2012-03-02T15:46:53-06:00 2011-06-30 RYUN GIVENS & COMPANY PLC 2900 100TH STREET SUITE 301 URBANDALE IA 50322 990 2010-07-01 421308032 ON WITH LIFE INC ONWI 5159651339 715 SOUTHWEST ANKENY ROAD ANKENY IA 50023 JULIE FIDLER DIXON 5159651339 2012-03-02 1 CURTIS E BRAND CPA 5152253141 2010 2016-02-24 21:20:13Z JULIE FIDLER DIXON 715 SOUTHWEST ANKENY ROAD ANKENY IA 50023 7770140 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 16 166 85 11880 -1466 13131 24000 7186763 7657549 77163 86031 0 0 7277057 7767580 0 0 0 0 5420455 5570872 0 0 0 1502889 1583771 6923344 7154643 353713 612937 8028933 8000348 4105565 3470510 3923368 4529838 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 5227429 7555710 FUNCTIONAL EXPENSES WERE INCURRED IN PROVIDING 8,777 DAYS OF SPECIALIZED CARE AND REHABILITATION SERVICES TO INDIVIDUALS WHO HAVE SUSTAINED A TRAUMATIC BRAIN INJURY OR OTHER NEUROLOGICAL DISABILITY. 5227429 1 1 0 0 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 0 1 35 0 0 166 1 1 1 0 0 0 0 0 1 1 0 0 1 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IA X JULIE FIDLER DIXON 5159651339 715 SOUTHWEST ANKENY ROAD ANKENY IA 50023 THOMAS J FRIEDMAN 2.00 X X 0 0 0 VILIA TARVYDAS 2.00 X X 0 0 0 KAY HINES 2.00 X X 0 0 0 DONNA WALTER 2.00 X X 0 0 0 GAIL BOLIVER 2.00 X 0 0 0 BETTY BUITENWERF 2.00 X 0 0 0 THOMAS CARLSTROM MD 2.00 X 0 0 0 R JERRY CARSPECKEN 2.00 X 0 0 0 CHARLES DENHART MD 2.00 X 0 0 0 ARTHUR FILEAN 2.00 X 0 0 0 CARL HARRIS 2.00 X 0 0 0 MARC HARDING 2.00 X 0 0 0 JEFFREY LAMBERTI 2.00 X 0 0 0 DAVE OLSON 2.00 X 0 0 0 MIKKI STIER 2.00 X 0 0 0 ELI WIRTZ 2.00 X 0 0 0 JULIE FIDLER DIXON 40.00 X 104708 0 11696 CYNTHIA EWALD 40.00 X 75006 0 8046 DAVID DEMAREST 40.00 X 108698 0 9845 288412 0 29587 2 0 0 0 0 24000 24000 PATIENT SERVICES 623000 4057613 4057613 MEDICARE/MEDICAID PAYM 623000 3490887 3490887 DIETARY/COBRA/MISC 900099 89959 89959 DIETARY CONSULTING 541610 11880 11880 SUPPORTIVE HOUSING 623990 7210 7210 7657549 81691 81691 6900 2560 4340 4340 4340 7767580 7555710 11880 175990 349049 349049 4352975 3455754 897221 115979 89566 26413 377405 299548 77857 375464 278601 96863 2120 2120 25731 10631 15100 55956 3666 52290 153070 153070 1377 1377 131766 27340 104426 84062 59870 24192 37483 19479 18004 133556 133556 271368 244231 27137 5784 5784 SUPPLIES, MEDICAL SUPPL 339080 339080 SERVICE FEES 197573 84138 113435 EQUIPMENT RENTAL & MAIN 134398 134398 FOOD AND DIETARY 123221 120733 2488 WORKERS COMPENSATION 65049 14125 50924 -177823 46269 -224092 7154643 5227429 1927214 0 1205 1205 566652 1198991 1466286 1196274 38345 31400 1620 1000 5866016 2777940 2968875 3088076 1288709 1350290 1697241 1133112 8028933 8000348 795546 472248 92568 2660000 2485000 650019 420694 4105565 3470510 X 3923368 4529838 3923368 4529838 8028933 8000348 X 612937 -6467 X X 0 1 1 X 0 X 13000 129300 28350 13131 24000 207781 6233428 5949675 6671005 7064004 7555710 33473822 96676 89959 186635 6246428 6078975 6699355 7173811 7669669 33868238 0 0 0 33868238 106514 86962 91359 76933 81691 443459 106514 86962 91359 76933 81691 443459 3479 3479 6352942 6169416 6790714 7250744 7751360 34315176 0.98700 0.98550 0.01290 0.01440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 154240 154240 4428234 1979098 2449136 430384 219285 211099 853158 579557 273601 3088076 CASEY'S GENERAL STORES, INC 8826 F VANGUARD GROUP- PRIME MONEY MARKET 3080 F VANGUARD GROUP- INFLATION PRO 110493 F VANGUARD GROUP- GNMA 705291 F VANGUARD GROUP- SHORT-TERM 522600 F 1350290 BOND ISSUANCE COSTS (NET OF AMORTIZATION) 61588 BOND FUND 1994 213104 DEBT SERVICE RESERVE 1994 165075 DUE FROM COMMUNITY SERVICES 376105 DUE FROM CORPORATE DIVISION 44589 DUE FROM GLENWOOD 26736 PROJECT FUND 13131 LOAN TO GLENWOOD 227784 PROJECT ACCOUNT - POOL 5000 1133112 DUE TO ANKENY DIVISION 405245 DUE TO CORPORATE 15449 420694 7767580 7154643 612937 2597 -9064 -6467 606470 7765837 2597 2597 7763240 4340 4340 7767580 7150303 -4340 -4340 7154643 0 7154643 PART XII, LINE 4B - OTHER ADJUSTMENTS: GAIN ON SALE OF ASSET 4,340. PART XIII, LINE 2D - OTHER ADJUSTMENTS: REVENUE OFFSET AGAINST EXPENSE ON F/S GAIN ON SALE OF ASSET -4,340. 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 2840000 167883 2616538 61588 2004 0 1 1 1 600000 13131 600000 2004 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 AN IN-DEPTH REVIEW OF THE 990 USING A REVIEW CHECKLIST PROVIDED BY THE RETURN PREPARER, 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 PERFORMANCE REVIEW REVIEWS AND MAKES RECOMMENDATIONS TO THE FULL BOARD FOR THE EXECUTIVE DIRECTORS SALARY. THE EXECUTIVE DIRECTOR RECOMMENDS SALARIES FOR OTHER STAFF. FORM 990, PART VI, SECTION C, LINE 18 CURRENT HARD COPIES ARE KEPT AT THE CORPORATE OFFICE. WRITTEN REQUESTS ARE ARE FILED WITHIN TWO BUSINESS DAYS OF RECEIPT. FIRST COPY IS FREE, MINIMAL CHARGE FOR MULTIPLE COPIES. THE 990 IS ALSO AVAILABLE ON GUIDESTAR. FORM 990, PART VI, SECTION C, LINE 19 ARTICLES OF INCORPORATION ARE PUBLISHED ON THE SECRETARY OF STATES 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 ORGANIZATIONS WEBSITE, AND ALSO AVAILABLE ON DUN & BRADSTREET. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 2,597. PRIOR PERIOD ADJUSTMENTS: -9,064. TOTAL TO FORM 990, PART XI, LINE 5: -6,467. 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 TO PROVIDE HOUSING TO THE ELDERLY AND HANDICAPPED IA 501(C)(3) 9 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 1 0 1 ON WITH LIFE FOUNDATION C 24000 ON WITH LIFE EXTENDED SERVICES LTD D 21287 ON WITH LIFE FOUNDATION M 24000 ON WITH LIFE FOUNDATION N 11700 ON WITH LIFE EXTENDED SERVICES LTD N 15172 ON WITH LIFE EXTENDED SERVICES LTD P 26016 ON WITH LIFE EXTENDED SERVICES LTD D 180598 ON WITH LIFE SUPPORTIVE HOUSING CORPORATION R 7211 ON WITH LIFE EXTENDED SERVICES LTD P 316616