product reliability, service solutions, workflow efficiency, and partnerships that expand our reach and strengthen our platform. Additionally, we are relentlessly focused on executing on our transformation program initiatives that did not take effect until the middle or end of the third quarter, which, coupled with the geopolitical factors I've mentioned, have masked their impact to date.

[Steve La Neve, President and CEO at Accuray]

While we remain confident in our ability to execute against our Transformation Plan, the current geopolitical environment, including the conflict involving Iran and its ripple effects across the Middle East, as well as my earlier comments about our business in China, has created significant unpredictability for both the product and the service sides of our business. Given such uncertainty, we believe the responsible approach is to withdraw our financial guidance at this time. We will provide an update on the business when we report fiscal fourth quarter results. Turning to our Transformation Plan and the progress we've made. As a reminder, in mid-December, we launched a comprehensive strategic, operational, and organizational Transformation Plan. This plan was designed to sharpen accountability, tighten cost control, and accelerate execution while positioning Accuray for sustainable, profitable growth over the long term.

[Steve La Neve, President and CEO at Accuray]

The foundation of this plan was to establish clear product and service strategies supported by a set of critical enablers we believe are necessary to execute at a higher level. The first of those enablers was right-sizing our cost structure while improving efficiency through better processes and the use of our ERP system and business intelligence tools. This was paired with an organizational realignment that centralized key functions, outsourced non-core activities, and reinforced accountability, speed, and commercial focus across the business by reducing approximately 15% of our workforce. At the same time, we reallocated engineering resources toward higher ROI programs, particularly those that integrate third-party solutions and more directly reflect the voice of the customer. Taken together, these actions were designed to structurally improve operating profitability by approximately $25 million on an annualized basis, with roughly $12 million expected to benefit fiscal 2026.

[Steve La Neve, President and CEO at Accuray]

As of the end of the third quarter, we have already achieved approximately $10 million of those improvements. We are well on track to exceed the $12 million we originally targeted for fiscal year 2026. We continue to believe that at least $25 million of these improvements should be realized in fiscal year 2027. We remain encouraged by the pace, the quality of execution, and the sustainability of these actions to date. We will provide an updated view on these annualized improvements on our fourth quarter earnings call. To put some color around what this looks like in practice, let me briefly highlight a few initiatives that are already underway. First, we are expanding and diversifying our service portfolio to better monetize our installed base and enhance customer value.

[Steve La Neve, President and CEO at Accuray]

During the quarter, we launched new training and educational solutions, which can be included in service agreements or sold standalone. We will launch packages to add software solutions to our service agreements, which we believe strengthens recurring revenue opportunities and improves customer engagement over time. Our strategy is to better leverage our substantial and growing installed base and to drive significant value creation through our service business. Second, we are making meaningful progress toward a more structured and disciplined distributor partnership model. In markets where distributors are essential to our reach, we are implementing clear performance standards, improved transparency, stronger alignment, and better support models to drive consistent, high-quality execution. During the quarter, we advanced this effort with several concrete actions, including the appointment of a vice president of distributor partnerships, a new and strategically important role for Accuray, focused on elevating distributor performance and accountability globally.

[Steve La Neve, President and CEO at Accuray]

Third, we are implementing systems, processes, and controls to help ensure we are fully and appropriately compensated for the work our service teams deliver every day. During the quarter, we have made enhancements to our service systems, which are designed to improve cash conversion and margin quality. Fourth, we continue to optimize pricing across our product and service portfolio to better reflect the clinical and economic value our technology and our service solutions deliver. This work is designed to support competitive wins at appropriate margins and is expected to translate into stronger sales quality and margin expansion over time. Finally, an essential element of the transformation is strong commercial leadership. I am very excited that Paul Miele has joined Accuray as Chief Commercial Officer. Paul brings more than two decades of experience leading and scaling global capital medical device businesses across the Americas, EMEA, and APAC regions.

[Steve La Neve, President and CEO at Accuray]

His track record strongly aligns with Accuray's priorities in terms of building effective commercial operating models, reactivating the installed base, expanding service and solutions monetization, and accelerating capital equipment sales, specifically in the areas of imaging, navigation, and robotics. In prior roles, his leadership helped drive the reversal of revenue decline trends and helped deliver double-digit annual growth. Paul and his team will play a critical role in strengthening our top line, improving profitability, and supporting sustainable long-term value creation. With our internal transformation well underway, I'd like to now turn to strategic partnerships, which is an area that is playing an increasingly important role in shaping Accuray's future. A core principle of our transformation is focus. We are being very deliberate about where we invest our internal resources and where partnering allows us to move faster, scale more efficiently, and deliver greater value to our customers.

[Steve La Neve, President and CEO at Accuray]

Over the past several months, we've made meaningful progress aligning with partners that strengthen our execution today and fortify our long-term position as an innovative leader in radiation medicine. One of the most exciting areas of progress is how we are leveraging partnerships with the goal to convert one of Accuray's most distinctive capabilities, real-time adaptation to patient and tumor motion during treatment into a durable clinical evidence engine. Radiation medicine is entering an era where precision is increasingly defined not just by the treatment plan created in advance, but by what happens during treatment itself. Recent high-impact prostate SBRT data have reinforced that delivery side factors, including intrafraction motion management can meaningfully impact outcomes. Accuray's installed base gives us access to one of the largest repositories of real-world motion-tracked treatment data in the industry, spanning hundreds of thousands of treatment fractions across multiple disease sites.

[Steve La Neve, President and CEO at Accuray]

By pairing these insights with a multi-center registry sponsored by the Radiosurgery Society, we are working to define the clinical value of real-time correction, inform future product development, and help shape emerging standards of care. Importantly, this effort strengthens our differentiation, supports our product roadmap, and reinforces our focus on clinically meaningful innovation. Our new partnership strategy is built around creating an ecosystem of aligned partners that amplifies our strengths. We are building a constellation of strategic collaborations with many leading organizations, including the University of Wisconsin–Madison, Tata Consultancy Services, as well as many others. Each bring distinct capabilities across imaging, software, workflow innovation, clinical research, treatment continuity, and operational execution. Together, these partnerships allow us to deliver more comprehensive solutions to radiation medicine teams while improving speed to market and capital efficiency.

[Steve La Neve, President and CEO at Accuray]

This partnership-driven model is an important pillar of our transformation and a key component of how we intend to create enduring value for customers and shareholders alike. In addition to the momentum we're seeing across our transformation and partnerships, we are very excited about the upcoming European Society for Radiotherapy and Oncology, ESTRO, conference in Stockholm later this month. ESTRO is an important global forum for radiation medicine and a key opportunity to engage directly with our customers. At ESTRO, we plan on highlighting a series of practical, customer-driven product enhancements and new partnerships that reinforce our commitment to clinical excellence, workflow efficiency, and continuous innovation. As I've said before, these are areas where we believe Accuray can make the biggest difference for patients and where we can meaningfully differentiate ourselves in the market.

[Steve La Neve, President and CEO at Accuray]

In summary, while the external environment remains challenging, the transformative progress we're making across execution, innovation, and partnerships gives us confidence that we are building a stronger, more resilient Accuray for the future. With that, I'll hand it over to Ali to take you through our financial results and key financial metrics.

[Ali Pervaiz, CFO at Accuray]

Thanks, Steve, and good afternoon, everyone. I would like to begin by thanking our global cross-functional teams for their continued dedication and hard work as we execute on our transformation plan. Turning to the third quarter results. Net revenue for the quarter was $104.8 million, which was down 7% versus the prior year and down 10% on a constant currency basis. On a sequential basis, revenue increased 3%. Product revenue for the third quarter was $49.7 million, down 13% versus the prior year and down 15% on a constant currency basis, representing the majority of the year-over-year decline. Similar to the first half of fiscal year 2026, most of this came as a result of ongoing macroeconomic headwinds in China and, more recently, geopolitical tensions in the Middle East.

[Ali Pervaiz, CFO at Accuray]

Service revenue for the third quarter was $55.1 million, down 1% from the prior year and down 5% on a constant currency basis. As a result of our global install base and service network being negatively impacted by Middle East tensions, we had a $1.2 million negative impact to service revenue. The company's contract capture rate, defined as a percentage of active systems covered by a service agreement, continues to be at nearly 90% across our active install base. As Steve discussed, optimizing pricing to reflect our true clinical and economic value has been a key piece of our transformation plan. This includes a significant focus on pricing on service contract renewals.

[Ali Pervaiz, CFO at Accuray]

While the pricing secured in renewals has an impact that spans over the next two to three years, we did experience $0.6 million of price favorability within service revenues in the third quarter. Product gross orders for the third quarter were approximately $49 million and represented a book-to-bill ratio of 1.0 in the quarter, with a trailing 12-month ratio of 1.2. We ended the third quarter with a reported order backlog of approximately $356 million, defined to include only orders younger than 30 months. Our overall gross margin for the quarter was 24.1% compared to 27.9% in the prior year. This decline was primarily due to service margins, which were 26.1% compared to 33.3% in the prior year.

[Ali Pervaiz, CFO at Accuray]

Driving this decrease was higher net parts consumption of $3.2 million, which negatively impacted service gross margins by approximately 600 basis points. As we have mentioned in prior quarters, the timing of parts consumption can fluctuate quarterly depending on the volume and extent of service requirements. In the third quarter, our higher than anticipated service parts consumption also required higher than average logistics and duties costs. Additionally, tariffs adversely impacted service margins by $0.8 million or 150 basis points. Product gross margins in the third quarter were 21.9% compared to 22.7% in the prior year. The year-over-year incremental cost from higher tariffs was $2.6 million, which adversely impacted product gross margins by approximately 530 basis points.

[Ali Pervaiz, CFO at Accuray]

Tariffs have been quite fluid recently, and although IEPA tariffs have been invalidated, we continue to monitor how the tariff landscape evolves over the near term and how that impacts our profitability and cash flow. Operating expenses in the third quarter were $34.4 million compared to $30.6 million in the third quarter of the prior fiscal year. The current year third quarter includes $6.5 million of non-recurring restructuring expenses, which include severance costs and other costs directly related to our restructuring and transformation plans. Additionally, the prior year third quarter benefited from a $3.2 million reversal of unrealized accrued compensation from the first half of FY 2025.

[Ali Pervaiz, CFO at Accuray]

Adjusting for these discrete items, third quarter 2026 operating expenses decreased $6 million or 18% versus prior year, which illustrates that the cost actions taken as part of our transformation have taken hold. As stated above, during the third quarter, we recognized six and a half million dollars of non-recurring restructuring expenses. As our transformation plan progresses, we expect restructuring costs to sequentially decrease from these third quarter levels in future quarters, with a significant portion of the restructuring costs recognized by the end of the fiscal year. Operating loss for the quarter was $9.1 million compared to income of $1.1 million in the prior year. Adjusted EBITDA for the quarter was $3.8 million compared to $6 million in the prior year.

[Ali Pervaiz, CFO at Accuray]

We describe the reconciliation between GAAP net income and Adjusted EBITDA in our earnings release issued today. Turning to the balance sheet, total cash equivalents, and restricted cash as of quarter end amounted to $44.4 million compared to $47.9 million at the end of last quarter. The restricted cash was related to required postings for cash flow hedging and tariffs amounting to $6.4 million in the current quarter as compared to $6.6 million at the end of last quarter. Net accounts receivable were $64.6 million, up $3.6 million from the prior quarter, largely due to higher sequential quarter revenue. Our net inventory balance was $156.6 million, up $5.7 million from the prior quarter.

[Ali Pervaiz, CFO at Accuray]

At the end of the third quarter, we had $5 million outstanding in our revolving credit facility. As Steve noted earlier, we continue to execute our transformation strategy and remain ahead of plan to achieve the $12 million in improvements we had originally forecasted. By the end of the third quarter, we had already realized approximately $10 million of these transformation-related improvements, which were largely achieved through workforce and discretionary spend reductions as well as pricing realization. With that, I'd like to hand the call back to Steve.

[Steve La Neve, President and CEO at Accuray]

Thank you, Ali. I remain excited about the opportunities ahead for Accuray and continue to have strong conviction in the differentiation of our technology and the value it brings to customers and patients. We believe the impact of our strategic focus and the transformation plan we initiated will become increasingly evident over the coming quarters, with 2027 and 2028 financial performance expected to reflect the benefits of the actions we are taking today. As we look ahead, we believe our progress should be measured against a clear set of priorities. Number one, driving top-line growth with our product and service business lines through a focused commercial strategy. Number two, relentlessly executing on our transformation plan to improve gross margins and strengthen EBITDA through tighter cost management. Number three, prioritizing innovation grounded in voice of customer as part of our product and service development programs.

[Steve La Neve, President and CEO at Accuray]

With that, I'll turn the call back over to the operator for Q&A.

[Operator]

We will now begin the question-and-answer session. To ask a question, you may press star then one on your telephone keypad. If you are using a speakerphone, please pick up your handset before pressing the keys. If at any time your question has been addressed and you would like to withdraw your question, please press star then two. At this time, we will pause momentarily to assemble our roster. The first question comes from Marie Thibault with BTIG. Please go ahead.

[Marie Thibault, Analyst at BTIG]

Good evening. Just wanted to ask about the decision to remove guidance. I know that the Iran war started after your last quarterly earnings call, but, you know, your prior commentary had pointed to a close understanding of timelines in these various regions. Why not just revise the guidance to remove some of those specific customers or those revenue, you know, installs in those regions? Why remove entirely?

[Steve La Neve, President and CEO at Accuray]

Thank you, Marie. This is Steve. Appreciate the question, and obviously, we've spent a lot of time thinking through this very carefully. As we noted in our remarks earlier, the shipments to customers in the Middle East, North Africa, and Pakistan particularly have been delayed indefinitely due to these tensions. That directly impacts both product revenue and also the associated service revenue. Just given the dynamic nature of these disruptions and the difficulty in predicting when these installations will resume, we collectively felt it was more appropriate to withdraw guidance. EMEA is the largest region for Accuray, within EMEA, the Middle East and North Africa are the fastest-growing sub-regions. Given the interdependencies that exist between other regions around the world, we felt this was the most prudent course of action.

[Marie Thibault, Analyst at BTIG]

Okay. I know you're ahead of schedule on some of your cost-cutting efforts, it looks like Adjusted EBITDA came in well below what we were expecting and certainly does not really keep you on track for your prior outlook. I understand that's been removed. What's going on there? I know, you know, I think that excluded things like the restructuring charge. What's going on there, and is there a way to see improving profitability despite some of this macro uncertainty?

[Ali Pervaiz, CFO at Accuray]

Hey, Marie. It's Ali. Thanks for the question. Look, we're really excited about the fact that the transformation is moving along well, and we are ahead, just like you said. In terms of the savings, we've made a lot of progress to date. You sort of heard about the workforce reductions and the reorganization that we've done. We've made a lot of progress in terms of just overall cost and spend rationalization, and I think we just continue to execute on the transformation. You know, the main pillars of the transformation are really related to continuing to focus on our service business, really have meaningful progress in our distributor partnership model and, you know, focus on optimizing pricing. I think all of those are gonna take some time to come into play, and the timing of those are really hard to anticipate.

[Ali Pervaiz, CFO at Accuray]

We think we're still gonna see a solid annualized benefit in fiscal year 2027.

[Marie Thibault, Analyst at BTIG]

Thank you, Ali. You took my question out of my mouth there. I was gonna ask about the timing of some of those potential benefits. I'll hop back in queue. Thank you.

[Ali Pervaiz, CFO at Accuray]

Thank you.

[Steve La Neve, President and CEO at Accuray]

Thank you.

[Operator]

This concludes our question and answer session. I would like to turn the conference back over to Accuray's President and Chief Executive Officer, Steve La Neve, for any closing remarks.

[Steve La Neve, President and CEO at Accuray]

Thank you all for joining our call today, and we look forward to speaking with you again in the summer when we report our fiscal 2026 fourth quarter earnings results. This concludes our earnings call. Thank you again.

[Operator]

The conference has now concluded. Thank you for attending today's presentation. You may now disconnect.

Participants

Executives

• Ali Pervaiz, CFO
• Steve La Neve, President and CEO
• Steve Monroe, VP of Financial Planning and Analysis

Analysts

• Marie Thibault, Analyst at BTIG