# EDGAR Filing Document

**Accession Number:** 0001716166
**File Stem:** 0001493152-23-009837
**Filing Date:** 2023-3
**Character Count:** 23275
**Document Hash:** a9cbcfa309c4df8cd73060e86ec4ba98
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001493152-23-009837.hdr.sgml**: 20230330

**ACCESSION NUMBER**: 0001493152-23-009837

**CONFORMED SUBMISSION TYPE**: 8-K

**PUBLIC DOCUMENT COUNT**: 13

**CONFORMED PERIOD OF REPORT**: 20230330

**ITEM INFORMATION**: Results of Operations and Financial Condition

**ITEM INFORMATION**: Financial Statements and Exhibits

**FILED AS OF DATE**: 20230330

**DATE AS OF CHANGE**: 20230330

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Vivos Therapeutics, Inc.
- **CENTRAL INDEX KEY:** 0001716166
- **STANDARD INDUSTRIAL CLASSIFICATION:** SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
- **IRS NUMBER:** 813224056
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 8-K
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-39796
- **FILM NUMBER:** 23781747

**BUSINESS ADDRESS:**
- **STREET 1:** 7921 SOUTHPARK PLAZA,
- **STREET 2:** SUITE 210
- **CITY:** LITTLETON
- **STATE:** CO
- **ZIP:** 80120
- **BUSINESS PHONE:** (866)908-4867

**MAIL ADDRESS:**
- **STREET 1:** 7921 SOUTHPARK PLAZA,
- **STREET 2:** SUITE 210
- **CITY:** LITTLETON
- **STATE:** CO
- **ZIP:** 80120

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** Vivos BioTechnologies, Inc.
- **DATE OF NAME CHANGE:** 20170901

?xml version="1.0" encoding="utf-8"?

**UNITED STATES**

**SECURITIES AND EXCHANGE COMMISSION**

**Washington, D.C. 20549**

**FORM 8-K**

**CURRENT REPORT**

**Pursuant to Section 13 OR 15(d) of the**

**Securities Exchange Act of 1934**

**Date of Report (Date of earliest event reported): March 30, 2023**

**Vivos Therapeutics, Inc.**

**(Exact name of registrant as specified in its charter)**

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| | | |
|:---|:---|:---|
| **Delaware** | **001-39796** | **81-3224056** |
| **(State or other jurisdiction** | **(Commission** | **(I.R.S. Employer** |
| **of incorporation)** | **File Number)** | **Identification No.)** |

---

**7921 Southpark Plaza, Suite 210**

**Littleton, Colorado 80120**

**(Address of principal executive offices) (Zip Code)**

**(866) 908-4867**

**(Registrant's telephone number, including area code)**

**N/A**

**(Former name or former address, if changed since last report)**

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Securities registered pursuant to Section 12(b) of the Act:

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| | | |
|:---|:---|:---|
| **Title of each class** | **Trading Symbol(s)** | **Name of each exchange on which registered** |
| Common Stock, par value $0.0001 per share | VVOS | The NASDAQ Stock Market LLC |

---

Indicate by check mark whether the registrant is an emerging growth company as defined in as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).

Emerging growth company ☒

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

**Item 2.02. Results of Operations and Financial Condition.**

On March 30, 2023, Vivos Therapeutics, Inc. (the "Company") issued a press release announcing its financial results for the fourth quarter and fiscal year ended December 31, 2022. The full text of the press release is furnished as Exhibit 99.1 to this Current Report on Form 8-K and is incorporated herein by reference.

The information in this Current Report on Form 8-K (including Exhibit 99.1) shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or otherwise subject to the liabilities of that Section, nor shall it be deemed to be incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended, or the Exchange Act, except as expressly set forth by specific reference in such filing.

**Item 9.01. Financial Statements and Exhibits.**

(d) Exhibits

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| | |
|:---|:---|
| **Exhibit No.** | **Description** |
| 99.1 | [Press Release of the Company, dated March 30, 2023, announcing its financial results for the fourth quarter and fiscal year ended December 31, 2022.](ex99-1.htm) |
| 104 | Cover Page Interactive Data File (embedded within the Inline XBRL document). |

---

**SIGNATURE**

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

---

| | | |
|:---|:---|:---|
|  | **VIVOS THERAPEUTICS, INC.** | **VIVOS THERAPEUTICS, INC.** |
| Dated: March 30, 2023 | *By:* | */s/ Bradford Amman* |
|  | Name: | Bradford Amman |
|  | Title: | Chief Financial Officer |

---

## Exhibit 99.1

**Exhibit 99.1**

**Vivos Therapeutics Reports Fourth Quarter and Full Year 2022**

**Financial Results and Provides Operational Update** 

*2022 and Early 2023 Accomplishments, Including Capital Raise, Cost Reductions and New Technology Acquisition, Set the Stage for Potential 2023 Revenue Growth*

 

*Management to Host Conference Call Today at 5:00 pm ET*

**LITTLETON, Colo.,** **March 30, 2023** – **Vivos Therapeutics, Inc.** ("Vivos" or the "Company'') (NASDAQ: VVOS), a medical device and technology company that delivers training and a full line of highly effective proprietary oral appliances for the treatment of breathing related sleep disorders in adults, including mild-to-moderate obstructive sleep apnea ("OSA") and snoring, today reported financial results and operating highlights for the fourth quarter and full year ended December 31, 2022.

Vivos believes that its 2022 and early 2023 accomplishments, including the completion of a capital raise for net proceeds of approximately $7.4 million, cost reductions and a new technology acquisition, has set the stage for potential 2023 revenue growth.

**Fourth Quarter and Full Year 2022 Financial Highlights**

As previously disclosed, in November 2022, Vivos completed a detailed analysis of its revenue recognition policies which concluded that although Vivos' previous technical application of ASC Topic 606, *Revenue From Contracts with Customers* ("ASC 606"), relating to the classification and recognition of aspects of Vivos' revenue required certain corrections, the net effect on the Vivos' results of operations prior to 2022 was minimal.

Readers should note that Vivos' reported financial results for the three months and full year ended December 31, 2022 reflect the application of Vivos' ASC 606 revenue recognition policies, including deferral of a portion of revenue into future periods, resulting in an uneven 2022 versus 2021 period over period comparisons which will not be repeated in future periods due to the consistent application of Vivos' ASC 606 policies.

● Revenue was $4.0 million for the fourth quarter of 2022 and $16.0 million for the full year ended December 31, 2022, compared to $4.4 million and $16.9 million for the fourth quarter and full year ended December 31, 2021, respectively, which in part reflects a deferral as of December 31, 2022 of approximately $2.5 million of Vivos Integrated Provider ("VIP") enrollment revenue into future periods under Vivos' ASC 606 revenue recognition policies. Vivos expects this revenue to be recognized during the next 17 months as performance obligations under its contracts with dentists are fulfilled;

● Fourth quarter appliance revenue increased 21% as Vivos sold 2,938 total oral appliance arches, compared to 2,707 for the fourth quarter of 2021, and increased by 8% to 12,281 total oral appliance arches sold for the full year ended December 31, 2022, compared to 11,355 for the full year 2021;

● Gross profit was $2.4 million for the fourth quarter of 2022 and $10 million for the full year ended December 31, 2022, compared to gross profit of $3.1 million and $12.6 million for the comparable periods in 2021, respectively, attributable to higher costs associated with increased sales volume of our appliances and VIP enrollments and related to our new program (started in 2022) related to the sale and leasing of SleepImage<sup>®</sup> home sleep test rings used as part of the VivoScore Program;

● Gross margin was 60% for the fourth quarter of 2022 and 63% for the full year ended December 31, 2022, compared to 71% and 75% for the comparable periods in 2021, respectively, reflecting higher costs associated with appliances and VIP enrollments and new incentives deployed to increase VIP enrollments; and

● Cash and cash equivalents were $3.5 million at December 31, 2022, but subsequent to year end, in January 2023, Vivos completed a private placement for net proceeds of approximately $7.4 million, to augment its liquidity position.

**Fourth Quarter 2022 and Recent Operating Highlights**

● As of December 31 2022, patients treated with The Vivos Method totaled over 33,000, compared to approximately 25,000 as of the end of 2021. Vivos has also trained over 1,700 dentists in the use of The Vivos Method and Vivos' related value-added services, compared to over 1,450 as of the end of 2021;

● In December 2022, Vivos announced a strategic relationship with Nexus Dental Systems, which combines Vivos' proprietary out-of-network Billing Intelligence Service with the Nexus' in-network medical billing platform to create what is expected to be one of the most comprehensive medical billing services in the dental industry. This collaboration is expected to provide both companies' provider networks with greater access to both in or out-of-network billing with all major medical insurance companies, facilitating case acceptances, insurance billing procedures and reimbursement;

● In December 2022, Vivos received a new clearance from the U.S. Food and Drug Administration ("FDA") for its proprietary daytime-nighttime appliance ("DNA"). The FDA 510(k) clearance for the DNA appliance as a Class II device gives rise to a completely new treatment regimen for mild-to-moderate OSA in adults. Making this development even more meaningful is that the DNA device for palatal expansion is Vivos' longest standing appliance with the widest use among Vivos-trained dentists, which Vivos anticipates will now increase the ease of adoption of the DNA for treating OSA. The DNA is the only oral appliance ever to receive FDA clearance to treat OSA without mandibular advancement as its primary mechanism of action; and

● In February 2023, Vivos acquired certain U.S. and international patents, product rights, and other miscellaneous intellectual property from Advanced Facialdontics, LLC ("AFD"), a company holding propriety technology with FDA 510(k) clearances for Temporomandibular Joint Dysfunction ("TMD") and Bruxism (unconscious teeth grinding and clenching). With this asset purchase transaction, Vivos acquired recently issued U.S. patents, provisional patent applications as well as International patents, Patent Cooperation Treaty patents and patent applications, thus expanding its product portfolio and revenue potential.

"2022 was a year of both significant challenges and achievements for Vivos where we took actions to increase efficiencies throughout our operations and improve our cost structure to work more effectively with dentists and medical professionals in a post-COVID-19 world," stated Kirk Huntsman, Vivos' Chairman and Chief Executive Officer. "During this same time, we also completed an extensive revenue recognition review process with relatively minimal net effect for us. Now that these challenges are behind us, we have become a much stronger, leaner and more efficient organization than we were prior to the pandemic."

"As we move forward in 2023, we are focused on leveraging our core strengths and proprietary technology, while also creating new and diverse revenue streams to strengthen our market position and accelerate our growth. Our recent acquisition of product rights & patents from AFD is a key part of this, as we can now reach a broader consumer base with an expanded product portfolio for OSA patients seeking relief from the pain and other symptoms associated with TMD and Bruxism. These new, higher margin products complement our existing product portfolio and provide dentists with additional treatment methods that require less training and offer patients lower cost points of entry."

"By adding these new technologies, patent portfolio and product rights from AFD to Vivos existing intellectual property and oral devices with The Vivos Method, we now have a product and treatment path available for the vast majority of patients. In addition, we can offer a more diverse product offering to larger organizations including Durable Medical Equipment (known as DME) companies and Dental Service Organizations (known as DSOs). With our expanded product portfolio and wider range of price points, in 2023 we expect to see more dentists than ever before becoming customers of Vivos products and services," Mr. Huntsman concluded.

Vivos encourages investors and other interested parties to join its conference call today at 5:00 p.m. Eastern time (details below), where management will discuss further details on topics including: (i) the acquisition of product rights & patents from AFD, Vivos' expanded product line and revenue potential, (ii) the potential significant impact of Vivos' recent discussions with DME companies on the Company's near-term growth, (iii) an update on Vivos' DSO sales and marketing efforts; (iv) additional programs for dentists to enroll with Vivos, and (v) Vivos' current cash position and actions taken to reduce cash burn.

In addition, further information on Vivos' financial results is included on the attached condensed consolidated balance sheets and statements of operations, and additional explanations of Vivos' financial performance are provided in the Vivos' Annual Report on Form 10-K for the twelve months ended December 31, 2022, which will be filed with the Securities and Exchange Commission ("SEC"). The full 10-K report will be available on the SEC Filings section of the Investor Relations section of Vivos' website at <u>https://vivos.com/investor-relations</u>.

**Conference Call**

To access Vivos' investor conference call, please dial (877) 451-6152, or for international callers, (201) 389-0879. A replay will be available shortly after the call and can be accessed by dialing (844) 512-2921, or for international callers, (412) 317-6671. The passcode for the live call and the replay is 13737313. The replay will be available until April 13, 2023.

A live webcast of the conference call can be accessed on Vivos' website at <u>https://vivos.com/investor-relations</u>. An online archive of the webcast will be available on the Company's website for 30 days following the call.

**About Vivos Therapeutics, Inc.**

Vivos Therapeutics, Inc. (NASDAQ: VVOS) is a medical technology company focused on developing and commercializing innovative diagnostic and treatment methods for patients suffering from breathing related sleep issues arising from certain dentofacial abnormalities such as mild-to-moderate obstructive sleep apnea ("OSA") and snoring in adults. The Vivos Method represents the first clinically effective nonsurgical, noninvasive, nonpharmaceutical and cost-effective solution for treating mild to moderate OSA. It has proven effective in over 33,000 patients treated worldwide by more than 1,700 trained dentists.

The Vivos Method includes the Vivos Complete Airway Repositioning and/or Expansion ("CARE") appliance therapy and associated protocols that alter the size, shape and position of the soft tissues that comprise a patient's upper airway and/or palate. The Vivos Method opens airway space and may significantly reduce symptoms and conditions associated with mild-to-moderate OSA, such as lowering Apnea Hypopnea Index scores. Vivos also markets and distributes SleepImage diagnostic technology under its VivoScore program for home sleep testing in adults and children. The Vivos Integrated Practice ("VIP") program offers dentists training and other value-added services in connection with using The Vivos Method.

For more information, visit **<u>www.vivos.com</u>**.

**Cautionary Note Regarding Forward-Looking Statements**

This press release, the conference call referred to herein, and statements of the Company's management made in connection therewith contain "forward-looking statements" (as defined in Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended) concerning future events, particularly with respect to the public offering described herein. Words such as "may", "should", "expects", "projects," "intends", "plans", "believes", "anticipates", "hopes", "estimates" and variations of such words and similar expressions are intended to identify forward-looking statements. These statements involve known and unknown risks and are based upon several assumptions and estimates, which are inherently subject to significant uncertainties and contingencies, many of which are beyond Vivos' control. Actual results (including, without limitation, the results of the Company's acquisition, sales, marketing, research and development and regulatory initiatives as described herein) may differ materially from those expressed or implied by such forward-looking statements. Factors that could cause actual results to differ materially include, but are not limited to, the risk factors described in Vivos' filings with the Securities and Exchange Commission ("SEC"). Vivos' filings can be obtained free of charge on the SEC's website at www.sec.gov. Except to the extent required by law, Vivos expressly disclaims any obligations or undertaking to release publicly any updates or revisions to any forward-looking statements contained herein to reflect any change in Vivos' expectations with respect thereto or any change in events, conditions, or circumstances on which any statement is based.

**Vivos Investor Relations Contact:**

Julie Gannon

Investor Relations Officer

720-442-8113

<u>jgannon@vivoslife.com</u>

-Tables Follow-

**VIVOS THERAPEUTICS INC.**

**Consolidated Balance Sheets**

**December 31, 2022 and 2021**

**(In Thousands, Except Per Share Amounts)** 

---

| | | |
|:---|:---|:---|
|  | **2022** | **2021** |
| **Current assets** |  |  |
| &nbsp;&nbsp;&nbsp;Cash and cash equivalents | $3519 | $24030 |
| &nbsp;&nbsp;&nbsp;Accounts receivable, net of allowance of $712 and $180, respectively | 457 | 1203 |
| &nbsp;&nbsp;&nbsp;Tenant improvement allowance receivable |  | 516 |
| &nbsp;&nbsp;&nbsp;Prepaid expenses and other current assets | 1448 | 1575 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total current assets | 5424 | 27324 |
| **Long-term assets** |  |  |
| &nbsp;&nbsp;&nbsp;Goodwill | 2843 | 2843 |
| &nbsp;&nbsp;&nbsp;Property and equipment, net | 3082 | 2825 |
| &nbsp;&nbsp;&nbsp;Operating lease right-of-use asset | 1695 |  |
| &nbsp;&nbsp;&nbsp;Intangible assets, net | 302 | 341 |
| &nbsp;&nbsp;&nbsp;Deposits and other | 374 | 356 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total assets | $13720 | $33689 |
| **LIABILITIES AND STOCKHOLDERS' EQUITY** |  |  |
| **Current liabilities** |  |  |
| &nbsp;&nbsp;&nbsp;Accounts payable | $1411 | $920 |
| &nbsp;&nbsp;&nbsp;Accrued expenses | 1912 | 2853 |
| &nbsp;&nbsp;&nbsp;Current portion of contract liabilities | 2926 | 2399 |
| &nbsp;&nbsp;&nbsp;Current portion of long-term debt |  | 1265 |
| &nbsp;&nbsp;&nbsp;Current portion of operating lease liability | 419 |  |
| &nbsp;&nbsp;&nbsp;Current portion of deferred rent |  | 3 |
| &nbsp;&nbsp;&nbsp;Current portion of lease incentive liability |  | 69 |
| &nbsp;&nbsp;&nbsp;Other current liabilities | 145 | - |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total current liabilities | 6813 | 7509 |
| **Long-term liabilities** |  |  |
| &nbsp;&nbsp;&nbsp;Contract liabilities, net of current portion | 112 |  |
| &nbsp;&nbsp;&nbsp;Operating lease liability, net of current portion | 1994 |  |
| &nbsp;&nbsp;&nbsp;Deferred rent, net of current portion |  | 343 |
| &nbsp;&nbsp;&nbsp;Lease incentive liability, net of current portion | - | 298 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total liabilities | 8919 | 8150 |
| **Commitments and contingencies** |  |  |
| **Stockholders' equity** |  |  |
| &nbsp;&nbsp;&nbsp;Preferred Stock, $0.0001 par value per share. Authorized 50,000,000 shares; no shares issued and outstanding |  |  |
| &nbsp;&nbsp;&nbsp;Common Stock, $0.0001 par value per share. Authorized 200,000,000 shares; issued and outstanding 23,012,119 shares as of December 31, 2022 and December 31, 2021 | 2 | 2 |
| &nbsp;&nbsp;&nbsp;Additional paid-in capital | 84267 | 81160 |
| &nbsp;&nbsp;&nbsp;Accumulated deficit | (79468) | (55623) |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total stockholders' equity | 4801 | 25539 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total liabilities and stockholders' equity | $13720 | $33689 |

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**VIVOS THERAPEUTICS INC.**

**Consolidated Statements of Operations**

**Years Ended December 31, 2022 and 2021**

**(In Thousands, Except Per Share Amounts)**

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| | | |
|:---|:---|:---|
|  | **2022** | **2021** |
| Revenue |  |  |
| &nbsp;&nbsp;&nbsp;Product revenue | $8381 | $6520 |
| &nbsp;&nbsp;&nbsp;Service revenue | 7643 | 10365 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total revenue | 16024 | 16885 |
| Cost of sales (exclusive of depreciation and amortization shown separately below) | 6005 | 4281 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Gross profit | 10019 | 12604 |
| Operating expenses |  |  |
| &nbsp;&nbsp;&nbsp;General and administrative | 29041 | 25791 |
| &nbsp;&nbsp;&nbsp;Sales and marketing | 5340 | 5551 |
| &nbsp;&nbsp;&nbsp;Impairment loss |  | 911 |
| &nbsp;&nbsp;&nbsp;Depreciation and amortization | 669 | 733 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Total operating expenses | 35050 | 32986 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Operating loss | (25031) | (20382) |
| Non-operating income (expense) |  |  |
| &nbsp;&nbsp;&nbsp;Interest expense |  | (14) |
| &nbsp;&nbsp;&nbsp;Other expense | (190) | (9) |
| &nbsp;&nbsp;&nbsp;PPP loan forgiveness | 1287 |  |
| &nbsp;&nbsp;&nbsp;Other income | 89 | 117 |
| &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Loss before income taxes | (23845) | (20288) |
| Income tax expense | - | - |
| **Net loss** | $(23845) | $(20288) |
| Net loss attributable to common stockholders | $(23845) | $(20288) |
| Net loss per share attributable to common stockholders (basic and diluted) | $(1.04) | $(0.96) |
| Weighted average number of shares of Common Stock outstanding (basic and diluted) | 23012119 | 21233485 |

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