# EDGAR Filing Document

**Accession Number:** 0001138723
**File Stem:** 0001193125-25-266940
**Filing Date:** 2025-11
**Character Count:** 37966
**Document Hash:** 0e7b225ff76b48984bead4108a7e24c0
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001193125-25-266940.hdr.sgml**: 20251105

**ACCESSION NUMBER**: 0001193125-25-266940

**CONFORMED SUBMISSION TYPE**: 8-K

**PUBLIC DOCUMENT COUNT**: 26

**CONFORMED PERIOD OF REPORT**: 20251105

**ITEM INFORMATION**: Results of Operations and Financial Condition

**ITEM INFORMATION**: Regulation FD Disclosure

**ITEM INFORMATION**: Financial Statements and Exhibits

**FILED AS OF DATE**: 20251105

**DATE AS OF CHANGE**: 20251105

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** ACCURAY INC
- **CENTRAL INDEX KEY:** 0001138723
- **STANDARD INDUSTRIAL CLASSIFICATION:** SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
- **ORGANIZATION NAME:** 08 Industrial Applications and Services
- **EIN:** 208370041
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 0630

**FILING VALUES:**
- **FORM TYPE:** 8-K
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-33301
- **FILM NUMBER:** 251454065

**BUSINESS ADDRESS:**
- **STREET 1:** 1240 DEMING WAY
- **CITY:** MADISON
- **STATE:** WI
- **ZIP:** 53717
- **BUSINESS PHONE:** 608-824-2800

**MAIL ADDRESS:**
- **STREET 1:** 1240 DEMING WAY
- **CITY:** MADISON
- **STATE:** WI
- **ZIP:** 53717

?xml version='1.0' encoding='ASCII'? 8-K

**UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 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 05, 2025<br>

------

ACCURAY INCORPORATED

**(Exact name of Registrant as Specified in Its Charter)**

------

---

| | | |
|:---|:---|:---|
| Delaware | 001-33301 | 20-8370041 |
| **(State or Other Jurisdiction<br>of Incorporation)** | **(Commission File Number)** | **(IRS Employer<br>Identification No.)** |
| 1240 Deming Way |  |  |
| Madison**,** Wisconsin |  | 53717-1954 |
| **(Address of Principal Executive Offices)** |  | **(Zip Code)** |

---

**Registrant's Telephone Number, Including Area Code:** 608 824-2800<br>

**(Former Name or Former Address, if Changed Since Last Report)**

------

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:**

---

| | | |
|:---|:---|:---|
| **<br>Title of each class** | **Trading<br>Symbol(s)** | **<br>Name of each exchange on which registered** |
| Common Stock, $0.001 par value 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 5, 2025, the Company issued a press release announcing its financial results for the first quarter ended September 30, 2025. A copy of the Company's press release dated November 5, 2025, titled "Accuray Reports Fiscal 2026 First Quarter 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 5, 2025. 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 | [<u>Press release dated November 5, 2025, titled "Accuray Reports Fiscal 2026 First Quarter Financial Results"</u>](aray-ex99_1.htm) |
| 99.2 | [<u>Accuray Fiscal 2026 First Quarter Earnings Call Presentation</u>](aray-ex99_2.htm) |
| 104 | Cover Page Interactive Data File (embedded within the Inline XBRL document) |

---

------

**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 thereunto duly authorized.

---

| | | | |
|:---|:---|:---|:---|
|  |  |  | **ACCURAY INCORPORATED** |
| Date: | November 5, 2025 | By:  | /s/ Ali Pervaiz  |
|  |  |  | Ali Pervaiz<br>*Senior Vice President & Chief Financial Officer* |

---

------

## Exhibit 99.1

**Exhibit 99.1**![img235950492_0.jpg](img235950492_0.jpg)

**Accuray Reports Fiscal 2026 First Quarter Financial Results**

**MADISON, Wis, November 5, 2025** — Accuray Incorporated (NASDAQ: ARAY) today reported financial results for the first quarter ended September 30, 2025.

Key Highlights

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;•On October 20, 2025, the Company announced accelerated transformation efforts, including:

oAppointed Steve La Neve as President and Chief Executive Officer. He succeeds Suzanne Winter, who will retire after six years of service and remain in an advisory role through the end of November 2025.

oAppointed Steven F. Mayer, a member of the Board of Directors, as the Transformation Board Sponsor to lead the Company's planning and execution of certain strategic, organizational, cultural, and operational initiatives and transformation in consultation with Steve La Neve, Chief Executive Officer.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;•During the first quarter of fiscal 2026, the Company initiated a restructuring plan aimed at reducing costs, aligning resources with strategic priorities, and streamlining operations. The Company recorded $2.8 million in restructuring charges, which included $1.5 million in severance related costs and $1.3 million in consulting costs directly related to the restructuring plan.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;•Introduced the Accuray Stellar™\* Solution, a configuration of the Radixact<sup>®</sup>Treatment Delivery System initially for the U.S. market, at the American Society for Radiation Oncology (ASTRO) annual meeting.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;•Announced signing of a memorandum of understanding with the University of Wisconsin School of Medicine and Public Health to advance online adaptive radiotherapy on the Accuray helical radiation treatment delivery platform.

"As the new CEO of Accuray, I have a tremendous amount of respect for what our radiotherapy systems can do to improve cancer patients' lives for the better. While our first quarter results were soft, we were pleased to see continued expansion of our CyberKnife<sup>®</sup> and Radixact<sup>®</sup>Systems into new hospitals and markets, and we are excited about the introduction of Accuray Stellar and its potential in the U.S., where it is currently available for sale," said Steve La Neve.

**Fiscal First Quarter Results**<br>Total net revenue was $93.9 million in the first quarter of fiscal 2026, or a decrease of 7 percent, as compared to $101.5 million in the prior fiscal year first quarter. Product revenue was $37.2 million in the first quarter of fiscal 2026, or a decrease of 23 percent, as compared to $48.4 million in the prior fiscal year first quarter. Service revenue was $56.8 million in the first quarter of fiscal 2026, or an increase of 7 percent, as compared to $53.2 million in the prior fiscal year first quarter.

<br>Total gross profit was $26.5 million in the first quarter of fiscal 2026, or 28.3 percent of total net revenue, as compared to a total gross profit of $34.5 million, or 33.9 percent of total net revenue, in the prior fiscal year first quarter. The decrease in gross margin rate was due to geographic sales mix and joint venture accounting adversely impacting product gross margins during the current quarter.

Operating expenses was $37.9 million in the first quarter of fiscal 2026, or an increase of 3 percent, as compared to $36.6 million in the prior fiscal year first quarter. The first quarter of fiscal year 2026 operating expenses included $2.4 million in restructuring charges and $0.4 million in one-time post close financing expenses. Excluding these charges, operating expenses would have decreased by 4 percent as compared to the prior fiscal year first quarter.<br>Net loss was $21.7 million in the first quarter of fiscal 2026, or $0.18 per share, as compared to a net loss of $4.0 million, or $0.04 per share, in the prior fiscal year first quarter. Adjusted EBITDA was a loss of $4.1 million in the first quarter of fiscal 2026, as compared to $3.1 million in the prior fiscal year first quarter.

------

Gross product orders was $39.6 million in the first quarter of fiscal 2026 as compared to $55.4 million in the prior fiscal year first quarter. The book to bill ratio was 1.1 in both the first quarter of fiscal 2026, and the prior fiscal year first quarter. Order backlog as of September 30, 2025 was $395.7 million, which is approximately 16 percent lower than at the end of the prior fiscal year first quarter.

<br>Cash, cash equivalents, and short-term restricted cash were $63.9 million as of September 30, 2025, an increase of $5.9 million from June 30, 2025.

**Fiscal Year 2026 Financial Guidance**

The Company is reaffirming guidance for fiscal year 2026 as follows:

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;•Total net revenue is expected in the range of $471 million to $485 million.

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;•Adjusted EBITDA is expected in the range of $31 million to $35 million.

Guidance for non-GAAP financial measures excludes depreciation and amortization, stock-based compensation, interest expense, provision for income taxes, loss from change in fair value of warrant liability, and certain non-recurring, irregular and one-time items. For more information regarding the non-GAAP financial measures discussed in this press release, please see "Use of Non-GAAP Financial Measures" below.

**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 2026 as well as recent corporate developments. Conference call dial-in information is as follows:

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;•U.S. callers: (833) 316-0563

&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;•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 (855) 669-9658 (USA), or (412) 317-0088 (International), Conference ID: 7403898. An archived webcast will also be available on Accuray's website until Accuray announces its results for the second quarter of fiscal 2026.

**Use of Non-GAAP Financial Measures**

Accuray reports its financial results in accordance with generally accepted accounting principles in the United States ("GAAP") and the rules of the SEC. To supplement its financial statements prepared and presented in accordance with GAAP, Accuray uses certain non-GAAP financial measures, such as adjusted EBITDA.

Accuray has supplemented its GAAP net income (loss) with a non-GAAP measure of adjusted earnings before interest, taxes, depreciation, amortization, stock-based compensation, and loss from change in fair value of warrant liability ("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 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 Madison, Wisconsin, 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 guidance and future results of operations, including expectations regarding: total net revenue and adjusted EBITDA; the company's ability to deliver sustained performance and execute on its strategies, including related to its transformation efforts and restructuring plans; the company's ability to expand adjusted EBITDA margins as a percentage of revenue; the company's ability to generate increased earnings momentum; expectations regarding the impact of tariffs as well as mitigation efforts by the company; the company's ability to navigate supply chain, logistics, macroeconomic, and foreign exchange challenges; expectations regarding the company's China joint venture; expectations related to the amount and timing of realizing deferred margin from the company's China joint venture; expectations with respect to strategic partnerships and collaborations; expectations related to the markets and regions in which the company operates; expectations regarding new product introductions and innovations, including related to Accuray Stellar; expectations regarding areas of growth for the company; expectations regarding installed base growth; and the company's ability to advance patient care and offer value to its customers. 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 global macroeconomic environment on the operations of the company and those of its customers and suppliers; disruptions to our supply chain, including increased logistics costs; the company's ability to achieve widespread market acceptance of its products; substantial outstanding indebtedness and its ability to maintain compliance with financial covenants related to its debt; the effect of enhanced international tariffs on the company; 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 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 28, 2025, 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.

\* The Accuray Stellar System is currently available for the US market and is subject to international regulatory approval or licensing processes such that the availability of these products may vary according to geographical location.

---

| | |
|:---|:---|
| Aman Patel, CFA | Beth Kaplan |
| Investor Relations, ICR-Westwicke | Public Relations Director, Accuray |
| aman.patel@westwicke.com | bkaplan@accuray.com |

---

###

Financial Tables to Follow

------

**Accuray Incorporated**

**Condensed Consolidated Statements of Operations**

(in thousands, except per share data)

(Unaudited)

---

| | | |
|:---|:---|:---|
|  | **Three Months Ended <br>September 30,** | **Three Months Ended <br>September 30,** |
|  | **2025** | **2024** |
| Net revenue: |  |  |
| &nbsp;&nbsp;&nbsp;&nbsp;Products | $37161 | $48369 |
| &nbsp;&nbsp;&nbsp;&nbsp;Services | 56781 | 53176 |
| Total net revenue | 93942 | 101545 |
| Cost of revenue: |  |  |
| &nbsp;&nbsp;&nbsp;&nbsp;Cost of products | 29628 | 32461 |
| &nbsp;&nbsp;&nbsp;&nbsp;Cost of services | 37766 | 34615 |
| Total cost of revenue | 67394 | 67076 |
| Gross profit | 26548 | 34469 |
| Operating expenses: |  |  |
| &nbsp;&nbsp;&nbsp;&nbsp;Research and development | 11369 | 12116 |
| &nbsp;&nbsp;&nbsp;&nbsp;Selling and marketing | 11973 | 11682 |
| &nbsp;&nbsp;&nbsp;&nbsp;General and administrative | 14519 | 12820 |
| Total operating expenses | 37861 | 36618 |
| Loss from operations | (11313) | (2149) |
| &nbsp;&nbsp;&nbsp;&nbsp;Income (loss) from equity method investment, net | 439 | (72) |
| &nbsp;&nbsp;&nbsp;&nbsp;Interest expense | (8052) | (2955) |
| &nbsp;&nbsp;&nbsp;&nbsp;Loss from change in fair value of warrant liability | (1874) |  |
| &nbsp;&nbsp;&nbsp;&nbsp;Other (expense) income, net | (407) | 1847 |
| Loss before provision for income taxes | (21207) | (3329) |
| &nbsp;&nbsp;&nbsp;&nbsp;Provision for income taxes | 471 | 625 |
| Net loss | $(21678) | $(3954) |
| Net loss per share - basic and diluted | $(0.18) | $(0.04) |
| Weighted average common shares used in computing net loss per share: |  |  |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Basic and diluted | 118946 | 100225 |

---

------

**Accuray Incorporated**

**Condensed Consolidated Balance Sheets**

(in thousands)

(Unaudited)

---

| | | |
|:---|:---|:---|
|  | **September 30,<br> 2025** | **June 30, <br>2025** |
| **Assets** |  |  |
| Current assets: |  |  |
| &nbsp;&nbsp;Cash and cash equivalents | $63344 | $57416 |
| &nbsp;&nbsp;Restricted cash | 572 | 574 |
| &nbsp;&nbsp;Accounts receivable, net | 54378 | 83192 |
| &nbsp;&nbsp;Inventories, net | 155503 | 141020 |
| &nbsp;&nbsp;Prepaid expenses and other current assets | 29373 | 33501 |
| &nbsp;&nbsp;Deferred cost of revenue | 433 | 1762 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total current assets | 303603 | 317465 |
| Property and equipment, net | 29013 | 28658 |
| Investment in joint venture | 4010 | 4612 |
| Operating lease right-of-use assets, net | 32099 | 33115 |
| Goodwill | 57820 | 57802 |
| Long-term restricted cash | 6012 | 4144 |
| Other assets | 24259 | 24443 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total assets | $456816 | $470239 |
| **Liabilities and stockholders' equity** |  |  |
| Current liabilities: |  |  |
| &nbsp;&nbsp;Accounts payable | $42400 | $34033 |
| &nbsp;&nbsp;Accrued compensation | 13907 | 14573 |
| &nbsp;&nbsp;Operating lease liabilities, current | 7463 | 7375 |
| &nbsp;&nbsp;Other accrued liabilities | 26271 | 29361 |
| &nbsp;&nbsp;Customer advances | 12087 | 12197 |
| &nbsp;&nbsp;Deferred revenue | 79631 | 82306 |
| &nbsp;&nbsp;Short-term debt | 12853 | 12734 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total current liabilities | 194612 | 192579 |
| &nbsp;&nbsp;Operating lease liabilities, non-current | 31481 | 32482 |
| &nbsp;&nbsp;Long-term other liabilities | 5345 | 5160 |
| &nbsp;&nbsp;Warrant liability | 10371 | 8497 |
| &nbsp;&nbsp;Deferred revenue, non-current | 25824 | 26566 |
| &nbsp;&nbsp;Long-term debt | 127316 | 123786 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total liabilities | 394949 | 389070 |
| Stockholders' equity: |  |  |
| &nbsp;&nbsp;Common stock | 113 | 113 |
| &nbsp;&nbsp;Additional paid-in capital | 604680 | 602165 |
| &nbsp;&nbsp;Accumulated other comprehensive loss | (1976) | (1837) |
| &nbsp;&nbsp;Accumulated deficit | (540950) | (519272) |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total stockholders' equity | 61867 | 81169 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total liabilities and stockholders' equity | $456816 | $470239 |

---

------

**Accuray Incorporated**

**Summary of Orders and Backlog**

(in thousands, except book to bill ratio)

(Unaudited)

---

| | | |
|:---|:---|:---|
|  | **Three Months Ended <br>September 30,** | **Three Months Ended <br>September 30,** |
|  | **2025** | **2024** |
| Gross orders | $39570 | $55365 |
| Net orders | 5916 | 29656 |
| Order backlog | 395726 | 468607 |
| Book to bill ratio <sup>(a)</sup> | 1.1 | 1.1 |

---

(a) Book to bill ratio is defined as gross orders for the period divided by product revenue for the period.

**Accuray Incorporated**

**Reconciliation of GAAP Net Loss to Adjusted EBITDA**

(in thousands)

(Unaudited)

---

| | | |
|:---|:---|:---|
|  | **Three Months Ended <br>September 30,** | **Three Months Ended <br>September 30,** |
|  | **2025** | **2024** |
| GAAP net loss | $(21678) | $(3954) |
| &nbsp;&nbsp;Depreciation and amortization <sup>(a)</sup> | 1676 | 1464 |
| &nbsp;&nbsp;Stock-based compensation | 2515 | 2354 |
| &nbsp;&nbsp;Interest expense, net <sup>(b)</sup> | 7780 | 2652 |
| &nbsp;&nbsp;Provision for income taxes | 471 | 625 |
| &nbsp;&nbsp;Loss from change in fair value of warrant liability | 1874 |  |
| &nbsp;&nbsp;Restructuring charges | 2811 |  |
| &nbsp;&nbsp;Post-financing costs | 441 |  |
| Adjusted EBITDA | $(4110) | $3141 |

---

(a) Consists of depreciation on property and equipment and amortization of intangibles.

(b) Consists of interest expense net of interest income.

**Accuray Incorporated**

**Forward-Looking Guidance**

**Reconciliation of Projected GAAP Net Loss to Projected Adjusted EBITDA**

(in thousands)

(Unaudited)

---

| | | |
|:---|:---|:---|
|  | **Twelve Months Ending<br>June 30, 2026** | **Twelve Months Ending<br>June 30, 2026** |
|  | **From** | **To** |
| GAAP net loss | $(30000) | $(27500) |
| &nbsp;&nbsp;Depreciation and amortization <sup>(a)</sup> | 8500 | 8500 |
| &nbsp;&nbsp;Stock-based compensation | 11000 | 11000 |
| &nbsp;&nbsp;Interest expense, net <sup>(b)</sup> | 30000 | 30000 |
| &nbsp;&nbsp;Provision for income taxes | 3000 | 3000 |
| &nbsp;&nbsp;Loss from change in fair value of warrant liability | 2000 | 2000 |
| &nbsp;&nbsp;Restructuring charges | 5000 | 6000 |
| &nbsp;&nbsp;Post-financing costs | 1500 | 2000 |
| Adjusted EBITDA | $31000 | $35000 |

---

(a) Consists of depreciation on property and equipment and amortization of intangibles.

(b) Consists of interest expense net of interest income.

------

## Exhibit 99.2

![Slide 1](aray-ex99_2s1.jpg)

Q1'FY26 Earnings CallSupplemental Presentation November 5, 2025

------

![Slide 2](aray-ex99_2s2.jpg)

Forward-looking Statements This presentation is intended exclusively for investors. It is not intended for use in Sales or Marketing. 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: expectations regarding adjusted EBITDA and revenue; expectations regarding China deferred margin release; our ability to deliver on our goals, priorities, and strategic growth plans; expectations regarding our refinancing and refinancing partner; expectations related to our China joint venture; and expectations related to new product innovations and offerings as well as revenue growth and market share going forward. Forward-looking statements generally can be identified by words such as "anticipates," "believes," "estimates," "expects," "intends," "plans," "projects," "may," "will be," "will continue," 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: risks related to the effect of the global macroeconomic environment on the operations of the company and those of its customers and suppliers; effects related to international tariffs; disruptions to our supply chain, including increased logistics costs; the company's ability to achieve widespread market acceptance of its products; 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 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 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 28, 2025, 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 the Appendix. Accuray has also reported certain operating results on a constant currency basis in order to facilitate period-to-period comparisons of its results without regard to the impact of foreign currency exchange rate fluctuations. Management believes disclosure of non-GAAP constant currency results is helpful to investors because it facilitates period-to-period comparisons of the company's results by increasing the transparency of the underlying performance by excluding the impact of foreign currency exchange rate fluctuations. Accuray calculates the constant currently amounts by translating local currency amounts in the current period using the same foreign translation rate used in the prior period being compared against rather than the actual exchange rate in effect during the current period. 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.

------

![Slide 3](aray-ex99_2s3.jpg)

Vision and Mission To expand the curative power of radiation therapy to improve as many lives as possible. To think, act, and execute beyond expectations every day to deliver better, safer radiation therapy solutions and help patients get back to living their lives, faster.

------

![Slide 4](aray-ex99_2s4.jpg)

Introduced Accuray Stellar™\* Solution at ASTRO \*Accuray Stellar™ is currently available for the US market. Accuray Stellar maybe subject to international regulatory approval or licensing processes such that the availability of these products may vary according to geographical location. Tailored Efficient Comprehensive Accuray Stellar is a configuration of the Radixact® Treatment Delivery System

------

![Slide 5](aray-ex99_2s5.jpg)

Q1'FY26 Financials Revenues $93.9 (7%) Product $37.1 (23%) Service $56.8 7% Gross Margin 28.3% (5.7%) Op. Expenses $37.9 3% Adj. EBITDA 1 ($4.1) (231%) KEY FINANCIAL METRICS $M Q1 Y/Y Highlights 1. Adjusted EBITDA is a non-GAAP measure. Please see Slide 9 for a reconciliation of Adjusted EBITDA to the most directly comparable GAAP measure. 2. Percentages shown on a constant currency basis to facilitate period-to-period comparisons without regard to the impact of foreign currency exchange rate fluctuations. 3. Accuray Stellar™ is a configuration of the Radixact® Treatment Delivery System It is currently available for the US market. Accuray Stellar maybe subject to international regulatory approval or licensing processes such that the availability of these products may vary according to geographical location. Continued strong service revenue growth; Q1 service revenue growth rate higher than install base growth for the same period Adjusting for China margin deferral of $1.1 million, Q1 gross margins were 29.4%2on a pro forma basis Sequential increase in cash to $69.9 million (inclusive of $6.6M of restricted cash) Launched Accuray Stellar™3 at ASTRO as premium helical solution to the market

------

![Slide 6](aray-ex99_2s6.jpg)

China Deferred Margin Impact Due to JV accounting rules, 49%of total margin is deferred upon shipment to the JV and marginis released when the JV ships the system to its customer Deferred margin is reflected onthe Balance Sheet under Assetsas "Investment in JV" Net deferral of $1.1 million in Q1 is largely a result of higher mix of shipments to the JV in Q1 1 Gross Margin % (Excl China Margin Impact) is a non-GAAP measure. Please see Slides 12 - 13 for a reconciliation of Gross Margin % (Excl China Margin Impact) to the most directly comparable GAAP measure. 2 Adjusted EBITDA is a non-GAAP measure. Please see Slides 9 - 10 for a reconciliation of Adjusted EBITDA to the most directly comparable GAAP measure.

------

![Slide 7](aray-ex99_2s7.jpg)

Maintaining FY26 Guidance 1 Adjusted EBITDA is a non-GAAP measure. Please see Slide 11 for a reconciliation of Adjusted EBITDA to the most directly comparable GAAP measure. $ in millions % = YoY Growth FY26Guidance Range $31M - $35M +10% - +25% $471M - $485M +3% - +6% Revenue Adjusted EBITDA1

------

![Slide 8](aray-ex99_2s8.jpg)

Thank you

------

![Slide 9](aray-ex99_2s9.jpg)

$K GAAP net loss Stock-based compensation Interest expense, net(b) Provision for income taxes Adjusted EBITDA Depreciation and amortization(a) Three Months Ended September 30, 2024 2025 $$$$(21,678) 1,676 2,515 7,780 471 (4,110) (3,954) 1,464 2,354 2,652 625 3,141 Loss from change in fair value of warrant liability 1,874 - GAAP to Adjusted EBITDA Q1 FY'26 and Q1 FY'25 Reconciliation of Net Income (Loss) to Adjusted Earnings Before Interest, Taxes, Depreciation, Amortization and Stock-Based Compensation (Adjusted EBITDA) Restructuring charges 2,811 - 441 - Post financing costs (a) Consists of depreciation on property and equipment and amortization of intangibles. (b) Consists of interest expense net of interest income.

------

![Slide 10](aray-ex99_2s10.jpg)

$K GAAP net loss Stock-based compensation Interest expense, net Provision for income taxes Depreciation and amortization Twelve Months Ended June 30, 2025 $(1,591) 6,150 10,201 11,762 2,725 499 Gain on extinguishment of debt (1,475) GAAP to Adjusted EBITDA FY2025 Reconciliation of Net Income (Loss) to Adjusted Earnings Before Interest, Taxes, Depreciation, Amortization and Stock-Based Compensation (Adjusted EBITDA) Adjusted EBITDA $28,271 Loss from change in fair value of warrant liability

------

![Slide 11](aray-ex99_2s11.jpg)

$K GAAP net loss Stock-based compensation Interest expense, net Provision for income taxes Adjusted EBITDA Depreciation and amortization To From $$$$(30,000) 8,500 11,000 30,000 3,000 31,000 (27,500) 8,500 11,000 30,000 3,000 35,000 GAAP to Adjusted EBITDA FY'26 – Forward Looking Guidance Reconciliation of Net Income (Loss) to Adjusted Earnings Before Interest, Taxes, Depreciation, Amortization and Stock-Based Compensation (Adjusted EBITDA) Twelve Months Ended June 30, 2026 Post-financing costs 1,500 2,000 Restructuring charges 5,000 6,000 Loss from change in fair value of warranty liability 2,000 2,000

------

![Slide 12](aray-ex99_2s12.jpg)

$K Total Net Revenue Gross Profit China Margin Deferral Gross Margin % excl China Margin Impact Total Cost of Revenue Twelve Months Ended June 30, 2025 $458,505 (311,538) 146,967 (7,666) 33.73% Gross Profit excl China Margin Impact 154,633 Gross Margin to Gross Margin Excluding China Margin Impact Reconciliation of Gross margin to Gross margin excluding China Margin Impact $

------

![Slide 13](aray-ex99_2s13.jpg)

$K Total Net Revenue Gross Profit China Margin Deferral Gross Margin % excl China Margin Impact Total Cost of Revenue Three Months Ended September 30, 2025 $93,942 (67,394) 26,548 (1,081) 29.41% Gross Profit excl China Margin Impact 27,629 Gross Margin to Gross Margin Excluding China Margin Impact Reconciliation of Gross margin to Gross margin excluding China Margin Impact $