Exhibit 99.3

 

UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL INFORMATION

 

Summary of Transaction

 

On June 10, 2025 (the “Closing Date”), Vivos Pharmaceuticals, Inc. (“Vivos” or the “Company”) closed its previously announced transaction to acquire the net operating assets of R.D. Prabhu-Lata K. Shete MDs, LTD., a Nevada professional corporation d/b/a The Sleep Center of Nevada (“SCN” or “Seller”). The Company agreed to purchase, among other things, the net operating assets and liabilities related to SCN’s sleep testing, diagnostics, and treatment centers (the “Acquisition”). The consideration included: i) a cash payment equal to $6.0 million, and (ii) 607,287 shares of common stock in the Company, par value $0.0001 per share (the “Common Stock”), with a value equal to $1.3 million based on the average price of the Common Stock on the Closing Date. Pending the achievement of a financial milestone established in the Asset Purchase Agreement (“Purchase Agreement”), the Company will pay to the Seller a contingent “earn out” consideration in the form of Vivos Common Stock equal to $1.5 million based on the volatility weighted average price (“VWAP”) of the Common Stock for the 30 days immediately preceding the date on which the financial milestone is achieved. The Company funded the cash at closing by obtaining a senior, non-convertible, secured term loan from Streeterville Capital, LLC in the principal amount of $8.2 million.

 

The acquisition of SCN was determined to constitute a business combination in accordance with Accounting Standards Codification 805, Business Combinations (“ASC 805”) under generally accepted accounting principles in the United States (“GAAP”).

 

Pro Forma Information

 

The unaudited pro forma condensed combined financial statements have been prepared in accordance with Article 11 of Regulation S-X under the Securities Act of 1933, as amended by the final rule, Release No.33-10786 “Amendments to Financial Disclosures about Acquired and Disposed Businesses,” and have been adjusted to include estimated transaction accounting adjustments which give effect to the SCN Acquisition and the application of the acquisition method of accounting under GAAP. Under the acquisition method of accounting, the preliminary purchase price is allocated to the underlying tangible and intangible assets acquired and liabilities assumed based on their estimated fair values as of the acquisition date, with any excess purchase price allocated to goodwill. The pro forma adjustments are based on preliminary estimates and currently available information and assumptions that Vivos’ management believes are reasonable. The notes to the unaudited pro forma condensed combined financial statements provide a discussion of how such adjustments were derived and presented in the unaudited pro forma condensed combined financial statements (“Acquisition Adjustments”). Changes in facts and circumstances or discovery of new information may result in revised estimates. Actual results and valuations may differ materially from the assumptions within the accompanying unaudited pro forma condensed combined financial information.

 

The accompanying unaudited pro forma condensed combined statements of operations for the three months ended March 31, 2025 and the year ended December 31, 2024 combine the historical consolidated statements of operations for Vivos and the historical statements of operations for SCN for the same periods.

 

The unaudited pro forma condensed combined balance sheet as of March 31, 2025 gives effect to the SCN Acquisition as if it occurred on March 31, 2025. The unaudited pro forma condensed combined statements of operations for the three months ended March 31, 2025 and the year ended December 31, 2024 give effect to the Acquisition as if it occurred on January 1, 2024.

 

The unaudited pro forma condensed combined financial statements are for illustrative and informational purposes only and are not intended to represent what Vivos’ results of operations or financial position would have been had the Acquisition occurred on the dates indicated, or what they will be for any future periods. The unaudited pro forma condensed combined financial statements do not reflect the realization of any expected cost savings, other synergies as a result of the acquisition, or integration costs.

 

The unaudited pro forma condensed combined financial statements and related notes have been derived from, and should be read in conjunction with:

 

(i)the historical audited consolidated financial statements of Vivos and accompanying notes included in Vivos’ Annual Report on Form 10-K for the year ended December 31, 2024, which was filed with the Securities and Exchange Commission (“SEC”) on March 31, 2025;
(ii)the historical condensed consolidated financial statements and accompanying notes included in Vivos’ Quarterly Report on Form 10-Q for the three months ended March 31, 2025, which was filed with the SEC on May 15, 2025;
(iii)the historical audited financial statements of SCN and accompanying notes for the years ended December 31, 2024 and 2023, appearing within this Current Report on Form 8-K/A as Exhibit 99.1; and
(iv)the historical unaudited financial statements of SCN and accompanying notes for the three months ended March 31, 2025 and 2024, appearing within this Current Report on Form 8-K/A as Exhibit 99.2.

 

1

 

 

VIVOS THERAPEUTICS, INC.

 

Unaudited Pro Forma Condensed Combined Balance Sheet

As of March 31, 2025

(In thousands, except per share data)

 

   Vivos Historical   Reclassified SCN Historical (Note 3)   Subtotal   Acquisition Adjustments
(Note 5)
   Note  Pro Forma 
ASSETS                            
Current assets:                            
Cash and cash equivalents  $2,342   $703   $3,045   $1,789   5(a)  $4,834 
Accounts receivable, net   718    860    1,578    -       1,578 
Prepaid expenses and other current assets   547    58    605    -       605 
Total current assets   3,607    1,621    5,228    1,789       7,017 
                             
Goodwill   2,843    -    2,843    5,606   5(e)   8,449 
Property and equipment, net   3,308    1,455    4,763    (133)  5(b)   4,630 
Operating lease right-of-use assets   951    4,345    5,296    (1,967)  5(c)   3,329 
Intangible assets, net   358    -    358    1,900   5(d)   2,258 
Deposits and other   215    10    225    -       225 
                             
Total assets  $11,282   $7,431   $18,713   $7,195      $25,908 
                             
LIABILITIES AND STOCKHOLDERS’ EQUITY                            
Current liabilities:                            
Accounts payable  $1,206   $50   $1,256   $-      $1,256 
Accrued expenses   1,784    294    2,078    -       2,078 
Current portion of contract liabilities   572    -    572    -       572 
Current portion of operating lease liabilities   467    559    1,026    (362)  5(c)   664 
Other current liabilities   672    52    724    -       724 
Total current liabilities   4,701    955    5,656    (362)      5,294 
                             
Long-term debt   -    -    -    7,500   5(f)   7,500 
Contingent equity consideration liability   -    -    -    1,400   5(g)   1,400 
Contract liabilities, net of current portion   22    -    22    -       22 
Employee retention credit liability   1,220    1,684    2,904    -       2,904 
Operating lease liability, net of current portion   932    3,799    4,731    (1,808)  5(c)   2,923 
Other noncurrent liabilities   -    154    154    -       154 
Total liabilities   6,875    6,592    13,467    6,730       20,197 
                             
Commitments and contingencies                            
Stockholders’ equity:                            
Preferred stock, $0.0001 par value per share   -    -    -    -       - 
Common stock, $0.0001 par value per share   -    1    1    (1)  5(h)   - 
Additional paid-in capital   112,458    -    112,458    1,304   5(h)   113,762 
Accumulated deficit   (108,051)   838    (107,213)   (838)  5(h)   (108,051)
Total stockholders’ equity   4,407    839    5,246    465       5,711 
                             
Total liabilities and stockholders’ equity  $11,282   $7,431   $18,713   $7,195      $25,908 

 

See accompanying notes to the unaudited condensed combined pro forma financial information.

 

2

 

 

VIVOS THERAPEUTICS, INC.

 

Unaudited Pro Forma Condensed Combined Statement of Operations

Three Months Ended March 31, 2025

(In thousands, except per share data)

 

   Vivos Historical   SCN Historical   Subtotal   Acquisition Adjustments
(Note 6)
   Note  Pro Forma 
Revenue:                            
Product revenue  $1,813   $-   $1,813   $-      $1,813 
Service revenue   1,203    2,327    3,530    -       3,530 
Total revenue   3,016    2,327    5,343    -       5,343 
                             
Cost of sales (exclusive of depreciation and amortization shown separately below)   1,507    -    1,507    273    6(a)   1,780 
                             
Gross profit   1,509    2,327    3,836    (273)      3,563 
Operating expenses:                            
General and administrative   4,892    2,285    7,177    (273)  6(a)   6,904 
Sales and marketing   358    -    358    -       358 
Depreciation and amortization   177    -    177    72   6(b)   249 
Total operating expenses   5,427    2,285    7,712    (201)      7,511 
                             
Operating loss   (3,918)   42    (3,876)   (72)      (3,948)
                             
Non-operating income (expense):                            
Interest expense   -    -    -    (325)  6(c)   (325)
Other expense   (4)   (250)   (254)   -       (254)
Other income   58    -    58    -       58 
Loss before income taxes   (3,864)   (208)   (4,072)   (397)      (4,469)
                             
Net loss  $(3,864)  $(208)  $(4,072)  $(397)     $(4,469)
                             
Net loss per share (basic and diluted)  $(0.45)                    $(0.49)
Weighted average number of shares of Common Stock outstanding (basic and diluted)   8,595,288              607,287   6(d)   9,202,575 

 

See accompanying notes to the unaudited condensed combined pro forma financial information.

 

3

 

 

VIVOS THERAPEUTICS, INC.

 

Unaudited Pro Forma Condensed Combined Statement of Operations

Year Ended December 31, 2024

(In thousands, except per share data)

 

   Vivos Historical   SCN Historical   Subtotal   Acquisition Adjustments
(Note 6)
   Note  Pro Forma 
Revenue:                            
Product revenue  $7,874   $-   $7,874   $-      $7,874 
Service revenue   7,157    7,432    14,589    -       14,589 
Total revenue   15,031    7,432    22,463    -       22,463 
                             
Cost of sales (exclusive of depreciation and amortization shown separately below)   6,012    -    6,012    998   6(a)   7,010 
                             
Gross profit   9,019    7,432    16,451    (998)      15,453 
Operating expenses:                            
General and administrative   17,878    6,703    24,581    (998)   

6(a)

   23,583 
Sales and marketing   1,731    -    1,731    -       1,731 
Depreciation and amortization   581    -    581    288   6(b)   869 
Total operating expenses   20,190    6,703    26,893    (711      26,183 
                             
Operating loss   (11,171)   729    (10,442)   (288)      (10,730)
                             
Non-operating income (expense):                            
Interest expense   -    -    -    (1,255)  6(c)   (1,255)
Other expense   (110)   -    (110)   -       (110)
Other income   145    -    145    -       145 
Loss before income taxes   (11,136)   729    (10,407)   (1,542)      (11,949)
                             
Net loss  $(11,136)  $729   $(10,407)  $(1,542)     $(11,949)
                             
Net loss per share (basic and diluted)  $(2.22)                    $(2.12)
Weighted average number of shares of Common Stock outstanding (basic and diluted)   5,019,886              607,287   6(d)   5,627,173 

 

See accompanying notes to the unaudited condensed combined pro forma financial information.

 

4

 

 

VIVOS PHARMACEUTICALS, INC.

 

NOTES TO UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL INFORMATION

 

Note 1 – Description of The Sleep Center of Nevada Acquisition

 

On June 10, 2025, Vivos Pharmaceuticals, Inc. (“Vivos” or the “Company”), acquired the net operating assets and liabilities of R.D. Prabhu-Lata K. Shete MDs, LTD., a Nevada professional corporation d/b/a The Sleep Center of Nevada (“SCN”) for consideration including: i) a cash payment in the amount of $6.0 million; ii) $1.3 million in the form of 607,287 shares of Vivos common stock; and iii) contingent equity consideration of $1.4 million, subject to customary closing adjustments (the “SCN Acquisition”).

 

Note 2 – Basis of Presentation

 

The SCN Acquisition is being accounted for as a business combination using the acquisition method of accounting under US GAAP, in accordance with the provisions of ASC 805, Business Combinations, (“ASC 805”) which requires assets acquired and liabilities assumed to be recorded at their acquisition date fair value. ASC 820, Fair Value Measurements, defines the term “fair value” as “the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date.” Fair value measurements can be highly subjective, and it is possible the application of reasonable judgement could develop different assumptions resulting in a range of alternative estimates using the same facts and circumstances.

 

Vivos and SCN’s historical financial statements were prepared in accordance with US GAAP. Based on an analysis of Vivos and SCN’s significant accounting policies, the Company has not identified any material differences in accounting policies that would have an impact on the unaudited pro forma condensed combined financial statements. As a result, the unaudited pro forma condensed combined financial statements do not assume any differences in accounting policies.

 

The pro forma adjustments presented in this unaudited pro forma condensed combined financial information represent management’s estimates based on information available as of the date of this Form 8-K and such estimates are subject to revision as further information is obtained. Accordingly, the pro forma adjustments for the SCN Acquisition are preliminary and subject to further adjustment as additional information becomes available and the various analyses and other valuations are performed. Any adjustments may have a significant effect on total assets, total liabilities, total equity, operating expenses, and depreciation and amortization expenses, and such results may be significant.

 

The assumptions underlying the pro forma adjustments are described in the accompanying notes to this unaudited pro forma condensed combined financial information.

 

The unaudited pro forma condensed combined financial information may not be indicative of Vivos’ future performance and does not necessarily reflect what Vivos’ financial position and results of operations would have been had these transactions occurred at the beginning of the period presented.

 

Further, the unaudited pro forma condensed combined financial information does not purport to project the future operating results or financial position of Vivos following the completion of the SCN Acquisition. Additionally, the unaudited pro forma condensed combined financial information does not reflect any revenue enhancements, anticipated synergies, operating efficiencies, or cost savings that may be achieved related to the SCN Acquisition, nor does it reflect any costs or expenditures that may be required to achieve any possible synergies.

 

Vivos will finalize the accounting for the acquisition as soon as practicable within the measurement period, but in no event later than one year from June 10, 2025, in accordance with ASC 805.

 

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Note 3 – Conforming Presentation Adjustments to The Sleep Center of Nevada Historical Reported Financial Data

 

In preparing the unaudited pro forma condensed combined financial information, the following adjustments were made to SCN’s historical financial statements to conform to the presentation of Vivos’ historical financial statements:

 

Presentation in Historical Financial Statements  Presentation in Unaudited Pro Forma Condensed Combined Financial Statements  Historical SCN Before Reclassification   Reclassification   Note  Historical SCN as Reclassified 
Cash  Cash and cash equivalents  $          703   $              -      $         703 
Accounts receivable, net  Accounts receivable, net   860    -       860 
Employee advances  Prepaids expenses and other current assets   39    (39)  (a)   - 
Prepaid expenses  Prepaids expenses and other current assets   19    39       58 
Property and equipment, net  Property and equipment, net   1,072    382       1,455 
Finance lease right-of-use asset  Property and equipment, net   206    (206)  (b)   - 
Operating lease right-of-use assets  Operating lease right-of-use assets   4,345    -       4,345 
Intangible asset  Property and equipment, net   176    (176)  (b)   - 
Refundable deposits  Deposits and other   10    -       10 
Accounts payable  Accounts payable   50    -       50 
Accrued payroll and related expenses  Accrued expenses   194    100       294 
Other accrued liabilities  Accrued expenses   100    (100)  (c)   - 
Current portion of finance/operating lease liability  Current portion of operating lease liabilities   611    (52)  (d)   559 
Current portion of finance/operating lease liability  Other current liabilities   -    52       52 
Employee retention credit liability  Employee retention credit liability   1,684    -       1,684 
Long-term portion of finance lease liability  Other noncurrent liabilities   154    -       154 
Long-term portion of operating lease liability  Operating lease liability, net of current portion   3,799    -       3,799 
Common stock  Common stock   1    -       1 
Retained earnings  Accumulated deficit   838    -       838 

 

(a) Reclassification to “Prepaid expenses and other current assets”
(b) Reclassification to “Property and equipment, net”
(c) Reclassification to “Accrued expenses”
(d) Reclassification to “Other current liabilities”

 

Note 4 – Preliminary Purchase Price Allocation

 

Preliminary Purchase Consideration

 

The estimated fair value of the consideration transferred is $8.7 million, and is comprised of the following components (in thousands):

 

Cash consideration  $6,000 
Fair value of common stock consideration   1,304 
Fair value of contingent equity consideration   1,400 
Total fair value of consideration transferred  $8,704 

 

Cash consideration: Represents the amount of cash paid to the Sellers by the Company on the Closing Date in accordance with the terms of the Purchase Agreement.

 

Fair value of common stock consideration: Represents 607,287 shares of Vivos restricted common stock equal to $1.3 million based on the average price of the common stock on the Closing Date.

 

Fair value of contingent equity consideration: Upon the achievement of a financial milestone as defined in the Purchase Agreement, the Company will issue additional restricted shares of Vivos common stock equal to $1.5 million based on the VWAP of the common stock for the 30 days immediately preceding the date on which such milestone is achieved. The fair value of the contingent equity consideration was derived based on certain valuation inputs, including the closing share price of Vivos common stock on June 10, 2025 and the probability of meeting the milestone.

 

6

 

 

Preliminary Estimates of Fair Value

 

The following table summarizes the tangible and identifiable intangible assets acquired, and liabilities assumed used to prepare pro forma adjustments in the unaudited pro forma condensed combined balance sheet and statements of operations (in thousands).

 

Consideration:     
Cash  $6,000 
Unregistered common stock   1,304 
Contingent earn-out payable   1,400 
Total fair value of consideration transferred  $8,704 
      
Identifiable assets acquired and liabilities assumed:     
Cash  $864 
Accounts receivable   934 
Prepaid expenses and other assets   51 
Property and equipment   1,322 
Operating lease right-of-use assets   2,378 
Intangible assets   1,900 
Operating lease liabilities   (1,990)
Liabilities assumed   (2,362)
Net identifiable assets acquired  $3,097 
Goodwill   5,607 
Net assets acquired  $8,704 

 

The final estimates of fair value will be determined when the Company has completed the detailed valuations and necessary calculations. The final allocation could differ materially from the preliminary calculation used in the pro forma adjustments. The final estimates of fair value may include (i) changes in allocations to intangible assets including goodwill, (ii) other changes to assets and liabilities, and (iii) changes to the assessment of tax positions and tax rates.

 

Intangible Assets

 

Preliminary identifiable intangible assets in the unaudited pro forma condensed combined financial information consist of the following (in thousands):

 

   Approximate Fair Value   Estimated Useful Lives  Valuation Methodology
Trade name  $                400   4 years  Relief from royalty method
Referral relationships   1,500   8 years  Multi-period excess earnings method
Total intangible assets  $1,900       

 

The amortization related to the identifiable intangible assets is reflected as an Acquisition Adjustment in the unaudited pro forma condensed combined statements of operations based on the estimated useful lives above as further described in Note 6. The fair values of the identifiable intangible assets are preliminary and are based on Management’s estimates as of the Closing Date. The Company applied judgement in estimating the fair value of these intangibles which involved the use of significant assumptions with respect to revenue forecasts, revenue growth, attrition rates, royalty rates, discount rates, and economic lives.

 

Note 5 – Acquisition Adjustments to Unaudited Pro Forma Condensed Combined Balance Sheet

 

Acquisition Adjustments include the following adjustments, which are based on the Company’s preliminary estimates and assumptions, related to the unaudited pro forma condensed combined balance sheet as of March 31, 2025, adjusted for changes in assets acquired and liabilities assumed between March 31, 2025 and the Closing Date.

 

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(a)Represents the cash consideration paid to The Sleep Center of Nevada sellers partially offset by the cash received from the Promissory Note as follows (in thousands):

 

Cash paid to Seller  $(6,000)
Cash received from Short-Term Promissory Note   7,500 
Adjustment to reflect the preliminary purchase price allocation   289 
Total acquisition adjustment to cash and cash equivalents  $1,789 

 

(b)Represents the purchase accounting adjustment to reduce property and equipment to its fair value as follows (in thousands). The impact of the purchase accounting adjustment to property and equipment did not have a material effect on pro forma depreciation expense.

 

Historical balance  $(1,455)
Fair value of property and equipment from purchase accounting   1,322 
Total acquisition adjustment to property and equipment  $(133)

 

(c)SCN is the lessee in operating leases related to seven practice locations. ASC 842, Leases, requires an acquiree who is a lessee in a business combination to remeasure lease assets and lease liabilities as if the lease were a new lease at the acquisition date, including assessment of renewal options. The Company recorded the following remeasurement adjustments based on the incremental borrowing rate applicable to each lease as of the Closing Date. In addition, as part of the preliminary valuation analysis, the leases were evaluated using the income approach to determine if their terms were favorable or unfavorable when compared to market rates. Based on this analysis, two leases were determined to be outside market rates resulting in a net favorable adjustment of $0.2 million to the right-of-use asset.

 

(in thousands)  Historical Balances   Remeasured Balances   Total Acquisition Adjustments 
Right-of-use asset - operating  $4,345   $       2,378   $    (1,967)
Current portion of operating lease liabilities   559    197    (362)
Operating lease liability, net of current portion   3,799    1,991    (1,808)

 

(d)Represents the recognition of the fair value of intangible assets in accordance with purchase accounting as described in Note 4.

 

(e)Represents the purchase accounting adjustment to goodwill based on the acquisition method.

 

(f)Represents an $8.2 million Promissory Note to finance the cash consideration portion of total consideration, less $0.7 million in debt issuance costs incurred to obtain the Promissory Note. This obligation is classified as long-term debt based on its term of eighteen months.

 

(g)Represents the purchase accounting adjustment to record the fair value of the contingent equity consideration.

 

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(h)The following summarizes the adjustments to stockholders’ equity, including the elimination of SCN’s historical equity (in thousands):

 

(in thousands)  Share Consideration Transferred (Note 4)   Elimination of SCN’s Stockholders’ Equity   Total Acquisition Adjustments 
Common stock  $                -   $                   (1)  $             (1)
Additional paid-in capital   1,304    -    1,304 
Accumulated deficit   -    (838)   (838)
Total  $1,304   $(839)  $465 

 

Note 6 – Acquisition Adjustments to Unaudited Pro Forma Condensed Combined Statements of Operations

 

 (a)Represents the reclassification of certain costs to conform to the presentation of Vivos’ historical financial statements.
   
(b)The following table summarizes the estimated fair values of the SCN’s identifiable intangible assets and their estimated useful lives including the incremental amortization for the periods presented calculated on a straight-line basis.

 

(in thousands, except useful lives)  Estimated Fair Value   Estimated Useful Life (months)   Amortization Expense - Three Months Ended March 31, 2025   Amortization Expense - Year Ended December 31, 2024 
Trade name  $400    48   $              25   $         100 
Referral relationships   1,500    96    47    188 
Total            $72   $288 

 

(c)Represents the interest expense (including amortization of debt issuance costs) on the Promissory Note as if the loan was obtained on January 1, 2024 and was outstanding for the entire year ended December 31, 2024 and the three months ended March 31, 2025. The interest rate assumed for purposes of preparing this pro forma financial information was 9.0% which is the stated fixed rate throughout the term of the Promissory Note.

 

(d)Represents the issuance of 607,287 shares of Vivos common stock paid to the Sellers as described in Note 1.

 

Given the Company’s history of net losses and full valuation allowances, Vivos’ management estimated an annual effective income tax rate of 0.0%. Therefore, the pro forma adjustments to the unaudited pro forma condensed combined statements of operations resulted in no income tax adjustments.

 

9