Accuray Inc (NASDAQ: ARAY)

Sector: Healthcare Industry: Medical Devices CIK: 0001138723
Market Cap 62.65 Mn
P/B 1.17
P/E -1.76
P/S 0.14
ROIC (Qtr) -7.84
Div Yield % 0.00
Rev 1y % (Qtr) -11.99
Total Debt (Qtr) 174.23 Mn
Debt/Equity (Qtr) 3.26
Add ratio to table...

About

Accuray Incorporated, commonly referred to as Accuray, is a company that operates in the healthcare industry, specifically in radiation therapy. The company is known for developing, manufacturing, and selling innovative solutions for delivering radiation treatments to patients with cancerous or benign tumors. Accuray's main business activities revolve around the development and commercialization of radiation therapy systems. The company boasts two major platforms: the CyberKnife and TomoTherapy. The CyberKnife platform is a robotic radiosurgery...

Read more

Investment thesis

Bull case

  • Healthy cash reserves of 47.87M provide 2.48x coverage of short-term debt 19.27M, demonstrating strong liquidity position and minimal refinancing risk.
  • Robust tangible asset base of 390.16M provides 4.20x coverage of working capital 92.95M, indicating strong operational backing.
  • R&D investment of 44.20M represents healthy 0.41x of deferred revenue 106.59M, indicating strong future innovation pipeline.
  • Cash position of 47.87M represents healthy 0.52x of working capital 92.95M, demonstrating strong operational liquidity.
  • Robust R&D investment of 44.20M at 0.50x of SG&A 88.55M demonstrates strong commitment to innovation and future growth.

Bear case

  • Operating cash flow of 4.55M barely covers its investment activities of (15.25M), with a coverage ratio of -0.30, indicating heavy reliance on external financing for growth which may not be sustainable in a tighter credit environment.
  • Investment activities of (15.25M) provide weak support for R&D spending of 44.20M, which is -0.35x, suggesting potentially insufficient investment in innovation relative to other capital deployment.
  • Operating cash flow of 4.55M provides insufficient coverage of deferred revenue obligations of 106.59M, which is 0.04x, raising concerns about future service delivery capabilities.
  • Free cash flow of (10.71M) provides weak coverage of capital expenditures of 15.25M, with a -0.70 ratio suggesting additional external financing needs for growth initiatives.
  • The company's operating cash flow of 4.55M shows concerning coverage of stock compensation expenses of 8.96M, with a 0.51 ratio indicating potential earnings quality issues.

Product and Service Breakdown of Revenue (2025)

Geographical Breakdown of Revenue (2025)

Peer comparison

Companies in the Medical Devices
S.No. Ticker Company Market Cap P/E P/S Total Debt (Qtr)
1 ABT Abbott Laboratories 173.80 Bn 32.73 5.47 12.94 Bn
2 SYK Stryker Corp 141.15 Bn 43.48 5.62 15.86 Bn
3 MDT Medtronic plc 123.47 Bn 25.92 3.55 29.10 Bn
4 BSX Boston Scientific Corp 112.80 Bn 38.92 5.62 11.44 Bn
5 EW Edwards Lifesciences Corp 45.66 Bn 33.38 7.76 0.70 Bn
6 DXCM Dexcom Inc 27.52 Bn 32.91 5.90 1.34 Bn
7 STE STERIS plc 24.13 Bn 34.08 4.14 2.05 Bn
8 PODD Insulet Corp 17.33 Bn 70.38 6.87 1.01 Bn

Industry comparisons

Current Valuation Value Ind Avg Percentile
EV to Assets EV to Assets 0.38 2.13
EV to Cash from Ops. EV/CFO 37.79 2.75
EV to Debt EV to Debt 0.99 17.25
EV to EBIT EV/EBIT -16.69 2.89
EV to EBITDA EV/EBITDA -16.23 4.53
EV to Free Cash Flow [EV/FCF] EV/FCF -16.05 29.36
EV to Market Cap EV to Market Cap 2.74 25.09
EV to Revenue EV/Rev 0.39 32.80
Price to Book Value [P/B] P/B 1.17 4.73
Price to Earnings [P/E] P/E -1.76 -2.04
Dividend Metrics Value Ind Avg Percentile
Dividend Coverage Ratio Dividend Coverage Ratio 0.00 40.22
Dividend Payout Ratio % Div Payout % (Qtr) 0.00 1.59
Dividend per Basic Share Div per Share (Qtr) 0.00 0.10
FCF Dividend Payout Ratio % FCF Div Payout % (Qtr) 0.00 -0.37
Interest Coverage Int. cover (Qtr) -0.45 196.93
Growth Metrics Value Ind Avg Percentile
Capex Growth (1y) % Capex 1y % (Qtr) -286.15 -152.08
Cash and Equivalents Growth (1y) % Cash & Equiv 1y % (Qtr) -26.79 8,476.58
Dividend Growth (1y) % Dividend Growth (1y) % 0.00 -0.44
EBIAT Growth (1y) % EBIAT 1y % (Qtr) -157.00 -792.16
EBITDA Growth (1y) % EBITDA 1y % (Qtr) -197.14 3.79
EBIT Growth (1y) % EBIT 1y % (Qtr) -208.60 -301.80
EBT Growth (1y) % EBT 1y % (Qtr) -1,452.32 -121.44
EPS Growth (1y) % EPS 1y % (Qtr) -625.00 -87.51
FCF Growth (1y) % FCF 1y % (Qtr) -39.71 10.43
Gross Profit Growth (1y) % Gross Profit 1y % (Qtr) -15.75 38.21
Liquidity Ratios Value Ind Avg Percentile
Asset Utilization Ratio Asset Util Ratio (Qtr) 0.98 0.55
Cash Payout Ratio Cash Payout (Qtr) 0.00 0.02
Cash Ratio Cash Ratio (Qtr) 0.24 1.80
Current Ratio Curr Ratio (Qtr) 1.47 4.18
Debt to Equity Ratio Debt/Equity (Qtr) 3.26 1.20
Interest Cover Ratio Int Coverage (Qtr) -0.45 196.93
Times Interest Earned Times Interest Earned (Qtr) -0.45 196.93
Profitability Value Ind Avg Percentile
EBITDA Margin % EBITDA Margin % (Qtr) -0.80 -2,396.63
EBIT Margin % EBIT Margin % (Qtr) -2.36 -2,478.60
EBT Margin % EBT Margin % (Qtr) -7.59 -2,690.42
Gross Margin % Gross Margin % (Qtr) 27.70 30.80
Net Profit Margin % Net Margin % (Qtr) -8.20 -2,821.53