Civic Intelligence

Voice Health Institute

EIN 13-4269601 • 501(c)3 • Boston, MA

Profile

Bring state-of-the-art care to patients in america and throughout the world for voice and airway disorders through public awareness, education and research, including surgical innovation, development of specialized surgical technologies, and the support of fellowship programs to further disseminate innovations in the field.

One Bowdoin Square 11flBoston, MA 02114

www.voicehealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

30th percentile

0.01x

Higher debt load relative to assets than 30% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

32nd percentile

0.01x

Higher debt load relative to revenue than 32% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

40th percentile

0.3%

Higher net margin than 40% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

40th percentile

$0

Higher top officer pay than 40% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

18th percentile

-8.7%

Faster asset growth than 18% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

98th percentile

470%

Faster revenue growth than 98% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Down

$2,397,474

Down $227,387 (-8.7%) from 2023

Liabilities

Up

$16,911

Up $6,116 (+57%) from 2023

Net Assets

Down

$2,380,563

Down $233,503 (-8.9%) from 2023

Revenue

Up

$1,173,052

Up $967,131 (+470%) from 2023

Expenses

Up

$1,169,433

Up $49,717 (+4.4%) from 2023

Net Income

Up

$3,619

Up $917,414 (+100%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2010: $1,949,858Liabilities 2010: $326,3252010Assets 2011: $1,313,804Liabilities 2011: $390,361Net Assets 2011: $923,4432011Assets 2012: $1,387,734Liabilities 2012: $362,958Net Assets 2012: $1,024,7762012Assets 2013: $30,310,222Liabilities 2013: $44,266Net Assets 2013: $30,265,9562013Assets 2014: $29,458,688Liabilities 2014: $69,602Net Assets 2014: $29,389,0862014Assets 2015: $25,111,216Liabilities 2015: $54,984Net Assets 2015: $25,056,2322015Assets 2016: $22,029,905Liabilities 2016: $82,050Net Assets 2016: $21,947,8552016Assets 2017: $18,685,775Liabilities 2017: $69,962Net Assets 2017: $18,615,8132017Assets 2018: $17,574,018Liabilities 2018: $506,680Net Assets 2018: $17,067,3382018Assets 2019: $14,930,577Liabilities 2019: $102,431Net Assets 2019: $14,828,1462019Assets 2020: $13,096,554Liabilities 2020: $18,303Net Assets 2020: $13,078,2512020Assets 2021: $11,192,928Liabilities 2021: $18,717Net Assets 2021: $11,174,2112021Assets 2022: $3,833,888Liabilities 2022: $30,228Net Assets 2022: $3,803,6602022Assets 2023: $2,624,861Liabilities 2023: $10,795Net Assets 2023: $2,614,0662023Assets 2024: $2,397,474Liabilities 2024: $16,911Net Assets 2024: $2,380,5632024

Highlighted filing

2024

Assets$2,397,474
Liabilities$16,911
Net Assets$2,380,563

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$5.0M$0-$5.0MRevenue 2010: $293,027Expenses 2010: $1,404,487Net Income 2010: -$1,111,4602010Expenses 2011: $785,5352011Revenue 2012: $325,814Expenses 2012: $224,481Net Income 2012: $101,3332012Expenses 2013: $3,362,2272013Revenue 2014: $87,585Expenses 2014: $964,455Net Income 2014: -$876,8702014Revenue 2015: $460,338Expenses 2015: $4,793,192Net Income 2015: -$4,332,8542015Revenue 2016: $1,076,779Expenses 2016: $4,185,156Net Income 2016: -$3,108,3772016Revenue 2017: $101,587Expenses 2017: $3,433,629Net Income 2017: -$3,332,0422017Revenue 2018: $1,710,123Expenses 2018: $3,258,598Net Income 2018: -$1,548,4752018Revenue 2019: $303,691Expenses 2019: $2,542,883Net Income 2019: -$2,239,1922019Revenue 2020: $1,305,392Expenses 2020: $3,055,287Net Income 2020: -$1,749,8952020Revenue 2021: $565,504Expenses 2021: $2,469,544Net Income 2021: -$1,904,0402021Revenue 2022: $1,118,206Expenses 2022: $1,338,837Net Income 2022: -$220,6312022Revenue 2023: $205,921Expenses 2023: $1,119,716Net Income 2023: -$913,7952023Revenue 2024: $1,173,052Expenses 2024: $1,169,433Net Income 2024: $3,6192024

Highlighted filing

2024

Revenue$1,173,052
Expenses$1,169,433
Net Income$3,619

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$2.40$0.02$2.38$1.17$1.17$0.00
2023Detailed filing. Detailed filing data is available for this year.$2.62$0.01$2.61$0.21$1.12$0.91
2022Detailed filing. Detailed filing data is available for this year.$3.83$0.03$3.80$1.12$1.34$0.22
2021Detailed filing. Detailed filing data is available for this year.$11.2$0.02$11.2$0.57$2.47$1.90
2020Detailed filing. Detailed filing data is available for this year.$13.1$0.02$13.1$1.31$3.06$1.75
2019Detailed filing. Detailed filing data is available for this year.$14.9$0.10$14.8$0.30$2.54$2.24
2018Detailed filing. Detailed filing data is available for this year.$17.6$0.51$17.1$1.71$3.26$1.55
2017Detailed filing. Detailed filing data is available for this year.$18.7$0.07$18.6$0.10$3.43$3.33
2016Detailed filing. Detailed filing data is available for this year.$22.0$0.08$21.9$1.08$4.19$3.11
2015Detailed filing. Detailed filing data is available for this year.$25.1$0.05$25.1$0.46$4.79$4.33
2014Detailed filing. Detailed filing data is available for this year.$29.5$0.07$29.4$0.09$0.96$0.88
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$30.3$0.04$30.3$3.36
2012Summary only. Only limited summary data is available for this year.$1.39$0.36$1.02$0.33$0.22$0.10
2011Detailed filing. Detailed filing data is available for this year.$1.31$0.39$0.92$0.79
2010Summary only. Only limited summary data is available for this year.$1.95$0.33$0.29$1.40$1.11
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
Apr 16, 2025
Return Version
2023v6.0
Gross Receipts
$1,173,052
Mission and Program Overview

Mission

Bring state-of-the-art care for throat and voice disorders to all patients through public awareness, education and research, including the development of highly specialized lasers and other surgical techniques.

Bring state-of-the-art care to patients in america and throughout the world for voice and airway disorders through public awareness, education and research, including surgical innovation, development of specialized surgical technologies, and the support of fellowship programs to further disseminate innovations in the field.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$1,527,366$1,276,646▼ $250,720
Pledges and Grants Receivable$210,000$465,125▲ $255,125
Cash and Non-Interest-Bearing Accounts$412,486$394,444▼ $18,042
Investments Program Related$469,281$232,159▼ $237,122
Prepaid Expenses and Deferred Charges$5,147$28,851▲ $23,704
Land, Buildings, and Equipment, Net$581$249▼ $332
Total Assets$2,624,861$2,397,474▼ $227,387
Liabilities
Accounts Payable and Accrued Expenses$10,795$16,911▲ $6,116
Total Liabilities$10,795$16,911▲ $6,116
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,707,468$1,655,700▼ $51,768
Net Assets With Donor Restrictions$906,598$724,863▼ $181,735
Total Net Assets Fund Balance$2,614,066$2,380,563▼ $233,503
Total Liabilities and Net Assets / Fund Balance$2,624,861$2,397,474▼ $227,387

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$249$6,951$7,200
Leasehold Improvements$0$3,648$3,648
Investment Program Related Org$232,159--
Compensation and Service Providers

Board Members and Trustees

NameTitle
John LichtensteinPresident
John L Ward PhdPresident Emeritus
Alex PinchevDirector
Leonard HarlanDirector
Roger a Egan JrDirector
Scott SolombrinoDirector
Steven FitzpatrickDirector
Tome AndradeDirector (until 1/2024)
Randy KnoppSecretary
James RadtkeTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$1,118,180
Program Service Revenue
$0
Investment Income
$54,872
Other Revenue
$0
All Other Contributions
$1,118,180
Change in Net Assets
$3,619

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded1$25,226Fair Market Value (FMV)
Total Noncash Contributions1$25,226-

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,173,052
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-237,122
Total Revenue per Audited Statements
$935,930
Total Revenue per Form 990
$1,173,052
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$881,554
Other Expenses$224,831
Salaries, Compensation, and Employee Benefits$63,048
Total Fundraising Expense$25,216
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$881,554--$881,554
Occupancy$40,868$40,868-$81,736
Fees for Services Accounting-$69,226-$69,226
Other Salaries and Wages-$43,651$14,550$58,201
Advertising-$27,135-$27,135
Office Expenses$268$14,708$9,454$24,430
Fees for Services Legal-$16,385-$16,385
Payroll Taxes-$3,635$1,212$4,847
Insurance-$4,513-$4,513
Fees for Services Other-$1,074-$1,074
Depreciation Depletion-$332-$332
Total Functional Expenses$922,690$221,527$25,216$1,169,433

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,169,433
Total Expenses per Audited Statements$1,169,433
Total Expenses per Form 990$1,169,433
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Massachusetts General Hospital Department of SurgeryBoston, MA501c3Research and Education in the Field of Laryngology$881,554
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

The board of directors reviews and approves the form 990 prior to its filing. The form 990 is then authorized and signed by the organization's president.

Form 990, Part VI, Section B, Line 12C

The conflict of interest policy is provided to board members upon election to the board of directors. It is then distributed annually along with the disclosure pages.

Form 990, Part VI, Section B, Line 15A

Vhi's board of directors is responsible for establishing and maintaining a competitive compensation program for key employees, which falls within a reasonable range of competitive practices for comparable positions among similarly situated organizations. During fy 2015, the board of directors determined that an executive director was no longer needed to run the organization and shifted to the position of operations manager to provide administrative support and organizational oversight. Compensation for the operations manager is determined by the board, which meets on an as needed basis to discuss performance and make recommendations for any changes, as appropriate.

Form 990, Part VI, Section C, Line 19

The organization's governing documents, conflict of interest policy, and financial statements are available upon request.

FORM 990, PART VI, SECTION B, LINE 16B:

During fy 2020, the vhi board approved a program-related investment in innovoyce, llc, a delaware limited liability company ("innovoyce"), which was formed to develop and commercialize innovations in the care and treatment of voice disorders. After careful due diligence and consultation with counsel, the board determined that this potentially groundbreaking research would further vhi's mission of advancing laryngology and voice restoration. With this determination, the vhi board unanimously approved the issuance of a convertible promissory note (the note") in the aggregate principal amount of $4,000,000 which accrues simple interest at a rate of 6% per year payable upon maturity or conversion of the note. During fy 2021, a second convertible promissory note (the note") in the aggregate principal of $3,000,000 was issued to innovoyce carrying substantially similar terms. Vhi does not currently have a policy on ancillary joint ventures. With the advice of counsel and its auditor, the vhi board considered the note as analogous to a program-related investment within the meaning of internal revenue code section 4944. Because the investment in innovoyce was structured as a loan, the board did not consider the relationship with the llc to be a joint venture.

Filing and Contact Details

Filer

Filer Name
Voice Health Institute
EIN
13-4269601
Phone
7813561603
Address
ONE BOWDOIN SQUARE 11FL, BOSTON, MA 02114

Signing Officer

Name
John Lichtenstein
Title
President
Phone
7813561603
Signed
2025-04-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Lichtenstein
Formed
2003
Legal Domicile
Ri
Voting Board Members
9
Independent Board Members
9
Employees
1
Volunteers
10

Preparer

Firm
Aafcpas Inc
Address
50 WASHINGTON STREET, WESTBOROUGH, MA 01581
Preparer
Caitlin Limoges CPA
Phone
5083669100
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Valuation adjustment of innovoyce -237,122.

FORM 990, PART XI, LINE 9:

The valuation adjustment of innovoyce related to the following transaction which vhi entered into related to program specific investments: on november 1, 2019, the organization entered into a convertible note purchase agreement with innovoyce. Pursuant to the terms of the note purchase agreement, innovoyce issued to the organization, in a private placement, a convertible promissory note in the aggregate principal amount of $4,000,000 (the note). The note was unsecured and accrued simple interest at the rate of 6% per annum. Events of default under the note include violations or breaches of the note or the note purchase agreement, defaults in other innovoyce indebtedness, a bankruptcy filing made by innovoyce, or an involuntary petition is filed against it. Unless earlier repaid or converted, the note was set to mature on the one-year anniversary after the organization makes a written request for repayment of the note, which may be made only on, or at any time after, the maturity date of november 1, 2023. On february 15, 2021, the organization and innovoyce entered into a second note purchase agreement in the amount of $3,000,000 with the same general terms and conditions of original note (the second note). Unless earlier repaid or converted, the second note matures on the one-year anniversary after the organization makes a written request for repayment of the second note, which may be made only on, or at any time after, the maturity date of february 15, 2025. On june 28, 2022 (the initial closing date), the organization, innovoyce and two other investors (the purchasers) closed the transactions contemplated by the unit purchase agreement dated as of june 28, 2022, entered into between the parties (the purchase agreement). Pursuant to the terms of the purchase agreement, innovoyce issued in a private placement an aggregate of 2,368,715 units of innovoyce, of which 1,661,958 units were issued to the purchasers in consideration for a cash purchase price of approximately $2,000,000, and 706,757 units (the vhi units) were issued to the organization in consideration for the conversion in full of all principal and accrued interest under the note and second note in the aggregate amount of $7,868,438. At the initial closing date, the note and second note were deemed to be terminated, and the organization had no further rights under the note and second note. Innovoyce had the right under the purchase agreement to sell up to an additional 4,154,970 units at a purchase price of $1.2034 per unit for a period of ninety days following the initial closing date (or such longer period as innovoyce's board may determine in its sole discretion). Pursuant to the terms of the purchase agreement, the organization and the purchasers were granted information rights providing them with annual and quarterly financial statements of innovoyce, as well as inspection rights with respect to innovoyce's properties, books and records. The purchasers (but not the organization) were also granted preemptive rights with respect to any issuances of securities by innovoyce. In addition, on the initial closing date, the organization, the purchasers and the other members of innovoyce entered into an amended and restated operating agreement of innovoyce (the operating agreement), which sets forth various rights, agreements and obligations of the parties, including, but not limited to, voting rights, restrictions on transfer of the units (subject to certain limited exceptions), distributions, and that innovoyce shall be managed by a board of managers (the board of managers). The board of managers shall initially consist of five individuals. For so long as the organization is a member of innovoyce and owns at least 530,067 units (subject to adjustment upon any unit split, recapitalization or other similar event), all members have agreed to vote their units to elect as a member of the board of managers one individual designated or nominated by the organization. The member

FORM 990, PART XI, LINE 9 (CONTINUED):

The board also considered that prior to the organization's previous investments in innovoyce, all made to support the wider field of laryngology through a more broad accessibility of such innovations in voice care and restoration, the organization had no such equity share or revenue from any other source; that the funds previously invested by the organization in innovoyce, if not so invested, would simply have been otherwise committed to the subject research; that notwithstanding the cash flow difficulties of innovoyce, that the core voice restoring and treating innovations and products of innovoyce, and the extensive research achieved to date through innovoyce, remained deeply supportive of the organization's mission; and, with new corporate leadership coming into innovoyce, also as assessed by the investment committee, as well as the subject financing, there appeared to be good opportunity for innovoyce's success. Also, in this context, the board concluded that there was not a meaningful alternative as failure of innovoyce in the absence of this financing would create a complete loss of the organization's investment. Following consideration of these factors, the board voted unanimously to move forward as described with the requirements that the organization's converted equity share will not be less than 9.72%, and that the organization's as-converted equity share will exceed 9.72%, proportionately, consistent with the innovoyce unit financing pro forma cap table, for funding which totals less than $7 million; and that the organization's representative seat on the board of innovoyce be protected. Each of these requirements was met and the organization's counsel handled the communication and execution of the transaction.

Financial Statement Notes

PART X, LINE 2:

The organization accounts for uncertainty in income taxes in accordance with asc topic, income taxes. This standard clarifies the accounting for uncertainty in tax positions and prescribes a recognition threshold and measurement attribute for the financial statements regarding a tax position taken or expected to be taken in a tax return. The organization has determined that there are no uncertain tax positions which qualify for either recognition or disclosure in the financial statements at june 30, 2024. The organization's information returns are subject to examination by federal and state jurisdictions.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

Valuation adjustment of innovoyce -237,122.

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IRS990/Form990PartVIISectionAGrp/PersonNm1JAMES RADTKE
IRS990/Form990PartVIISectionAGrp/PersonNm2RANDY KNOPP
IRS990/Form990PartVIISectionAGrp/PersonNm3JOHN L WARD PHD
IRS990/Form990PartVIISectionAGrp/PersonNm4ROGER A EGAN JR
IRS990/Form990PartVIISectionAGrp/PersonNm5SCOTT SOLOMBRINO
IRS990/Form990PartVIISectionAGrp/PersonNm6ALEX PINCHEV
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IRS990/Form990PartVIISectionAGrp/PersonNm8LEONARD HARLAN
IRS990/Form990PartVIISectionAGrp/PersonNm9STEVEN FITZPATRICK
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IRS990/Form990PartVIISectionAGrp/TitleTxt3PRESIDENT EMERITUS
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR (UNTIL 1/2024)
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IRS990/MissionDesc0BRING STATE-OF-THE-ART CARE TO PATIENTS IN AMERICA AND THROUGHOUT THE WORLD FOR VOICE AND AIRWAY DISORDERS THROUGH PUBLIC AWARENESS, EDUCATION AND RESEARCH, INCLUDING SURGICAL INNOVATION, DEVELOPMENT OF SPECIALIZED SURGICAL TECHNOLOGIES, AND THE SUPPORT OF FELLOWSHIP PROGRAMS TO FURTHER DISSEMINATE INNOVATIONS IN THE FIELD.
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AT JUNE 30, 2024. THE ORGANIZATION'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE JURISDICTIONS.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1VALUATION ADJUSTMENT OF INNOVOYCE -237,122.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
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IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0RESEARCH AND EDUCATION IN THE FIELD OF LARYNGOLOGY
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0MASSACHUSETTS GENERAL HOSPITAL DEPARTMENT OF SURGERY
IRS990ScheduleI/RecipientTable/RecipientEIN0041564655
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt055 FRUIT STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0BOSTON
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0MA
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0VHI FUNDS RESEARCH GRANTS TO ORGANIZATIONS FOR THEIR PROGRAMS RELATED TO VOICE. VERBAL REPORTS AND UPDATES OF RESEARCH ENDEAVORS FUNDED BY VHI ARE PROVIDED DURING BOARD MEETINGS AND AN ANNUAL WRITTEN REPORT IS ALSO PROVIDED.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 PRIOR TO ITS FILING. THE FORM 990 IS THEN AUTHORIZED AND SIGNED BY THE ORGANIZATION'S PRESIDENT.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE CONFLICT OF INTEREST POLICY IS PROVIDED TO BOARD MEMBERS UPON ELECTION TO THE BOARD OF DIRECTORS. IT IS THEN DISTRIBUTED ANNUALLY ALONG WITH THE DISCLOSURE PAGES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2VHI'S BOARD OF DIRECTORS IS RESPONSIBLE FOR ESTABLISHING AND MAINTAINING A COMPETITIVE COMPENSATION PROGRAM FOR KEY EMPLOYEES, WHICH FALLS WITHIN A REASONABLE RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS. DURING FY 2015, THE BOARD OF DIRECTORS DETERMINED THAT AN EXECUTIVE DIRECTOR WAS NO LONGER NEEDED TO RUN THE ORGANIZATION AND SHIFTED TO THE POSITION OF OPERATIONS MANAGER TO PROVIDE ADMINISTRATIVE SUPPORT AND ORGANIZATIONAL OVERSIGHT. COMPENSATION FOR THE OPERATIONS MANAGER IS DETERMINED BY THE BOARD, WHICH MEETS ON AN AS NEEDED BASIS TO DISCUSS PERFORMANCE AND MAKE RECOMMENDATIONS FOR ANY CHANGES, AS APPROPRIATE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DURING FY 2020, THE VHI BOARD APPROVED A PROGRAM-RELATED INVESTMENT IN INNOVOYCE, LLC, A DELAWARE LIMITED LIABILITY COMPANY ("INNOVOYCE"), WHICH WAS FORMED TO DEVELOP AND COMMERCIALIZE INNOVATIONS IN THE CARE AND TREATMENT OF VOICE DISORDERS. AFTER CAREFUL DUE DILIGENCE AND CONSULTATION WITH COUNSEL, THE BOARD DETERMINED THAT THIS POTENTIALLY GROUNDBREAKING RESEARCH WOULD FURTHER VHI'S MISSION OF ADVANCING LARYNGOLOGY AND VOICE RESTORATION. WITH THIS DETERMINATION, THE VHI BOARD UNANIMOUSLY APPROVED THE ISSUANCE OF A CONVERTIBLE PROMISSORY NOTE (THE NOTE") IN THE AGGREGATE PRINCIPAL AMOUNT OF $4,000,000 WHICH ACCRUES SIMPLE INTEREST AT A RATE OF 6% PER YEAR PAYABLE UPON MATURITY OR CONVERSION OF THE NOTE. DURING FY 2021, A SECOND CONVERTIBLE PROMISSORY NOTE (THE NOTE") IN THE AGGREGATE PRINCIPAL OF $3,000,000 WAS ISSUED TO INNOVOYCE CARRYING SUBSTANTIALLY SIMILAR TERMS. VHI DOES NOT CURRENTLY HAVE A POLICY ON ANCILLARY JOINT VENTURES. WITH THE ADVICE OF COUNSEL AND ITS AUDITOR, THE VHI BOARD CONSIDERED THE NOTE AS ANALOGOUS TO A PROGRAM-RELATED INVESTMENT WITHIN THE MEANING OF INTERNAL REVENUE CODE SECTION 4944. BECAUSE THE INVESTMENT IN INNOVOYCE WAS STRUCTURED AS A LOAN, THE BOARD DID NOT CONSIDER THE RELATIONSHIP WITH THE LLC TO BE A JOINT VENTURE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5VALUATION ADJUSTMENT OF INNOVOYCE -237,122.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6THE VALUATION ADJUSTMENT OF INNOVOYCE RELATED TO THE FOLLOWING TRANSACTION WHICH VHI ENTERED INTO RELATED TO PROGRAM SPECIFIC INVESTMENTS: ON NOVEMBER 1, 2019, THE ORGANIZATION ENTERED INTO A CONVERTIBLE NOTE PURCHASE AGREEMENT WITH INNOVOYCE. PURSUANT TO THE TERMS OF THE NOTE PURCHASE AGREEMENT, INNOVOYCE ISSUED TO THE ORGANIZATION, IN A PRIVATE PLACEMENT, A CONVERTIBLE PROMISSORY NOTE IN THE AGGREGATE PRINCIPAL AMOUNT OF $4,000,000 (THE NOTE). THE NOTE WAS UNSECURED AND ACCRUED SIMPLE INTEREST AT THE RATE OF 6% PER ANNUM. EVENTS OF DEFAULT UNDER THE NOTE INCLUDE VIOLATIONS OR BREACHES OF THE NOTE OR THE NOTE PURCHASE AGREEMENT, DEFAULTS IN OTHER INNOVOYCE INDEBTEDNESS, A BANKRUPTCY FILING MADE BY INNOVOYCE, OR AN INVOLUNTARY PETITION IS FILED AGAINST IT. UNLESS EARLIER REPAID OR CONVERTED, THE NOTE WAS SET TO MATURE ON THE ONE-YEAR ANNIVERSARY AFTER THE ORGANIZATION MAKES A WRITTEN REQUEST FOR REPAYMENT OF THE NOTE, WHICH MAY BE MADE ONLY ON, OR AT ANY TIME AFTER, THE MATURITY DATE OF NOVEMBER 1, 2023. ON FEBRUARY 15, 2021, THE ORGANIZATION AND INNOVOYCE ENTERED INTO A SECOND NOTE PURCHASE AGREEMENT IN THE AMOUNT OF $3,000,000 WITH THE SAME GENERAL TERMS AND CONDITIONS OF ORIGINAL NOTE (THE SECOND NOTE). UNLESS EARLIER REPAID OR CONVERTED, THE SECOND NOTE MATURES ON THE ONE-YEAR ANNIVERSARY AFTER THE ORGANIZATION MAKES A WRITTEN REQUEST FOR REPAYMENT OF THE SECOND NOTE, WHICH MAY BE MADE ONLY ON, OR AT ANY TIME AFTER, THE MATURITY DATE OF FEBRUARY 15, 2025. ON JUNE 28, 2022 (THE INITIAL CLOSING DATE), THE ORGANIZATION, INNOVOYCE AND TWO OTHER INVESTORS (THE PURCHASERS) CLOSED THE TRANSACTIONS CONTEMPLATED BY THE UNIT PURCHASE AGREEMENT DATED AS OF JUNE 28, 2022, ENTERED INTO BETWEEN THE PARTIES (THE PURCHASE AGREEMENT). PURSUANT TO THE TERMS OF THE PURCHASE AGREEMENT, INNOVOYCE ISSUED IN A PRIVATE PLACEMENT AN AGGREGATE OF 2,368,715 UNITS OF INNOVOYCE, OF WHICH 1,661,958 UNITS WERE ISSUED TO THE PURCHASERS IN CONSIDERATION FOR A CASH PURCHASE PRICE OF APPROXIMATELY $2,000,000, AND 706,757 UNITS (THE VHI UNITS) WERE ISSUED TO THE ORGANIZATION IN CONSIDERATION FOR THE CONVERSION IN FULL OF ALL PRINCIPAL AND ACCRUED INTEREST UNDER THE NOTE AND SECOND NOTE IN THE AGGREGATE AMOUNT OF $7,868,438. AT THE INITIAL CLOSING DATE, THE NOTE AND SECOND NOTE WERE DEEMED TO BE TERMINATED, AND THE ORGANIZATION HAD NO FURTHER RIGHTS UNDER THE NOTE AND SECOND NOTE. INNOVOYCE HAD THE RIGHT UNDER THE PURCHASE AGREEMENT TO SELL UP TO AN ADDITIONAL 4,154,970 UNITS AT A PURCHASE PRICE OF $1.2034 PER UNIT FOR A PERIOD OF NINETY DAYS FOLLOWING THE INITIAL CLOSING DATE (OR SUCH LONGER PERIOD AS INNOVOYCE'S BOARD MAY DETERMINE IN ITS SOLE DISCRETION). PURSUANT TO THE TERMS OF THE PURCHASE AGREEMENT, THE ORGANIZATION AND THE PURCHASERS WERE GRANTED INFORMATION RIGHTS PROVIDING THEM WITH ANNUAL AND QUARTERLY FINANCIAL STATEMENTS OF INNOVOYCE, AS WELL AS INSPECTION RIGHTS WITH RESPECT TO INNOVOYCE'S PROPERTIES, BOOKS AND RECORDS. THE PURCHASERS (BUT NOT THE ORGANIZATION) WERE ALSO GRANTED PREEMPTIVE RIGHTS WITH RESPECT TO ANY ISSUANCES OF SECURITIES BY INNOVOYCE. IN ADDITION, ON THE INITIAL CLOSING DATE, THE ORGANIZATION, THE PURCHASERS AND THE OTHER MEMBERS OF INNOVOYCE ENTERED INTO AN AMENDED AND RESTATED OPERATING AGREEMENT OF INNOVOYCE (THE OPERATING AGREEMENT), WHICH SETS FORTH VARIOUS RIGHTS, AGREEMENTS AND OBLIGATIONS OF THE PARTIES, INCLUDING, BUT NOT LIMITED TO, VOTING RIGHTS, RESTRICTIONS ON TRANSFER OF THE UNITS (SUBJECT TO CERTAIN LIMITED EXCEPTIONS), DISTRIBUTIONS, AND THAT INNOVOYCE SHALL BE MANAGED BY A BOARD OF MANAGERS (THE BOARD OF MANAGERS). THE BOARD OF MANAGERS SHALL INITIALLY CONSIST OF FIVE INDIVIDUALS. FOR SO LONG AS THE ORGANIZATION IS A MEMBER OF INNOVOYCE AND OWNS AT LEAST 530,067 UNITS (SUBJECT TO ADJUSTMENT UPON ANY UNIT SPLIT, RECAPITALIZATION OR OTHER SIMILAR EVENT), ALL MEMBERS HAVE AGREED TO VOTE THEIR UNITS TO ELECT AS A MEMBER OF THE BOARD OF MANAGERS ONE INDIVIDUAL DESIGNATED OR NOMINATED BY THE ORGANIZATION. THE MEMBER
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7THE BOARD ALSO CONSIDERED THAT PRIOR TO THE ORGANIZATION'S PREVIOUS INVESTMENTS IN INNOVOYCE, ALL MADE TO SUPPORT THE WIDER FIELD OF LARYNGOLOGY THROUGH A MORE BROAD ACCESSIBILITY OF SUCH INNOVATIONS IN VOICE CARE AND RESTORATION, THE ORGANIZATION HAD NO SUCH EQUITY SHARE OR REVENUE FROM ANY OTHER SOURCE; THAT THE FUNDS PREVIOUSLY INVESTED BY THE ORGANIZATION IN INNOVOYCE, IF NOT SO INVESTED, WOULD SIMPLY HAVE BEEN OTHERWISE COMMITTED TO THE SUBJECT RESEARCH; THAT NOTWITHSTANDING THE CASH FLOW DIFFICULTIES OF INNOVOYCE, THAT THE CORE VOICE RESTORING AND TREATING INNOVATIONS AND PRODUCTS OF INNOVOYCE, AND THE EXTENSIVE RESEARCH ACHIEVED TO DATE THROUGH INNOVOYCE, REMAINED DEEPLY SUPPORTIVE OF THE ORGANIZATION'S MISSION; AND, WITH NEW CORPORATE LEADERSHIP COMING INTO INNOVOYCE, ALSO AS ASSESSED BY THE INVESTMENT COMMITTEE, AS WELL AS THE SUBJECT FINANCING, THERE APPEARED TO BE GOOD OPPORTUNITY FOR INNOVOYCE'S SUCCESS. ALSO, IN THIS CONTEXT, THE BOARD CONCLUDED THAT THERE WAS NOT A MEANINGFUL ALTERNATIVE AS FAILURE OF INNOVOYCE IN THE ABSENCE OF THIS FINANCING WOULD CREATE A COMPLETE LOSS OF THE ORGANIZATION'S INVESTMENT. FOLLOWING CONSIDERATION OF THESE FACTORS, THE BOARD VOTED UNANIMOUSLY TO MOVE FORWARD AS DESCRIBED WITH THE REQUIREMENTS THAT THE ORGANIZATION'S CONVERTED EQUITY SHARE WILL NOT BE LESS THAN 9.72%, AND THAT THE ORGANIZATION'S AS-CONVERTED EQUITY SHARE WILL EXCEED 9.72%, PROPORTIONATELY, CONSISTENT WITH THE INNOVOYCE UNIT FINANCING PRO FORMA CAP TABLE, FOR FUNDING WHICH TOTALS LESS THAN $7 MILLION; AND THAT THE ORGANIZATION'S REPRESENTATIVE SEAT ON THE BOARD OF INNOVOYCE BE PROTECTED. EACH OF THESE REQUIREMENTS WAS MET AND THE ORGANIZATION'S COUNSEL HANDLED THE COMMUNICATION AND EXECUTION OF THE TRANSACTION.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 16B:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7FORM 990, PART XI, LINE 9 (CONTINUED):
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MA
IRS990/StatesWhereCopyOfReturnIsFldCd1CA
IRS990/StatesWhereCopyOfReturnIsFldCd2NY
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt02624861
IRS990/TotalAssetsEOYAmt02397474
IRS990/TotalAssetsGrp/BOYAmt02624861
IRS990/TotalAssetsGrp/EOYAmt02397474
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt01118180
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt025216
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0221527
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0922690
IRS990/TotalFunctionalExpensesGrp/TotalAmt01169433
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt010795
IRS990/TotalLiabilitiesEOYAmt016911
IRS990/TotalLiabilitiesGrp/BOYAmt010795
IRS990/TotalLiabilitiesGrp/EOYAmt016911
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt02614066
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt02380563
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0922690
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt054872
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt01173052
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt010

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