ON WITH LIFE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ON WITH LIFE INC (EIN 42-1308032)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-04-22
IRS object ID: 201331129349300018
Schema version: 2011v1.5
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-04-22T13:23:05-05:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	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	2013-04-15	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	2011	TaxYear
Build TS	2016-03-07 17:11:31Z	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	7747891	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	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	15	NbrIndependentVotingMembers
Total Nbr Employees	166	TotalNbrEmployees
Total Nbr Volunteers	100	TotalNbrVolunteers
Total Gross UBI	11098	TotalGrossUBI
Net Unrelated Business Txbl Income	-278	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	24000	ContributionsGrantsPriorYear
Contributions Grants Current Year	45329	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	7701754	ProgramServiceRevenuePriorYear
Program Service Revenue CY	7632085	ProgramServiceRevenueCY
Investment Income Prior Year	89556	InvestmentIncomePriorYear
Investment Income Current Year	70358	InvestmentIncomeCurrentYear
Other Revenue Prior Year	23422	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	7838732	TotalRevenuePriorYear
Total Revenue Current Year	7747772	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	5570871	SalariesEtcPriorYear
Salaries Etc Current Year	5672555	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	1912787	OtherExpensePriorYear
Other Expenses Current Year	1668235	OtherExpensesCurrentYear
Total Expenses Prior Year	7483658	TotalExpensesPriorYear
Total Expenses Current Year	7340790	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	355074	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	406982	RevenuesLessExpensesCY
Total Assets BOY	8000348	TotalAssetsBOY
Total Assets EOY	8284348	TotalAssetsEOY
Total Liabilities BOY	3470510	TotalLiabilitiesBOY
Total Liabilities EOY	3324489	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4529838	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	4959859	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	5256683	Expense
Revenue	7556704	Revenue
Description	FUNCTIONAL EXPENSES WERE INCURRED IN PROVIDING 8,502 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	5256683	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	1	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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	41	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	166	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
Form1098 C Filed	1	Form1098CFiled
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	15	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
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 (16 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
KAY HINES
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
THOMAS CARLSTROM
DIRECTOR	0.60	X		0	0	0
TROY DEJOODE
DIRECTOR	0.60	X		0	0	0
CHARLES DENHART
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
KATE BENSON LARSON
DIRECTOR	0.60	X		0	0	0
JEFFREY LAMBERTI
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
DAVID DEMAREST
NEUROPSYCHOLOGIST	40.00			112287	0	7592	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	112287	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	7592	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	45329	AllOtherContributions
Noncash Contributions	41829	NoncashContributions
Total Contributions	45329	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	4474506	4474506
MEDICARE/MEDICAID PAYM	623000	3074986	3074986
DIETARY/COBRA/MISC	900099	64283		$64,283
DIETARY CONSULTING	541900	11098			11098
SUPPORTIVE HOUSING	623990	7212	7212

Field	Value	IRS element (for citing)
Total Program Service Revenue	7632085	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	69427	TotalRevenueColumn
Exclusion	$69,427	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	1050	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	119	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	931	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	931	TotalRevenueColumn
Exclusion	$931	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	7747772	TotalRevenueColumn
Related Or Exempt Function Income	7556704	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	11098	UnrelatedBusinessRevenue
Exclusion	$134,641	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	327157	Total
Management And General	327157	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4419809	Total
Program Services	3432816	ProgramServices
Management And General	986993	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	168014	Total
Program Services	114265	ProgramServices
Management And General	53749	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	386048	Total
Program Services	281254	ProgramServices
Management And General	104794	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	371527	Total
Program Services	272780	ProgramServices
Management And General	98747	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	7650	Total
Management And General	7650	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	26751	Total
Program Services	10801	ProgramServices
Management And General	15950	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	4022	Total
Management And General	4022	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	2080	Total
Management And General	2080	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	149969	Total
Program Services	9319	ProgramServices
Management And General	140650	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	156498	Total
Management And General	156498	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2509	Total
Management And General	2509	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	137284	Total
Program Services	27913	ProgramServices
Management And General	109371	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	94328	Total
Program Services	57035	ProgramServices
Management And General	37293	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	36344	Total
Program Services	11487	ProgramServices
Management And General	24857	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	124475	Total
Management And General	124475	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	293568	Total
Program Services	264211	ProgramServices
Management And General	29357	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6696	Total
Management And General	6696	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES, MEDICAL SUPPL	287500	287500
SERVICE FEES	234021	143277	90744
EQUIPMENT RENTAL & MAIN	145219	145219
FOOD AND DIETARY	119846	117768	2078

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	-160525	Total
Program Services	81038	ProgramServices
Management And General	-241563	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	7340790	Total
Program Services	5256683	ProgramServices
Management And General	2084107	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1205	BOY
EOY	1205	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1198991	BOY
EOY	1629088	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1196274	BOY
EOY	1057504	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	31400	BOY
EOY	28750	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1000	BOY
EOY	30914	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	5956459	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	3053600	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	3088076	BOY
EOY	2902859	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	8826	BOY
EOY	12016	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1341464	BOY
EOY	1410344	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	1133112	BOY
EOY	1211668	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	8000348	BOY
EOY	8284348	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	472248	BOY
EOY	532698	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	92568	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	2485000	BOY
EOY	2300000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	420694	BOY
EOY	491791	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3470510	BOY
EOY	3324489	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4529838	BOY
EOY	4959859	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4529838	BOY
EOY	4959859	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	8000348	BOY
EOY	8284348	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	406982	ReconcilationRevenueExpenses
Reconcilation Other Changes	23039	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
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	129300	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	28350	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	13131	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	24000	CurrentTaxYearMinus1Year
Current Tax Year	45329	CurrentTaxYear
Total	240110	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	5949675	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6671005	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7064004	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7555710	CurrentTaxYearMinus1Year
Current Tax Year	7556704	CurrentTaxYear
Total	34797098	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	96676	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	89959	CurrentTaxYearMinus1Year
Current Tax Year	64283	CurrentTaxYear
Total	250918	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6078975	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6699355	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7173811	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7669669	CurrentTaxYearMinus1Year
Current Tax Year	7666316	CurrentTaxYear
Total	35288126	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	35288126	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	86962	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	91359	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	76933	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	81691	CurrentTaxYearMinus1Year
Current Tax Year	69427	CurrentTaxYear
Total	406372	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	86962	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	91359	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	76933	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	81691	CurrentTaxYearMinus1Year
Current Tax Year	69427	CurrentTaxYear
Total	406372	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3479	CurrentTaxYearMinus4Years
Total	3479	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	6169416	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	6790714	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	7250744	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	7751360	CurrentTaxYearMinus1Year
Current Tax Year	7735743	CurrentTaxYear
Total	35697977	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.98850	PublicSupportPercentage509
Prior Year Support Percentage	0.98630	PriorYearSupportPercentage
Investment Income Percentage	0.01140	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01360	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	0	MailingsMembers
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	$22	OtherActivitiesAmount
Total Lobbying Expenditures IIB	4022	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	$4,000 WAS PAID FOR DIRECT CONTACT WITH LEGISLATORS, AND $22 WAS PAID FOR FORMS AND COPIES.	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	4428234	OtherCostOrOtherBasis
Depreciation	2155266	Depreciation
Book Value	2272968	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	643155	OtherCostOrOtherBasis
Depreciation	397249	Depreciation
Book Value	245906	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	730830	OtherCostOrOtherBasis
Depreciation	501085	Depreciation
Book Value	229745	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2902859	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (7 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
VANGUARD GROUP GNMA	715976	F
VANGUARD GROUP SHORT TERM	528087	F
VANGUARD GROUP PRIME MMKT	3081	F
VANGUARD INFLATION PRO	107598	F
VANGUARD INFL. P ALLOW	16049	F
VANGUARD GNMA ALLOWANCE UNREALIZED	31124	F
VANGUARD SHORT TERM ALLOWANCE UNR	8429	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	1410344	TotalOfBookValueSecurities

Other Assets OtherAssets (9 entries)

DescriptionDescription	Book ValueBookValue
DUE FROM COMMUNITY SERVICES	444412
DUE FROM GLENWOOD	87078
LOAN TO GLENWOOD	182299
DUE FROM CORPORATE	47379
DEBT SERVICE RESERVE FUND	170885
SERIES A BOND FUND	212527
SERIES B BOND-OLD PROJECT FUND	13132
BOND ISSUANCE COSTS	114326
BOND ISSUANCE COSTS-AMORTIZED	-60370

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1211668	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
DUE TO ANKENY DIVISION	$458,323
DUE TO CORPORATE	$33,468

Field	Value	IRS element (for citing)
Total Of Amounts	491791	TotalOfAmounts
Total Revenue	7747772	TotalRevenue
Total Expenses	7340790	TotalExpenses
Excess Or Deficit For Year	406982	ExcessOrDeficitForYear
Net Unrealized GL On Investments	23039	NetUnrealizedGLOnInvestments
Total Adjustments	23039	TotalAdjustments
Excess Or Deficit Per FS	430021	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	7769880	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	23039	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	23039	RevenueNotRptdF990
Revenue Subtotal	7746841	RevenueSubtotal
Other Revenues Not Included	931	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	931	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	7747772	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	7339859	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-931	OtherExpensesIncluded
Expenses Not Rptd F990	-931	ExpensesNotRptdF990
Expenses Subtotal	7340790	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	7340790	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	ExplanationExplanation
PART XII, LINE 4B - OTHER ADJUSTMENTS:	GAIN ON SALE OF ASSET 931.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:	GAIN ON SALE OF ASSET -931.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
CITY OF ANKENY IOWA - SERIES 2004A
426004235	035362AZ5	2004-07-29	2840000	REFUNDING SERIES 1994 BONDS	0	0	0
CITY OF ANKENY IOWA - SERIES 2004B
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)

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
2840000	169732	2616312	53956	2004	0	1	1	1
600000		13132		2004	0	0	1	1	600000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	0
0	0	0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	0	0	0	0	0
0	0	0	0	0	0

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	41829	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 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. BUSINESS RELATIONSHIP BETWEEN JEFFREY LAMBERTI WHO IS ON THE BOARD OF DIRECTORS OF CASEY'S GENERAL STORES, INC. AND ELI WIRTZ WHO IS EMPLOYED AS A VICE PRESIDENT OF CORPORATE COUNCIL AT CASEY'S GENERAL STORES, INC.
FORM 990, PART VI, SECTION B, LINE 11	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 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 PERFORMANCE REVIEW REVIEWS AND MAKES RECOMMENDATIONS TO THE FULL BOARD FOR THE EXECUTIVE DIRECTOR'S SALARY. THE EXECUTIVE DIRECTOR RECOMMENDS SALARIES FOR OTHER STAFF.
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 5:	NET UNREALIZED GAINS ON INVESTMENTS: 23,039.	CHANGES IN NET ASSETS OR FUND BALANCES:
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
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	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	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 (6 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
ON WITH LIFE FOUNDATION
C	3500	ACTUAL
ON WITH LIFE EXTENDED SERVICES LTD
D	36043	ACTUAL
ON WITH LIFE FOUNDATION
M	2400	ACTUAL
ON WITH LIFE FOUNDATION & EXTENDED SERVICES LTD
N	29072	ACTUAL
ON WITH LIFE EXTENDED SERVICES LTD
P	369817	ACTUAL
ON WITH LIFE SUPPORTIVE HOUSING CORPORATION
K	10520	ACTUAL