aray-8k_20211103.htm
false 0001138723 0001138723 2021-11-03 2021-11-03

 

 

 

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

 

 

 

FORM 8-K

 

CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported): November 3, 2021

 

 

 

ACCURAY INCORPORATED

(Exact name of registrant as specified in its charter)

 

Delaware

(State or other jurisdiction of incorporation)

 

001-33301

 

20-8370041

(Commission File Number)

 

(IRS Employer Identification No.)

 

1310 Chesapeake Terrace
Sunnyvale, California 94089

(Address of principal executive offices, including Zip Code)

 

Registrant’s telephone number, including area code: (408) 716-4600

 

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

    Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

    Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

    Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

    Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

 

Trading

Symbol(s)

 

Name of each exchange

on which registered

Common Stock, par value $0.001 per share

 

ARAY

 

The Nasdaq Stock Market LLC

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

 

Emerging growth company

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 


 

 

Item 2.02. Results of Operations and Financial Condition.

 

On November 3, 2021, Accuray Incorporated (the “Company”) issued a press release announcing its financial results for the first quarter ended September 30, 2021. A copy of the Company’s press release dated November 3, 2021, titled “Accuray Reports First Quarter Fiscal 2022 Financial Results” is attached hereto as Exhibit 99.1 and is incorporated herein by reference.

 

The foregoing information (including the exhibit hereto) is being furnished under “Item 2.02 Results of Operations and Financial Condition” and shall not be deemed “filed” for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933, as amended (the “Securities Act”), except as shall be expressly set forth by specific reference in such filing.

 

Item 7.01. Regulation FD Disclosure.

 

Spokespersons of the Company plan to present the information in the presentation attached hereto as Exhibit 99.2 to analysts and investors from time to time on or after November 3, 2021. The presentation will be available on the Company’s Investor Relations website at: http://investors.accuray.com.

 

The furnishing of the attached presentation is not an admission as to the materiality of any information therein. The information contained in the presentation is summary information that is intended to be considered in the context of more complete information included in the Company’s filings with the U.S. Securities and Exchange Commission and other public announcements that the Company has made and may make from time to time by press release or otherwise. The Company undertakes no duty or obligation to update or revise the information contained in this report. For important information about forward looking statements, see the slide titled “Forward-Looking Statements” in Exhibit 99.2 attached hereto.

 

The information set forth under Item 2.02 of this Current Report on Form 8-K is incorporated by reference into this Item 7.01.

 

 

The information contained in this Item 7.01 disclosure, including Exhibit 99.1 and Exhibit 99.2, is furnished pursuant to Item 7.01 and shall not be deemed to be “filed” for the purposes of Section 18 of the Exchange Act or otherwise subject to the liabilities of that Section, nor shall it be incorporated by reference into a filing under the Securities Act or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.

 

 

Item 9.01.  Financial Statements and Exhibits.

 

(d)  Exhibits.

 

 

Exhibit No.

 

Description

99.1

 

Press release dated November 3, 2021, titled “Accuray Reports Fiscal 2022 First Quarter Financial Results”

99.2

 

Accuray Q1’FY22 Earnings Call Presentation.

104

 

Cover Page Interactive Data File (embedded within the Inline XBRL document)

 

2


 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

ACCURAY INCORPORATED

 

 

 

Dated: November 3, 2021

By:

/s/ Brandy Green

 

 

Brandy Green

 

 

Vice President & Interim Chief Financial Officer

 

3

aray-ex991_6.htm

Exhibit 99.1

 

 

 

 

Joseph Diaz

Beth Kaplan

Managing Partner, Investor Relations, Lytham Partners, LLC

Public Relations Director, Accuray

+1 (602) 889-9660

+1 (408) 789-4426

jdiaz@accuray.com

bkaplan@accuray.com

 

Accuray Reports Fiscal 2022 First Quarter Financial Results

Record Revenue First Quarter Fiscal 2022

 

SUNNYVALE, Calif., November 3, 2021 — Accuray Incorporated (NASDAQ: ARAY) today reported financial results for the first quarter of fiscal 2022 ended September 30, 2021.

 

First Quarter Fiscal 2022 Summary

 

Record net revenue of $107.4 million, including $25.5 million of system revenue in China, as compared to net revenue of $85.3 million in the prior period

 

Gross orders of $70.0 million, an increase of 39 percent from the three months ended September 30, 2020

 

GAAP Net loss of $1.0 million as compared to GAAP Net income of $0.4 million in the prior year. Adjusted EBITDA of $5.4 million as compared to adjusted EBITDA of $9.0 million in the prior year first quarter

 

Other Recent Operational Highlights

 

Received 510(k) clearance for VOLO™ Ultra enhancement to the Accuray Precision® treatment planning system for the Radixact® System, full commercial launch at ASTRO 2021

 

Strong demand for ClearRT™ Helical kVCT Imaging for the Radixact® System: 59 global orders received since its commercial release in December 2020

 

New integration with RayStation® treatment planning system for the CyberKnife® M6™ and S7™ Systems, exhibited at ASTRO 2021

 

By any measure, our Q1 performance was a very strong start to our FY22 fiscal year. Q1 revenue of $107.4 million represents the largest first fiscal quarter revenue that Accuray has ever recorded. Our performance reflects the visible impact of the investments in innovation we have made to our product portfolio, how those new technologies are being received by customers across the world and a laser-like focus on commercial execution, all of which are driving accelerated revenue growth in our business,” said Joshua Levine, Chief Executive Officer.

 

Q1 Fiscal 2022 Financial Highlights

Total net revenue was $107.4 million for the first quarter of fiscal 2022 compared to $85.3 million for the prior fiscal year first quarter. Product revenue totaled $52.8 million for the first quarter of fiscal 2022 compared to $31.3 million for the prior fiscal year first quarter, while service revenue totaled $54.7 million for the first quarter of fiscal 2022 compared to $54.1 million for the prior fiscal year first quarter.

Total gross profit for the first quarter of fiscal 2022 was $39.5 million or approximately 36.8 percent of total net revenue, comprised of product gross margin of 40.3 percent of product net revenue and service gross margin of 33.4 percent of service net revenue. This compares to total gross profit of $35.4 million or 41.5 percent of total net revenue, comprised of product gross margin of 41.1 percent of product net revenue and service gross margin of 41.7 percent of service net revenue for the prior fiscal year first quarter.

Net loss was $1.0 million, or $0.1 per share, for the first quarter of fiscal 2022, compared to net income of $0.4 million, or an income of $0 per share, for the prior fiscal year first quarter.

 


 

Gross product orders totaled $70.0 million for the first quarter of fiscal 2022 compared to $50.5 million for the prior fiscal year first quarter. Order backlog as of September 30, 2021 was $602.9 million, approximately 1 percent higher than at the end of the prior fiscal year first quarter.

 

Adjusted EBITDA for the first quarter of fiscal 2022 was $5.4 million, compared to $9.0 million for the prior fiscal year first quarter.

Cash, cash equivalents, and short-term restricted cash were $105.2 million as of September 30, 2021, a decrease of $11.7 million from June 30, 2021, primarily due to the payout of employee bonuses earned in the prior fiscal year and a $1 million payment on the company’s term loan facility.

Conference Call Information

Accuray will host a conference call beginning at 1:30 p.m. PT/4:30 p.m. ET today to discuss results for the first quarter of fiscal 2022 as well as recent corporate developments. Conference call dial-in information is as follows:

 

U.S. callers: (833) 316-0563

 

International callers: (412) 317-5747


Individuals interested in listening to the live conference call via the Internet may do so by logging on to the Investor Relations section of Accuray’s website, www.accuray.com. There will be a slide presentation accompanying today’s event which can also be accessed on the company’s Investor Relations page at www.accuray.com.

 

 

In addition, a taped replay of the conference call will be available beginning approximately one hour after the call’s conclusion and will be available for seven days. The replay number is (877) 344-7529 (USA), or (412) 317-0088 (International), Conference ID: 10161091. An archived webcast will also be available on Accuray’s website until Accuray announces its results for the second quarter of fiscal 2022.

Use of Non-GAAP Financial Measures

 

Accuray has supplemented its GAAP net loss with a non-GAAP measure of adjusted earnings before interest, taxes, depreciation, amortization and stock-based compensation (“adjusted EBITDA”).  The calculation of adjusted EBITDA also excludes certain non-recurring, irregular and one-time items. Management believes that this non-GAAP financial measure provides useful supplemental information to management and investors regarding the performance of the company and facilitates a meaningful comparison of results for current periods with previous operating results.  A reconciliation of GAAP net income (loss) (the most directly comparable GAAP measure) to non-GAAP adjusted EBITDA is provided in the schedules below.

 

There are limitations in using these non-GAAP financial measures because they are not prepared in accordance with GAAP and may be different from non-GAAP financial measures used by other companies.  These non-GAAP financial measures should not be considered in isolation or as a substitute for GAAP financial measures.  Investors and potential investors should consider non-GAAP financial measures only in conjunction with the company’s consolidated financial statements prepared in accordance with GAAP.

 

About Accuray

 

Accuray Incorporated (Nasdaq: ARAY) is committed to expanding the powerful potential of radiation therapy to improve as many lives as possible. We invent unique, market-changing solutions that are designed to deliver radiation treatments for even the most complex cases—while making commonly treatable cases even easier—to meet the full spectrum of patient needs. We are dedicated to continuous innovation in radiation therapy for oncology, neuro-radiosurgery, and beyond, as we partner with clinicians and administrators, empowering them to help patients get back to their lives, faster. Accuray is headquartered in Sunnyvale, California, with facilities worldwide.

Safe Harbor Statement


 

Statements made in this press release that are not statements of historical fact are forward-looking statements and are subject to the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements in this press release relate, but are not limited, to the company's future results of operations, including expectations regarding total revenue and adjusted EBITDA; expectations regarding the effect of the COVID-19 pandemic on the company and the market in general; expectations regarding the company’s commercial strategy and execution as well as long-term growth opportunities; expectations regarding the company’s order growth; the company’s ability to drive accelerated revenue growth; expectations regarding the company’s China joint venture and other partnerships; expectations regarding the company’s product innovations and developments; expectations regarding the company’s product portfolio and its ability to position the company for growth; the impact of the company’s products on its customers and its business, and market adoption of such products, including with respect to the company’s VOLO Ultra enhancement and Clear RT Helical kVCT Imaging upgrades as well as other strategic product innovations; expectations regarding the future of radiotherapy treatment and the company’s addressable market; and the company's leadership position in radiation oncology innovation and technologies.  These forward-looking statements involve risks and uncertainties.  If any of these risk or uncertainties materialize, or if any of the company's assumptions prove incorrect, actual results could differ materially from the results express or implied by these forward-looking statements.  These risks and uncertainties include, but are not limited to, the effect of the COVID-19 pandemic on the operations of the company and those of its customers and suppliers; the company's ability to achieve widespread market acceptance of its products, including new product and software offerings; the company’s ability to develop new products or enhance existing products to meet customers’ needs and compete favorably in the market, the company’s ability to realize the expected benefits of the China joint venture and other partnerships; risks inherent in international operations; the company's ability to effectively manage its growth; the company's ability to maintain or increase its gross margins on product sales and services; delays in regulatory approvals or the development or release of new offerings; the company's ability to meet the covenants under its credit facilities; the company's ability to convert backlog to revenue; and such other risks identified under the heading "Risk Factors" in the company's Annual Report on Form 10-K, filed with the Securities and Exchange Commission (the "SEC") on August 17, 2021 and as updated periodically with the company's other filings with the SEC.

 

Forward-looking statements speak only as of the date the statements are made and are based on information available to the company at the time those statements are made and/or management's good faith belief as of that time with respect to future events. The company assumes no obligation to update forward-looking statements to reflect actual performance or results, changes in assumptions or changes in other factors affecting forward-looking information, except to the extent required by applicable securities laws. Accordingly, investors should not put undue reliance on any forward-looking statements.

 

 

###

 

Financial Tables to Follow

 

 


 

 Accuray Incorporated

Consolidated Statements of Operations

(in thousands, except per share data)

(Unaudited)

 

 

 

 

Three Months Ended

September 30,

 

 

 

2021

 

 

2020

 

Net revenue:

 

 

 

 

 

 

 

 

Products

 

$

52,759

 

 

$

31,258

 

Services

 

 

54,683

 

 

 

54,074

 

Total net revenue

 

 

107,442

 

 

 

85,332

 

Cost of revenue:

 

 

 

 

 

 

 

 

Cost of products

 

 

31,509

 

 

 

18,426

 

Cost of services

 

 

36,409

 

 

 

31,503

 

Total cost of revenue

 

 

67,918

 

 

 

49,929

 

Gross profit

 

 

39,524

 

 

 

35,403

 

Operating expenses:

 

 

 

 

 

 

 

 

Research and development

 

 

14,382

 

 

 

12,148

 

Selling and marketing

 

 

11,271

 

 

 

8,898

 

General and administrative

 

 

11,460

 

 

 

8,889

 

Total operating expenses

 

 

37,113

 

 

 

29,935

 

Income from operations

 

 

2,411

 

 

 

5,468

 

Loss on equity investment, net

 

 

(340

)

 

 

(28

)

Other expense, net

 

 

(2,668

)

 

 

(4,694

)

Income (loss) before provision for income taxes

 

 

(597

)

 

 

746

 

Provision for income taxes

 

 

431

 

 

 

344

 

Net income (loss)

 

$

(1,028

)

 

$

402

 

Net income (loss) per share - basic

 

$

(0.01

)

 

$

0.00

 

Net income (loss) per share - diluted

 

$

(0.01

)

 

$

0.00

 

Weighted average common shares used in

   computing income (loss) per share:

 

 

 

 

 

 

 

 

Basic

 

 

90,838

 

 

 

91,194

 

Diluted

 

 

90,838

 

 

 

91,681

 

 


 

Accuray Incorporated

Consolidated Balance Sheets

(in thousands)

(Unaudited)

 

 

 

 

September 30,

 

 

June 30,

 

 

 

2021

 

 

2021

 

Assets

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

104,679

 

 

$

116,369

 

Restricted cash

 

 

553

 

 

 

560

 

Accounts receivable, net

 

 

94,038

 

 

 

85,360

 

Inventories

 

 

126,493

 

 

 

125,929

 

Prepaid expenses and other current assets

 

 

22,263

 

 

 

21,547

 

Deferred cost of revenue

 

 

2,492

 

 

 

3,008

 

Total current assets

 

 

350,518

 

 

 

352,773

 

Property and equipment, net

 

 

12,263

 

 

 

12,332

 

Investment in joint venture

 

 

14,742

 

 

 

15,935

 

Goodwill

 

 

57,951

 

 

 

57,960

 

Intangible assets, net

 

 

378

 

 

 

435

 

Operating lease right-of-use assets

 

 

21,278

 

 

 

22,522

 

Other assets

 

 

18,646

 

 

 

18,141

 

Total assets

 

$

475,776

 

 

$

480,098

 

Liabilities and equity

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Accounts payable

 

$

22,569

 

 

$

19,467

 

Accrued compensation

 

 

20,848

 

 

 

26,865

 

Operating lease liabilities, current

 

 

8,263

 

 

 

8,169

 

Other accrued liabilities

 

 

31,255

 

 

 

27,471

 

Customer advances

 

 

22,828

 

 

 

24,937

 

Deferred revenue

 

 

78,890

 

 

 

81,660

 

Short-term debt

 

 

3,664

 

 

 

3,790

 

Total current liabilities

 

 

188,317

 

 

 

192,359

 

Long-term other liabilities

 

 

7,835

 

 

 

7,766

 

Deferred revenue

 

 

23,828

 

 

 

23,685

 

Operating lease liabilities, non-current

 

 

15,886

 

 

 

17,441

 

Long-term debt

 

 

194,145

 

 

 

170,007

 

Total liabilities

 

 

430,011

 

 

 

411,258

 

Equity:

 

 

 

 

 

 

 

 

Common stock

 

 

91

 

 

 

91

 

Additional paid-in capital

 

 

531,553

 

 

 

554,680

 

Accumulated other comprehensive income

 

 

2,324

 

 

 

2,093

 

Accumulated deficit

 

 

(488,203

)

 

 

(488,024

)

Total equity

 

 

45,765

 

 

 

68,840

 

Total liabilities and equity

 

$

475,776

 

 

$

480,098

 

 


 

Accuray Incorporated

Summary of Orders and Backlog

(in thousands)

(Unaudited)

 

 

 

Three Months Ended

September 30,

 

 

 

2021

 

 

2020

 

Gross Orders

 

$

69,984

 

 

$

50,528

 

Net Orders

 

 

40,763

 

 

 

23,554

 

Order Backlog

 

 

602,905

 

 

 

597,276

 

 

 

 

 

 

 

 

 

 

 

Accuray Incorporated

Reconciliation of GAAP Net Income (Loss) to Adjusted Earnings Before Interest, Taxes, Depreciation,

Amortization and Stock-Based Compensation (Adjusted EBITDA)

(in thousands)

(Unaudited)

 

 

 

 

Three Months Ended

September 30,

 

 

 

2021

 

 

2020

 

GAAP net income (loss)

 

$

(1,028

)

 

$

402

 

Depreciation and amortization (a)

 

 

1,419

 

 

 

1,650

 

Stock-based compensation

 

 

2,516

 

 

 

2,244

 

Interest expense, net (b)

 

 

2,036

 

 

 

4,393

 

Provision for income taxes

 

 

431

 

 

 

344

 

Adjusted EBITDA

 

$

5,374

 

 

$

9,033

 

 

(a) consists of depreciation, primarily on property and equipment as well as amortization of intangibles.

(b) consists primarily of interest expense associated with outstanding debt.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Slide 1

Q1’FY22 Earnings Call November 3, 2021 Exhibit 99.2

Slide 2

Proprietary and Confidential Property of Accuray Safe Harbor Statement Statements in this presentation (including the oral commentary that accompanies it) that are not statements of historical fact are forward-looking statements and are subject to the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995. Forward-looking statements in this presentation relate, but are not limited, to: our expectations regarding fiscal 2022 full-year adjusted EBITDA and revenue; our positioning and strategy for accelerating revenue, market share and margin expansion, including expectations regarding our financial model; expectations regarding new product enhancements or offerings and partnerships; our expectations regarding our China joint venture and the market in China; our strategy to accelerate revenue and margin expansion; our ability to expand addressable markets; and our ability to capitalize on operating leverage to drive greater profits and cash flows. Forward-looking statements generally can be identified by words such as “anticipates,” “believes,” “estimates,” “expects,” “intends,” “plans,” “predicts,” “projects,” “may,” “will be,” “will continue,” “will likely result,” and similar expressions. These forward-looking  statements involve risks and uncertainties that could cause actual results to differ materially from expectations. These risks and uncertainties include, but are not limited to: the effects of the COVID-19 pandemic on our business, financial condition, results of operations or cash flows; our ability to achieve widespread market acceptance of our products, including new product offerings and enhancements; our ability to develop new products or enhance existing products to meet customers’ needs and compete favorably in the market; our ability to realize the expected benefits of the joint-venture and other partnerships; risks inherent in international operations; our ability to effectively manage our growth; our ability to maintain or increase our gross margins on product sales and services; delays in regulatory approvals or the development or release of new offerings; our ability to meet the covenants under our credit facilities; our ability to convert backlog to revenue; and other risks identified under the heading “Risk Factors” in our annual report on Form 10-K, filed with the Securities and Exchange Commission (the “SEC”) on August 17, 2021, and as updated periodically with our other filings with the SEC.  Forward-looking statements speak only as of the date the statements are made and are based on information available to Accuray at the time those statements are made and/or management’s good faith belief as of that  time with respect to future events. Accuray assumes no obligation to update forward-looking statements to reflect actual performance or results, changes in assumptions or changes in other factors affecting forward-looking  information, except to the extent required by applicable securities laws. Accordingly, investors should not place undue reliance on any forward-looking statements. Non-GAAP Financial Measures This presentation also contains non-GAAP financial measures.  Management believes that non-GAAP financial measures provide useful supplemental information to management and investors regarding the performance of the company and facilitates a more meaningful comparison of results for current periods with previous operating results.  Additionally, these non-GAAP financial measures assist management in analyzing future trends, making strategic and business decisions, and establishing internal budgets and forecasts.  A reconciliation of these non-GAAP financial measures to the most directly comparable GAAP measure is provided in Slides 11 and 12. There are limitations in using these non-GAAP financial measures because they are not prepared in accordance with GAAP and may be different from non-GAAP financial measures used by other companies.  These non-GAAP financial measures should not be considered in isolation or as a substitute for GAAP financial measures.  Investors and potential investors should consider non-GAAP financial measures only in conjunction with the company’s consolidated financial statements prepared in accordance with GAAP. Medical Advice Disclaimer Accuray Incorporated as a medical device manufacturer cannot and does not recommend specific treatment approaches. Individual results may vary. FORWARD-LOOKING STATEMENTS This presentation is intended exclusively for investors. It is not intended for use in Sales or Marketing

Slide 3

Executive Summary Q1’FY22 3 Proprietary and Confidential Property of Accuray Strong revenue performance with 26% Q1 Y/Y revenue growth Q1 ending backlog at $603M with 39% Q1 Y/Y order growth 3% net installed base growth Q1 Y/Y driving future recurring service and upgrade revenues Operating Expenses at pre-COVID level with in-person participation at tradeshows and customer visits, and strategic investment Raised FY22 full year revenue guidance to the range of $420M to $427M​

Slide 4

4 Proprietary and Confidential Property of Accuray Our Vision: To EXPAND the CURATIVE POWER of RADIATION THERAPY to improve as many lives as possible Broader treatment options Beyond oncology Global patient access Enable advanced treatments Survival, long term outcomes Quality of life Precision technology  Superior patient experience Partnerships  Focused resources Expertise Best in class

Slide 5

5 Proprietary and Confidential Property of Accuray Strategy for Accelerating Revenue and Margin Expansion Financial model designed to both invest as well as grow the top line Reposition for Success Enhanced leadership team Established China joint-venture  Introduced Synchrony  Reset cost structure to increase operating leverage FY18 - FY19 Transform Culture and Begin Innovation Driven Growth Redefined vision and strategic roadmap High impact product introduction Executed China type-A revenue ramp  Continued to build out our global infrastructure and operations Restructured debt to allow for growth FY20 - FY21 Accelerate Growth Consistent cadence of new products and partnerships Drive additional growth and share in China market Expand addressable markets and drive further market share gain Capitalize on operating leverage to drive greater profits and cash flows FY22+ Plan

Slide 6

6 Proprietary and Confidential Property of Accuray Global leader in SRS/SBRT  Only robotic delivery system Fast <15 min treatments CYBERKNIFE® S7™ System  360-degree helical arc therapy IMRT and SBRT Fast <15 min treatments RRADIXACT® System  Outstanding image quality Synchrony® 4D dynamic delivery VOLO™ and VOLO Ultra speed Patient experience  ACCURAY-ONLY TECHNOLOGY ClearRT™ Synchrony® VOLO™ 

Slide 7

7 Proprietary and Confidential Property of Accuray Gross Order Performance by Region in Q1’FY22 AMS 264% Q1 Y/Y EIMEA Flat Q1 Y/Y APAC 67% Q1 Y/Y JAPAN 28 % Q1 Y/Y +39% Q1 Y/Y Global Order Performance Note: Percentages above are calculated using actual dollars for Orders.

Slide 8

Q1’FY22 Financials Strong financial performance, Revenue guidance raised October 21st Proprietary and Confidential Property of Accuray KEY FINANCIAL METRICS $M Q1 Y/Y Highlights New product innovation driving order momentum​ Record fiscal first quarter revenue in Company history​ ​ Raised FY22 full year revenue guidance to the range of $420M to $427M​ Tightened FY22 full year adjusted EBITDA 1 to the range of $33M to $35M 8 Note 1 : Adjusted EBITDA is a non-GAAP measure.  Please see Slide 11 and 12 for a reconciliation of Adjusted EBITDA to the most directly comparable GAAP measure.

Slide 9

In Summary 9 Proprietary and Confidential Property of Accuray Entering Q2’FY22 With Accelerating Momentum Strongest Product Portfolio and Pipeline in Company’s History Multiple Growth Catalysts and Global Commercial Execution Strengthened Leadership Team and Operational Foundation Positioned for Accelerated Revenue Growth, Market Share Gains, and Potential Margin Expansion

Slide 10

10 Proprietary and Confidential Property of Accuray THANK YOU

Slide 11

11 Proprietary and Confidential Property of Accuray GAAP to Adjusted EBITDA Q1 FY2022 and Q1 FY2021 Actual Reconciliation of Net Income (Loss) to Adjusted Earnings Before Interest, Taxes, Depreciation, Amortization and Stock-Based Compensation (Adjusted EBITDA)

Slide 12

12 Proprietary and Confidential Property of Accuray GAAP to Adjusted EBITDA FY2022 Guidance Projected Guidance Reconciliation of Net Income (Loss) to Adjusted Earnings Before Interest, Taxes, Depreciation, Amortization and Stock-Based Compensation (Adjusted EBITDA)