2020-05-15T11:37:49-05:00 2019-06-30 420732909 RYUN GIVENS & COMPANY PLC 2900 100TH STREET SUITE 301 URBANDALE IA 50322 990 2018-07-01 421308032 ON WITH LIFE INC ONWI 5159651339 715 SOUTHWEST ANKENY ROAD ANKENY IA 50023 JEAN SHELTON CHIEF EXECUTIVE OFFICER 5159651339 2020-05-12 1 CURTIS E BRAND CPA P00299230 5152253141 208.69.147.91 2020-05-12 17:49:16 CD P 33B0F48B8F10B66F2D932E03F5A8736C58C4AD59 33B0F48B8F10B66F2D932E03F5A8736C58C4AD59 2018 2021-01-29 14:40:06Z JEAN SHELTON 715 SOUTHWEST ANKENY ROAD ANKENY IA 50023 15679450 0 X ON-WITH-LIFE.ORG X 1987 IA JOINING HANDS, HEARTS, AND MINDS TO HELP PERSONS LIVING WITH BRAIN INJURY GET ON WITH LIFE. 12 12 262 256 0 0 300407 278745 13577265 15327643 28230 73062 0 0 13905902 15679450 0 0 0 0 6384446 9689606 0 0 0 5847394 5225612 12231840 14915218 1674062 764232 14488691 16535264 4794237 6101581 9694454 10433683 JOINING 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. 0 0 10486601 15327643 FUNCTIONAL EXPENSES WERE INCURRED IN PROVIDING SPECIALIZED CARE AND REHABILITATION SERVICES TO INDIVIDUALS WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY OR OTHER NEUROLOGICAL DISABILITY. 10486601 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 81 0 1 262 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X JEANETTE SHELTON 5152899600 715 SOUTHWEST ANKENY ROAD ANKENY IA 50023 CARL HARRIS BOARD MEMBER 0.60 X 0 0 0 THOMAS FRIEDMAN BOARD CHAIR 0.60 X X 0 0 0 KATE BENSON LARSON SECRETARY 0.60 X X 0 0 0 TRACY BOLLIN TREASURER 0.60 X X 0 0 0 GAIL BOLIVER DIRECTOR 0.60 X 0 0 0 ARTHUR FILEAN DIRECTOR 0.60 X 0 0 0 MARC HARDING DIRECTOR 0.60 X 0 0 0 MEREDITH LAMBERTI DIRECTOR 0.60 X 0 0 0 VILIA TARVYDAS DIRECTOR 0.60 X 0 0 0 ELI WIRTZ DIRECTOR 0.60 X 0 0 0 DAVID ZIELKE DIRECTOR 0.60 X 0 0 0 DONNA WALTER DIRECTOR 0.60 X 0 0 0 JEANETTE SHELTON CEO 40.00 X 241495 0 28500 JIM FOREMAN CCFO 40.00 X 115678 0 14358 DAVID DEMAREST NEUROPSYCHOLOGIST 40.00 X 179750 0 37055 PATRICK STILWILL EXEC DIR OF PROGRAMS AND S 40.00 X 143362 0 19934 COREY MORRISON CHIEF STRATEGY AND DEVELOP 40.00 X 106025 0 24179 MATTHEW STEEN HR DIRECTOR 40.00 X 109055 0 28829 895365 0 152855 6 0 1 0 COUNTRY LANDSCAPE 56985 LINCOLN HIGHWAY AMES IA 50010 GROUNDS PROJECT 185511 1 278745 278745 PATIENT SERVICES 623000 13163144 13163144 MANAGEMENT REVENUE 623000 1957371 1957371 MISCELLANEOUS 623000 207128 207128 15327643 73062 73062 15679450 15327643 0 73062 885339 885339 7562335 6612626 949709 714315 570911 143404 527617 480907 46710 675060 201505 473555 104761 104761 494754 464981 29773 109198 109189 9 686859 686859 69027 26376 42651 CONTRACTED SERVICES 1729379 300190 1429189 SUPPLIES 872225 632396 239829 MISCELLANEOUS 484349 400661 83688 14915218 10486601 4428617 0 3920257 2922537 2284105 2648043 420160 13873400 5685645 8284329 8187755 0 2356769 14488691 16535264 1072678 1725621 2922079 2488974 799480 1886986 4794237 6101581 X 9694454 10433683 9694454 10433683 14488691 16535264 X 764232 -25003 X 0 1 X 1 0 X 1025823 680406 336217 300407 278745 2621598 8297513 9028117 11855425 13577265 15327643 58085963 9323336 9708523 12191642 13877672 15606388 60707561 0 0 0 60707561 70672 50014 8524 28230 73062 230502 70672 50014 8524 28230 73062 230502 9394008 9758537 12200166 13905902 15679450 60938063 0.99620 0.99570 0.00380 0.00430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 223011 223011 13650389 5685645 7964744 8187755 INTERCOMPANY ACCOUNTS 2356769 2356769 INTERCOMPANY LIABILITIES 1886986 1886986 X PART X, LINE 2: THE 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. X X X 0 0 0 0 0 0 0 0 0 JEANETTE SHELTON CEO 213920 0 26600 0 975 0 0 0 0 0 241495 0 0 0 DAVID DEMAREST NEUROPSYCHOLOGIST 159930 0 12900 0 6920 0 0 0 0 0 179750 0 0 0 PART I, LINE 3 WAGES 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. FORM 990, PART VI, SECTION B, LINE 11B AN 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 12C EVERY 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 15A WAGES 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 19 ARTICLES 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. FORM 990, PART XI, LINE 9: TRANSFER OF ASSETS TO OWL FOUNDATION -25,000. ROUNDING -3. ON WITH LIFE EXTENDED SERVICES LTD 715 SW ANKENY RD ANKENY IA 50023 421521198 PROVIDE SKILLED CARE AND REHAB SERVICES FOR INDIVIDUALS WITH BRAIN INJURIES IA 501(C)(3) LINE 10 0 ON WITH LIFE FOUNDATION 715 SW ANKENY RD ANKENY IA 50023 421399777 SUPPORT OWL AFFILIATES IN PROVIDING SERVICES TO IND LIVING W/BRAIN INJURY IA 501(C)(3) LINE 12B, II 0 ON WITH LIFE SUPPORTIVE HOUSING CORPORATION 715 SW ANKENY RD ANKENY IA 50023 460516882 SUBSIDIZED HOUSING FOR INDIVIDUALS WHO HAVE EXPERIENCED A BRAIN INJURY IA 501(C)(3) LINE 10 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 ON WITH LIFE FOUNDATION C 278745 ACTUAL ON WITH LIFE FOUNDATION O 406042 ACTUAL ON WITH LIFE SUPPORTIVE HOUSING P 2083 ACTUAL