Accuray Incorporated's Competitiveness
A competitive positioning analysis and financial ratio benchmarking of Accuray Incorporated (ARAY) against its publicly traded competitors: sales growth, net income, profitability, valuation and market share, plus each peer's market capitalization, revenue, income and employees. Free below: the top 5 peers. Subscriber access adds the full competitor list and CSV downloads.
Key Findings: Accuray Incorporated vs Its Competitors
- TTM: Trailing 12-month revenue of 401M vs 83,107M combined for tracked competitors (0.5% combined share).
- Trending: Latest-quarter revenue run-rate is holding steady (+0.7% annualized vs trailing 12 months), vs accelerating (+5.8%) for its tracked peer group.
- Growth: Accuray Incorporated generated -21.1% revenue growth year over year in Q4 2026, vs 18.5% for its tracked competitors combined.
- Profitability: Its -1.9% net margin compares with 18.4% for the peer group.
- Scale: Accuray Incorporated ranks #153 of 247 companies by market capitalization in the Medical Equipment & Supplies industry, holding 0.0% of industry market cap.
- Peer revenue share: Accuray Incorporated accounted for 0.5% of combined revenue among its tracked peer group, down from 0.7% a year earlier.
- Peer differentiation: Revenue per employee of $0.50M compares with $0.51M for the peer group (1.0x).
Every figure above is sourced and cited in detail further down this page (Market Structure, Profitability & Cost Structure, Productivity vs Peers).
ARAY Sales vs. its Competitors, Q4 2026
Accuray Incorporated reported revenue contraction of 21.14 % year on year in Q4 2026, below its competitors' combined revenue growth of 18.49 %.
With a net margin of -1.92 %, Accuray Incorporated reported lower profitability than its competitors (18.44 %).
Accuray Incorporated generated 0.46 % of the combined sales of its peer group, down from 0.69 % a year earlier.
Accuray Incorporated vs. its Competitors, Q4 2026
Revenue growth, year on year
Net margin
Revenue run-rate vs trailing 12 months
TTM net margin
TTM = trailing twelve months. Run-rate annualizes the latest quarter (×4) and compares it to TTM. In millions of $. High-Confidence Competitors are named as a competitor directly in an SEC filing; Similar-Size Competitors are the closest peers by market-cap rank within the same industry; Similar Growth & Profitability Competitors are the closest peers by combined revenue growth, operating margin and ROIC, all independent of the competitor list.
TTM revenue, latest-quarter run-rate and net income/margin benchmarked across Accuray Incorporated and its 4 competitor groupings. Available under Commercial License.
| Entity | TTM Revenue | Rev Run-rate vs TTM |
|---|---|---|
| Accuray Incorporated | $12,345M | +12.3% · Accelerating |
| Competitors combined | $12,345M | +12.3% · Accelerating |
| Similar-Size Competitors (9) | $12,345M | +12.3% · Accelerating |
| Similar Growth & Profitability (2) | $12,345M | +12.3% · Accelerating |
TTM revenue, run-rate and net margin benchmarking across Accuray Incorporated's competitor groups requires a Commercial License.
For context: the Medical Equipment & Supplies industry grew revenue 15.0% year over year, combined, vs -21.1% for Accuray Incorporated. Accuray Incorporated's share of combined industry revenue moved from 0.13% to 0.09%, a loss of 0.04 percentage points.
Accuray Incorporated's Competitor Quality Breadth
Share of each group, trailing 12 months: profitable (net margin > 0), expanding (revenue growth > 0), growing faster than the industry's own median, and financially distressed (Piotroski F-Score of 2 or below).
| Entity | Profitable | Expanding | Above Industry Growth | Distressed |
|---|---|---|---|---|
| Accuray Incorporated | No | No | No | Yes |
| Competitors combined (11) | ||||
| High-Confidence Competitors (2) | ||||
| Similar-Size Competitors (10) | ||||
| Similar Growth & Profitability (8) | 50.00 % (4 of 8) | 0.00 % (0 of 8) | 0.00 % (0 of 8) | 37.50 % (3 of 8) |
Source: CSIMarket API, trailing 12 months. Altman Z-Score is not shown here: it is not populated in the underlying data for any company. Percentages are of companies in each group that report the relevant metric, not of the full group size.
ARAY Stock Performance relative to its Competitors
ARAY Stock Performance relative to High-Confidence Competitors
ARAY Stock Performance relative to Similar-Size Competitors
ARAY Stock Performance relative to Similar Growth & Profitability Competitors
5 Best-Performing Tracked Competitors, Trailing 12 Months
| # | Competitor | TTM Share Price Return | vs U.S.A. 500 |
|---|---|---|---|
| 1 | Icad Inc | 282.9% | Outperformed |
| 2 | Fonar Corporation | 282.9% | Outperformed |
| 3 | Profound Medical Corp | 282.9% | Outperformed |
| 4 | General Electric Company | 282.9% | Outperformed |
| 5 | Koninklijke Philips Nv | 282.9% | Outperformed |
TTM share price return and U.S.A. 500 outperformance for Accuray Incorporated's best-performing tracked competitors requires a Commercial License.
Source: CSIMarket API, trailing 12 months.
Accuray Incorporated's Comment on Competition and Industry Peers
Publicly Traded Peers of Accuray Incorporated
Revenue and income for trailing 12 months, in millions of $, except employees| Company | Market Cap | Revenues |
|---|---|---|
| Accuray Incorporated | 36.77 | 400.83 |
| General Electric Company | 333,197.28 | 50,638.00 |
| Intuitive Surgical Inc | 148,204.47 | 11,296.30 |
| Boston Scientific Corporation | 65,053.43 | 20,997.00 |
| Koninklijke Philips Nv | 24,168.46 | 19,974.08 |
| Profound Medical Corp | 215.20 | 19.09 |
| SUBTOTAL | 571,549.30 | 103,671.73 |
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Sources: Accuray Incorporated's official press releases and regulatory filings; CSIMarket.com's market research; and the financial filings and press releases of the other companies cited.
Updated on:
Focus of this report: publicly traded companies. Ten additional tables on Accuray Incorporated versus competitors, including market share analysis, are in the navigation menu under Competition. To download the tables, please subscribe.
Accuray Incorporated's Competitors Named by the Company
Competitive relationships identified from SEC filings and corroborating sources, each with a basis and confidence.| Competitor | Basis | Confidence |
|---|---|---|
| Varian | Named by the company | 85% |
| Siemens Healthineers | Named by the company | 85% |
| United Imaging Healthcare Co., Ltd. | Named by the company | 85% |
| Elekta AB | Named by the company | 85% |
| Zap Medical | Named by the company | 85% |
| BrainLAB AG | Named by the company | 85% |
| RefleXion Medical | Named by the company | 85% |
| ZAP® Surgical Systems | Named by the company | 85% |
| Elekta | Named by the company | 85% |
| ViewRay Inc. | Named by the company | 85% |
Filing basis, confidence, active dates and source counts for Accuray Incorporated's named competitors require a Commercial License.
Methodology: relationships are extracted from SEC filings (named-competitor disclosures) and corroborating sources. Named by the company = explicitly disclosed as a competitor; Inferred = derived from corroborating signals. Confidence reflects evidence strength.
Accuray Incorporated's Business Segment Mix vs Peers
Revenue by operating segment or division, as named and reported by each company. Segment names are the filer's own and are not standardized across companies. Do not assume a same-named or similarly-named segment is defined identically between two companies. Shares are of each company's own total revenue and are not required to sum to 100% (intersegment revenue, unallocated items).| Company | Largest Segment |
|---|---|
| General Electric Company | Commercial Engines and Services, Reportable 72.90 % |
| Boston Scientific Corporation | Cardiovascular 67.31 % |
| American Shared Hospital Services | Direct Patient Services 64.63 % |
Source: operating segment revenue as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API, leaf-level reportable segments only (parent roll-up segments are excluded where sub-segments are separately disclosed).
Accuray Incorporated's Productivity vs Peers Comparison
Revenue and income per employee, trailing 12 months, in $; market cap in millions of $| Company | Market Cap | Revenue / Employee | Income / Employee |
|---|---|---|---|
| Accuray Incorporated | 37 | 495,467 | -60,808 |
| General Electric Company | 333,197 | 888,386 | 157,579 |
| Intuitive Surgical Inc | 148,204 | 663,668 | 185,530 |
| Boston Scientific Corporation | 65,053 | 355,881 | 62,186 |
| Koninklijke Philips Nv | 24,168 | 291,938 | 14,684 |
| Profound Medical Corp | 215 | 117,815 | -103,648 |
| PEERS TOTAL | 571,513 | 509,562 | 82,147 |
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Accuray Incorporated's Geographic Revenue Exposure vs Peers
Revenue by country/region as reported in each company's most recent filing. Disclosure granularity varies by filer (some report by country, others by broad region) and is shown as disclosed.| Company | Largest Market |
|---|---|
| Accuray Incorporated | Americas 23.44 % |
| Intuitive Surgical Inc | Geographic Distribution, Foreign 30.41 % |
| Boston Scientific Corporation | United States 63.11 % |
| Profound Medical Corp | CA 66.91 % |
| Edap Tms Sa | US 62.68 % |
Source: revenue geography as reported in each company's SEC filings (10-K/10-Q), via the CSIMarket API. Percentages are of that company's own total consolidated revenue for its most recent reported period.
Accuray Incorporated's Position in Industry Market Structure
Market-capitalization share and concentration across all 222 companies in Accuray Incorporated's industry classification, broader than the peer set above. Market cap in millions of $.Accuray Incorporated ranks #153 of 222 companies by market capitalization in its industry, holding 0.00 % of total industry market cap. The industry's Herfindahl-Hirschman Index (HHI) is 589, indicating a unconcentrated market structure (U.S. antitrust guidance: below 1,500 unconcentrated, 1,500 to 2,500 moderately concentrated, above 2,500 highly concentrated).
| Rank | Company | Market Cap | Industry Share |
|---|---|---|---|
| 1 | Intuitive Surgical Inc | 148,204 | 13.47 % |
| 2 | Medtronic Plc | 115,016 | 10.45 % |
| 3 | Stryker Corp | 106,270 | 9.66 % |
| 4 | 3m Company | 88,536 | 8.05 % |
| 5 | Boston Scientific Corporation | 1,234 | 5.2% |
| 6 | Becton Dickinson And Company | 1,234 | 5.2% |
| 7 | Edwards Lifesciences Corporation | 1,234 | 5.2% |
| 8 | Dexcom Inc | 1,234 | 5.2% |
| 9 | Resmed Inc | 1,234 | 5.2% |
| 10 | Alcon inc | 1,234 | 5.2% |
| 153 | Accuray Incorporated | 37 | 0.00 % |
Market cap and industry share for the rest of Accuray Incorporated's industry peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation) across CSIMarket's industry classification, market capitalization as of 2026-09-28.
Accuray Incorporated's Same-Size Peers & Stock Performance
Peers chosen by closeness in market-cap rank within the same industry classification (not the named-competitor list above). Trailing 12-month total return, 3-month price momentum, beta and Sharpe ratio vs the broad U.S. market.| Rank | Company | Market Cap | TTM Return |
|---|---|---|---|
| 148 | Sensus Healthcare Inc | 49 | -3.99 % |
| 149 | Nephros Inc | 45 | - |
| 150 | Sanuwave Health Inc | 40 | -85.72 % |
| 151 | Precision Optics Corporation Inc | 39 | 7.16 % |
| 152 | Milestone Scientific Inc | 1,234 | 12.3% |
| 153 | Accuray Incorporated | 37 | -82.35 % |
| 154 | Star Equity Holdings Inc | 1,234 | 12.3% |
| 155 | Qt Imaging Holdings Inc exact Name Of Registrant As Specified In Its Charter ___ | 1,234 | 12.3% |
| 156 | Docgo Inc | 1,234 | 12.3% |
| 157 | Petvivo Holdings Inc | 1,234 | 12.3% |
| 158 | Pavmed Inc | 1,234 | 12.3% |
Market cap, return, momentum, beta and Sharpe ratio for the rest of Accuray Incorporated's same-size peers requires a Commercial License.
Source: CSIMarket API (daily market-structure computation); returns and risk metrics as of 2026-09-28. Beta and Sharpe ratio are versus the broad U.S. equity market, not this industry.
Accuray Incorporated's Profitability & Cost Structure
Trailing 12-month margins from SEC-filed financials. Operating margin is compared to the Medical Equipment & Supplies industry median; gross margin, EBITDA margin and capital intensity are compared to the live industry average (288 companies). See the full Medical Equipment & Supplies industry profitability benchmarks.| Metric | Company | Industry | Difference |
|---|---|---|---|
| Gross Margin | 27.69 % | 53.35 % (avg) | -25.7 pp |
| Operating Margin | -6.60 % | industry median | +1.7 pp |
| EBITDA Margin | -5.43 % | -6.82 % (avg) | +1.4 pp |
| Capital Intensity (Capex / Revenue) | 1.46 % | 5.43 % (avg) | -4.0 pp |
Source: CSIMarket API, trailing 12 months. SG&A and R&D as a share of revenue have limited coverage as this data is backfilled and appear only where reported. Higher capital intensity is not inherently negative; it reflects the industry's asset requirements.
Accuray Incorporated's Valuation vs Competitive Position
Valuation multiples vs the Medical Equipment & Supplies industry average (288 companies, excluding loss-making/negative-equity outliers), alongside returns on capital for context on whether a premium or discount lines up with measurably stronger or weaker returns. See the full Medical Equipment & Supplies industry valuation benchmarks.| Metric | Company | Industry Average | Difference |
|---|---|---|---|
| P/E | - | 34.6x | - |
| EV / EBITDA | - | 19.7x | - |
| P/B | 0.7x | 4.7x | -4.1x |
| Return on Equity | -86.90 % | industry aggregate | -98.96 % |
| Return on Invested Capital | -7.10 % | -2.32 % (avg) | -4.78 % |
Source: CSIMarket API, trailing 12 months. A valuation premium or discount is not, by itself, a judgment of over- or under-valuation. Compare it against the return and growth context shown elsewhere on this page.
Accuray Incorporated's Multi-Year Financial Trajectory
Fiscal-year revenue growth, operating margin, return on invested capital and P/E, as reported in SEC filings.| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Revenue Growth | 2.77 % | -0.66 % | -7.76 % | 15.88 % | -4.61 % | 11.02 % | 1.34 % | -3.64 % |
| Operating Margin | -1.53 % | 1.34 % | 7.12 % | 3.42 % | 0.55 % | 0.67 % | -0.41 % | -4.03 % |
| Return on Invested Capital | -2.44 % | 1.75 % | 7.25 % | 4.32 % | 0.70 % | 0.95 % | -0.59 % | -4.39 % |
| P/E | - | - | - | - | - | - | - | - |
Source: CSIMarket API, fiscal-year figures. P/E is this company's own historical ratio at each fiscal year end and can swing sharply around an earnings trough: that is real, not a data error.
Accuray Incorporated's Strategic Group Map
Every company in Accuray Incorporated's industry and named-competitor list, plotted by trailing 12-month revenue growth and operating margin. Accuray Incorporated is shown in red; its closest peers by combined growth, margin and ROIC (the Similar Growth & Profitability group above) are labeled.
Source: CSIMarket API, trailing 12 months. Extreme outlier values (from near-zero-revenue companies) are excluded from the plotted cloud but never from the highlighted company or its labeled peers.
Accuray Incorporated's BCG Growth-Share Matrix
Relative market share (vs Accuray Incorporated's largest competitor by market cap) against industry revenue growth, using the standard textbook thresholds (1.0x share, 10% growth) a common framework, not a precision instrument.
Accuray Incorporated falls in the Dog quadrant: relative market share of 0.00x vs its largest competitor, in an industry growing revenue 9.2% (median, trailing 12 months).
Source: CSIMarket API (market-cap share and industry revenue growth). The 10% growth and 1.0x share lines are standard textbook thresholds, not derived from this industry's own distribution.
Accuray Incorporated's Competitive Forces (Porter's Five Forces)
Only the forces this data can support honestly are shown; the other three are marked as such rather than guessed.| Force | Assessment | Basis |
|---|---|---|
| Competitive Rivalry | High | Industry HHI of 589 (see Industry Market Structure & Concentration above) |
| Barriers to Entry | Lower than typical for the industry | Capital intensity (capex / revenue) of 1.46 % vs industry average 5.43 % (see Profitability & Cost Structure above) |
| Supplier Power | Not covered on this page | See Accuray Incorporated's dedicated suppliers page for concentration and dependency data |
| Buyer Power | Not covered on this page | See Accuray Incorporated's dedicated customers page for concentration and dependency data |
| Threat of Substitutes | - | No systematic data source for cross-product substitution exists in this system; not estimated |
Note: this is a partial, data-grounded application of the framework, not a complete strategic assessment. Rivalry and barriers-to-entry readings are mechanical translations of the HHI and capital-intensity figures shown elsewhere on this page, not independent judgments.
Accuray Incorporated's Industry Attractiveness & Competitive Strength
A CSIMarket composite, not a standard field: each axis is an equal-weighted average of three factors already shown elsewhere on this page (industry growth, industry profitability and rivalry for attractiveness; relative market share, profitability and growth vs industry for strength). Disclosed as a designed methodology, not a precision measurement.
Accuray Incorporated falls in the Low attractiveness / Low strength cell: Harvest / Divest.
Source: CSIMarket API, trailing 12 months. Each axis score is a simple 1(low)/2(medium)/3(high) average across its three inputs -- a transparent, disclosed simplification, not a validated academic scoring model.
Accuray Incorporated's SWOT
Every point below is a fixed rule applied to a metric already shown elsewhere on this page (Market Structure, Profitability, Valuation, Run-Rate, Stock Performance, Quality Breadth) not an independent strategic assessment. A blank quadrant means no rule was met, not that none apply.Strengths
No rule matched.
Weaknesses
- Return on equity 99.0 points below the industry aggregate.
- Underperforming the U.S.A. 500 over the trailing 12 months.
- Low relative market share vs the industry leader (0.00x).
- Piotroski F-Score of 2 or below, the standard financial-distress signal.
Opportunities
- A meaningful share of tracked competitors (30.00 %) show financial-distress signals, a possible opening to gain share.
Threats
No rule matched.
Methodology: mechanical, rule-based SWOT. Each bullet reuses a figure already sourced and cited elsewhere on this page; nothing here is generated narrative or independent analyst judgment.
Accuray Incorporated's Financial Strength vs Peers Comparison
Quick ratio, working capital, debt to equity and asset turnover, trailing 12 months| Company | Quick Ratio | Working Capital | Debt / Equity |
|---|---|---|---|
| Accuray Incorporated | 0.25 | 1.53 | 2.52 |
| General Electric Company | - | 0.86 | 1.09 |
| Intuitive Surgical Inc | 1.43 | 4.80 | - |
| Boston Scientific Corporation | 0.25 | 1.54 | 0.47 |
| Koninklijke Philips Nv | 0.37 | 1.30 | 0.64 |
| Profound Medical Corp | 4.84 | 6.88 | 0.15 |
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Quick ratio = cash / current liabilities; working capital ratio = current assets / current liabilities; asset turnover = revenue / total assets. Peers in the Blank Checks industry are excluded.
Accuray Incorporated's Revenue and Income Growth vs Peers
Quarterly revenue and net income growth, year over year and quarter over quarter| Company | Period | Revenue Y/Y | Income Y/Y |
|---|---|---|---|
| Accuray Incorporated | Q2 2026 | -21.1 % | - |
| General Electric Company | Q2 2026 | +21.1 % | +16.6 % |
| Intuitive Surgical Inc | Q2 2026 | +29.3 % | +23.9 % |
| Boston Scientific Corporation | Q2 2026 | +7.5 % | +13.8 % |
| Koninklijke Philips Nv | Q4 2025 | -1.0 % | - |
| Profound Medical Corp | Q2 2026 | +12.3 % | - |
| PEERS TOTAL | +8.2 % | +91.6 % |
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Growth is shown only where both periods are positive. Peers in the Blank Checks industry are excluded.
Accuray Incorporated's Peers' Costs of Sales and Capital Expenditures
Context for revenue growth: peer costs and capex, year over year and quarter over quarter| Company | Period | Costs Y/Y | Capex Y/Y |
|---|---|---|---|
| Accuray Incorporated | Q2 2026 | -26.5 % | -65.1 % |
| General Electric Company | Q2 2026 | +540.9 % | +2.4 % |
| Intuitive Surgical Inc | Q2 2026 | +13.4 % | -27.5 % |
| Boston Scientific Corporation | Q2 2026 | -2.6 % | +24.2 % |
| Koninklijke Philips Nv | Q4 2025 | -4.6 % | -15.1 % |
| Profound Medical Corp | Q2 2026 | -9.6 % | - |
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Accuray Incorporated's Returns and Turnover vs Peers
ROA, ROI and ROE (trailing 12 months), receivables and inventory turnover| Company | ROA | ROI | ROE |
|---|---|---|---|
| Accuray Incorporated | - | - | - |
| General Electric Company | 6.98% | 11.25% | 48.50% |
| Intuitive Surgical Inc | 15.63% | 17.11% | 17.82% |
| Boston Scientific Corporation | 8.34% | 9.91% | 14.77% |
| Koninklijke Philips Nv | 3.33% | 3.91% | 8.16% |
| Profound Medical Corp | - | - | - |
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ROA = net income / total assets; ROI = net income / investments; ROE = net income / equity; turnover ratios use trailing 12 month revenue (receivables) and cost of sales (inventory).
Accuray Incorporated's Valuation vs Peers
P/E, price to sales, PEG, price to cash flow and price to book| Company | P/E | Price / Sales |
|---|---|---|
| Accuray Incorporated | - | 0.09 |
| General Electric Company | 37.57 | 6.58 |
| Intuitive Surgical Inc | 47.62 | 13.12 |
| Boston Scientific Corporation | 17.88 | 3.10 |
| Koninklijke Philips Nv | 27.00 | 1.21 |
| Profound Medical Corp | 2.16 | 11.28 |
| PEERS AVERAGE | 34.43 | 5.51 |
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P/E = price / diluted EPS (trailing 12 months); PEG = P/E divided by EPS growth; the average row divides the peers' combined market cap by their combined income, sales, cash flow and equity.