The more time I spend in the field, the clearer it becomes of the opportunity to accelerate top-line growth and to meaningfully expand profitability in the years ahead. We are shifting towards a comprehensive solutions-oriented offering that increases customer uptime, enhances system performance, and drives higher-margin recurring revenue while addressing customer needs and increasing lifecycle engagement across the installed base. These external pressures affected both demand patterns and the timing of commercial activity in ways that have been difficult to fully anticipate. Given the visibility we have today, we think it's prudent to reset our fiscal 2026 revenue and adjusted EBITDA outlook for the remainder of the fiscal year.

This updated guidance assumes and reflects continued volatility in China, the persistence of current tariff structures, and other ongoing headwinds, but does not assume a material worsening beyond what we are experiencing today. Our revised guidance on the revenue will be in the range of $440 million-$450 million, with adjusted EBITDA guidance of $22 million-$25 million. This compares to our previous guidance of $471 million-$485 million of revenue and $31 million-$35 million of adjusted EBITDA. Despite the external headwinds, we remain firmly focused on delivering against our transformation commitments and strengthening Accuray's foundation for sustained, profitable growth.

Our objectives are clear: drive top-line growth, improve profitability, and create lasting value for patients, providers, and shareholders. Net revenue for the quarter was $102.2 million, which was down 12% versus the prior year and down 13% on a constant currency basis. Product revenue for the second quarter was $45 million, down 26% overall and down 28% on a constant currency basis. As Steve mentioned, most of this decline was due to product revenue in China that was lower than expected as a result of ongoing geopolitical tensions and the impact of tariffs.

What went well
  • The service business proved resilient at $57.2 million, up 4% (up 3% constant currency), continuing to anchor recurring revenue.
  • Product gross orders were about $66 million, a strong 1.5x book-to-bill in the quarter (1.2x trailing 12 months), with no order cancellations.
  • Backlog ended at about $383 million, representing more than 18 months of product revenue, diversified geographically and backed by long-term customer commitments.
  • The mid-December transformation plan advanced quickly, targeting ~$25 million of annualized operating-profit improvement (including a ~15% workforce reduction) and ~$12 million of benefit in fiscal 2026, with adjusted operating expenses down almost 21% quarter-over-quarter (ex-restructuring).
  • Customer conversations showed no downward shift in hospital capital-equipment spending, and management tightened weekly/monthly operating reviews around orders, revenue, margins, service and cash.
What went wrong
  • Net revenue of $102.2 million fell 12% year-over-year (down 13% constant currency), missing expectations.
  • Product revenue of $45 million dropped 26% on lower-than-expected China sales amid geopolitical tensions and tariffs.
  • Overall gross margin collapsed to 23.5% from 36.1%, with product gross margin at 19.7% (vs. 43.5%) hit by lower China JV margin releases (8.2 pts), tariffs (~6 pts) and product mix (zero CyberKnife shipments vs. five prior year, ~5.4 pts).
  • Operating loss widened to $11.6 million and adjusted EBITDA was a loss of $1.9 million (vs. +$9.6 million), including $6.1 million of one-time restructuring charges.
  • Cash, equivalents and short-term restricted cash fell to $41.9 million from $63.9 million on working-capital use, cash interest and restructuring payments.

Guidance Changes

MetricPeriodCurrent guidance
Fiscal 2026 revenueFY2026Cut to $440 million to $450 million
Fiscal 2026 adjusted EBITDAFY2026Cut to $22 million to $25 million
Adjusted EBITDA margin run-rateNext ~9 monthsStill expect a high-single-digit adjusted EBITDA margin run-rate within nine months; double digits over the medium-to-long term
Transformation savingsFY2026 / FY2027~$12 million of ~$25 million annualized savings expected to benefit fiscal 2026; ~$10 million of restructuring charges spread across Q2-Q4
Product gross marginNear termExpected in the 20%-30% range, highly dependent on product mix and China release timing

Performance Breakdown

MetricYoYNote
Net revenue -12% to $102.2 million (-13% cc) Sharp product decline in China on geopolitical tensions and tariffs; timing of commercial activity.
Product revenue -26% to $45 million Lower-than-expected China product sales.
Service revenue +4% to $57.2 million (+3% cc) Continued installed-base and offering expansion; a key recurring-revenue anchor.
Product gross margin 19.7% vs. 43.5% Lower China JV margin releases (8.2 pts, vs. 27 units released a year earlier), tariffs (~6 pts) and zero CyberKnife shipments vs. five prior year (~5.4 pts).
Adjusted EBITDA -$1.9 million vs. +$9.6 million Gross-margin compression plus $6.1 million of restructuring charges.
Book-to-bill 1.5x in quarter (1.2x TTM) ~$66 million of gross orders with no cancellations; backlog ~$383 million (>18 months).

Earnings Call Themes & Trends

TopicPrevious mentionCurrent periodTrend
Transformation planAnnounced, details pendingLaunched mid-December: ~$25 million annualized savings, ~15% workforce cut, ~$12 million FY2026 benefit; organizational realignment, outsourcing of non-core work and reallocation of engineering to high-ROI programs.
China riskTariffs and slower demandChina (a major recent growth driver) drove the product miss; the quota/license/tender/funding process has slowed and deal dynamics have become more protracted.
Service portfolio expansionService growth focusShift to solutions-oriented Select/Advantage/Optimum tiers beyond break-fix (training, monitoring, software upgrades, workflow analysis) for steadier, higher-margin recurring revenue.
Distributor managementReliance on distributors in 81 countriesBuilding a tiered, pay-for-performance distributor model with clearer standards, transparency and support; a dedicated channel leader planned.
Commercial leadershipCompany signaled the imminent appointment of a new global Chief Commercial Officer to strengthen commercial execution.
Guidance reset$471-$485M / $31-$35MCut to $440-$450M revenue and $22-$25M adjusted EBITDA, assuming continued China volatility and current tariffs but no material worsening.

Q&A Summary

Marie Thibault (BTIG) asked why the guidance cut given first-half revenue was on track with the usual ~40/60 split -- is it China alone?
La Neve gently corrected the split to closer to 45/55 and pointed to China: ongoing tariffs and an unstable geopolitical environment slowed the quota/license/tender/funding process, making deal dynamics more protracted and harder to anticipate.
Marie Thibault (BTIG) asked what to expect for product gross margins under the new revenue range.
Pervaiz said tariffs and inflation will keep pressuring product margins; Q2's key hits were a China JV release (~8 pts), tariffs (~6 pts) and mix (~8 pts). He would not expect product margins to stay near 20% but rather 20%-30%, highly dependent on product mix and China release timing.
Young Li (Jefferies) asked about the new growth initiatives (solutions-oriented service, structured distributor partnerships) and potential for disruption and timing of results.
La Neve described building out tiered Select/Advantage/Optimum service offerings beyond break-fix (training, monitoring, software, workflow) as a steadier, less lumpy growth lever, and a tiered pay-for-performance distributor model with a dedicated channel leader, essential given Accuray's presence in 81 countries.
Young Li (Jefferies) asked how hospital customers view the capital-equipment environment across the U.S., China, EU and emerging markets.
La Neve said Accuray sees no downward shift in hospital CapEx -- if anything increases and opportunities to buy or lease -- with no customer concerns about the ability to purchase equipment.

More on Accuray Inc

Reported 2026-02-04 · figures from the Accuray Inc Q2 2026 earnings call.

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