ON WITH LIFE INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ON WITH LIFE INC (EIN 42-1308032)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-13
- IRS object ID
- 202541339349304554
- Schema version
- 2023v6.0
- 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 B
- Schedule C
- Schedule D
- Schedule J
- Schedule O
- Schedule R
- Averaging Attachment
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-13T12:45:08-04:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 871438555 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RYUN GIVENS & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2900 100TH ST STE 303 | AddressLine1Txt |
| City | URBANDALE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 503223855 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421308032 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ON WITH LIFE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ONWI | BusinessNameControlTxt |
| Phone | 5159651339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 715 SOUTHWEST ANKENY ROAD | AddressLine1Txt |
| City | ANKENY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50023 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEAN SHELTON | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5159651339 | PhoneNum |
| Signature | 2025-05-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHY A FRENCH | PreparerPersonNm |
| PTIN | P02443093 | PTIN |
| Phone | 5152253141 | PhoneNum |
| Preparation | 2025-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEAN SHELTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 715 SW ANKENY ROAD | AddressLine1Txt |
| City | ANKENY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50023 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,254,368 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | ON-WITH-LIFE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | JOINING HANDS, HEARTS, AND MINDS TO HELP PERSONS LIVING WITH BRAIN INJURY GET ON WITH LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 23 | VotingMembersIndependentCnt |
| Total Employee | 452 | TotalEmployeeCnt |
| Total Volunteers | 58 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $3,785,414 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,344,507 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $17,193,570 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,760,836 | CYProgramServiceRevenueAmt |
| PY Investment Income | $212,462 | PYInvestmentIncomeAmt |
| CY Investment Income | $149,025 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $21,191,446 | PYTotalRevenueAmt |
| CY Total Revenue | $19,254,368 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,609,432 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,503,913 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,177,415 | PYOtherExpensesAmt |
| CY Other Expenses | $5,158,170 | CYOtherExpensesAmt |
| PY Total Expenses | $17,786,847 | PYTotalExpensesAmt |
| CY Total Expenses | $18,662,083 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,404,599 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $592,285 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $40,906,106 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,472,173 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,395,754 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,195,035 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,510,352 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,277,138 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,934,757 | ExpenseAmt |
| Revenue | $11,606,414 | RevenueAmt |
| Desc | ANKENY INPATIENT: ON WITH LIFE'S POST-ACUTE INPATIENT REHABILITATION PROGRAM IS A 28-BED, CARF ACCREDITED PROGRAM THAT PROVIDES INTENSE THERAPY TO THOSE THAT HAVE SUSTAINED A TRAUMATIC BRAIN INJURY, STROKE, TUMOR, LOSS OF OXYGEN OR OTHER NEUROLOGICAL CONDITION. ON WITH LIFE IS A UNIQUE ONE- OF-A-KIND FACILITY. OUR EXTENSIVE REHABILITATION EXPERIENCE AND OUR EXPERTISE IN THE TREATMENT OF INDIVIDUALS WITH BRAIN INJURY OFFER INDIVIDUALS THE OPTIMAL OPPORTUNITY TO ACHIEVE THEIR GOALS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,395,165 | ExpenseAmt |
| Revenue | $2,720,726 | RevenueAmt |
| Desc | COMBINED OUTPATIENT THERAPY: ON WITH LIFE'S OUTPATIENT NEURO REHABILITATION PROGRAM CONSISTS OF TWO CLINICS (ANKENY AND CORALVILLE) AND A COMPREHENSIVE TEAM OF SPECIALISTS WHO ARE DEDICATED TO PROVIDING THE HIGHEST LEVEL OF CARE AND SERVICE THROUGH A TRANSDISCIPLINARY, COLLABORATIVE TEAM APPROACH. OUR AREAS OF EXPERTISE INCLUDE BRAIN INJURY, STROKE, CONCUSSION, PARKINSON'S DISEASE AND COMPLEX NEUROLOGICAL CONDITIONS. OUR PROGRAM IS STAFFED WITH A TEAM OF THERAPISTS TRAINED IN NEURO-BASED PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, NEUROPSYCHOLOGY AND CLINICAL COUNSELING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $639,945 | ExpenseAmt |
| Revenue | $1,203,564 | RevenueAmt |
| Desc | RNR HOUSE: ON WITH LIFE'S RESIDENTIAL NEURO REHABILITATION PROGRAM IS A FIVE-BEDROOM RESIDENTIAL HOME FOCUSED ON WORKING WITH INDIVIDUALS WHO HAVE SUSTAINED A BRAIN INJURY AS THEY LEARN STRATEGIES TO SUPPORT THEIR RETURN HOME AND TO THEIR COMMUNITIES. THE REHABILITATION TEAM FOCUSES ON PROMOTING THE OVERALL HEALTH OF THE PERSON SERVED, COMMUNITY INTEGRATION, INDEPENDENT LIVING SKILL-BUILDING AND MANAGING NEUROBEHAVIORAL CHALLENGES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,174,390 | ExpenseAmt |
| Revenue | $2,230,132 | RevenueAmt |
| Desc | THE SUPPORTED COMMUNITY LIVING PROGRAM ALLOWS INDIVIDUALS WHO HAVE EXPERIENCED A BRAIN INJURY OR OTHER NEUROLOGICAL CONDITION TO MAINTAIN AND IMPROVE THEIR INDEPENDENCE WHILE STILL RESIDING AT HOME. OUR GOAL IS TO ASSIST INDIVIDUALS IN DEVELOPING SKILLS REQUIRED FOR INDEPENDENCE AND MEANINGFUL COMMUNITY RELATIONSHIPS. OTHER PROFESSIONAL MEDICAL SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,174,390 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,230,132 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $14,144,257 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 97 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 452 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 23 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEAN SHELTON | PersonNm |
| Phone | 5159651339 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 715 SW ANKENY ROAD | AddressLine1Txt |
| City | ANKENY | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50023 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JEB LEE | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEVE GIVENS | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MEREDITH LAMBERTI | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN LEDVINA | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TRACY BOLLIN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRIAN CLARK | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK DEARDEN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ART FILEAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRETT FISHER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RUDY FORS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS FRIEDMAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARC HARDING | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CARL HARRIS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANA HOOGESTRAAT | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SARA JOHNSTON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHAD LANG | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHLEEN BENSON LARSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LUISITA MCBURNEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TODD MISEL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SUE RASMUSSEN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN SNYDER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JACLYN TAYLOR | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DONNA WALTER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEAN SHELTON | |||||||
| CEO | 40.00 | Yes (X) | $292,908 | $0 | $52,499 | ||
| JIM FOREMAN | |||||||
| CFO | 40.00 | Yes (X) | $144,435 | $0 | $19,201 | ||
| PATRICK STILWILL | |||||||
| CHIEF OPERAT | 40.00 | Yes (X) | $183,778 | $0 | $34,175 | ||
| MATTHEW STEEN | |||||||
| HR DIRECTOR | 40.00 | Yes (X) | $129,591 | $0 | $27,877 | ||
| DAVID DEMAREST | |||||||
| NEUROPSYCHOL | 40.00 | $198,327 | $0 | $45,758 | Yes (X) | ||
| KARI HARVEY | |||||||
| NURSE PRACTI | 40.00 | $139,438 | $0 | $5,878 | Yes (X) | ||
| DAVID ANDERS | |||||||
| CHIEF CLINIC | 40.00 | $135,300 | $0 | $37,714 | Yes (X) | ||
| NANCY JACKSON | |||||||
| DIRECTOR OF | 40.00 | $126,575 | $0 | $25,616 | Yes (X) | ||
| DAVID HJALMQUIST | |||||||
| DIRECTOR OF | 40.00 | $122,164 | $0 | $28,957 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,472,516 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $277,675 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HUBBELL CONSTRUSTION SERVICES | |||||
| 6900 WESTOWN PARKWAY | WEST DES MOINES | IA | 50266 | BUILDING CONTRA | $7,160,114 |
| GRAPETREE MEDICAL STAFFING | |||||
| 1003 23RD ST | MILFORD | IA | 51351 | CONTRACT NURSIN | $330,955 |
| PIGOTT INC | |||||
| 3815 INGERSOLL AVE | DES MOINES | IA | 50312 | FURNITURE VENDO | $218,560 |
| MCKESSON MEDICAL | |||||
| 6555 STATE HWY 161 | IRVING | TX | 75039 | MEDICAL SUPPLIE | $194,746 |
| MR PHARMACY LLC DBA RIGHT DOSE PHAR | |||||
| 211 SW WALNUT ST | ANKENY | IA | 50023 | PHARMACY | $153,161 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,344,507 | RelatedOrganizationsAmt |
| Total Contributions | $1,344,507 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 623000 | $16,448,384 | $16,448,384 |
| MANAGEMENT REVENUE | 623000 | $1,070,890 | $1,070,890 |
| OTHER ANCILLARY | 623000 | $241,562 | $241,562 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,760,836 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $149,025 | TotalRevenueColumnAmt |
| Exclusion | $149,025 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,254,368 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,760,836 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $149,025 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750,711 | TotalAmt |
| Management And General | $750,711 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,058,368 | TotalAmt |
| Program Services | $9,171,642 | ProgramServicesAmt |
| Management And General | $1,886,726 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $963,652 | TotalAmt |
| Program Services | $766,785 | ProgramServicesAmt |
| Management And General | $196,867 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $731,182 | TotalAmt |
| Program Services | $675,805 | ProgramServicesAmt |
| Management And General | $55,377 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $529,509 | TotalAmt |
| Program Services | $529,509 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,078 | TotalAmt |
| Management And General | $73,078 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $677,166 | TotalAmt |
| Program Services | $639,620 | ProgramServicesAmt |
| Management And General | $37,546 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,342 | TotalAmt |
| Program Services | $147,342 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $945,085 | TotalAmt |
| Program Services | $903,243 | ProgramServicesAmt |
| Management And General | $41,842 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,022 | TotalAmt |
| Program Services | $43,922 | ProgramServicesAmt |
| Management And General | $88,100 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $1,051,590 | $823,601 | $227,989 |
| PROFESSIONAL SERVICES | $638,929 | $638,929 | |
| OTHER EMPLOYEE RELATED | $534,805 | $129,818 | $404,987 |
| OTHER | $428,556 | $312,882 | $115,674 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88 | TotalAmt |
| Program Services | $88 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,662,083 | TotalAmt |
| Program Services | $14,144,257 | ProgramServicesAmt |
| Management And General | $4,517,826 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,260,961 | BOYAmt |
| EOY | $2,049,680 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,837,112 | BOYAmt |
| EOY | $3,539,930 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $834,066 | BOYAmt |
| EOY | $973,008 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $35,574,962 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,992,111 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,533,332 | BOYAmt |
| EOY | $26,582,851 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,440,635 | BOYAmt |
| EOY | $9,326,704 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,906,106 | BOYAmt |
| EOY | $42,472,173 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,047,041 | BOYAmt |
| EOY | $2,803,205 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,095,782 | BOYAmt |
| EOY | $11,902,881 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,252,931 | BOYAmt |
| EOY | $10,488,949 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,395,754 | BOYAmt |
| EOY | $25,195,035 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,612,768 | BOYAmt |
| EOY | $17,258,867 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $897,584 | BOYAmt |
| EOY | $18,271 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,510,352 | BOYAmt |
| EOY | $17,277,138 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,906,106 | BOYAmt |
| EOY | $42,472,173 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $592,285 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,825,499 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,544 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,873,038 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,292,558 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,785,414 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,344,507 | CurrentTaxYearAmt |
| Total | $12,390,061 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,651,411 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,307,578 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,692,026 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,193,570 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,760,836 | CurrentTaxYearAmt |
| Total | $80,605,421 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,745,955 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,180,616 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,984,584 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,978,984 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,105,343 | CurrentTaxYearAmt |
| Total | $92,995,482 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $92,995,482 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,740 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,759 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,571 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $212,462 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $149,025 | CurrentTaxYearAmt |
| Total | $438,557 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,740 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,759 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,571 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $212,462 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $149,025 | CurrentTaxYearAmt |
| Total | $438,557 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,771,695 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,201,375 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,015,155 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,191,446 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,254,368 | CurrentTaxYearAmt |
| Total | $93,434,039 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99530 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99780 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $4,722 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $4,722 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $4,722 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $944 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $236 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $3,778 | FilingOrganizationsTotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form4720 Filed | false | Form4720FiledInd |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $896 | CurrentYearMinus2Amt |
| Current Year Minus1 | $840 | CurrentYearMinus1Amt |
| Current Year | $944 | CurrentYearAmt |
| Total | $2,680 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $4,020 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $4,481 | CurrentYearMinus2Amt |
| Current Year Minus1 | $4,202 | CurrentYearMinus1Amt |
| Current Year | $4,722 | CurrentYearAmt |
| Total | $13,405 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | $224 | CurrentYearMinus2Amt |
| Current Year Minus1 | $210 | CurrentYearMinus1Amt |
| Current Year | $236 | CurrentYearAmt |
| Total | $670 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,005 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-A | FormAndLineReferenceDesc |
| Explanation | THERE WERE NOT APPLICABLE LOBBYING COSTS IN 2020. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $730,073 | OtherCostOrOtherBasisAmt |
| Book Value | $730,073 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,844,889 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,992,111 | DepreciationAmt |
| Book Value | $25,852,778 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,582,851 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTERCOMPANY ACCOUNTS | $9,315,347 |
| OTHER ASSETS | $11,357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,326,704 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY LIABILITIES | $10,477,592 |
| OTHER LIABILITIES | $11,357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,488,949 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZAITON HAS ADOPTED THE ACCOUNTING STANDARD REGARDING "ACCOUNTING FOR UNCERTAIN TAX POSITIONS." THIS STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMETN RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE ENTITY'S FINANCIAL STATEMENTS. IT REQUIRES AN ENTITY TO RECOGINIZE 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| JEAN SHELTON | ||||||
| CEO | $244,908 | $48,000 | $10,252 | $42,247 | $345,407 | |
| JIM FOREMAN | ||||||
| CFO | $138,889 | $1,000 | $5,055 | $14,146 | $163,636 | $4,546 |
| PATRICK STILWILL | ||||||
| CHIEF OPERATING OFFI | $176,566 | $1,000 | $6,432 | $27,743 | $217,953 | $6,212 |
| MATTHEW STEEN | ||||||
| HR DIRECTOR | $127,532 | $1,000 | $4,536 | $23,341 | $157,468 | $1,059 |
| DAVID DEMAREST | ||||||
| NEUROPSYCHOLOGIST | $180,077 | $18,250 | $6,941 | $38,817 | $244,085 | |
| DAVID ANDERS | ||||||
| CHIEF CLINICAL OFFIC | $130,346 | $2,200 | $4,736 | $32,978 | $173,014 | $2,754 |
| NANCY JACKSON | ||||||
| DIRECTOR OF REFERRAL | $125,825 | $750 | $4,430 | $21,186 | $152,191 | |
| DAVID HJALMQUIST | ||||||
| DIRECTOR OF IT | $118,106 | $1,750 | $4,276 | $24,681 | $151,121 | $2,308 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART III | FormAndLineReferenceDesc |
| Explanation | 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 REVIEWS AND THE FULL BOARD VOTES ON THE CHIEF EXECUTIVE OFFICER'S SALARY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | THE SUPPORTED COMMUNITY LIVING PROGRAM ALLOWS INDIVIDUALS WHO HAVE EXPERIENCED A BRAIN INJURY OR OTHER NEUROLOGICAL CONDITION TO MAINTAIN AND IMPROVE THEIR INDEPENDENCE WHILE STILL RESIDING AT HOME. OUR GOAL IS TO ASSIST INDIVIDUALS IN DEVELOPING SKILLS REQUIRED FOR INDEPENDENCE AND MEANINGFUL COMMUNITY RELATIONSHIPS. OTHER PROFESSIONAL MEDICAL SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | DRAFT FORM 990 IS EMAILED TO RESPECTIVE BOARD MEMBERS PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 15A | POLICY "CHIEF EXECUTIVE OFFICER COMPENSATION" REQUIRES ANNUAL REVIEW, COMPENSATION DETERMINATION, AND APPROVAL BY THE BOARD EXECUTIVE COMMITTEE. BOARD CHAIR PROVIDES INFORMATION TO ENTIRE BOARD DURING MEETING EXECUTIVE SESSION (NO STAFF PERSONS PRESENT). |
| FORM 990, PAGE 6, PART VI, 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 | INTERCOMPANY TRANSFER -1,825,499 AN INTERCOMPANY TRANSFER OF NET ASSETS OCCURED WITH ON WITH LIFE EXTENDED SERVICES LTD (EIN 42-1521198), A RELATED PARTY. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| ON WITH LIFE EXTENDED SERVICES LTD | |||||||||
| 715 SW ANKENY RD | ANKENY | IA | 50023 | 421521198 | PART VII | IA | 10 | N/A | false |
| ON WITH LIFE FOUNDATION | |||||||||
| 715 SW ANKENY RD | ANKENY | IA | 50023 | 421399777 | PART VII | IA | 12B | N/A | false |
| ON WITH LIFE SUPPORTIVE HOUSING COR | |||||||||
| 715 SW ANKENY RD | ANKENY | IA | 50023 | 460516882 | PART VII | IA | 10 | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ON WITH LIFE FOUNDATION | ||
| C | $1,344,507 | ACTUAL |
| ON WITH LIFE SUPPORTIVE HOUSING | ||
| O | $32,433 | ACTUAL |
| ON WITH LIFE SUPPORTIVE HOUSING | ||
| Q | $11,896 | ACTUAL |
| ON WITH LIFE EXTENDED SERVICES LTD | ||
| R | $1,825,499 | ACTUAL |
| ON WITH LIFE EXTENDED SERVICES LTD | ||
| A | $17,978 | ACTUAL |
| ON WITH LIFE EXTENDED SERVICES LTD | ||
| Q | $1,070,890 | ACTUAL |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | PART II LINE 1(B) PROVIDE SKILLED CARE AND REHAB SERIVCES FOR INDIVIDUALS WITH BRAIN INJURIES PART II LINE 2(B) SUPPORT ON WITH LIFE, INC. AND AFFILIATES IN PROVIDING SERVICES TO INDIVIDUALS LIVING WITH BRAIN INJURY PART II LINE 3(B) SUBSIDIZED APARTMENT HOUSING FOR INDIVIDUALS WHO HAVE EXPERIENCED BRAIN INJURY | ExplanationTxt |
Averaging Attachment AveragingAttachment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THERE WERE NOT APPLICABLE LOBBYING COSTS IN 2020. | ExplanationTxt |