Accuray Incorporated (ARAY)
:ARAY
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Accuray (ARAY) AI Stock Analysis

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ARAY

Accuray

(NASDAQ:ARAY)

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Neutral 42 (OpenAI - 4o)
Rating:42Neutral
Price Target:
$1.00
▼(-14.53% Downside)
Accuray's overall stock score is primarily impacted by its challenging financial performance and bearish technical indicators. The company's high leverage and negative profitability are significant concerns. Technical analysis further indicates a bearish trend with oversold conditions. Valuation metrics also highlight potential risks with a negative P/E ratio. While the earnings call suggests some potential for future growth, current financial and technical challenges weigh heavily on the stock's attractiveness.
Positive Factors
Service Revenue Growth
Growth in service revenue indicates a stable and recurring income stream, enhancing financial predictability and supporting long-term sustainability.
Strategic Partnerships
Partnerships with leading institutions can drive innovation and enhance product offerings, strengthening competitive positioning in the market.
Product Launch
New product launches expand the company's portfolio and can capture new market segments, driving future revenue growth and market share.
Negative Factors
Declining Revenue
Declining revenue indicates challenges in sales performance, which could impact the company's ability to invest in growth and innovation.
High Leverage
High leverage increases financial risk and limits flexibility, potentially affecting the company's ability to weather economic downturns.
Operating Loss Increase
Rising operating losses reflect inefficiencies and could strain resources, hindering the company's ability to achieve profitability.

Accuray (ARAY) vs. SPDR S&P 500 ETF (SPY)

Accuray Business Overview & Revenue Model

Company DescriptionAccuray Incorporated is a global radiation oncology company that specializes in the development of advanced treatment solutions for cancer. Headquartered in Sunnyvale, California, Accuray focuses on innovative technologies that enhance the precision of radiation therapy, primarily through its flagship products, the CyberKnife and TomoTherapy systems. These systems are designed to deliver targeted radiation with high accuracy, thereby minimizing damage to surrounding healthy tissues and improving patient outcomes. Accuray operates within the healthcare sector, specifically addressing the needs of cancer treatment centers and hospitals worldwide.
How the Company Makes MoneyAccuray generates revenue primarily through the sale of its radiation therapy systems and related services. Key revenue streams include the initial sale of medical devices, ongoing service agreements, and software upgrades for their systems. The company also earns income from the sale of consumables used in conjunction with its products. Significant partnerships with healthcare institutions and collaborations with research organizations further enhance its market reach and contribute to its earnings. Additionally, as healthcare providers increasingly adopt advanced radiation technologies, Accuray benefits from the growing demand for precise cancer treatments, thereby supporting its overall revenue growth.

Accuray Earnings Call Summary

Earnings Call Date:Nov 05, 2025
(Q1-2026)
|
% Change Since: |
Next Earnings Date:Feb 04, 2026
Earnings Call Sentiment Neutral
The earnings call presented a mixed outlook for Accuray. The company highlighted strong interest and growth in their service segment and new product launches, but faced significant challenges with declining revenue, lower product sales, and increased operating losses. The company's transformation efforts and strategic partnerships show potential for future growth, but current financial metrics indicate concerns.
Q1-2026 Updates
Positive Updates
Launch of Stellar Product
In September, Accuray launched the Stellar product at ASTRO, representing a commitment to adaptive radiotherapy and precision care, receiving positive reception and strong interest from existing and new customers.
Memorandum of Understanding with University of Wisconsin
Accuray signed a memorandum of understanding with the University of Wisconsin School of Medicine and Public Health to advance online adaptive radiotherapy, focusing on clinical research, education, and adaptive technology development.
First Patients Treated with CyberKnife in Australia
First patients were treated in Melbourne, Australia using the CyberKnife system, improving access to radiation therapy and reducing the need for long-distance travel.
Service Revenue Growth
Service revenue for the quarter was $57 million, up 7% from the prior year, driven by contract revenue growth of 10% year-over-year.
Negative Updates
Decline in Net Revenue
Net revenue for the first quarter was $94 million, down 7% compared to the prior year and down 9% on a constant currency basis.
Decrease in Product Revenue
Product revenue for the first quarter was $37 million, down 23% year-over-year, primarily due to slower performance in EIMEA and China regions.
Reduction in Gross Margin
Overall gross margin for the quarter was 28.3%, down from 33.9% in the prior year, impacted by sales mix, tariffs, and a onetime obsolescence charge.
Operating Loss Increase
Operating loss for the quarter was $11.3 million compared to a loss of $2.1 million in the prior year, affected by gross margin challenges and restructuring costs.
Challenges in Product Orders
Product orders for the first quarter were approximately $40 million, lower than expectations due to timing issues in China and the Americas regions.
Company Guidance
During the Accuray First Quarter Fiscal 2026 Financial Results Conference Call, the company maintained its fiscal year guidance, projecting revenues between $471 million to $485 million and an adjusted EBITDA range of $31 million to $35 million, despite a 7% decrease in net revenue compared to the prior year. The company aims to achieve a high single-digit adjusted EBITDA margin as a percentage of revenue within 12 months, with expectations to expand this to double digits in the medium to long term. Product revenue for the first quarter was recorded at $37 million, a 23% year-over-year decrease, while service revenue increased by 7% to $57 million. The gross margin declined to 28.3% from the previous year's 33.9%, primarily due to product gross margin challenges. Accuray's order backlog stands at approximately $396 million, representing over 18 months of product revenue. The call highlighted the company's continued focus on its transformation plan, strategic priorities, and market opportunities, with expectations for better performance in the second half of the fiscal year.

Accuray Financial Statement Overview

Summary
Accuray faces financial challenges with declining revenues, negative profitability, and high leverage. The company needs to improve operational efficiency and profitability to enhance financial stability. While cash flow generation remains a concern, maintaining positive operating cash flow is a positive aspect. Strategic measures are required to address these financial issues and improve overall performance.
Income Statement
45
Neutral
Accuray's income statement shows a challenging financial position with declining revenue growth and negative net profit margins. The TTM (Trailing-Twelve-Months) data indicates a slight revenue decline of 1.66%, and the company has been unable to achieve profitability, as evidenced by a negative net profit margin of -0.35%. Gross profit margin remains stable at around 32%, but EBIT and EBITDA margins are low, indicating operational inefficiencies.
Balance Sheet
40
Negative
The balance sheet reveals a high debt-to-equity ratio of 2.17, indicating significant leverage, which could pose financial risks. Return on equity is negative, reflecting the company's inability to generate profits from shareholder investments. The equity ratio is low, suggesting limited financial stability and reliance on debt financing.
Cash Flow
50
Neutral
Cash flow analysis shows volatility, with a significant decline in free cash flow growth at -376.28% TTM. The operating cash flow to net income ratio is low, indicating challenges in converting earnings into cash. However, the company has managed to maintain a positive operating cash flow, which is a positive sign amidst other financial challenges.
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue450.90M458.50M446.55M447.61M429.91M396.29M
Gross Profit139.05M146.97M142.92M153.96M159.96M159.51M
EBITDA8.87M20.24M5.71M8.37M11.64M18.72M
Net Income-19.32M-1.59M-15.54M-9.28M-5.35M-6.31M
Balance Sheet
Total Assets456.82M470.24M468.63M479.21M472.85M480.10M
Cash, Cash Equivalents and Short-Term Investments63.92M57.42M68.57M89.40M88.74M116.37M
Total Debt179.11M176.38M210.75M205.04M199.49M199.41M
Total Liabilities394.95M389.07M423.54M425.56M419.66M411.26M
Stockholders Equity61.87M81.17M45.08M53.66M53.19M68.84M
Cash Flow
Free Cash Flow13.72M-5.66M-15.51M2.86M-7.12M36.19M
Operating Cash Flow22.33M2.86M-11.90M15.54M-2.40M38.51M
Investing Cash Flow-11.23M-8.52M-3.60M-12.68M-4.72M-2.40M
Financing Cash Flow-2.55M-4.25M-3.95M-2.11M-15.37M-28.80M

Accuray Technical Analysis

Technical Analysis Sentiment
Negative
Last Price1.17
Price Trends
50DMA
1.55
Negative
100DMA
1.48
Negative
200DMA
1.59
Negative
Market Momentum
MACD
-0.15
Positive
RSI
22.01
Positive
STOCH
1.83
Positive
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ARAY, the sentiment is Negative. The current price of 1.17 is below the 20-day moving average (MA) of 1.35, below the 50-day MA of 1.55, and below the 200-day MA of 1.59, indicating a bearish trend. The MACD of -0.15 indicates Positive momentum. The RSI at 22.01 is Positive, neither overbought nor oversold. The STOCH value of 1.83 is Positive, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative sentiment for ARAY.

Accuray Risk Analysis

Accuray disclosed 49 risk factors in its most recent earnings report. Accuray reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Accuray Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
$210.77M27.1919.02%16.05%29.48%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
48
Neutral
$187.32M-13.27%4.68%55.37%
44
Neutral
$227.84M49.52%19.34%
42
Neutral
$117.87M-36.07%1.51%5.07%
41
Neutral
$152.02M-2462.70%-21.10%-18.32%
38
Underperform
$145.13M-422.35%21.02%-200.88%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ARAY
Accuray
1.00
-0.71
-41.47%
ELMD
Electromed
24.63
-3.45
-12.29%
INGN
Inogen
6.71
-2.81
-29.52%
LNSR
LENSAR
9.86
2.61
36.00%
TLSI
TriSalus Life Sciences
4.48
0.81
22.07%
AVR
Anteris Technologies Global Corp.
3.57
-1.93
-35.09%

Accuray Corporate Events

Accuray’s Earnings Call: Mixed Sentiments and Future Prospects
Nov 7, 2025

Accuray Incorporated’s recent earnings call presented a mixed sentiment, reflecting both promising developments and significant challenges. The company showcased strong interest and growth in its service segment and new product launches, yet faced hurdles with declining revenue, lower product sales, and increased operating losses. While transformation efforts and strategic partnerships hint at potential future growth, current financial metrics raise concerns.

Accuray Incorporated Reports Increased Loss Amid Revenue Decline
Nov 6, 2025

Accuray Incorporated, a company specializing in advanced radiosurgery and radiation therapy systems, operates within the medical device industry, offering innovative solutions for tumor treatment worldwide. In its latest earnings report for the quarter ending September 30, 2025, Accuray Incorporated reported a decline in total net revenue to $93.9 million from $101.5 million in the same period last year, with a net loss of $21.7 million compared to a loss of $3.9 million in the previous year. Key financial metrics highlighted include a decrease in product revenue and an increase in service revenue, alongside increased operating expenses and interest expenses impacting overall profitability. Despite these challenges, the company continues to navigate macroeconomic and geopolitical uncertainties, supply chain disruptions, and inflationary pressures, which are expected to persist into fiscal year 2026. Looking ahead, Accuray’s management remains focused on maintaining sufficient cash resources and exploring strategic opportunities to enhance its financial performance and operational efficiency.

Business Operations and StrategyExecutive/Board ChangesFinancial Disclosures
Accuray Appoints New CEO Amidst Revenue Decline
Negative
Nov 5, 2025

Accuray reported its fiscal 2026 first-quarter financial results, highlighting a 7% decrease in total net revenue compared to the previous year. The company announced significant leadership changes with Steve La Neve appointed as CEO and a restructuring plan aimed at reducing costs and streamlining operations. Despite a decrease in product revenue, service revenue increased by 7%, and the company introduced the Accuray Stellar Solution at the ASTRO annual meeting. Accuray’s net loss widened to $21.7 million, with a decrease in gross profit margin due to geographic sales mix and joint venture accounting. The company reaffirmed its fiscal year 2026 guidance, expecting total net revenue between $471 million and $485 million.

The most recent analyst rating on (ARAY) stock is a Hold with a $1.50 price target. To see the full list of analyst forecasts on Accuray stock, see the ARAY Stock Forecast page.

Business Operations and StrategyExecutive/Board Changes
Accuray Appoints Steve La Neve as New CEO
Neutral
Oct 20, 2025

On October 18, 2025, Accuray entered into a consulting agreement with Dedication Capital, appointing Steven F. Mayer as Transformation Board Sponsor to lead strategic initiatives, with compensation including a base fee and equity awards. Additionally, on October 20, 2025, Accuray announced the appointment of Steve La Neve as CEO, succeeding Suzanne Winter, as part of a broader transformation plan aimed at enhancing competitiveness and achieving sustainable growth.

The most recent analyst rating on (ARAY) stock is a Hold with a $2.00 price target. To see the full list of analyst forecasts on Accuray stock, see the ARAY Stock Forecast page.

Executive/Board Changes
Accuray Announces Consulting Agreement with Departing Executive
Neutral
Sep 19, 2025

On September 19, 2025, Accuray Incorporated entered into a consulting agreement with Jesse Chew, its departing Senior Vice President, Chief Legal Officer, and Corporate Secretary, to assist with the transition of his responsibilities. Mr. Chew will provide consulting services until December 31, 2025, receiving a monthly retainer and continued vesting of his equity awards, indicating a structured transition plan for the company.

The most recent analyst rating on (ARAY) stock is a Hold with a $1.50 price target. To see the full list of analyst forecasts on Accuray stock, see the ARAY Stock Forecast page.

Accuray’s Earnings Call: Growth Amid Challenges
Sep 1, 2025

Accuray Incorporated’s recent earnings call painted a mixed picture, with notable achievements in service revenue growth and successful debt refinancing. However, these positives were tempered by revenue declines in key regions, geopolitical challenges, and a sluggish U.S. market. The company has managed to mitigate some tariff impacts, but ongoing geopolitical uncertainty remains a significant concern.

Accuray Faces Stock Dilution Risk as Warrant Exercises Loom, Threatening Share Value
Aug 30, 2025

Accuray Incorporated faces a significant business risk due to the potential exercise of outstanding warrants, which could lead to an increase in the number of shares available for resale in the public market, thereby diluting the value of existing stockholders’ shares. As of June 30, 2025, a total of 23,428,241 shares could be issued through the exercise of Premium and Penny Warrants, potentially exerting downward pressure on the stock price. This dilution risk might prompt current stockholders to sell their shares, further depressing the stock price and encouraging short selling. Additionally, the anti-dilution provisions in the Warrants could complicate future equity financing efforts, making it challenging for the company to raise funds under favorable conditions.

Executive/Board ChangesShareholder Meetings
Accuray Announces Leadership Changes Amid Executive Departures
Neutral
Aug 22, 2025

On August 19, 2025, Robert C. Kill, a Class I director of Accuray Incorporated, announced his decision not to seek re-election at the company’s annual meeting in November 2025. His decision was not due to any disagreements with the company or its board. Additionally, Jesse Chew, the Senior Vice President, Chief Legal Officer, and Corporate Secretary, submitted his resignation effective September 19, 2025, and will continue to consult for the company until the end of the year. His resignation was also not due to any conflicts or issues with the company.

The most recent analyst rating on (ARAY) stock is a Buy with a $5.00 price target. To see the full list of analyst forecasts on Accuray stock, see the ARAY Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 15, 2025