FURP.ORG / PUBLIC DATA EXPLORER

ON WITH LIFE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ON WITH LIFE INC (EIN 42-1308032)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-12
IRS object ID
202101329349302425
Schema version
2019v5.2
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)
Return2021-05-12T11:07:54-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420732909PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RYUN GIVENS & COMPANY PLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12900 100TH STREET SUITE 301AddressLine1Txt
CityURBANDALECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50322ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

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
Signature2021-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHY FRENCHPreparerPersonNm
PTINP02443093PTIN
Phone5152253141PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
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$14,852,352GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee285TotalEmployeeCnt
Total Volunteers198TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$278,745PYContributionsGrantsAmt
CY Contributions Grants$94,544CYContributionsGrantsAmt
PY Program Service Revenue$15,327,643PYProgramServiceRevenueAmt
CY Program Service Revenue$14,726,178CYProgramServiceRevenueAmt
PY Investment Income$73,062PYInvestmentIncomeAmt
CY Investment Income$31,630CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$15,679,450PYTotalRevenueAmt
CY Total Revenue$14,852,352CYTotalRevenueAmt
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$9,689,606PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,495,741CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,225,612PYOtherExpensesAmt
CY Other Expenses$5,456,790CYOtherExpensesAmt
PY Total Expenses$14,915,218PYTotalExpensesAmt
CY Total Expenses$15,952,531CYTotalExpensesAmt
PY Revenues Less Expenses$764,232PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,100,179CYRevenuesLessExpensesAmt
Total Assets BOY$16,535,264TotalAssetsBOYAmt
Total Assets EOY$17,299,517TotalAssetsEOYAmt
Total Liabilities BOY$6,101,581TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,966,012TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,433,683NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,333,505NetAssetsOrFundBalancesEOYAmt
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$10,664,076ExpenseAmt
Revenue$16,479,526RevenueAmt
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$10,664,076TotalProgramServiceExpensesAmt
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 Stmt0ConsolidatedAuditFinclStmtInd
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 Document86IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee285EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CARL HARRIS
BOARD MEMBER0.60Yes (X)$0$0$0
THOMAS FRIEDMAN
BOARD CHAIR0.60Yes (X)$0$0$0Yes (X)
KATE BENSON LARSON
SECRETARY0.60Yes (X)$0$0$0Yes (X)
TRACY BOLLIN
TREASURER AND VICE CHAIR0.60Yes (X)$0$0$0Yes (X)
GAIL BOLIVER
DIRECTOR0.60Yes (X)$0$0$0
ARTHUR FILEAN
DIRECTOR0.60Yes (X)$0$0$0
MARC HARDING
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
MARK DEARDEN
DIRECTOR0.60Yes (X)$0$0$0
DONNA WALTER
DIRECTOR0.60Yes (X)$0$0$0
SARA JOHNSTON
DIRECTOR0.60Yes (X)$0$0$0
JEANETTE SHELTON
CEO40.00$240,451$0$32,046Yes (X)
JIM FOREMAN
CFO40.00$120,829$0$14,988Yes (X)
DAVID DEMAREST
NEUROPSYCHOLOGIST40.00$176,603$0$38,993Yes (X)
PATRICK STILWILL
EXEC DIR OF PROGRAMS AND S40.00$146,229$0$22,335Yes (X)
COREY MORRISON
CHIEF STRATEGY AND DEVELOP40.00$104,982$0$25,399Yes (X)
MATTHEW STEEN
HR DIRECTOR40.00$100,040$0$36,731Yes (X)
DAVID ANDERS
CLINICAL DIRECTOR40.00$109,688$0$20,230Yes (X)
GARY WALTERS
ANALYTICS DIRECTOR40.00$118,435$0$24,550Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,117,257TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$215,272TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
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
WELLMARK BCBS
1331 GRAND AVENUESDES MOINESIA50309INSURANCE$986,677
COMMUNITY STATE BANK
1640 SW WHITE BIRCHANKENYIA50023LOAN HLDER$235,425
MCKESSON MEDICAL
6555 STATE HWY 161IRVINGTX75039MEDICAL SUPPLIES$199,418
GRAND RAIL DEVELOPMENT
2810 STONER CT SUITE 5N LIBERTYIA52317CONTRACTOR$186,644
MARTIN BROTHERS
6623 CHANCELLOR DRCEDAR FALLSIA50613FOOD SERVICE$110,947
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$94,544RelatedOrganizationsAmt
Total Contributions$94,544TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES623000$11,943,718$11,943,718
MANAGEMENT REVENUE623000$2,417,880$2,417,880
OTHER ANCILLARY623000$289,813$289,813
LOAN FORGIVENESS623000$74,767$74,767
FieldValueIRS element (for citing)
Total Program Service Revenue$14,726,178TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,740TotalRevenueColumnAmt
Exclusion$25,740ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$5,890OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$5,890OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,890TotalRevenueColumnAmt
Related Or Exempt Func Income$5,890RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,852,352TotalRevenueColumnAmt
Related Or Exempt Func Income$14,732,068RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$25,740ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,027,237TotalAmt
Management And General$1,027,237ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,123,493TotalAmt
Program Services$6,953,686ProgramServicesAmt
Management And General$1,169,807ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$791,798TotalAmt
Program Services$621,868ProgramServicesAmt
Management And General$169,930ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$553,213TotalAmt
Program Services$502,310ProgramServicesAmt
Management And General$50,903ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$731,679TotalAmt
Program Services$181,204ProgramServicesAmt
Management And General$550,475ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$129,349TotalAmt
Management And General$129,349ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$544,228TotalAmt
Program Services$504,523ProgramServicesAmt
Management And General$39,705ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$103,489TotalAmt
Program Services$103,489ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$748,442TotalAmt
Program Services$748,442ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$76,139TotalAmt
Program Services$29,290ProgramServicesAmt
Management And General$46,849ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTED SERVICES$1,940,043$167,604$1,772,439
SUPPLIES$838,723$590,087$248,636
MISCELLANEOUS$344,698$261,573$83,125

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,952,531TotalAmt
Program Services$10,664,076ProgramServicesAmt
Management And General$5,288,455ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,922,537BOYAmt
EOY$4,501,593EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,648,043BOYAmt
EOY$2,477,252EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$420,160BOYAmt
EOY$775,004EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,220,231LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,369,956LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,187,755BOYAmt
EOY$7,850,275EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,356,769BOYAmt
EOY$1,695,393EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$16,535,264BOYAmt
EOY$17,299,517EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,725,621BOYAmt
EOY$1,789,137EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,488,974BOYAmt
EOY$4,087,699EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,886,986BOYAmt
EOY$2,089,176EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,101,581BOYAmt
EOY$7,966,012EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,433,683BOYAmt
EOY$9,333,505EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,433,683BOYAmt
EOY$9,333,505EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,535,264BOYAmt
EOY$17,299,517EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,100,179ReconcilationRevenueExpnssAmt
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$680,406CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$336,217CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$300,407CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$278,745CurrentTaxYearMinus1YearAmt
Current Tax Year$94,544CurrentTaxYearAmt
Total$1,690,319TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,028,117CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,855,425CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,577,265CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,327,643CurrentTaxYearMinus1YearAmt
Current Tax Year$14,651,411CurrentTaxYearAmt
Total$64,439,861TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,708,523CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,191,642CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,877,672CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,606,388CurrentTaxYearMinus1YearAmt
Current Tax Year$14,745,955CurrentTaxYearAmt
Total$66,130,180TotalAmt

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$66,130,180PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,014CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,524CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,230CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$73,062CurrentTaxYearMinus1YearAmt
Current Tax Year$25,740CurrentTaxYearAmt
Total$185,570TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,014CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,524CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,230CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$73,062CurrentTaxYearMinus1YearAmt
Current Tax Year$25,740CurrentTaxYearAmt
Total$185,570TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,758,537CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,200,166CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,905,902CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,679,450CurrentTaxYearMinus1YearAmt
Current Tax Year$14,771,695CurrentTaxYearAmt
Total$66,315,750TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99720PublicSupportCY509Pct
Public Support PY5090.99620PublicSupportPY509Pct
Investment Income CY0.00280InvestmentIncomeCYPct
Investment Income PY0.00380InvestmentIncomePYPct
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$13,997,220OtherCostOrOtherBasisAmt
Depreciation$6,369,956DepreciationAmt
Book Value$7,627,264BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,850,275TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY ACCOUNTSDesc
Book Value$1,695,393BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,695,393TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY LIABILITIESDesc
Amt$2,089,176Amt
FieldValueIRS element (for citing)
Total Liability$2,089,176TotalLiabilityAmt
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 (2 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$240,451$0$0$0$0$0$0$0$0$0$240,451$0$0$0
DAVID DEMAREST
NEUROPSYCHOLOGIST$176,603$0$0$0$0$0$0$0$0$0$176,603$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 15AWAGES 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 CHIEF EXECUTIVE OFFICER.
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$94,544ACTUAL
ON WITH LIFE FOUNDATION
O$16,234ACTUAL
ON WITH LIFE SUPPORTIVE HOUSING
P$2,264ACTUAL