2014-05-12T09:17:11-05:00 2013-06-30 420732909 RYUN GIVENS & COMPANY PLC 2900 100TH STREET SUITE 301 URBANDALE IA 50322 990 2012-07-01 421308032 ON WITH LIFE INC ONWI 5159651339 715 SOUTHWEST ANKENY ROAD ANKENY IA 50023 JULIE FIDLER DIXON 5159651339 2014-04-22 1 CURTIS E BRAND CPA P00299230 5152253141 2012 2015-11-30 17:44:51Z JULIE FIDLER DIXON 715 SOUTHWEST ANKENY ROAD ANKENY IA 50023 8082198 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. 16 16 174 100 7106 0 45329 47550 7632085 7951585 70358 80202 0 0 7747772 8079337 0 0 0 0 5672555 6038091 0 0 0 1668235 1539965 7340790 7578056 406982 501281 8284348 8543742 3324489 3190677 4959859 5353065 X 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. 0 0 5529756 7880368 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. 5529756 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 0 0 1 0 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 0 0 1 0 0 0 1 40 0 1 174 1 1 1 0 0 0 0 0 0 0 0 0 X 16 16 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X JULIE FIDLER DIXON 5159651339 715 SOUTHWEST ANKENY ROAD ANKENY IA 50023 VILIA TARVYDAS 0.60 X X 0 0 0 CARL HARRIS 0.60 X X 0 0 0 KATE BENSON LARSON 0.60 X X 0 0 0 DONNA WALTER 0.60 X X 0 0 0 GAIL BOLIVER 0.60 X 0 0 0 JANET PHIPPS BURKHEAD 0.60 X 0 0 0 THOMAS CARLSTROM 0.60 X 0 0 0 TROY DEJOODE 0.60 X 0 0 0 ARTHUR FILEAN 0.60 X 0 0 0 THOMAS FRIEDMAN 0.60 X 0 0 0 MARC HARDING 0.60 X 0 0 0 KAY HINES 0.60 X 0 0 0 JEFFREY LAMBERTI 0.60 X 0 0 0 KAM STUPKA 0.60 X 0 0 0 ELI WIRTZ 0.60 X 0 0 0 DAVID ZIELKE 0.60 X 0 0 0 JULIE FIDLER DIXON 40.00 X 125901 0 10266 CYNTHIA EWALD 40.00 X 75070 0 6572 DAVID DEMAREST 40.00 X 117298 0 7868 318269 0 24706 2 0 0 0 0 47550 47550 PATIENT SERVICES 623000 4802294 4802294 MEDICARE/MEDICAID PAYM 623000 3070862 3070862 DIETARY/COBRA/MISC 900099 64111 64111 SUPPORTIVE HOUSING 623990 7212 7212 DIETARY CONSULTING 541900 7106 7106 7951585 80063 80063 3000 2861 139 139 139 8079337 7880368 7106 144313 342975 342975 4710974 3684922 1026052 174364 115064 59300 422325 310397 111928 387453 290372 97081 8835 8835 29641 13066 16575 93005 10114 82891 180681 180681 4569 4569 140339 22349 117990 86212 60856 25356 38710 19722 18988 115266 115266 284600 256140 28460 7008 7008 SERVICE FEES 236139 152267 83872 SUPPLIES, MEDICAL SUPPL 228097 228097 EQUIPMENT RENTAL & MAIN 115324 115324 FOOD AND DIETARY 105387 103777 1610 -133848 147289 -281137 7578056 5529756 2048300 0 1206 1206 1629087 889898 1057504 1237282 28750 35800 30914 638 6010004 3270220 2902859 2739784 12016 12401 1410344 2233841 1211668 1392892 8284348 8543742 532698 502958 2300000 2110000 491791 577719 3324489 3190677 X 4959859 5353065 4959859 5353065 8284348 8543742 501281 -108075 0 X X 0 1 X 1 0 X 28350 13131 24000 45329 47550 158360 6671005 7064004 7555710 7556704 7880368 36727791 96676 89959 64283 64111 315029 6699355 7173811 7669669 7666316 7992029 37201180 0 0 0 37201180 91359 76933 81691 69427 80063 399473 91359 76933 81691 69427 80063 399473 152 152 6790714 7250744 7751360 7735743 8072244 37600805 0.98940 0.98850 0.01060 0.01140 X 0 0 0 1 12 0 0 1 4000 0 1 1601 5613 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PORTION OF MEMBERSHIP DUES TO INDUSTRY ASSOCIATIONS ALLOCATED TO LOBBYING EXPENSES. 154240 154240 4428233 2331434 2096799 700215 440413 259802 727316 498373 228943 2739784 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 2233841 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 1392892 DUE TO ANKENY 563929 DUE TO CORPORATE 13790 577719 7971123 -108075 -108075 8079198 139 139 8079337 7577917 -139 -139 7578056 0 7578056 PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN ON SALE OF ASSET 139. PART XII, LINE 2D - OTHER ADJUSTMENTS: GAIN ON SALE OF ASSET -139. A CITY OF ANKENY IOWA - SERIES 2004A 426004235 035362AZ5 2004-07-29 2840000 REFUNDING SERIES 1994 BONDS 0 0 0 B CITY OF ANKENY IOWA - SERIES 2004B 426004235 035362AY8 2004-07-29 600000 EXPANDING AND MAKING IMPROVEMENTS ON HEALTH CARE FACILITY 0 0 0 A 1330000 2840000 169732 2616312 53956 2004 0 1 1 1 B 600000 13132 600000 2004 0 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 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. OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT AUDITORS 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. 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 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 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