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Elekta AB (publ) (EKTA B) Moat Analysis

Elekta AB (publ)

EKTA B · NASDAQ Stockholm

Market cap (USD)$2B
SectorHealthcare
IndustryMedical - Instruments & Supplies
CountrySE
Data as of
Moat score
78/ 100

Weighted average of segment moat scores, combining moat strength, durability, confidence, market structure, pricing power, and market share.

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Overview

Elekta AB (publ) supplies radiotherapy systems and oncology software, with FY2025/26 revenue split 55.8% Solutions and 44.2% Service. Reported sales fell 7% but rose 1% in constant currency; impairments and restructuring contributed to a SEK517M net loss. Specialized engineering, clinical validation, regulation and R&D intensity constrain entry in Solutions, while approximately 7,500 installed devices and strong service attachment underpin recurring lifecycle revenue. The prior 2021/22 market-share range was removed because it was stale and converted a point estimate into unsupported bounds. No software lock-in moat is scored: Elekta emphasizes open standards and interoperability and does not disclose retention or switching evidence. Q1 is due August 27. Key risks are public-tender pricing, emerging-market volatility, technological leapfrogging and third-party service competition.

Primary segment

Solutions

Market structure

Oligopoly

Market share

HHI:

Coverage

2 segments · 5 tags

Updated 2026-08-23

Segments

Solutions

Radiotherapy treatment delivery systems and oncology software solutions (linacs, MR-Linacs, stereotactic radiosurgery, treatment planning & oncology information systems)

Revenue

55.8%

Structure

Oligopoly

Pricing

moderate

Share

Peers

SHL.DEARAYRAY-B.ST688271.SS

Service

Maintenance, service contracts, upgrades, and software/license support for Elekta-installed radiotherapy systems

Revenue

44.2%

Structure

Oligopoly

Pricing

moderate

Share

Peers

SHL.DEARAY

Moat Claims

Solutions

Radiotherapy treatment delivery systems and oncology software solutions (linacs, MR-Linacs, stereotactic radiosurgery, treatment planning & oncology information systems)

Revenue share computed from the FY2025/26 annual report: Solutions SEK 9,325M of total SEK 16,718M. The report says Elekta Evo cleared its last major regulatory hurdle with U.S. FDA approval during the year.

Oligopoly

Capex Knowhow Scale

Supply

Strength

Strength 4 of 5

Durability

Durability 3 of 3

Confidence

Confidence 4 of 5

Evidence

Evidence 2 of 5

Radiotherapy systems require specialized engineering, clinical validation, regulatory clearance and sustained R&D at global scale. These barriers narrow the viable supplier set, although Siemens Healthineers/Varian and focused specialists remain capable rivals.

Capex Knowhow Scale moat: definition, examples, and stocks

Erosion risks

  • Technological leapfrogging by large competitors
  • Hospital capex deferrals and pricing pressure in tenders
  • Component shortages or manufacturing disruptions

Leading indicators

  • Order intake growth (Solutions)
  • New platform launch cadence (linacs/MR-Linacs)
  • Solutions gross margin trend

Counterarguments

  • Large peers can match or exceed R&D and manufacturing scale
  • Differentiation can be episodic as features diffuse across vendors

Service

Maintenance, service contracts, upgrades, and software/license support for Elekta-installed radiotherapy systems

Revenue share computed from the FY2025/26 annual report: Service SEK 7,393M of total SEK 16,718M. The new report confirms approximately 7,500 installed devices, high service-contract attachment, and service revenue growing faster than the installed base.

Oligopoly

Installed Base Consumables

Demand

Strength

Strength 4 of 5

Durability

Durability 3 of 3

Confidence

Confidence 4 of 5

Evidence

Evidence 2 of 5

Maintenance, support, upgrades and software licenses recur around approximately 7,500 installed devices. High OEM service attachment supports durable lifecycle revenue, but the undisclosed attach rate and third-party alternatives cap confidence.

Installed Base Consumables moat: definition, examples, and stocks

Erosion risks

  • Independent service organizations expanding capabilities
  • Renewal price pressure and customer insourcing
  • Remote/AI diagnostics lowering differentiation in service delivery

Leading indicators

  • Service revenue growth rate
  • Service gross margin and attach rate (if disclosed)
  • Installed base size and upgrade penetration

Counterarguments

  • Some customers can use third-party maintenance for older equipment
  • Service margins can compress as contracts rebid or standardized

Evidence

other

The competitive landscape in radiotherapy is characterized by a limited number of global companies operating in this highly specialized field.

The report identifies Siemens Healthineers/Varian as the main comprehensive competitor and lists several focused competitors.

other

Costs related to the R&D function amounted to SEK 2,633 M (2,676)

Equivalent to 15.8% of FY2025/26 revenue, this quantifies the sustained investment required to compete across hardware and software platforms.

other

Service attachment to the installed base remains strong and supports high system availability and customer trust.

The filing reports approximately 7,500 installed devices and says Service supplied 44% of net sales.

other

a largely recurring revenue stream that is growing faster than the installed base

Current management disclosure directly links Elekta Care to recurring revenue beyond new-device growth.

Risks & Indicators

Erosion risks

  • Technological leapfrogging by large competitors
  • Hospital capex deferrals and pricing pressure in tenders
  • Component shortages or manufacturing disruptions
  • Independent service organizations expanding capabilities
  • Renewal price pressure and customer insourcing
  • Remote/AI diagnostics lowering differentiation in service delivery

Leading indicators

  • Order intake growth (Solutions)
  • New platform launch cadence (linacs/MR-Linacs)
  • Solutions gross margin trend
  • Service revenue growth rate
  • Service gross margin and attach rate (if disclosed)
  • Installed base size and upgrade penetration

Keep the research going

Created 2025-12-28
Updated 2026-08-23

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