Accuray Q4 FY26 slides: transformation gains amid revenue decline

Accuray Incorporated reported a decline in product revenue and a rise in service revenue during Q4 fiscal 2026, resulting in a year-over-year revenue decrease of 21%, totaling $100.9 million. Adjusted EBITDA for the same period grew by 36% to $12.9 million, up from $9.9 million in the previous year. Despite its stock falling 79% over the past year, Accuray’s market capitalization now sits at $36.4 million.

The company's focus has shifted towards service business growth, which now accounts for approximately 57% of total revenue, compared to 49% in the prior year. The service business generated $229.2 million in revenue during the quarter, up 4% year-over-year, and now represents a more stable recurring revenue base. Gross margin for the quarter improved to 34.8%, driven by service margin expansion and cost optimization efforts.

Management expects continued service revenue growth and improved margins in fiscal 2027, despite uncertainty around product demand, tariffs, and geopolitical tensions with China.