Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.

Page created by Dan Miller
 
CONTINUE READING
Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.
An Important Breakthrough in
Sleep and Airway Medicine

Vivos Therapeutics, Inc.
January 2021

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION
Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.
Cautionary Note on Forward-Looking Statements and Disclaimers
     This presentation includes statements that constitute “forward-looking statements” within the meaning of the U.S. federal securities laws. These statements relate to
     future events or to our future performance, and involve significant known and unknown risks, uncertainties and other factors that may cause our actual results, levels
     of activity, performance, or achievements to be materially different from any future results, levels of activity, performance or achievements expressed or implied in
     these forward-looking statements. These statements include, but are not limited to, information or assumptions about our ability to formulate, implement and gain
     market acceptance of our business plan and our products and services, the viability of our intellectual property, our financing needs and plans, and our
     management’s plans, goals and objectives for future operations and growth. In some cases, you can identify forward-looking statements by the use of words such as
     “may,” “could,” “expect,” “intend,” “plan,” “seek,” “anticipate,” “believe,” “estimate,” “predict,” “project,” “continue,” or the negative of these terms or other comparable
     terminology. You should not place undue reliance on forward-looking statement since they involve significant known and unknown risks, uncertainties and other
     factors which are, in some cases, beyond our control and which could cause actual performance or results to differ materially from those expressed in or suggested
     by forward-looking statements.

     Important factors that could cause such differences include, but are not limited to: (i) risks and uncertainties associated with the development and implementation of
     our VIP Program; (ii) our dependence on key members of our management team; (iii) the risk that we may be unable raise capital when needed; (iv) risks associated
     with the timing of, and our ability to achieve, predictable revenue growth and ultimately profitability, if at all; (v) the risk that we may be unable to gain market
     acceptance for the Vivos System; and (vi) risks associated with maintaining or protecting the validity of patents and other intellectual property. Should one or more of
     these risks or uncertainties materialize, or should any of our assumptions prove incorrect, actual results may vary in material or even significant respects from those
     projected in these forward-looking statements. We do not undertake any obligation to update or revise any forward-looking statements, whether as a result of new
     information, future events or otherwise, except as may be required under applicable securities laws. Sales, revenue and other economic estimates have been
     determined on-the-basis-of market research and comparable product analysis, but no assurances can be given that such results will be achieved, if at all.

     This presentation contains trademarks, trade names and service marks of other companies, which are the property of their respective owners. We do not intend to
     use or display of other parties’ trademarks, trade names or service marks to imply, and such use or display should not be construed to imply, a relationship with, or
     endorsement or sponsorship of us by, these other parties. All references herein to the “Company,” “we,” “us,” “our” and similar terminology refer to Vivos
     Therapeutics, Inc.

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                  2
Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.
Who Are We?

     We are a revenue stage medical technology company focused on the
     development and commercialization of a highly differentiated
     technology offering a clinically effective non-surgical, non-invasive,
     non-pharmaceutical, and low-cost alternative for patients with sleep
     disordered breathing (SDB), including mild to moderate obstructive
     sleep apnea (OSA).

                                                                                            3
©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION
Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.
Strong Market Opportunity for a Potentially Permanent Solution to OSA

                                                                                                                    Published study by international panel of leading researchers,
                                                                                                                    reported that nearly one billion people worldwide have sleep apnea.
                     Obstructive Sleep Apnea

                           Sleep Apnea Affects nearly 1 Billion
                           People Worldwide 1
                                                                                                                                                                                              Number of adults suffering from obstructive
                           Approximately 54 Million people in the                                                                                                                             sleep apnea in the United States is estimated
                           U.S. with OSA 2                                                                                                                                                    to be 54 million

                            Costs Associated with OSA in United
                                                                                                                                                                                              The Vivos System protocol is estimated to be
                            States in 2016 = $149.6 Billion 3                                                                                                                                 effective in approximately 80% of cases of
                                                                                                                                                                                              obstructive sleep apnea

                                                                                                                                                                                              U.S. and Canadian addressable market for
                                                                                                                                                                                              Vivos is approximately 43 million adults

                                                                                                                     U.S. and Canadian Vivos® Market is approximately $69 Billion
  1. Healio.com; OSA may affect nearly 1 billion adults worldwide/ www. Healio.com 2. American Academy of Dental Sleep Medicine/ www.aadsm.org 3. Frost & Sullivan; Hidden Health Crisis Costing America Billions

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                                                                              4
Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.
2020
      Corporate Timeline and Milestones
                                                                                                                                                    • Stanford University IRB approved clinical trial
                                                                                                                                                      for Vivos mRNA appliance in adults aged 21-
                                                                                                                                                      63
                                                                                                                                                    • 2nd WIRB approved pediatric clinical trial for
                                                                                                                                                      guides ages 6-18
                                                                                                                                                    • Surpassed 1,200 total Vivos-trained dentists
                                                                                                                                                      Submitted the DNA appliance 510k for Class
                                                                                                                                                      II clearance device to treat mild-to-moderate
                                                                                                                                                      OSA, snoring and SDB in adults; currently
                                                                2009-2020                                               2018                          under review by CDRH
      2004-2020                                                                                                                                     • The mmRNA, a modification of the mRNA
                                                    • 7 US patents, 2 Canadian patents                    • Established bricks and mortar             appliance, has completed mechanical testing.
• Dr. Singh published “Spatial                        and 10 registered trademarks                          retail clinics in Colorado and Utah     • Surpassed 15,000 total cases treated with
  Matrix Hypothesis” and other                      • Published approx. 55 articles and                     featuring The Vivos System                the Vivos System
  related articles to our                             studies in professional and peer-                   • Revenue = $3.8M                         • Initial Public Offering – NASDAQ: VVOS
  technology                                          reviewed journals

                                                                                                                                                                                                   2021
                                                                                                                                                                                         • Launch AirO2 Practice
                                                                                                                                                                                           Management Software
                                                                                                                                                                                         • Surpassed 18,000 total
                               2007-2008                                                        2014                                              2019                                     cases treated with the
                                                                                                                                                                                           Vivos System
                           • Formation of BioModeling                                          • Received FDA 510k approval for
                             Solutions, an Oregon LLC                                            mRNA appliance ® as a Class II     • FDA admin review by CDRH for 510k for DNA appliance underway
                           • DNA appliance ® registered as                                       device to treat mild-to-moderate   • Launched Billing Intelligence Service for medical billing services
                             Class I device with FDA                                             OSA, snoring and SDB in adults     • EU European Patent issued and validated in 10 EU countries
                                                                                                                                      (expires 2029)
                                                                                                                                    • Revenue = $11.4M
                                                                                                                                    • 1st WIRB approved pediatric clinical trial for DNA appliance in
                                                                                                                                      patients aged 7-19

   ©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                                            5
Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.
OSA is a Chronic Disease that Affects over 1 Billion People Globally
                              Unobstructed Airway
                               Normal effortless breathing                                  Apnea-Hypopnea Index (AHI) measures sleep apnea severity. The AHI is the sum of the
                         through the nasal passages during sleep
                                                                                            number of apneas (pauses in breathing) plus the number of hypopneas (periods of shallow
                                                                                            breathing) that occur, on average, each hour. Apneas must last at least 10 seconds to
                                                                                            count as an event.

                      Obstructive Sleep Apnea

                               Obstructed Airway
                   Craniofacial underdevelopment impacts breathing
                     during sleep by causing an obstruction of the
                                     upper airway

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                    6
Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.
OSA: A Medical Condition with a Dental Resolution
     October 2017

     The Role of Dentistry in the
     Treatment of Sleep Related
     Breathing Disorders
     House of Delegates adopts
     official policy statement at                           Dentists are encouraged to screen
     ADA 2017 America’s Dental
     Meeting                                                patients for Sleep Related Breathing
                                                            Disorders.

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION
                                                                                                   7
Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.
The Vivos System – How It Works
                                                                                            The Vivos System has been specifically designed to promote the proper growth and
                                                                                            development of the hard and soft tissues surrounding and comprising the oral cavity,
                                                                                            nasal cavity, upper and lower jaws, and other tissues which together form and shape
                                                                                            the upper airway.
   In up to 98% of patients with
   OSA, the condition is due to
   abnormal anatomical features                                                             As these areas develop more fully using the Vivos System, a patient’s airway
                                                                                            typically widens and expands, enabling them to breathe properly through their
   of the soft tissues and/or the
                                                                                            nose.
   structures of the
   maxillomandibular skeleton
   that cause a disproportionate                                                            With a more open and less obstructed airway, and easier nocturnal breathing, the
   anatomy of the airway                                                                    symptoms of SDB tend to diminish over time, and patients often report they no
                                                                                            longer suffer from the adverse effects of SDB or OSA.

                                                                                            Use of the Vivos System is variable and case dependent, but typically
                                                                                            recommended to be worn daily for 12 to 16 hours starting in the early evening
                                                                                            and continuing overnight. The total treatment time typically ranges from 12 to
   Oropharyngeal Examination to Predict Sleep
   Apnea Severity: Xavier Barcelo, MD; Rosa M.                                              24 months with 18 months being the approximate mean treatment time.
   Mirapeix, MD, PhD; Jordi Buges, MD; et al: October
   2011: Arch Otolaryngol head Neck Surg. 2011;
   137(10):990-996. doi: 10.001/archoto.2011.176

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                8
Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.
The Vivos System
               Biomimetic Oral Appliance                                                                                   Published studies have shown that
                                                                                    Three-Way
                                                                                                                           expanding the palate and enhancing the
                                                                                                                           airway using our customized appliances has
 3D Axial Springs                                                                   Development Screws

                                                                                                                           led to lower AHI scores and a reduction in
                                                                                                                           OSA

  Labial Bow

                                   Vivos DNA Appliance®

  The Vivos DNA appliance shown is an FDA registered product.

  The mRNA appliance is FDA cleared as a Class II appliance.

  The mRNA appliance is cleared to treat mild to moderate sleep apnea, snoring and sleep disordered breathing in adults.             Vivos mRNA Appliance®

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                     9
Sleep and Airway Medicine - An Important Breakthrough in Vivos Therapeutics, Inc.
The first non-surgical, non-invasive and cost-effective alternative

     The Vivos System Offers Significant Benefits

     •     Average treatment is approximately 18 months for most cases

     •     Comfortable and easy to wear and to comply with treatment protocols
                                                                                            Nasal Obstruction
     •     Adults covered by most major medical insurance plans up to 70%

     •     No known material side effects

     •     Treatment effective (for its FDA cleared uses)

     •     Reduce or possibly eliminate the need for surgery or lifetime CPAP or
           mandibular advancement therapy

     •     Improved facial aesthetics (stronger jawline, reduce or eliminate
           “gummy” smiles)                                                                  Appliance in mouth

     •     Near term benefits from treatment (no waiting for months to see
           improvements)                                                                    Obstructed Airway

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                        10
Objective Measures                                                              Cone-beam Computed Tomography Scans (Before and After) of
                                                                                     Patient – (without an appliance in the mouth)

                                                                                                  30-Year-Old Male
                                                                                                14 Months Treatment
                                                                                       BEFORE                                             AFTER

                                                                                            31.4mm2               Min Area:              111.6mm2

                                                                                             13.2cc            Total Volume:               26.5cc

                                                                                                                                                            After (May 2018)
                        Before (March 2017)
                                                                                                   Min Area: Minimum Cross-sectional Area of Airway
                                                                                            Total Volume: Total Volume of Airway as measured on the scans

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION
                                                                                                                                                                               11
Vivos System has shown to lower AHI scores

                                                                                                                                                  17 Published studies have shown
                                                                                                   98.6%
                                                                                                                           Reported High
                                                                                                                          Reduction in AHI        that the patented and proprietary
                                                                                                   AHI Reduction              Score
                                                                                                                                                  technologies and protocols
                                                                                                                                                  incorporated into The Vivos®
                            17 Published                                                                                                          System alter the size, shape and
                           Studies Report                                                                67.42%
                                                                                                                               Reported Mean

                             Lower AHI                                                                    AHI Reduction
                                                                                                                               Reduction in AHI
                                                                                                                                   Score          position of the tissues that
                               scores                                                                                                             comprise the human airway,
                                                                                                                                                  leading to lower mean AHI scores
                                                                                                        38%                 Reported Low          by 67.42% in patients with varying
                                                                                                                           Reduction in AHI
                                                                                                      AHI Reduction
                                                                                                                               Score              degrees of OSA.

                                                                                            Over 18,000 patients treated

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                 12
Competitive Landscape
                                                                                            Non-Surgical Treatment Options (Non-Invasive)                                                           Surgical Treatment Options (Invasive)

                                                                                                                                            Oral Appliance                                             Uvulopalatopharygoplasty               Maxillomandibular
     Treatment Protocol                                                                                       CPAP                                                    Inspire Medical®
                                                                                                                                               Therapy                                                      (UPPP Surgery)                   Advancement Surgery

     Target the Underlying Condition                                           YES                              NO                                NO                           NO                                  YES                              YES

     Required Treatment Time to
                                                                    Potentially Immediate            Potentially Immediate           Potentially Immediate         Potentially Immediate                 Potentially Immediate              Potentially Immediate
     Resolve Symptoms

                                                                              HIGH                             HIGH                              HIGH                         HIGH
     Overall Efficacy of Treatment                                                                                                                                                                            Low/Medium                            HIGH
                                                                     (High Patient Compliance)        (Low Patient Compliance)        (Good Patient Compliance)   (With Proper Patient Selection)

     Pain Associated with Treatment                                      Minor or None                     Minor/None                         Minor/None               In Some Cases                        During Recovery                    During Recovery

     Potential Negative Side-Effects                                          Minor                         Moderate                          Moderate                       Major                                 Major                            Major

     Duration of Treatment/
                                                                         12-24 Months                        Lifetime                          Lifetime                     Lifetime                    Surgery + Healing Time              Surgery + Healing Time
     Intervention

                                                                                                                                                                                                           Limited Duration in               Potentially Lifetime
     Duration of Benefits                                            Potentially Lifetime                Only During Use                    Only During Use            Only During Use
                                                                                                                                                                                                              Most Cases

     Potential Cosmetic Benefits                                               YES                              YES                               NO                           NO                                   NO                               YES

     Health Insurance Coverage                                                 YES                              Yes                               YES                         YES                                  YES                               YES
                                                                           In Most Cases                                                      In Most Cases               In Most Cases

                                                                                                             $2,500
     Est. Average Treatment Cost                                             $9,000                                                         $3,000 - $8,000          $30,000-$40,000                       $2,000 - $10,000                        $70,000
                                                                                                       Plus Consumables

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION
                                                                                                                                                                                                                                                      13
Vivos® Commercial Insurance Reimbursement

                                                     CODING                                   PAYMENT               COVERAGE

                                                                                            LEVEL OF              MANY MAJOR US
                                            CPT CODE E0486
                                                                                            REIMBURSEMENT         COMMERICAL MEDICAL
                                            OTHER CPT CODES
                                                                                            BASED ON INDIVIDUAL   PAYORS
                                            BASED ON CASE
                                                                                            POLICY

            Commercial health Insurance
        •      Percentage of claims paid depends on several factors,
               including: Cost of treatment from individual provider;
               Patient’s Medical Policy; Medical Payer’s Guidelines

        •      Medical insurance is never a guarantee of payment, and
               patient deductibles may vary by policy

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                              14
Our Revenue and Financial Model

                                                                               Recurring Product Revenue
                                                                                                 Revenue per adult case averages $1,600/case
                                                                                                 Revenue per pediatric case averages $400/case
     One-time Service
     Revenue
     Enrollment and training fees                                                                                    Recurring Support
     for new VIPs * averages                                                                                                  Services
     $28,000/VIP
                                                                                                                           Subscription Fees for
                                                                                                                                Medical Billing &
                                                                                                                              Advanced Training

* A VIP is a trained dentist – Vivos Integrated Practice

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                 15
Recurring Product Revenue

                                                                                                     Adult Vivos Case   $1,600*
                                                                                                                        Average Adult Case Fee paid to Vivos by Dentist

                     +70%
               GROSS MARGIN

                                                                                              Pediatric Vivos Case        $400*
                                                                                                                          Average Pediatric Case Fee paid to Vivos by Dentist

*Based on Full Pricing and not taking into account promotions or discounts| NOT FOR REDISTRIBUTION

  ©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                     16
The Economics for a General Dentist

     Dentists have hundreds of existing patients of all                                                 Illustrative Economics of an Individual Dentist
     ages who are suffering from OSA
                                                                                            Number of Active Patients in   Potential Patients with OSA   Potential Additional Revenue
     •      Typical VIP Dentist has well over 400 existing patients                         Typical Dental Practice                                      for Dentist

            who may suffer from (undiagnosed) OSA

     •      Represents a multi-million-dollar revenue opportunity for                                1,250                            375                     $3,375,000
            dental practices

                                                                                                     1,500                            450                     $4,050,000

            $9,000
            Typical Case Fee to Patient                                                              1,750                            525                     $4,725,000

            ($3,000)                                                                                 2,000                            600                     $5,400,000
            Estimated Total Cost to DDS

            $6,000                                                                                   2,250                            675                     $6,075,000

            Estimated Total Margin DDS

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION
                                                                                                                                                                                17
Vivos® Patient Process Flow
                 How Patients Learn about                                                                            The Treatment Plan and
                                                                                            The Diagnostic Process   Manufacturing Appliance
                          Vivos®

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                      18
Our Competitive Strengths

     •      FDA registrations and clearances since 2009

     •      Significant barriers to entry

     •      Vivos System Insurance reimbursement

     •      Body of published research and strong patient outcomes

     •      First mover advantage

     •      Differentiated products

     •      Intellectual property portfolio and research and development capabilities

     •      Extensive Training and Support Systems

     •      Compelling economics and value-added services to VIPs at all levels of the product and service delivery chain

     •      Marketplace acceptance – over 18,000 patients treated – over 1,200 Dentists trained

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                   19
Our Sales and Marketing Strategy

     •      Expand our North American (U.S. and Canada) sales and marketing organization to drive adoption of our Vivos System and
            other products and services. We believe that a strong sales and support team to train dentists and other ancillary
            healthcare providers on the use and the benefits of Vivos System will increase sales.

     •      Drive medical and dental community awareness of Vivos System. Through our recently established Medical Integration
            Division we are seeking strategic alliances within the medical and dental communities to increase awareness of our product

     •      Increase indirect marketing channels. We have been successful through strategic alliances within the medical and dental
            communities to increase awareness of our products

     •      Build patient awareness of the Vivos System. We plan to continue building patient awareness through our direct-to-patient
            marketing initiatives.

     •      Invest in research and development to drive innovation and expand indications. We are committed to ongoing research and
            development.

     •      Expand into international markets. We have trained dentists from many different countries all over the world.

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                     20
VIP Vivos Sales Organization                                                                                        Primary salesperson
 A Vivos Sales Team is made up of FIVE components                                                                  • Responsible for enrolling new
                                                                                                    Enrollment
                                                                                                                     VIPs
                                                                                                    Specialist

    Onboarding Specialists                                                                                                                 Enrollment Support Staff
  • Responsible for onboarding                                        Onboarding                                        Support Staff
                                                                      Specialists                                                        • Responsible for organizing
    new VIPs to our training                                                                                             Members           potential VIP appointments
    programs                                                                                                                               for Enrollment Specialists

  Outreach and Engagement Associates                                                                                              Business Development Associates
• Responsible for engaging with potential                                                                                       • Responsible for cultivating new
                                                                                       Outreach &                 Business
  VIPs in our sales process with surveys                                                                                          business leads which are referred to
  and offers of online courses with the                                               Engagement                 Development
                                                                                                                                  the Enrollment Support Staff
  purpose of leads to be referred to the
  Enrollment Support Staff members

  ©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                  21
Vivos Integrated Healthcare Network Growth                                             Over1,200 Clinicians Trained

             When a Dentist enrolls as a Vivos Integrated Practice (VIP),
             they are placed into a localized support system that includes:

             • Integrated Clinical Advisor
                 Clinical Advisors are experienced
                 practicing dentists who provide
                 advisory and mentorship
             • Integrated Market Advisor
                 Market Advisors assist in the
                 planning and enrollment
                 process
             • Integrated Practice Advisor
                 Practice Advisors assist in the
                 integration and
                 implementation process

               Individual network cells provide
               regional and local support for
               Vivos® Integrated Practices

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                        22
Summary Unaudited Financial Data

   Summary historical consolidated financial data as                                                                                             Nine months ended September 30,           Year ended December 31,
                                                                                            Select Financial Data                                    2019           2020                     2018          2019
   of and for the nine months ended September 30,
                                                                                            Condensed Statement of Operations
   2020 and 2019 and years ended December 31,
                                                                                            Revenue
   2019 and 2018. Audited 2019 and 2018 financial
                                                                                             Product revenue                                         2,833,895       3,513,216     24%       1,848,375     4,349,623    135%
   statements are available upon request.                                                    Service revenue                                         5,503,648       6,246,081     13%       1,943,886     7,043,654    262%
                                                                                                Total revenue                                        8,337,543       9,759,297     17%       3,792,261    11,393,277    200%
                                                                                            Cost of sales                                           (1,871,001)     (2,034,486)    9%       (1,081,641)   (2,736,034)   153%
                                                                                                Gross profit                                         6,466,542       7,724,811     19%       2,710,620     8,657,243    219%
                                                                                                Gross margin                                               78%             79%     1 pp            71%           76%    5pp

                                                                                                 Operating expenses and interest                   (14,515,431)   (13,517,078)     -7%      (11,046,802) (19,234,476)   74%
                                                                                                 Interest income/expense/other                         (78,442)       (15,140)     -81%        (102,974)    (177,086)   72%
                                                                                                 Net loss                                           (8,127,331)    (5,807,407)     -29%      (8,439,156) (10,754,319)   27%
                                                                                            Net loss per common share, basic and fully diluted   $       (0.72) $       (0.52)     -28%   $       (0.82) $     (0.95)   16%

                                                                                            Condensed Balance Sheet Data                           12/31/19       9/30/20                  12/31/18       12/31/19
                                                                                            Cash and cash equivalents                                  469,353      1,550,129      230%     1,254,723        469,353    -63%
                                                                                            Current assets                                           1,984,155      3,385,037      71%      2,011,596      1,984,155    -1%
                                                                                            Total assets                                             7,551,537      8,484,121      12%      8,203,967      7,551,537    -8%
                                                                                            Current liabilities                                      9,093,683      6,996,095      -23%      2,157,157     9,093,683    322%
                                                                                            Total liabilities                                        9,177,929      8,493,796      -7%       2,710,507     9,177,929    239%
                                                                                            Total liabilities and stockholders equity                7,551,537      8,484,121      12%       8,203,967     7,551,537    -8%

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                                                      23
Vivos Leadership Team
                                         R. Kirk Huntsman is a co-founder of our company and has served as our Chief Executive Officer and a director since September 2016. In June 2020, he was elected Chairman of the
                                         Board by our board of directors. In 1995, he founded Dental One (now Dental One Partners), which, as President and Chief Executive Officer he grew to become one of the leading
                                         DSOs (dental service organizations) in the country, with over 165 practices in 15 states. After a successful sale of Dental One to MSD Capital in 2008 and subsequent merger in 2009
                                         with Dental Care Partners, Mr. Huntsman was appointed in 2010 as Chief Executive Officer of ReachOut Healthcare America, a Morgan Stanley Private Equity portfolio company. In
                                         2012, he founded Xenith Practices, LLC, a DSO focused on rolling up larger independent general dental offices, which was sold in 2015. From January 2014 to September 2015, Mr.
                                         Huntsman founded and served as the Chief Executive Officer of Ortho Ventures, LLC, a US distributor of certain pediatric oral appliances with applications for pediatric sleep
                                         disordered breathing. Since November 2015, he has served as the Chief Executive Officer of First Vivos, Inc., which is now our wholly owned subsidiary. He was also a founding member
                                         of the Dental Group Practice Association (DGPA), now known as the Association of Dental Support Organizations (ADSO). He is the father of Todd Huntsman. He holds a BS degree in
                                         finance from Brigham Young University.

                                         G. Dave Singh, DMD, Ph.D., DDSc. Is the founder of our company and has served as our Chief Medical Officer and as a director since September 2016. Until June 2019, he also
                                         served as our President. Since January 2008, Dr. Singh served as the Chief Executive Officer of BioModeling Solutions, Inc., which became our wholly owned subsidiary. Dr. Singh is
                                         regarded as a leading professor in the field of SDB in all its many forms. He was awarded a grant by the British Society for Developmental Biology (University of Oxford, UK), and later
                                         was appointed to the Board of Examiners, Royal College of Surgeons of England. As an “outstanding professor” supported by Harvard University, University of Michigan, and University
                                         of Hawaii, he was invited to relocate to the US where he led a NIH-funded program of clinical craniofacial research. Currently, he is a Board Member of the American Sleep and Breathing
                                         Association and Member of the World Sleep Society. He has published over 200 articles in the peer-reviewed medical, dental and orthodontic literature, and 7 books/chapters. His
                                         pioneering research into epigenetic influencers on craniofacial growth and development led to the development of the patented DNA appliance® and mRNA appliance® technology. He
                                         holds a DDSc in orthodontics from University of Dundee, UK, a Ph.D. in Craniofacial Development from University of Bristol, UK, and a BDS/DMD in dentistry from University of
                                         Newcastle, UK. In 2020, Dr. Singh was given a lifetime achievement award as one of the world’s top 100 doctors in dentistry for his work on sleep apnea.

                                         Bradford Amman has served as our Chief Financial Officer of since October 2018. From January 2017 to October 2018, Mr. Amman served as the Chief Financial Officer and Chief
                                         Operations Officer of InLight Medical, a manufacturer and distributor of medical devices cleared by the FDA for increased circulation and reduced pain. Prior to InLight, from 2010 to
                                         2017, he served as CereScan Corp.’s Chief Financial Officer. CereScan specializes in state-of-the-art functional brain imaging, utilizing a patented process, the latest generation
                                         functional imaging SPECT and PET cameras and the industry’s leading brain imaging software to assist in the diagnosis of a magnitude of brain-related conditions and disorders. Mr.
                                         Amman served as Chief Financial Officer of LifeVantage Corporation from 2006 to 2010, including during its initial public offering. Mr. Amman holds a Masters of Business
                                         Administration from the University of Notre Dame and a BS in Accounting from the University of Denver.

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                                                                   24
Vivos Board of Directors
     Ralph E. Green, DDS, MBA                                                                             Anja Krammer
                Ralph joined our board in June 2020. He has devoted more than 35 years to senior level              Anja joined our board in June 2020. In early 2020, Ms. Krammer was appointed as the Chief
     executive positions. Since 2003, Dr. Green has served as President and CEO of his proprietary        Executive Officer of Turn Biotechnologies, a development stage company focused on reversing aging
     dental practice. From 2003 to 2017 he served as Vice President of Clinical Affairs for ReachOut      and age-related diseases. From 2013 through 2018, she co-founded, served as President, Secretary
     Healthcare America, a Morgan Stanley Private Equity company focused on Arizona’s underserved         and a director of BioPharmX, a specialty pharmaceutical company where she led the initial public
     children’s population. From1997 through 2002, Dr. Green was President of Zila Pharmaceuticals        offering onto the New York Stock Exchange in 2015. Ms. Krammer served as Principal/Founder of MBI,
     Inc. where he was engaged in clinical trials, patent development and regulatory approval             Inc., a management consulting firm beginning in January 1998. While at MBI, Inc., Ms. Krammer also
     submissions. Dr. Green has done extensive research on bone growth and oral cancer. In the mid-       served as Vice President Global Marketing from April 2006 to August 2008 for Reliant Technologies, a
     1980’s, Bofors Nobel-Pharma, selected Dr. Green to establish the Swedish Branemark Dental            venture-backed startup in aesthetic medicine. From April 2004 to April 2006, Ms. Krammer served as
     Implant in America, now known as Nobel Biocare, the global leader in dental implants with several    Sr. Director of Strategic Marketing for Medtronic Corporation. From December 2000 to September
     billions in sales. In 1987, Dr. Green discovered and patented a method of activating the titanium    2001, Ms. Krammer was Vice President, Solutions Marketing for Getronics Corporation, a global IT
     implant surface to enhance its success rate. He started his own titanium implant company, OTC        services company. From April 1999 to December 2000, Ms. Krammer served as Vice President, Indirect
     America, which was acquired after 18 months by Collagen Corporation, where he served as Senior       Channel Sales and Worldwide Industry Partnership Marketing in the Itronix Division of Acterna
     Vice President. Following his tenure at Collagen, he started his own consulting firm, Biofusion      Corporation, an optical communications company. Ms. Krammer’s other prior roles include serving as
     Technology.                                                                                          Director of Worldwide Marketing and Communications for Tektronix Corporation in its Color Printing
                                                                                                          and Imaging Division from October 1997 to April 1999.
               He also served as Assistant Professor in the Tufts University School of Medicine and
     School of Dental Medicine in the 1970’s and 1980’s. Dr. Green has served as President-elect and               From October 1995 to October 1997, Ms. Krammer was Director of Worldwide Sales and
     director of the Dental Manufacturers of America. He was honored as a fellow in the Academy of        Marketing with KeyTronic Corporation, a computer equipment manufacturer. Ms. Krammer holds a BAIS
     International Dentistry in Nice, France. Dr. Green holds a DDS from the University of Iowa, an MBA   degree with a focus on Marketing/Management from the University of South Carolina and an
     from Boston University and a BA in Biology from Graceland University.                                International Trade Certificate from the University of Paris—Sorbonne.

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION
                                                                                                                                                                                                       25
Vivos Board of Directors
     Mark F. Lindsay                                                                                       Leonard J. Sokolow
               Mark joined our board in June 2020. Since 2008, he has served as a consultant and the                 Leonard joined our board in June 2020. Since 2015, Mr. Sokolow has been Chief Executive
     director of the healthcare and pharmaceuticals practices group with the Livingston Group, From        Officer and President of Newbridge Financial, Inc., a financial services holding company and Chairman of
     February 2001 through September 2008, Mr. Lindsay was with UnitedHealth Group, one of the             Newbridge Securities Corporation, its full service broker-dealer. From 2008 through 2012, he served as
     world’s largest healthcare companies, where he held a number of senior positions including            President of National Holdings Corporation, a publicly traded financial services company. From
     President of the AARP Pharmacy Services Division and Vice President of Public Communications          November 1999 until January 2008, Mr. Sokolow was Chief Executive Officer and President, and a
     and Strategy. In 2008, he served on President Obama’s transition team. From May 1996 through          member of the Board of Directors, of vFinance Inc., a publicly traded financial services company, which
     January 2001, Mr. Lindsay served in President Clinton’s White House as Assistant to the President     he cofounded. Mr. Sokolow was the Chairman of the Board of Directors and Chief Executive Officer of
     for the Office of Management and Administration. His areas of responsibility included the White       vFinance Inc. from January 2007 until July 2008, when it merged into National Holdings Corporation, a
     House Military Office, which managed Air Force One; The White House Communications Agency;            publicly traded financial services company. Mr. Sokolow was founder, chairman and chief executive
     the Medical Unit and Camp David; running the White House Operations; and the Executive Office of      officer of the Americas Growth Fund Inc., a closed-end 1940 Act management investment company,
     the President’s Office of Administration, which was responsible for finance, information systems,     from 1994 to 1998. From 1988 until 1993, Mr. Sokolow was an Executive Vice President and the
     human resources, legal/appropriations and security. Mr. Lindsay’s office was responsible for the      General Counsel of Applica Inc., a publicly traded appliance marketing and distribution company.
     logistics of all domestic and international Presidential travel and special air missions. President
     Clinton selected Mr. Lindsay to be the operational lead for the White House’s 2001 transition                 From 1982 until 1988, Mr. Sokolow practiced corporate, securities and tax law and was one of
     preparation and execution. From 1994 through 1997, Mr. Lindsay served as senior legislative aid       the founding attorneys and a partner of an international boutique law firm. From 1980 until 1982, he
     and counsel to Congressman Louis Stokes (D-OH). He worked closely with Democrats and the              worked as a Certified Public Accountant for Ernst & Young and KPMG Peat Marwick. Since June 2006,
     Congressional Black Caucus on a number of business and economic issues.                               Mr. Sokolow has served on the Board of Directors of Consolidated Water Company Ltd. (NASDAQ:
                                                                                                           CWCO) and as Chairman of its Audit Committee; as well as a member of its Nominations and Corporate
             He was also a member of Senator Hillary Clinton’s Minnesota Finance Committee for her         Governance Committee since 2011. Since January 2016 Mr. Sokolow has served as a member of the
     2008 Presidential campaign. Mr. Lindsay holds a graduate degree from Macalester College in St.        Board of Directors of SQL Technologies Corp., d/b/a Sky Technologies and Chairman of its Audit
     Paul, Minnesota; a Juris Doctorate from Case Western Reserve University School of Law; a              Committee and, since September 2016, Chairman of its Corporate Development Committee, and from
     master’s degree in international Affairs from Georgetown University; and a graduate degree from       November 2018 through April 30, 2020, he had served as a Board Member and the Independent
     the Advanced Management program at the University of Pennsylvania’s Wharton Business School.          Manager of Masterworks.io, LLC and its affiliates.
     He is a member of the District of Columbia Bar.

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                                                  26
Vivos Board of Directors
     Matthew Thompson, M.D.
     Matthew joined our board in June 2020. Since December 2016, Dr. Thompson has served as Chief
     Medical Officer of Endologix LLC. Dr. Thompson is an Adjunctive Professor at Stanford School of
     Medicine (since 2017) and contract surgeon and Visiting Professor Cleveland Clinic Lerner
     College of Medicine of Case Western Reserve University (since 2020). Prior to joining Endologix,
     Dr. Thompson served as Professor of Vascular Surgery at St. George’s University of London and
     St George’s Vascular Institute (2002-2016). Dr. Thompson’s awards include a Hunterian
     Professorship, the Moynihan traveling fellowship and the gold medal for the intercollegiate
     examination. Dr. Thompson is also the editor of the Oxford Textbook of Vascular Surgery and the
     Oxford Handbook of Vascular Surgery. Dr. Thompson was Chair of the National Specialized
     Commissioning Clinical Reference Group (2013-2016) for Vascular Services and is a founder of
     the British Society for Endovascular Therapy (2004). Dr. Thompson was a Council Member of the
     Vascular Society (2014-2017), Chairman of the Vascular Society Annual Scientific Meeting (2014-
     2017). Dr Thompson was the clinical director for three London-wide service reconfigurations
     (cardiovascular disease, major trauma and emergency services) (2010-2013). Dr. Thompson
     trained at Cambridge University (1981-1984), St. Bartholomew’s Hospital (1984-1987), the
     University of Leicester (1994) and Adelaide (1998).

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION               27
Vivos Leadership Team
                                Susie McCullough is a co-founder of our company and has served as the Senior Vice President – Operations of our company since September 2016. Since November 2015, she has also
                                served as the Sr. VP – Operations of First Vivos, Inc., which is a wholly owned subsidiary of Vivos Therapeutics, Inc. From January 2015 to October 2015 Ms. McCullough was a Vice
                                President for Perfect Start. From February 2009 to December 2014, Ms. McCullough was the Director of Practice Development for Dental One Partners and was responsible for revenue
                                generation for 165 dental offices located across the United States. Ms. McCullough has over 30 years of experience in the dental industry. From August 1998 to May 2002 she attended The
                                Hubbard College of Business Administration and received her Consulting License.

                                D. Bryan Ferre has served as our Senior Vice President – Marketing since September 2017. From June 2011 until September 2015, Mr. Ferre had served as Chief Executive Officer/founder
                                of Bryan Ferre Creative International Partners, a private branding and marketing company. From May 2008 to December 2010, he served as Chief Executive Officer of Zipadi, where he
                                designed and developed a mobile application rapid development environment and a platform-as-a-service. From 2013 to February 2008, he served as Chief Marketing Officer of Firstline
                                Wave. Mr. Ferre holds a BA in Graphic Design.

                                Cathryn H. Bonar has served as Senior Vice President – Compliance & Medical Billing of our company since November 2017.. From July 2014 until August 2017, Ms. Bonar had served as
                                Owner and Director of Reimbursity Medical Billing Services, Inc., which created and implemented a medical billing process and protocol for billing medical insurance for Dentists and Oral
                                Surgeons across the country. From 2010 to 2014, she had served as a partner and director of Medical EZ Billing. Ms. Bonar is regarded as an expert in medical billing for the dental practice
                                and has been featured in various professional periodicals for her work. She has also lectured at various dental conventions, across the country, on medical billing for continuing education.
                                Mrs. Bonar has initiated and developed company compliance procedures, quality record management and regulatory processes. She initiated and leads our Compliance Committee to
                                ensure and execute company compliance with the laws and governing regulatory bodies applicable to Vivos Therapeutics. She has become an invaluable resource to Vivos Therapeutics
                                procuring FDA clearances and clinical trials throughout the country. Ms. Bonar holds a Bachelor of Science from Liberty University, Lynchburg, VA.

                                Edward Loew has served as Senior Vice President of Strategy of our company since October 2017. From April 2011 to January 2016, he served as President and CEO of Veebo, Inc., a
                                national mobile marketing company. From January 2011 to February 2012, he served as Chief Investment Officer of Amerifunds Diversified Funding, LLC, where he refined organization
                                structure to consolidate, streamline and delineate necessary functions. From March 2002 to December 2007 Mr. Loew served as Director of Lending of a public reporting real estate
                                investment company and lender based in Scottsdale, Arizona. During his tenure, he helped originate, fund and manage a portfolio of approximately $1.2 billion in real estate and real estate
                                loans. Mr. Loew has been featured in USA Today and Popular Science Radio. Mr. Loew is an invaluable resource to strategy and new business development by recognizing both physical and
                                organization structure to increase efficiency and drive productivity to new levels. Mr. Loew brings senior-level program implementation and strategic skills relative to multi-tiered operational
                                environments. Mr. Loew holds a BA in Political Science from Arizona State University.

©2020 Vivos Therapeutics, Inc. ALL RIGHTS RESERVED. CONFIDENTIAL | NOT FOR REDISTRIBUTION                                                                                                                                    28
You can also read