Euan Thomson
Analyst · Steve Beuchaw with Morgan Stanley
Thank you, Tom, and thanks to everyone for joining us today for Accuray’s third quarter of fiscal year 2012 conference call. To help illustrate the main points discussed this afternoon, we have posted slides on the Investor Relations page of the Accuray website.
This afternoon I will update you on our integration metrics for TomoTherapy, discuss the global sales environment for our technologies and comment on the initiation of a landmark clinical study. I will then turn the call over to Derek Bertocci, who will provide a detailed financial review.
During the call we will provide both GAAP and non-GAAP numbers. When Derek talks later, he will refer to both measures. But for the sake of clarity, I will refer only to the non-GAAP numbers since they give you a clear picture of Accuray’s ongoing core operations.
We are pleased that both our financial and non-financial metrics meet or exceed what we have previously outlined for the investment community. Perhaps most importantly, our key forward indicators including our installed base growth, our shipments, our service margin and our book-to-bill ratio are all positive. While the integration of TomoTherapy is a complex undertaking, we have a clear strategy in place to drive future growth and deliver value to our shareholders.
Unlike other companies in our industry, the majority of our installed base is less than 10 years old. As a result, only a fraction of our revenue is generated from replacing our own systems. Our strategy relies on successfully competing to win space in new or existing vaults and to do this we have to have the best technologies.
Our Q3 performance demonstrates the success of this strategy. Year-on-year our installed base has increased by approximately 14%, which along with other initiatives, has increased our service revenue by 19%. Importantly, we have further improved service growth margins to 16.1% in Q3 from 12.3% in Q2. Our growing service business is becoming an increasingly significant and stable contributor to our overall financial performance.
Our June 2011 acquisition of TomoTheraphy dramatically increased Accuray’s global presence, added innovative technologies to our portfolio and created new cross selling revenue opportunities. Shortly after we announced the acquisition of TomoTherapy, we laid out 3 milestones to help you measure our progress through integration and track our return to profitability.
I’m pleased to report that we are meeting or exceeding all 3 of these. The first milestone is to maintain or modestly grow revenue while generating a book-to-bill ratio greater than one. On a pro-forma basis, total revenue for the third quarter of $101.6 million and year-to-date revenue of $302 million were essentially unchanged from comparable periods of the prior year.
We maintain our guidance that revenue will be in the range of $400 million to $415 million for fiscal 2012.
During the third quarter, Accuray added $64.2 million of net new system orders to backlog expanding total backlog by $2.8 million to $279.6 million. Our book-to-bill ratio for the third quarter was 1.05 and for the rolling 4 quarters is 1.02.
For the first 9 months of fiscal 2012, there has been a 10% increase in revenue units when compared with the same period last year. However, product revenue growth does not match the increasing shipments or revenue units. So I would like to spend a few minutes explaining this.
First, Accuray and TomoTherapy accounted for warranty, training and installation differently. Accuray deferred service revenue for the warranty training and installation provided with the sale of the equipment whereas prior to the acquisition TomoTherapy included these in product revenue recognized at the time of sale of a system.
As a result, during the first 3 quarters of fiscal 2011, TomoTheraphy recorded approximately $11 million more product revenue for Tomo systems sold than we have recorded -- we would have recorded in the same period. We recognized deferred service revenue over the term of the service coverage.
Second point to note is that last year’s results included recognition of approximately $2 million of product revenue previously deferred for systems sold with platinum service agreements which was the last of our platinum product revenue. These revenue factors are unique to the comparison of our fiscal year 2012 results with our fiscal year 2011 results and that will not occur in fiscal year 2013.
Finally there are some business factors to note. We have reduced our bulk construction this year as compared to last and we have deferred some revenue due to extending some payment terms. Together these account for approximately $4 million of revenue reduction between last year and this.
Moving on, during Q3 we shipped 18 systems while installing 22 units. As of March 31 our installed base stood at 635 units worldwide. Only one of the installations in Q3 was a trade-in system. All other systems replaced competitive systems and existing treatment rooms over a newly constructed rooms.
Looking to the future, in addition to these sales to new customers, we expect to grow our replacement sales as our installed base ages and customer seek to upgrade their systems with us. This will further accelerate our product revenue growth.
Our second integration milestone is that we will achieve at least a 10% service gross margin by the end of this fiscal year. In Q3, we achieved a service gross margin of 16.1% compared with 4.4% last year. This marks the third consecutive quarter of improving service gross margins and we continue to implement initiatives to further improve service gross margins on TomoTheraphy systems.
As I mentioned last quarter, maintenance costs of new TomoTherapy systems are now approximately the same as those of the CyberKnife, which has a very positive reputation for reliability and for generating strong service gross margins.
Reliability improvements that are included in the new systems are also being introduced to the active installed TomoTherapy base. The most recent improvements we have begun to add to the installed TomoTherapy base include utilization of remote monitoring hardware and software, a fixed target Linac and a dose controlled stability, an upgrade that stabilizes radiation dose rate.
These improvements increase the stability and reliability of the systems and significantly lower the number of times our field service engineers need to visit customer’s sites. In parallel for reducing the cost of service on TomoTherapy system, we are increasing service revenue through the sale of new service contracts at industry standard prices. As of today, 31 TomoTherapy customers have purchased our new service offerings to replace their previous contract.
Three customers select to that premium diamond contract, which provides access to certain TomoTherapy upgrades. Only a small portion of this additional revenue from these enhanced service contracts has begun to flow through our reported service revenue.
As a result of that continued progress, we are confident that we will exceed our original goal of 10% service gross margin by the end of the current fiscal year giving us a strong base from which to reach or exceed our target of at least 20% service gross margin by the end of our next fiscal year.
Our third and final milestone is return to profitability during the later part of fiscal 2013, which ends June 30, 2013. We intend to achieve that milestone through increasing revenue, improving service and overall gross margin, as well as by reducing operating expenses. We aim to reduce operating expenses to approximately 45% or less of revenues by the end of fiscal 2013 with the longer term goal of reducing operating expenses to approximately 40% of revenues.
In third quarter, operating expenses were 48.1% of revenues largely due to our accelerated investment in R&D. You should interpret this increased R&D investment, which we expect to maintain over the next several quarters, as a positive sign of the innovations that are underway to enhance and strengthen the position of the CyberKnife and TomoTherapy treatment systems, and build on their positions as premier radiation oncology technologies.
In third quarter, we reported a net loss attributable to stockholders at $9.2 million or $0.13 per share. For the second consecutive quarter Accuray was cash flow positive. Derek will give the full explanation of our cash flow in a few minutes.
Turning now to the global sales environment, we see areas of strength and areas of challenge. We’ve grown strongly in Japan and Japan is now become the first international market to install more than 50 Accuray systems with a nice balance between our 2 technologies.
Going forward, we expect CyberKnife sales in Japan to benefit from the increased payment rate to the Japanese Ministry of Health introduced on April 1 in recognition of CyberKnife motion management capability. EMEA and APAC have maintained the momentum of prior quarters.
In the U.S., we have seen inconsistent results between territories. We therefore realigned the sales force in recent weeks to leverage the best practices of our most successful sales teams. We remain conservative in our outlook for the U.S. as the environment is still cautious, but we expect to see the benefit for the realignment over the next several quarters.
Accuray continues to benefit from Siemens announcement to exit from the radiation oncology market. Accuray’s agreement with Siemens remains in place, despite the recent announcement by competitor. During the third quarter, Accuray added into backlog 2 additional contracts from previous Siemens customers replacing old Linac with Accuray technology.
While corporate sales arrangement with Siemens remains intact, we continue to believe, it is our customer relationship rather than corporate relationship that drives sales. Our team is very focused on demonstrating to customers, the significant benefits of our technologies over the more traditional competitive systems.
In line with our commitment to clinical data, which differentiates Accuray, we have recently announced a landmark study in prostate cancer treatment. The PACE study is a multi-center, randomized study that will compare the outcomes of CyberKnife prostate SBRT in terms of efficacy, toxicity and quality of life to da Vinci prostatectomy, manual laparoscopic prostatectomy and IMRT.
There are already 14 peer reviewed studies involving more than 700 patients demonstrating the long-term effectiveness and quality of life benefits of the CyberKnife System for the treatment of prostate cancer, including the preservation of sexual function.
The PACE study is intended to create the first comparative evidence to support CyberKnife as a gold standard for the treatment of organ confined prostate cancer in a field currently dominated by surgery. We remain committed to a long term growth strategy on both of our products but we are confident it will create significant value to our shareholders.
This strategy includes creating innovative next generation technologies backed by IP protection, expanding clinical acceptance as we’ve done with CyberKnife treatment of prostate and other forms of cancer and increasing our market penetration through cross selling opportunities and geographic expansion into some of the world’s fastest growing markets. In addition, we will use this clinical data to continue to drive that future development, yet another differentiator between Accuray and its competitors.
Let me summarize the 4 key points from our third quarter. First we continue to see healthy growth in our installed base, which has grown 14% year-on-year, thereby growing our service revenue. This growth has come from capturing new customers.
Secondly, we continue to make progress against our integration milestones, which are proceeding on or ahead of schedule. Third, we are maintaining our revenue guidance for the fiscal year. And fourth, we remain on track to return to profitability by the latter part of our next fiscal year ending in June 2013.
With that, I will turn the call over to Derek.