ON WITH LIFE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ON WITH LIFE INC (EIN 42-1308032)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-12
IRS object ID: 201401329349300315
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-12T09:17:11-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	420732909	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RYUN GIVENS & COMPANY PLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2900 100TH STREET SUITE 301	AddressLine1
City	URBANDALE	City
State	IA	State
ZIP Code	50322	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	421308032	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ON WITH LIFE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ONWI	NameControl
Phone	5159651339	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	715 SOUTHWEST ANKENY ROAD	AddressLine1
City	ANKENY	City
State	IA	State
ZIP Code	50023	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JULIE FIDLER DIXON	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	5159651339	Phone
Date Signed	2014-04-22	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CURTIS E BRAND CPA	Name
PTIN	P00299230	PTIN
Phone	5152253141	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JULIE FIDLER DIXON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	715 SOUTHWEST ANKENY ROAD	AddressLine1
City	ANKENY	City
State	IA	State
ZIP Code	50023	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	8082198	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	ON-WITH-LIFE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1987	YearFormation
State Legal Domicile	IA	StateLegalDomicile
Activity Or Mission Description	JOINING HANDS, HEARTS, AND MINDS TO HELP PERSONS LIVING WITH BRAIN INJURY GET ON WITH LIFE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	174	TotalNbrEmployees
Total Nbr Volunteers	100	TotalNbrVolunteers
Total Gross UBI	7106	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	45329	ContributionsGrantsPriorYear
Contributions Grants Current Year	47550	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	7632085	ProgramServiceRevenuePriorYear
Program Service Revenue CY	7951585	ProgramServiceRevenueCY
Investment Income Prior Year	70358	InvestmentIncomePriorYear
Investment Income Current Year	80202	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	7747772	TotalRevenuePriorYear
Total Revenue Current Year	8079337	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	5672555	SalariesEtcPriorYear
Salaries Etc Current Year	6038091	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1668235	OtherExpensePriorYear
Other Expenses Current Year	1539965	OtherExpensesCurrentYear
Total Expenses Prior Year	7340790	TotalExpensesPriorYear
Total Expenses Current Year	7578056	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	406982	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	501281	RevenuesLessExpensesCY
Total Assets BOY	8284348	TotalAssetsBOY
Total Assets EOY	8543742	TotalAssetsEOY
Total Liabilities BOY	3324489	TotalLiabilitiesBOY
Total Liabilities EOY	3190677	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4959859	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5353065	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	JOINING HANDS, HEARTS, AND MINDS TO HELP PERSONS LIVING WITH BRAIN INJURY GET ON WITH LIFE. WE PROVIDE COMPREHENSIVE IN-PATIENT AND COMMUNITY-BASED REHABILITATION SERVICES FOR PERSONS WITH BRAIN INJURIES, AND THEIR FAMILIES, AND PROVIDE EDUCATION REGARDING THE PREVENTION OF BRAIN INJURIES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	5529756	Expense
Revenue	7880368	Revenue
Description	FUNCTIONAL EXPENSES WERE INCURRED IN PROVIDING 8,260 DAYS OF SPECIALIZED CARE AND REHABILITATION SERVICES TO INDIVIDUALS WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY OR OTHER NEUROLOGICAL DISABILITY.	Description
Total Program Service Expense	5529756	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	40	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	174	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	JULIE FIDLER DIXON	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5159651339	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	715 SOUTHWEST ANKENY ROAD	AddressLine1
City	ANKENY	City
State	IA	State
ZIP Code	50023	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
VILIA TARVYDAS
PRESIDENT	0.60	X	X	0	0	0
CARL HARRIS
VICE PRESIDENT	0.60	X	X	0	0	0
KATE BENSON LARSON
SECRETARY	0.60	X	X	0	0	0
DONNA WALTER
TREASURER	0.60	X	X	0	0	0
GAIL BOLIVER
DIRECTOR	0.60	X		0	0	0
JANET PHIPPS BURKHEAD
DIRECTOR	0.60	X		0	0	0
THOMAS CARLSTROM
DIRECTOR	0.60	X		0	0	0
TROY DEJOODE
DIRECTOR	0.60	X		0	0	0
ARTHUR FILEAN
DIRECTOR	0.60	X		0	0	0
THOMAS FRIEDMAN
DIRECTOR	0.60	X		0	0	0
MARC HARDING
DIRECTOR	0.60	X		0	0	0
KAY HINES
DIRECTOR	0.60	X		0	0	0
JEFFREY LAMBERTI
DIRECTOR	0.60	X		0	0	0
KAM STUPKA
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
JULIE FIDLER DIXON
EXECUTIVE DIRECTOR	40.00		X	125901	0	10266
CYNTHIA EWALD
CHIEF FINANCIAL OFFICER	40.00		X	75070	0	6572
DAVID DEMAREST
NEUROPSYCHOLOGIST	40.00			117298	0	7868	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	318269	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	24706	TotalOtherCompensation
Number Individuals GT100 K	2	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	47550	AllOtherContributions
Total Contributions	47550	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICES	623000	4802294	4802294
MEDICARE/MEDICAID PAYM	623000	3070862	3070862
DIETARY/COBRA/MISC	900099	64111		$64,111
SUPPORTIVE HOUSING	623990	7212	7212
DIETARY CONSULTING	541900	7106			7106

Field	Value	IRS element (for citing)
Total Program Service Revenue	7951585	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	80063	TotalRevenueColumn
Exclusion	$80,063	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	3000	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	2861	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	139	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	139	TotalRevenueColumn
Exclusion	$139	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	8079337	TotalRevenueColumn
Related Or Exempt Function Income	7880368	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	7106	UnrelatedBusinessRevenue
Exclusion	$144,313	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	342975	Total
Management And General	342975	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4710974	Total
Program Services	3684922	ProgramServices
Management And General	1026052	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	174364	Total
Program Services	115064	ProgramServices
Management And General	59300	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	422325	Total
Program Services	310397	ProgramServices
Management And General	111928	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	387453	Total
Program Services	290372	ProgramServices
Management And General	97081	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	8835	Total
Management And General	8835	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	29641	Total
Program Services	13066	ProgramServices
Management And General	16575	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	93005	Total
Program Services	10114	ProgramServices
Management And General	82891	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	180681	Total
Management And General	180681	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4569	Total
Management And General	4569	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	140339	Total
Program Services	22349	ProgramServices
Management And General	117990	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	86212	Total
Program Services	60856	ProgramServices
Management And General	25356	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	38710	Total
Program Services	19722	ProgramServices
Management And General	18988	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	115266	Total
Management And General	115266	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	284600	Total
Program Services	256140	ProgramServices
Management And General	28460	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7008	Total
Management And General	7008	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SERVICE FEES	236139	152267	83872
SUPPLIES, MEDICAL SUPPL	228097	228097
EQUIPMENT RENTAL & MAIN	115324	115324
FOOD AND DIETARY	105387	103777	1610

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	-133848	Total
Program Services	147289	ProgramServices
Management And General	-281137	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	7578056	Total
Program Services	5529756	ProgramServices
Management And General	2048300	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1206	BOY
EOY	1206	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1629087	BOY
EOY	889898	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1057504	BOY
EOY	1237282	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	28750	BOY
EOY	35800	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	30914	BOY
EOY	638	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	6010004	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3270220	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2902859	BOY
EOY	2739784	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	12016	BOY
EOY	12401	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1410344	BOY
EOY	2233841	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1211668	BOY
EOY	1392892	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	8284348	BOY
EOY	8543742	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	532698	BOY
EOY	502958	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	2300000	BOY
EOY	2110000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	491791	BOY
EOY	577719	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3324489	BOY
EOY	3190677	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4959859	BOY
EOY	5353065	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4959859	BOY
EOY	5353065	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	8284348	BOY
EOY	8543742	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	501281	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	-108075	ReconciliationUnrealizedInvest
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	28350	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13131	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	24000	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	45329	CurrentTaxYearMinus1Year
Current Tax Year	47550	CurrentTaxYear
Total	158360	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6671005	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7064004	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7555710	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7556704	CurrentTaxYearMinus1Year
Current Tax Year	7880368	CurrentTaxYear
Total	36727791	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	96676	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	89959	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	64283	CurrentTaxYearMinus1Year
Current Tax Year	64111	CurrentTaxYear
Total	315029	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6699355	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7173811	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7669669	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7666316	CurrentTaxYearMinus1Year
Current Tax Year	7992029	CurrentTaxYear
Total	37201180	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	37201180	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	91359	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	76933	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	81691	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	69427	CurrentTaxYearMinus1Year
Current Tax Year	80063	CurrentTaxYear
Total	399473	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	91359	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	76933	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	81691	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	69427	CurrentTaxYearMinus1Year
Current Tax Year	80063	CurrentTaxYear
Total	399473	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year	152	CurrentTaxYear
Total	152	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6790714	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7250744	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7751360	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7735743	CurrentTaxYearMinus1Year
Current Tax Year	8072244	CurrentTaxYear
Total	37600805	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98940	PublicSupportPercentage509
Prior Year Support Percentage	0.98850	PriorYearSupportPercentage
Investment Income Percentage	0.01060	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01140	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$12	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$4,000	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$1,601	OtherActivitiesAmount
Total Lobbying Expenditures IIB	5613	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	PORTION OF MEMBERSHIP DUES TO INDUSTRY ASSOCIATIONS ALLOCATED TO LOBBYING EXPENSES.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	154240	OtherCostOrOtherBasis
Book Value	154240	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4428233	OtherCostOrOtherBasis
Depreciation	2331434	Depreciation
Book Value	2096799	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	700215	OtherCostOrOtherBasis
Depreciation	440413	Depreciation
Book Value	259802	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	727316	OtherCostOrOtherBasis
Depreciation	498373	Depreciation
Book Value	228943	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2739784	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (7 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
VANGUARD GROUP GNMA	1458801	F
VANGUARD GROUP SHORT TERM	567748	F
VANGUARD GROUP PRIME MMKT	13004	F
VANGUARD INFLATION PRO	239575	F
VANGUARD INFL. P ALLOW	-7032	F
VANGUARD GNMA ALLOWANCE UNREALIZED	-41492	F
VANGUARD SHORT TERM ALLOWANCE UNR	3237	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	2233841	TotalOfBookValueSecurities

Other Assets OtherAssets (9 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM COMMUNITY SERVICES	497162
DUE FROM GLENWOOD	111646
LOAN TO GLENWOOD	256967
DUE FROM CORPORATE	80557
DEBT SERVICE RESERVE FUND	170764
SERIES A BOND FUND	216337
SERIES B BOND-OLD PROJECT FUND	13135
BOND ISSUANCE COSTS	114326
BOND ISSUANCE COSTS-AMORTIZED	-68002

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1392892	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DUE TO ANKENY	$563,929
DUE TO CORPORATE	$13,790

Field	Value	IRS element (for citing)
Total Of Amounts	577719	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	7971123	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-108075	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	-108075	RevenueNotRptdF990
Revenue Subtotal	8079198	RevenueSubtotal
Other Revenues Not Included	139	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	139	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	8079337	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	7577917	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-139	OtherExpensesIncluded
Expenses Not Rptd F990	-139	ExpensesNotRptdF990
Expenses Subtotal	7578056	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	7578056	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	ExplanationExplanation
PART XI, LINE 4B - OTHER ADJUSTMENTS:	GAIN ON SALE OF ASSET 139.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	GAIN ON SALE OF ASSET -139.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CITY OF ANKENY IOWA - SERIES 2004A
A	426004235	035362AZ5	2004-07-29	2840000	REFUNDING SERIES 1994 BONDS	0	0	0
CITY OF ANKENY IOWA - SERIES 2004B
B	426004235	035362AY8	2004-07-29	600000	EXPANDING AND MAKING IMPROVEMENTS ON HEALTH CARE FACILITY	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Capital ExpendituresCapitalExpenditures
A	1330000	2840000	169732	2616312	53956	2004	0	1	1	1
B		600000		13132		2004	0	0	1	1	600000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	0	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	BUSINESS RELATIONSHIP BETWEEN JULIE FIDLER DIXON AND BOARD MEMBERS OF ON WITH LIFE, INC. WHO ARE ALSO BOARD MEMBERS OF RELATED ORGANIZATIONS.
FORM 990, PART VI, SECTION B, LINE 11	THE BOARD OF DIRECTORS IS GIVEN A COPY OF FORM 990 TO BE APPROVED BEFORE BEING FILED. THE FINANCE COMMITTEE PERFORMS A REVIEW OF THE 990, AND PRESENTS TO THE FULL BOARD OF DIRECTORS FOR APPROVAL.
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 15	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 THE PERFORMANCE REVIEW AND MAKES RECOMMENDATIONS TO THE FULL BOARD FOR THE EXECUTIVE DIRECTOR'S SALARY.
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 2C	THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE SELECTION OF INDEPENDENT AUDITORS AND ARE ALSO RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THIS PROCESS HAS REMAINED UNCHANGED FROM THE PRIOR YEARS.	OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT AUDITORS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Controlled OrgControlledOrg
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)	9	0
ON WITH LIFE FOUNDATION
715 SW ANKENY RD	ANKENY	IA	50023	421399777	TO SUPPORT ON WITH LIFE, INC. AND ON WITH LIFE EXTENDED SERVICES, LTD.	IA	501(C)(3)	11B	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)	9	0

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ON WITH LIFE FOUNDATION
C	47100	ACTUAL
ON WITH LIFE EXTENDED SERVICES LTD
D	86667	ACTUAL
ON WITH LIFE EXTENDED SERVICES LTD
O	10017	ACTUAL
ON WITH LIFE FOUNDATION
O	11700	ACTUAL
ON WITH LIFE EXTENDED SERVICES LTD
Q	443621	ACTUAL
ON WITH LIFE FOUNDATION
Q	2400	ACTUAL
ON WITH LIFE SUPPORTIVE HOUSING
Q	14303	ACTUAL