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Accuray Incorporated logo

Accuray Incorporated

ARAY
11
Medical - Devices · Healthcare
Price
$0.26
-0.01 (-2.26%)
Market Cap
$30.8M
Winston Score
11
Winston is worried
Weak fundamentals across most pillars.

Share count rising — dilution

+11.7% over 4y

The company has issued more shares over this period, which dilutes each existing shareholder’s stake.

Diluted shares outstanding: 92.0M (2021) → 102.8M (2025)

Accuray makes radiation therapy machines used to treat cancer. Its two main products are the CyberKnife system, which uses robotic arms to deliver precise radiation to tumors, and the Radixact system, a more traditional radiation treatment platform. Hospitals and cancer treatment centers around the world are its primary customers.

The company earns money by selling its machines to hospitals and then charging ongoing fees for service contracts, software upgrades, and replacement parts. Accuray operates globally, with a meaningful share of revenue coming from outside the United States, including China and Europe. It is a smaller player competing against much larger companies like Varian Medical Systems and Elekta, which limits its pricing power and scale advantages. The key risk is that its thin margins and negative operating income leave little room for error if sales slow or competition intensifies.

Winston Score History

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

-7.4% YoY

YoY Growth Rate

Revenue declining

EPS Growth

-614.3% YoY

YoY Growth Rate

Earnings declining

R&D Spend

$48M/ year

Flat (-4% vs prior year)

10.5% of revenue

Below sector average (18%)

Steady R&D investment year-over-year

Insider Activity

5.0%ownership

Relatively low insider ownership

Cash Runway

~16 months

$38M cash & investments

Quarterly Free Cash Flow

↓ Burn rate worsening

Adequate runway but may need to raise capital within 2 years

Revenue declining

Accuray Incorporated's revenue is actually shrinking. In a growth stock, that removes the core investment thesis. The low Winston Score here may be warranted — unless there's a turnaround story.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Gross Margin
24.1%
Thin — 24.1% gross margin
Operating Margin
-2.4%
Losing money on operations — -2.4%
ROCE
-1.4%
Weak — -1.4% return on capital

Negative ROIC means the business is losing money on every dollar invested in it.

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Growth

Sales YoY
+0.5%
Nearly flat sales (0.5% YoY)
EPS YoY
N/A
Data not available
EPS Consistency
0/8 quarters
Earnings rarely grow — volatile business

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Cash Flow

Cash Conversion
N/A
Data not available
FCF Margin
-4.8%
Burning cash (-4.8%)

Free cash flow is negative. They are burning cash, not generating it.

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Stability

Debt / Equity
3.48
Heavy debt load (3.48)
Interest Cover
N/A
Data not available

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Valuation

P/E Ratio (TTM)
N/M
Negative earnings — P/E not meaningful
P/E vs Forward
N/A
not available
Data not available

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Dividends

Not applicable for this business.
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