FURP.ORG / PUBLIC DATA EXPLORER

ON WITH LIFE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ON WITH LIFE INC (EIN 42-1308032)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-13
IRS object ID
202201339349309310
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-13T16:51:00-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN871438555PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RYUN GIVENS & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12900 100TH STREET SUITE 303AddressLine1Txt
CityURBANDALECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50322ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421308032EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ON WITH LIFE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlONWIBusinessNameControlTxt
Phone5159651339PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 SOUTHWEST ANKENY ROADAddressLine1Txt
CityANKENYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50023ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEAN SHELTONPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone5159651339PhoneNum
Signature2022-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEANPersonFirstNm
Person LastSHELTONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHY A FRENCHPreparerPersonNm
PTINP02443093PTIN
Phone5152253141PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEAN SHELTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 SOUTHWEST ANKENY ROADAddressLine1Txt
CityANKENYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50023ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$18,201,375GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressON-WITH-LIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1987FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionJOINING HANDS, HEARTS, AND MINDS TO HELP PERSONS LIVING WITH BRAIN INJURY GET ON WITH LIFE.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee279TotalEmployeeCnt
Total Volunteers200TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$94,544PYContributionsGrantsAmt
CY Contributions Grants$2,873,038CYContributionsGrantsAmt
PY Program Service Revenue$14,726,178PYProgramServiceRevenueAmt
CY Program Service Revenue$15,307,578CYProgramServiceRevenueAmt
PY Investment Income$31,630PYInvestmentIncomeAmt
CY Investment Income$6,239CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$14,852,352PYTotalRevenueAmt
CY Total Revenue$18,186,855CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,495,741PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,532,592CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,456,790PYOtherExpensesAmt
CY Other Expenses$5,761,535CYOtherExpensesAmt
PY Total Expenses$15,952,531PYTotalExpensesAmt
CY Total Expenses$16,294,127CYTotalExpensesAmt
PY Revenues Less Expenses-$1,100,179PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,892,728CYRevenuesLessExpensesAmt
Total Assets BOY$17,299,517TotalAssetsBOYAmt
Total Assets EOY$19,447,887TotalAssetsEOYAmt
Total Liabilities BOY$7,966,012TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,221,654TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$9,333,505NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,226,233NetAssetsOrFundBalancesEOYAmt
MissionJOINING HANDS, HEARTS, AND MINDS TO HELP PERSONS LIVING WITH BRAIN INJURY GET ON WITH LIFE. TO BE THE PROVIDER OF CHOICE IN BRAIN INJURY REHABILITATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,277,870ExpenseAmt
Revenue$15,293,058RevenueAmt
DescFUNCTIONAL EXPENSES WERE INCURRED IN PROVIDING SPECIALIZED CARE AND REHABILITATION SERVICES TO INDIVIDUALS WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY OR OTHER NEUROLOGICAL DISABILITY.Desc
Total Program Service Expenses$11,277,870TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document62IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee279EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEANETTE SHELTONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5152899600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 SOUTHWEST ANKENY ROADAddressLine1Txt
CityANKENYCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50023ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JEANETTE SHELTON
CEO40.00Yes (X)Yes (X)$231,739$0$17,216
MARK DEARDEN
BOARD MEMBER0.60Yes (X)$0$0$0
THOMAS FRIEDMAN
CHAIR0.60Yes (X)Yes (X)$0$0$0
KATHLEEN BENSON LARSON
SECRETARY0.60Yes (X)Yes (X)$0$0$0
JEB LEE
DIRECTOR0.60Yes (X)$0$0$0
MARK DEARDEN
DIRECTOR0.60Yes (X)$0$0$0
ARTHUR FILEAN
TREASURER0.60Yes (X)Yes (X)$0$0$0
MARC HARDING
DIRECTOR0.60Yes (X)$0$0$0
DONNA WALTER
VICE CHAIR0.60Yes (X)Yes (X)$0$0$0
CARL HARRIS
DIRECTOR0.60Yes (X)$0$0$0
SARA JOHNSTON
DIRECTOR0.60Yes (X)$0$0$0
MEREDITH LAMBERTI
DIRECTOR0.60Yes (X)$0$0$0
VILIA TARVYDAS
DIRECTOR0.60Yes (X)$0$0$0
ELI WIRTZ
DIRECTOR0.60Yes (X)$0$0$0
JOHN LEDVINA
DIRECTOR0.60Yes (X)$0$0$0
JIM FOREMAN
CFO40.00Yes (X)$123,906$0$4,701
DAVID DEMAREST
NEUROPSYCHOLOGIST40.00$175,423$0$12,960Yes (X)
PATRICK STILWILL
EXEC DIRECTOR40.00$146,601$0$5,473Yes (X)
GARY WALTERS
ANALYTICS DIRECTOR40.00$117,370$0$11,367Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$795,039TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$51,717TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MCKESSON MEDICAL
6555 STATE HWY 161IRVINGTX75039MEDICAL SUPPLIES$258,535
COMMUNITY STATE BANK
1640 SW WHITE BIRCHANKENYIA50023LOAN HLDER$233,531
SIGNATURE HEALTHCARE LLC
14255 UNIVERSITY AVE STE 130WAUKEEIA50263CONTRACT NURSING$166,580
GRAND RAIL DEVELOPMENT
2810 STONER CT SUITE 5N LIBERTYIA52317CONTRACTOR$110,135
SVPA ARCHITECTS INC
1466 28TH ST STE 200WEST DES MOINESIA50266ARCHITECT$100,160
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$108,041RelatedOrganizationsAmt
Government Grants$1,979,719GovernmentGrantsAmt
All Other Contributions$785,278AllOtherContributionsAmt
Total Contributions$2,873,038TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES623000$12,677,543$12,677,543
MANAGEMENT REVENUE623000$2,370,942$2,370,942
OTHER ANCILLARY623000$259,093$259,093
FieldValueIRS element (for citing)
Total Program Service Revenue$15,307,578TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,759TotalRevenueColumnAmt
Exclusion$20,759ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$14,520OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$14,520OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,520TotalRevenueColumnAmt
Related Or Exempt Func Income-$14,520RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,186,855TotalRevenueColumnAmt
Related Or Exempt Func Income$15,293,058RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$20,759ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,131,456TotalAmt
Management And General$1,131,456ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,003,613TotalAmt
Program Services$6,971,559ProgramServicesAmt
Management And General$1,032,054ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$847,710TotalAmt
Program Services$674,614ProgramServicesAmt
Management And General$173,096ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$549,813TotalAmt
Program Services$501,888ProgramServicesAmt
Management And General$47,925ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$856,908TotalAmt
Program Services$265,469ProgramServicesAmt
Management And General$591,439ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$23,242TotalAmt
Management And General$23,242ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$674,940TotalAmt
Program Services$630,951ProgramServicesAmt
Management And General$43,989ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$95,744TotalAmt
Program Services$95,744ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$750,977TotalAmt
Program Services$750,977ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$86,944TotalAmt
Program Services$32,192ProgramServicesAmt
Management And General$54,752ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTED SERVICES$2,123,871$401,025$1,722,846
SUPPLIES$843,677$706,493$137,184
MISCELLANEOUS$305,232$246,958$58,274

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,294,127TotalAmt
Program Services$11,277,870ProgramServicesAmt
Management And General$5,016,257ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,501,593BOYAmt
EOY$6,026,733EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,477,252BOYAmt
EOY$2,680,008EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$775,004BOYAmt
EOY$1,247,657EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,147,016LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,833,083LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,850,275BOYAmt
EOY$7,313,933EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,695,393BOYAmt
EOY$2,179,556EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,299,517BOYAmt
EOY$19,447,887EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,789,137BOYAmt
EOY$1,415,725EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,087,699BOYAmt
EOY$4,192,938EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,089,176BOYAmt
EOY$2,612,991EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,966,012BOYAmt
EOY$8,221,654EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,333,505BOYAmt
EOY$11,072,150EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$154,083EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,333,505BOYAmt
EOY$11,226,233EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,299,517BOYAmt
EOY$19,447,887EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,892,728ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$336,217CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$300,407CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$278,745CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$94,544CurrentTaxYearMinus1YearAmt
Current Tax Year$2,873,038CurrentTaxYearAmt
Total$3,882,951TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,855,425CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,577,265CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,327,643CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,651,411CurrentTaxYearMinus1YearAmt
Current Tax Year$15,307,578CurrentTaxYearAmt
Total$70,719,322TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,191,642CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,877,672CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,606,388CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,745,955CurrentTaxYearMinus1YearAmt
Current Tax Year$18,180,616CurrentTaxYearAmt
Total$74,602,273TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$74,602,273PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,524CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,230CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$73,062CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,740CurrentTaxYearMinus1YearAmt
Current Tax Year$20,759CurrentTaxYearAmt
Total$156,315TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,524CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,230CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$73,062CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,740CurrentTaxYearMinus1YearAmt
Current Tax Year$20,759CurrentTaxYearAmt
Total$156,315TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,200,166CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,905,902CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,679,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,771,695CurrentTaxYearMinus1YearAmt
Current Tax Year$18,201,375CurrentTaxYearAmt
Total$74,758,588TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99790PublicSupportCY509Pct
Public Support PY5090.99720PublicSupportPY509Pct
Investment Income CY0.00210InvestmentIncomeCYPct
Investment Income PY0.00280InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$223,011OtherCostOrOtherBasisAmt
Book Value$223,011BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,924,005OtherCostOrOtherBasisAmt
Depreciation$6,833,083DepreciationAmt
Book Value$7,090,922BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,313,933TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY ACCOUNTSDesc
Book Value$2,179,556BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,179,556TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY LIABILITIESDesc
Amt$2,612,991Amt
FieldValueIRS element (for citing)
Total Liability$2,612,991TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS ADOPTED THE ACCOUNTING STANDARD REGARDING "ACCOUNTING FOR UNCERTAIN TAX POSITIONS." THIS STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ENTITY'S FINANCIAL STATEMENTS. IT REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE ADOPTION OF THIS STANDARD HAD NO MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOW.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JEANETTE SHELTON
CEO$197,936$0$26,500$0$7,303$0$8,069$0$9,147$0$248,955$0$0$0
DAVID DEMAREST
NEUROPSYCHOLOGIST$169,570$0$500$0$5,353$0$5,855$0$7,105$0$188,383$0$0$0
PATRICK STILWILL
EXEC DIRECTOR$141,350$0$750$0$4,501$0$4,933$0$540$0$152,074$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationWAGES ARE COMPARED TO SALARIES PUBLISHED IN BUSINESS RECORD FOR SIMILAR POSITIONS. THE BOARD ALSO USES WAGE SURVEYS FROM IOWA WORKFORCE, IOWA HEALTH CARE ASSOCIATION, AND SIMILAR ASSOCIATIONS. THE EXECUTIVE COMMITTEE COMPLETES PERFORMANCE REVIEW REVIEWS AND THE FULL BOARD VOTES ON THE EXECUTIVE DIRECTOR'S SALARY.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BAN ELECTRONIC COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE FILING. ANY QUESTIONS AND CLARIFICATIONS ARE DIRECTED TO THE FINANCE COMMITTEE CHAIR.
FORM 990, PART VI, SECTION B, LINE 12CEVERY BOARD MEETING BEGINS WITH A REVIEW OF THE AGENDA ITEMS, AND DIRECTORS ARE PROMPTED TO DISCLOSE ANY CONFLICTS OF INTEREST RELATED TO THOSE ITEMS.
FORM 990, PART VI, SECTION B, LINE 15APOLICY "CHIEF EXECUTIVE OFFICER COMPENSATION" REQUIRES ANNUAL REVIEW, COMPENSATION DETERMINATION, AND APPROVAL BY THE BOARD EXECUTIVE COMMITTEE. BOARD CHAIR PROVIDES INFORMATION TO ENTIRE BOARD DURING MEETING EXECUTIVE SESSION (NO STAFF PERSONS PRESENT).
FORM 990, PART VI, SECTION C, LINE 19ARTICLES OF INCORPORATION ARE PUBLISHED ON THE SECRETARY OF STATE WEBSITE. THE BYLAWS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST. THE CONSOLIDATED FINANCIAL STATEMENT SUMMARY INCLUDED IN THE ANNUAL REPORT IS ON THE ORGANIZATION'S WEBSITE, AND FORM 990 IS AVAILABLE ON GUIDESTAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
ON WITH LIFE EXTENDED SERVICES LTD
715 SW ANKENY RDANKENYIA50023421521198PROVIDE SKILLED CARE AND REHAB SERVICES FOR INDIVIDUALS WITH BRAIN INJURIESIA501(C)(3)LINE 100
ON WITH LIFE FOUNDATION
715 SW ANKENY RDANKENYIA50023421399777SUPPORT OWL AFFILIATES IN PROVIDING SERVICES TO IND LIVING W/BRAIN INJURYIA501(C)(3)LINE 12B, II0
ON WITH LIFE SUPPORTIVE HOUSING CORPORATION
715 SW ANKENY RDANKENYIA50023460516882SUBSIDIZED HOUSING FOR INDIVIDUALS WHO HAVE EXPERIENCED A BRAIN INJURYIA501(C)(3)LINE 100
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ON WITH LIFE FOUNDATION
C$262,124ACTUAL
ON WITH LIFE FOUNDATION
O$6,623ACTUAL
ON WITH LIFE SUPPORTIVE HOUSING
P$3,963ACTUAL