Joshua Levine
Analyst · JPMorgan
Thank you, Doug. Good afternoon, everyone and thank you for joining us on today's call. Following the market close today, we reported third quarter financial results highlighted by strong growth for both gross orders and backlog. Gross orders for the third quarter increased 49% year-over-year to $83.8 million while our backlog grew to a record $450 million which is approximately 21% higher than prior year. This built upon our second quarter gross order results that we reported in late January which were also ahead of our expectations. These order results help illustrate why we reiterated our gross order guidance for the full year back in January and are doing so again today. At the same time, our revenue results in the third quarter were moderated by the continued delay in the announcement of class A radiotherapy licenses in China and the long revenue conversion time associated with a higher mix of distributor source orders. We have pointed out during our Q2 earnings call that our full year revenue outlook could potentially be impacted by these 2 factors and this was proven to be the case. As a result, we're recasting our full year revenue outlook to a range of $380 million to $390 million. While we're encouraged by our continued momentum in order growth, we're not pleased with the trends related to the timing of revenue conversion and are announcing today a number of executive-level personnel and structural organization changes with a focus in 3 key areas, first, to ensure that we build on our recent order momentum; second, to improve our revenue conversion time lines in those regions where distributor-initiated orders have become a bigger part of the overall order mix in our backlog; and lastly, to drive a more streamlined executive-level structure to improve our overall market responsiveness. The first of these changes is the elimination of the Chief Operating Officer position held by Kelly Londy; and the promotion of Lionel Hadjadjeba, the Senior Vice President and Chief Commercial Officer. Kelly will remain with Accuray through the end of the fiscal year to ensure a smooth transition and I deeply appreciate her many contributions to Accuray over her 6-year tenure. At the same time, I look forward to working more directly with Lionel and his commercial management team to drive our business. As Chief Commercial Officer, Lionel will bring a high level of focus, accountability and urgency to our commercial sales efforts. Additionally, in this role, Lionel will help bridge and link the multiple departments and personnel that are involved in customer-facing activities, some of which are regionally based and some of which come from our headquarter location in Sunnyvale and our international subsidiary location outside of Geneva, Switzerland. Lionel joined Accuray in 2012 as the president of our international business and most recently has been leading the worldwide sales and service organization. In this new role, Lionel will remain -- will maintain worldwide responsibility for all our sales regions while reporting directly to me. Lionel will lead all of the corporate and region-based customer-facing activities and processes that impact commercial momentum, including sales, marketing, service, medical affairs, training and medical education. Additionally, we announced today the creation of a dedicated Vice President of Revenue Management position that will report to Kevin Waters, our Chief Financial Officer. This position will be responsible for driving the revenue forecast and overseeing the order-to-revenue conversion process for the company by working closely with our regional installation, service and commercial teams to ensure we will improve the overall timing and cadence of system installation and ultimately revenue conversion. Turning back to the quarter's results. Our third quarter order results validate customer market perceptions about our improved product functionality, performance and reliability. Accuray's competitive position for both product and service offerings continues to strengthen. And on a global basis, we continue to win more competitive bunkers than we lose. In addition, our product portfolio is strongly aligned with 2 of the fastest-growing radiotherapy treatment segments, image-guided IMRT and SBRT. The latest generation of our TomoTherapy product platform, Radixact, has continued to contribute to our order growth since the early rollout phase of reference sites began late last calendar year. I'm happy to announce we have completed the ramp in monitor phase of the commercial launch process. And as of today's call, full commercial launch is now underway. We have received positive feedback from all of our reference sites in the U.S. and Europe that confirm Radixact's improvements in treatment planning and overall treatment speed as the standout differentiating attributes of the system while still providing our customers with the unparalleled treatment precision of the TomoTherapy architecture for their most challenging cases. As an example, we have received feedback from one of our reference sites at a new state-of-the-art cancer center in South Florida. This customer has routinely been treating over 30 patients per day within a standard daily treatment schedule. Customers at our other reference sites have shared similarly positive feedback. The Radixact System is proving itself to be a platform that can treat the broadest range of cancer patients quickly and precisely, making it a viable choice as a mainstream clinical treatment option. In another positive piece of Radixact news, in January, we received Shonin approval in Japan for Radixact and we're able to secure several Radixact orders from that market during the fiscal third quarter which exceeded our expectations. Additionally, we expect our first Radixact patient treated in Japan sometime in fiscal Q4. Accuray's second new product, Onrad, also provided a modest contribution to our fiscal Q3 gross orders which was in line with our expectations. And we're continuing to focus on advancing the provincial tender processes and building our sales funnel for this segment of the market. As we had communicated in our last call, we expected initial OnRad order uptake in Q3 with order momentum ramping from there. Moving to CyberKnife. We saw continued market interest and order momentum during the third quarter. CyberKnife orders represented approximately 50% of our gross order dollars in the quarter. We believe much of this momentum can be attributed to the better clinician and patient experiences provided by the CyberKnife M6 system, including greater functionality with the MLC-enabling treatment of a broader case range with faster planning and treatment times. We also believe market awareness and confidence in CyberKnife's unique capabilities for treating prostate cancer which is the fastest-growing cancer diagnosis in the male population, is helping to drive prospective customer interest. Recently emerging clinical data about CyberKnife's capabilities in the treatment of prostate cancer is having a positive effect on customer awareness. The most recent CyberKnife study was presented at the ASCO-sponsored Genitourinary Cancers Symposium by Dr. Donald Fuller in February. Dr. Fuller's study showed that CyberKnife treatment's for treating localized prostate cancer can be successfully delivered by community-based centers as well as academic hospitals. 90% of the 259 patients in the study were treated at facilities identifying themselves as community-based nonacademic across the United States. And after a 5-year follow-up, 100% of the 112 patients low-risk patients treated by CyberKnife remain disease-free and 88.5% of the intermediate-risk patients treated remain disease-free. Importantly, the study also found that toxicity levels in the 259 patients treated with CyberKnife compare favorably to the toxicity levels of other radiotherapies. Dr. Fuller's results mirror the clinically significant CyberKnife-specific SBRT prostate study presented at ASTRO last September by Dr. Robert Meier. When taken together, the clinical findings of both of these important studies represent the first truly device-specific data with long term patient follow-up and validate CyberKnife's unique capabilities and clinical value for safely and effectively treating low- and intermediate-risk prostate patients. Clinical studies at the time led by Doctors Meier and Fuller help clinically validate and continue to drive the broader market trends we're seeing in the shift towards SBRT and hypofractionated treatment delivery. In another example of how CyberKnife is transforming prostate treatment delivery, feedback from one of the largest volume, multidisciplinary urology practices in the U.S. indicated that they had recently treated their 1,000th patient -- prostate patient with their MLC-equipped CyberKnife since installing the M6 system in October of 2013, with a significant ramp in the number of patients over the last 2 years. We believe the most recently released clinical data on the treatment of prostate cancer with CyberKnife can be particularly powerful in the upcoming months when CMS is expected to release a report on episodic payments. Both ASTRO and ACRO have submitted proposals to CMS on episodic payment models. These proposals if adopted would position hyperfractionation which is what our technologies are extremely well suited to provide, in favorable reimbursement position. Additionally, the U.S. Preventative Services Task Force has issued draft screening guidelines for prostate cancer that, rather than discouraging screening, advised patients to discuss screening with their doctors. We anticipate finalization of those guidelines later this calendar year and believe they will be a positive catalyst that will likely bring patients in for earlier diagnosis and treatment. Finally, I'd like to have a -- say a few words about customer feedback. At the beginning of this month, we held the Accuray AERO Users' Summit in Chicago. While this summit enables our customers to share best practices and learn about innovative approaches to improving treatment results for their patients, it also enables our management team to gather customer feedback. Over the course of the 2-day event, we met with more than 70 customers, representing a broad cross-section of large academic institutions as well as smaller regional and community-based facilities and received an overwhelming level of support and positive feedback for the improvements we have made to the functionality and reliability of our product portfolio. We believe that the organizational changes we announced today will result in improved consistency and execution of both orders and revenue conversion timing. The growth drivers we have laid out for our business remain firmly in place, namely the growing need for radiotherapy devices globally, the positioning of Accuray's product portfolio in the fastest-growing treatment segments of the market, the growing body of data illustrating the clinical efficacy of Accuray's technology and the upcoming replacement sales opportunity in our installed base with systems entering their 10-year replacement window. And with that, I'd like to turn the call over to Kevin.