TranS1 Inc. Reports Operating Results for the Fourth Quarter and Full Year 2008




 Highlights:

 Fourth quarter revenues increased 48% to $7.4 million

 768 TranS1 procedures performed globally in the quarter

 Gross margin was 84.7% for the quarter

 GAAP loss per share was $0.22 for the quarter

 Non-GAAP loss per share was $0.20 for the quarter

 National Launch of the AxiaLIF 2L, Two Level Percutaneous Lumbar
 Fusion System

WILMINGTON, N.C., Feb. 23, 2009 (GLOBE NEWSWIRE) -- TranS1 Inc. (Nasdaq:TSON), a medical device company focused on designing, developing and marketing products that implement its proprietary minimally invasive surgical approach to treat degenerative disc disease, instability and adult degenerative deformity affecting the lower lumbar region of the spine, today announced its financial results for the fourth quarter and year ended December 31, 2008.

Revenues were $7.4 million in the fourth quarter of 2008, representing a 48% increase over revenues of $5.0 million in the fourth quarter of 2007. Gross margin was 84.7% in the fourth quarter, an increase from 83.3% in the fourth quarter of 2007.

Operating expenses were $11.1 million in the fourth quarter of 2008 compared to $7.3 million in the fourth quarter of 2007. The increase in operating expenses is primarily attributable to an increase in sales and marketing costs as a result of the continued expansion of the direct sales force, increased commissions as a result of increased sales and increased surgeon training costs.

Net loss was $4.5 million and $2.2 million for the quarters ended December 31, 2008 and 2007, respectively. GAAP net loss per common share was $0.22 in the fourth quarter of 2008 compared to a net loss per share of $0.14 in the fourth quarter of 2007.

For the quarter ended December 31, 2008, on a non-GAAP basis, adjusting for non-cash stock compensation expense, net loss was $0.20 per common share based upon 20,534,000 weighted average common shares outstanding. For the quarter ended December 31, 2007, on a non-GAAP basis, adjusting for non-cash stock compensation expense, the issuance of 6.3 million shares of common stock from the company's initial public offering in October 2007 and the conversion of preferred stock into common stock in connection with the public offering, net loss was $0.07 per common share based upon 19,801,000 weighted average common shares outstanding.

Cash, cash-equivalents and investments were $77.3 million as of December 31, 2008.

"I was pleased with our strong financial results in the fourth quarter," said Rick Randall, President and Chief Executive Officer of TranS1. "The continuing maturation of our direct sales force combined with the impact of unique events like the Association of Pre-Sacral Spine Surgeons that we sponsored in October, significantly impacted our selling efforts. Additionally, since the national launch of the two-level device at NASS we have continued to build upon our early commercial success and surgeon adoption."

Conference Call

TranS1 will host a conference call today at 4:15 pm EST to discuss its fourth quarter financial results. To listen to the conference call on your telephone, please dial 877-718-5111 for domestic callers and 719-325-4809 for international callers approximately ten minutes prior to the start time. The call will be concurrently webcast. To access the live audio broadcast or the subsequent archived recording, visit the TranS1 Web site at www.trans1.com under the investor relations section.

Non-GAAP Measures

Management uses certain non-GAAP financial measures such as non-GAAP net loss and net loss per share, which exclude stock based compensation and include the assumed conversion of preferred stock to common stock. This non-GAAP presentation is given in part to enhance the understanding of the company's historical financial performance and comparability between periods. The company believes that the non-GAAP presentation to exclude stock-based compensation and the assumed conversion of preferred stock to common stock is relevant and useful information that will be widely used by investors and analysts. Accordingly, the company is disclosing this information to permit additional analysis of the company's performance. These non-GAAP measures are not in accordance with, or an alternative for, GAAP, and may be different from non-GAAP measures used by other companies. Investors should consider these non-GAAP measures in addition to, and not as a substitute for, financial performance measures in accordance with GAAP. A reconciliation of the GAAP financial measures to the comparable non-GAAP financial measure is included below.

About TranS1 Inc.

TranS1 is a medical device company focused on designing, developing and marketing products that implement its proprietary minimally invasive surgical approach to treat degenerative disc disease and instability affecting the lower lumbar region of the spine. TranS1 currently markets two single-level fusion products, the AxiaLIF(r) and the AxiaLIF 360(tm), and a two-level fusion product, the AxiaLIF 2L(tm), in the U.S. and Europe. TranS1 was founded in May 2000 and is headquartered in Wilmington, North Carolina. For more information, visit www.trans1.com.

Forward-Looking Statements

This press release includes forward-looking statements, the accuracy of which is necessarily subject to risks and uncertainties. These risks and uncertainties include, among other things, risks associated with the adoption of a new technology by spine surgeons, product development efforts, regulatory requirements, maintenance and prosecution of adequate intellectual property protection and other economic and competitive factors. These forward-looking statements are based on the company's expectations as of the date of this press release and the company undertakes no obligation to update information provided in this press release. For a discussion of risks and uncertainties associated with TranS1's business, please review the company's filings with the Securities and Exchange Commission, including its Annual Report on Form 10-K for the year ended December 31, 2007.



                             TranS1 Inc.
                      Statements of Operations
              (in thousands, except per share amounts)


                              Three Months Ended  Twelve Months Ended
                                    Dec. 31,            Dec. 31,
                              ------------------- --------------------
                                2008      2007       2008      2007
                              --------  --------  ---------  --------
                                                 
                                                 
 Revenue                      $  7,354  $  4,960  $  25,304  $ 16,473
 Cost of revenue                 1,128       829      4,315     3,042
                              --------  --------  ---------  --------
 Gross profit                    6,226     4,131     20,989    13,431
                              --------  --------  ---------  --------
 Operating expenses:                             
 Research and development        1,080     1,187      5,020     4,785
 Sales and marketing             8,696     5,090     29,375    15,706
 General and administrative      1,313     1,005      6,177     2,901
                              --------  --------  ---------  --------
 Total operating expenses       11,089     7,282     40,572    23,392
                              --------  --------  ---------  --------
 Operating loss                 (4,863)   (3,151)   (19,583)   (9,961)
 Interest income                   330       916      2,548     1,384
 Other income(expense)              --        --         --        --
                              --------  --------  ---------  --------
 Net loss                     $ (4,533) $ (2,235) $ (17,035) $ (8,577)
                              ========  ========  =========  ========
                                                 
 Net loss per common share
  - basic and diluted         $  (0.22) $  (0.14) $   (0.84) $  (1.46)
                              ========  ========  =========  ========

 Weighted average common 
  shares outstanding - 
  basic and diluted             20,534    15,893     20,289     5,872
                              ========  ========  =========  ========


 Stock-based compensation 
  is included in operating 
  expenses in the following 
  categories:
 Cost of revenue              $     21  $     14  $      66  $     53
 Research and development           18       181        412       559
 Sales and marketing               154       440      1,474     1,557
 General and administrative        189       226      1,027       467
                              --------  --------  ---------  --------
                              $    382  $    861  $   2,979  $  2,636
                              ========  ========  =========  ========


  Reconciliation of Fourth Quarter Results
  (in thousands, except per share amounts)
  (Unaudited)                                      2008        2007
                                                ---------    --------
                                                            
  GAAP net loss                                 $  (4,533)   $ (2,235)
  Stock based compensation                            382         861 
                                                ---------    --------
  Non-GAAP net loss                             $  (4,151)   $ (1,374)
                                                =========    ========
                                                            
  Shares used in computing GAAP loss per share     20,534      15,893 
  Assumed issuance of common shares from                    
   initial public offering                             --       1,444 
  Assumed conversion of preferred stock to                  
   common stock                                        --       2,464 
                                                ---------    --------
  Shares used in computing non-GAAP loss per                
   share                                           20,534      19,801 
                                                =========    ========
                                                            
  Non-GAAP loss per share                       $   (0.20)   $  (0.07)
                                                =========    ========
                                                            
                                                            
  Reconciliation of Year-To-Date Results          
  (in thousands, except per share amounts)         
  (Unaudited)                                      2008        2007
                                                ---------    --------
  GAAP net loss                                 $ (17,035)   $ (8,577)
  Stock based compensation                          2,979       2,636 
                                                ---------    --------
  Non-GAAP net loss                             $ (14,056)   $ (5,941)
                                                =========    ========
                                                            
  Shares used in computing GAAP loss per share     20,289       5,872 
  Assumed issuance of common shares from                    
   initial public offering                             --       5,095 
  Assumed conversion of preferred stock to                  
   common stock                                        --       8,694 
                                                ---------    --------
  Shares used in computing non-GAAP loss per                
   share                                           20,289      19,661 
                                                =========    ========
                                                            
  Non-GAAP loss per share                       $   (0.69)   $  (0.30)
                                                =========    ========


                              TranS1 Inc.
                            Balance Sheets
                            (in thousands)

                                           December 31,   December 31,
                                               2008           2007
                                           -----------    -----------
 Assets                                                  
 Current assets:                                         
   Cash and cash equivalents                $  42,051      $  64,676
   Short-term investments                      21,061         29,245
   Accounts receivable, net                     4,812          3,225
   Inventory                                    6,369          4,025
   Prepaid expenses and other assets              632            597
                                            ---------      ---------
     Total current assets                      74,925        101,768
 Property and equipment, net                    1,412          1,088
 Long-term investments                         14,154             --
                                            ---------      ---------
     Total assets                           $  90,491      $ 102,856
                                            =========      =========
                                                         
 Liabilities and Stockholders' Equity                    
 Current liabilities:                                    
   Accounts payable                         $   2,896      $   1,631
   Accrued expenses                             2,009          1,786
                                            ---------      ---------
     Total current liabilities                  4,905          3,417
                                            ---------      ---------
                                                         
 Stockholders' equity                                    
   Common stock                                     2              2
   Additional paid-in capital                 133,507        130,325
   Accumulated deficit                        (47,923)       (30,888)
                                            ---------      ---------
     Total stockholders' equity                85,586         99,439
                                            ---------      ---------
     Total liabilities and stockholders'                 
      equity                                $  90,491      $ 102,856
                                            =========      =========



                              TranS1 Inc.
                       Statements of Cash Flows
                            (in thousands)


                                                 Twelve Months Ended
                                                       Dec. 31,
                                                ---------------------
                                                   2008        2007
                                                ---------   ---------
 Cash flows from operating activities:
 Net loss                                       $ (17,035)  $  (8,577)
 Adjustments to reconcile net loss to net
  cash used in operating activities
  Depreciation                                        804         540
  Stock-based compensation                          2,979       2,636
  Allowance for excess and obsolete inventory         400         306
  Provision for bad debts                             101          95
  Changes in operating assets and liabilities:
   (Increase) decrease in accounts receivable      (1,688)     (1,700)
   (Increase) decrease in inventory                (2,744)     (2,251)
   (Increase) decrease in prepaid expenses            (35)       (367)
   Increase (decrease) in accounts payable          1,265         788
   Increase (decrease) in accrued expenses            223       1,185
                                                ---------   ---------
 Net cash used in operating activities            (15,730)     (7,345)
                                                ---------   ---------
 Cash flows from investing activities:
 Purchase of property and equipment                (1,128)       (516)
 Purchases of short-term investments              (41,607)    (30,687)
 Sales and maturities of short-term 
  investments                                      49,791      11,370
 Purchases of long-term investments               (14,154)         --
                                                ---------   ---------
 Net cash provided by (used in) investing 
  activities                                       (7,098)    (19,833)
                                                ---------   ---------
 Cash flows from financing activities:
 Proceeds from issuance of common stock               203      86,820
                                                ---------   ---------
 Net cash provided by (used in) financing 
  activities                                          203      86,820
                                                ---------   ---------
 Net increase (decrease) in cash and cash 
  equivalents                                     (22,625)     59,642
 Cash and cash equivalents, beginning of 
  period                                           64,676       5,034
                                                ---------   ---------
 Cash and cash equivalents, end of period       $  42,051   $  64,676
                                                =========   =========


            

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