2025-08-14T10:51:42-07:00 2024-09-30 990 2023-10-01 050309043 Gateway Healthcare Inc GATE 4016676502 1 Virginia Avenue 200 Providence RI 02905 Peter K Markell EVP/CFO 2025-08-14 true 2023 2025-03-06 01:10:19Z Henry T Sachs III MD 32850604 false X www.gatewayhealth.org X 1995 RI The development, establishment, operation, maintenance, and provision of mental health and substance abuse treatment services and other related services for children, adults, the elderly, and families in Rhode Island and neighboring communities. 18 14 450 16 0 5293031 6803311 23978483 23641101 50096 146062 1597258 1682452 30918868 32272926 0 0 26153690 30312743 0 0 9020774 6698739 35174464 37011482 -4255596 -4738556 11928456 12289616 4554892 4547212 7373564 7742404 X The development, establishment, operation, and maintenance of mental health and substance abuse treatment services and other related services for children, adults, the elderly, and families in Rhode Island and neighboring communities. false false 23714805 20883799 Gateway Healthcare, Inc.'s (Gateway) Adult Services include an Adult Emergency Program that provides around-the-clock telephone and face-to-face crisis intervention services to adults and families experiencing an emotional crisis. A crisis hot line is staffed at all times by Master Level crisis clinicians who provide support and guidance to active consumers of Gateway's services or those needing help in accessing care. Face-to-face evaluation and crisis de-escalation are provided through a team of office-based, emergency department-based, and home-based clinicians who respond to calls for intervention statewide. In addition to crisis management, Gateway Emergency Services ensures that consumers in need of ongoing treatment gain access to treatment, or if they are medically or psychiatrically hospitalized, assists consumers with discharge planning and care coordination. (See Schedule O) 4147856 3733695 Gateway's Children's Services Program consists of comprehensive mental health services for children, youth, and families. Services include emergency response and crisis intervention in both the community and at local hospitals. Therapeutic services include individual, group, and family therapy provided in an office setting, at home, or within the community. The Empowered Families Comprehensive Evaluation Diagnosis, Assessment, Referral, and Re-evaluation (CEDARR) Program provides assessment and referral for children with all types of special needs. Residential treatment services include short-term crisis stabilization programs as well as longer-term treatment programs for children and adolescents. 27862661 true true false false false false false false false true true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 59 0 true 450 true false false false false false false false 0 false false false false false false false X 18 14 true false false false true true true true true false false true true true true true true true true false RI X Peter K Markell 4014447914 167 Point Street Providence RI 02903 X Timothy J Babineau Fmr. Director 0.00 0.00 0 2343283 1336393 John Fernandez Director 0.50 49.50 X 0 2148746 307376 Ziya L Gokaslan MD Director 0.50 44.50 X 0 1656599 52686 Peter K Markell EVP & CFO 0.50 59.50 X 0 1193642 18928 Paul J Adler Secretary 1.00 39.00 X 0 926856 151085 Henry T Sachs III MD President 10.00 50.00 X 0 767743 29458 Eva Greenwood Treasurer 0.50 39.50 X 0 649185 87891 G Alan Kurose Fmr. Trustee 0.00 0.00 593347 0 11416 Scott DiChristofero CFO-10/28/23 10.00 30.00 X X 0 321654 33388 Stephen Chabot Medical Director 39.00 1.00 0 271691 17427 Joan E Salhany VP of Operations 40.00 0.00 263999 0 19902 Kelly A Collins Clin. Nurse Spec. 40.00 0.00 149183 0 20160 Rose Marie Zmyslinski Clin. Nurse Spec. 40.00 0.00 155194 0 11003 Susan E Stevenson Dir. - Child Svcs. 40.00 0.00 140142 0 19500 Katherine Pichie Mgr. - Adult Res. 40.00 0.00 137485 0 16866 Doris Santagata Dir. Adult Svcs. 40.00 0.00 121802 0 16242 Lawrence A Aubin Sr Chair 0.50 7.50 X X 0 0 0 Emanuel Barrows Director 0.50 6.50 X 0 0 0 Roger N Begin Director 2.00 10.50 X 0 0 0 Peter Capodilupo Vice Chair 0.00 5.00 X 0 0 0 Chris Cocks Director 0.00 0.00 X 0 0 0 Sarah T Dowling JD LLM Director 0.00 13.00 X 0 0 0 Edward D Feldstein Esq Director 0.00 3.10 X 0 0 0 Michael L Hanna Director 0.10 8.50 X 0 0 0 Phillip Kydd Director 0.50 6.00 X 0 0 0 Alan H Litwin Vice Chair 0.50 9.00 X X 0 0 0 Martha B Mainiero MD Director 0.10 3.00 X 0 0 0 Paula McNamara Director 0.00 0.00 X 0 0 0 Steven Pare Director-12/23 0.00 3.00 X 0 0 0 Janet Robinson Director 0.00 2.00 X 0 0 0 Lawrence B Sadwin Director 0.00 8.00 X 0 0 0 Shivan Subramaniam Director 0.25 5.25 X 0 0 0 Angel Taveras Director 0.00 3.00 X 0 0 0 Jane Williams PhD RN Director-12/23 5.00 27.00 X 0 0 0 1561152 10279399 2149721 16 true true true Marcum LLP 155 South Main Street Suite 100 Providence RI 02903 Audit Services 139635 1 6803311 6803311 Client Fees 900099 130930 130930 Patient Revenue 900099 22521684 22521684 Program Service Fees 900099 435974 435974 Rent 900099 552513 552513 23641101 46418 46418 0 0 0 677322 577678 99644 99644 99644 0 0 0 Mainstream Income 900099 738566 738566 Management Fees 900099 512483 512483 Other 900099 431403 431403 1682452 32272926 25323553 146062 0 0 0 0 319298 319298 0 23061395 21275645 1785750 1189761 996988 192773 4206768 3472872 733896 1535521 1264233 271288 0 0 94802 94802 0 0 0 3330281 19505 3310776 0 166084 41068 125016 195442 99061 96381 0 749704 431912 317792 12382 9760 2622 0 0 66804 66804 0 349559 349559 195144 195144 Mainstream Expenses 720738 850 719888 Repairs and Maintenance 617434 137037 480397 Miscellaneous expense 118048 50834 67214 Program Expenses 62896 62896 19421 19421 37011482 27862661 9148821 0 3472289 851246 0 0 1589914 2885677 0 0 0 0 0 5094554 3242113 2179308 1852441 869043 926708 447346 543517 0 10729 5960 3359827 5224067 11928456 12289616 2224314 2739943 100000 1803903 1683799 426675 123470 4554892 4547212 X 5980618 6182679 1392946 1559725 7373564 7742404 11928456 12289616 X -4738556 96122 5011274 X X false true X true true true X 2620759 2124026 1006762 5293031 6803311 17847889 24778884 25560697 26873711 23978483 23641101 124832876 0 0 340608 340608 340608 340608 340608 1703040 27740251 28025331 28221081 29612122 30785020 144383805 0 0 144383805 12968 34106 35801 34664 46418 163957 0 12968 34106 35801 34664 46418 163957 0 5429623 1417714 1276074 1597258 1682452 11403121 33182842 29477151 29532956 31244044 32513890 155950883 0.92580 0.92510 0.00110 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1326946 232779 1559725 1216532 110414 1326946 1396548 -180016 1216532 1137099 259449 1396548 1048366 88733 1137099 1.00000 false true true 613736 613736 1848987 1607904 241083 1584488 921699 662789 11622 11622 1035721 700888 334833 1852441 Commodities 9924 F Limited Partnerships 426443 F Deposits 2375 Due From Related Parties 4860911 Life Insurance Cash Surr Val Other 4422 PPE WIP 178579 Prepaid Expenses 88280 5224067 Accrued Pension & Post Ret. Liab. 67100 Estimated Health Benefit Self-Ins Costs 56370 123470 X Part V, Line 4: Intended uses of the endowment fund. Gateway's temporarily restricted endowment fund was established to provide financial support for the provision of outpatient and residential behavioral health services to children who reside in the Blackstone Valley. Funds are available for both operating expenses and capital expenditures to enhance existing programs or to initiate new programming. Part X : FIN48 Footnote The organization is included in the consolidated financial statements of Brown University Health System which includes the following footnote regarding uncertain tax positions:Brown Health and substantially all its affiliates are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and are exempt from Federal income taxes pursuant to Section 501(a) of the Code. Brown Health MSO, Inc., Lifespan Risk Services, Inc. (d/b/a Brown University Health Risk Services), and VNA Technicare, Inc. (d/b/a Brown Health Home Medical) are taxable corporations. Gateway recognizes the effect of income tax positions only if those positions are more likely than not to be sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. Gateway did not recognize the effect of any income tax positions in either 2024 or 2023. X X X X X X true true false false false false false true false Eva Greenwood Treasurer 450817 165150 33218 66165 21726 737076 G Alan Kurose Fmr. Trustee 426299 167048 1065 10351 604763 Henry T Sachs III MD President 395625 92252 279866 29458 797201 Joan E Salhany VP of Operations 203221 27277 33501 9466 10436 283901 20509 John Fernandez Director 1208249 858333 82164 280199 27177 2456122 Katherine Pichie Mgr. - Adult Res. 133506 3909 70 6254 10612 154351 Kelly A Collins Clin. Nurse Spec. 147991 750 442 6958 13202 169343 Paul J Adler Secretary 641242 158116 127498 121810 29275 1077941 86031 Peter K Markell EVP & CFO 883350 186333 123959 18928 1212570 Rose Marie Zmyslinski Clin. Nurse Spec. 152620 600 1974 8378 2625 166197 Scott DiChristofero CFO-10/28/23 164253 26600 130801 11026 22362 355042 72746 Stephen Chabot Medical Director 260171 11520 12111 5316 289118 Susan E Stevenson Dir. - Child Svcs. 129381 8713 2048 6171 13329 159642 Timothy J Babineau Fmr. Director 2343283 1336393 3679676 2343283 Ziya L Gokaslan MD Director 1511075 138000 7524 19800 32886 1709285 Part I, Line 1a: Relevant information in regards to selections on 1a. Part I, Line 7: Non-Fixed payments not listed above Certain physicians and executives participate in incentive compensation plans arranged through individual contractual agreements which stipulate non-fixed payments based on meeting criteria comprised of various quality and productivity markers. Form 990, Part VI, Section A, Line 2 Lawrence A. Aubin, Sr., Chairman, and Michael L. Hanna, Director, are partners in the same for-profit organization. Form 990, Part VI, Section A, Line 6 Brown University Health is the sole member of Gateway. Form 990, Part VI, Section A, Line 7a The sole member of Gateway is Brown University Health, a non-profit corporation organized and existing under the Rhode Island Nonprofit Corporation Act.Additionally, the bylaws of Gateway confer certain reserved powers upon Brown Health to provide it with the means of effective oversight, coordination, and support of the system. Powers reserved to Brown Health include: to elect and remove Gateway directors and to approve the election of and removal of certain officers. Form 990, Part VI, Section A, Line 7b The Gateway Board is comprised of the same individuals who serve on the Brown Health Board. Brown Health has the responsibility for planning, directing, and establishing policies intended to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Brown Health, in addition to those noted above, include: to approve amendment of the Articles of Incorporation and Bylaws and other charter documents; to approve strategic plans; to approve capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness. Form 990, Part VI, Section B, Line 11b The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Executive Vice President & Chief Financial Officer (EVP/CFO) and Brown Health's Finance Department. The Form 990 is prepared by the accounting staff upon completion of Brown Health's annual independent audit and is reviewed by the Corporate Services Tax Compliance Manager and the Director of Finance. The draft Form 990 is then provided to the EVP/CFO for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form is posted to Gateway's Board of Trustees website portal in advance of its next Board meeting. At the time of the Board Meeting the 990 is presented by the Brown Health Director of Finance and EVP/CFO, at which time all questions and concerns of the members of the Board are addressed by the EVP/CFO and incorporated into the Form 990 when appropriate. Once the Form 990 is complete and ready to be filed, the members of the Board are notified via email that a copy of the final version of the Form 990 is accessible through the same password-protected website portal. The EVP/CFO is authorized to file the Form 990 Form 990, Part VI, Section C, Line 19 Brown University Health, the sole member of Gateway, currently makes its annual and quarterly consolidated financial statements available to the public via DAC (Digital Assurance Certification, LLC), a disclosure dissemination agent for issuers of tax-exempt bonds which electronically posts and transmits Brown Health's financial information to repositories and investors alike. Gateway's financial statements are included in the audited consolidated financial statements of Gateway Healthcare, Inc. and Related Entities, which in turn are included in the audited consolidated financial statements of Brown Universioty Health and Affiliates. In addition, copies of Gateway's Articles of Incorporation, Bylaws, and Conflict of Interest Policy are available upon request from the office of the Brown Health EVP/CFO, either in person or by mail. Form 990, Part XI, Line 9 Change in funded status of pension plan = $35100 Form 990, Part XI, Line 9 Joint venture activity = $4976174 Form 990, Part I, Line 1: Established in 1995 as a community mental health center for residents of northern and central Rhode Island, Gateway now includes more than 30 locations across Rhode Island, including Pawtucket, Central Falls, Johnston, Cranston, Lincoln, Smithfield, Providence, and Charlestown. Gateway's size and statewide reach sets it apart from other community-based mental health and substance abuse organizations; it is Rhode Island's largest non-profit behavioral health organization. Gateway and its affiliates employ 350 full-time equivalent employees and reach more than 25,000 Rhode Islanders annually through high quality, comprehensive residential, outpatient, and community-based programs. Gateway's network affiliates include The Autism Project, Capital City Community Centers, Inc., and Families Reaching into Each New Day, Inc., d/b/a FRIENDS WAY. Form 990, Part III, Line 4a (continued): Adult health home and rehabilitative treatment services provide community-based services through outreach efforts and support to adults aged 18 and older who live with severe and persistent mental illness in the community. The Adult Emergency Services Program is designed to help people reach a level of recovery that will allow them to lead productive, satisfactory, and independent lives. Services include supportive counseling, advocacy, encouragement and assistance in accessing resources, individual and family psychotherapy, substance abuse treatment, skill-building groups, rehabilitative services for social integration, vocational needs, educational goals, crisis intervention, nursing services, daily living skills training, evaluations of responses to treatment interventions, and ongoing assessments of needs. Substance abuse services include substance abuse education as well as individual, family, and group counseling in an office-based outpatient setting. Case management, outreach, and crisis intervention services are also provided. Psychiatric services and assessments are available, as well as medication-assisted therapy for people suffering from addiction or dealing with the effects of medications needed for treatment of co-occurring substance abuse and other emotional disorders. Form 990, Part VI, Line 12c: Brown Health has a Conflict of Interest Policy that is applicable to all affiliates, including Gateway, and administered by Brown Health's Corporate Compliance Department as follows: Each designated person subject to Brown Health's conflict of interest policy is required to provide Brown Health with an initial disclosure statement and thereafter, an annual statement attesting that: (i) the designated person has read and is familiar with this policy, and (ii) the designated person and, to the best of his/her knowledge, family members, have not in the past engaged in, are not presently engaging in, or plan to engage in, any activity which contravenes this policy.If, at any time during the course of employment or association, a designated person has reason to believe that an existing or contemplated activity may contravene this policy, the person shall submit a full written description of the activity to the Brown Health Compliance Officer or the Office of the General Counsel to seek a determination as to whether the contemplated activity does or does not contravene this policy. If the activity in question involves either the Chief Executive Officer, the Senior Vice President and General Counsel, or a Trustee, a full written disclosure must be made to, and a determination sought from, the Chairman of the Board of Directors of Brown Health.Annually, the Brown Health Compliance Officer shall review and report to the Brown Health Executive Corporate Compliance Committee and to the Brown Health Audit and Compliance Committee on the administration of this policy.Failure on the part of any designated person to comply with this policy, including failure to submit in a timely fashion the conflict of interest disclosure statement, will be grounds for removal from his/her position and/or termination of his/her employment with Brown Health. Form 990, Part VI, Line 1b: *Lawrence A. Aubin, Sr., Chair, and Michael Hanna, Trustee, are owners of New England Real Estate Holding Group, LLC (NEREHG), with which Brown Health has entered into an operating lease of a health care facility. During fiscal year 2024, Brown Health paid rent to NEREHG under the terms of its lease. Terms of the rent expense related to the lease have been established at fair market value. Form 990, Part VI, Lines 15a: The following applies to Brown Health and all of its affiliates, including Gateway:EXECUTIVE COMPENSATIONBrown Health's executive compensation philosophy balances appropriate stewardship of resources and the need to be competitive in recruiting and retaining talented individuals. It incorporates market-competitive and performance-related principles, and covers the President and CEO of Brown Health as well as other officers, senior management, and key employees. Brown Health's executive compensation program complies both with law and with contemporary ethical norms, and is administered consistent with the organization's tax-exempt status under Section 501(c)(3) of the Internal Revenue Code (IRC) and the avoidance of transactions subject to intermediate sanctions under Section 4958 of the IRC. Executive compensation is also administered consistent with Brown Health's Corporate Compliance Policy on Excess Benefit Transactions.The Compensation Committee of the Brown Health Board of Directors (the Committee), comprised of disinterested Brown Health Board members, is responsible for diligent oversight of executive compensation to ensure compliance with IRC requirements. Its duties include:* Approving eligibility for participation in the executive compensation program * Approving changes in compensation for existing executive participants * Approving guidelines, such as salary ranges and contract terms, on appropriate levels of compensation for other key employees* Approving new, and modifying or terminating existing, executive compensation plans including, but not limited to, annual incentive and executive benefit plans* Approving performance objectives associated with Brown Health's annual incentive plan, including measuring points, and using verified actual performance relative to these objectives as a precondition to approving the payment of any awards under the plan* Authorizing periodic performance benchmark studies to be conducted for purposes of assessing Brown Health's performance within the healthcare industry and the degree to which total remuneration levels at Brown Health are generally commensurate with Brown Health performance relative to healthcare industry performance* Conducting an annual performance review of Brown Health's Chief Executive Officer. The Chair of the Committee conducts and documents this review, based on his/her observations and interpretation of feedback from members of the Board of Directors.* Selecting and engaging qualified, independent, third-party compensation valuation consultants that the Committee charges with rendering opinions with respect to the reasonableness and comparability of compensation as well as the comparative organizations against which compensation is assessed, in accordance with relevant sections of the IRC and Brown Health's executive compensation philosophy.Brown Health's Chief Executive Officer works closely with the Committee to make recommendations on the above topics and keep the Committee informed about contemplated compensation changes for executives and other key employees, as well as candidates for these roles. The CEO also provides periodic updates to the Committee regarding Brown Health's performance relative to compensation-related performance objectives.The Committee's deliberations and actions are documented in minutes prepared for each meeting.PROCESS FOR DETERMINING COMPENSATION Valuation of Total Cash and Total Remuneration: No less frequently than annually, the Committee receives and reviews a total cash compensation valuation of all existing executive compensation program participants prepared by its independent compensation consultant. Annually, the Committee also receives and reviews a total remuneration valuation of all existing executive compensation participants.Base Salary Actions: The CEO recommends any salary adjustments for participants in the executive compensation program, using the results of the valuation study and his/her assessment of individual performance or other pertinent information, for the Committee's consideration.New Participants in Executive Compensation Program: With respect to compensation offers for individuals expected to participate in the executive compensation program, certain members of the Brown Health CEO's leadership team work with the Committee's independent compensation consultant or rely on information previously provided by the consultant to establish a range of reasonable cash compensation within which recruitment is expected to conclude with acceptance of a reasonable compensation offer. Form 990, Part XII, Line 2: Gateway was included in Gateway and Related Entities' audited consolidated financial statements as of and for the fiscal year ended September 30, 2024, which consist of Gateway, Pathways, Inc., Mill River Community Housing Corporation, Obed Apartments, Inc., Wentworth Corporation, L.J.R. Corporation, TLR Realty, JM Apartments, Inc., Shore Courts, Inc., Westerly Courts, Inc., Bayberry Courts, Inc., Alternative Living Concepts, Inc., d/b/a Human Services Realty, Inc., Families Reaching into Each New Day, Inc., d/b/a FRIENDS Way, The Autism Project, and Capital City Community Centers, Inc.. The Brown Health Audit and Compliance Committee assumes responsibility for oversight of the audit of Gateway's consolidated financial statements and the selection of Brown Health's independent accountant. ALC dba HSR 1 Virginia Avenue Suite 200 Providence RI 02905 050442015 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc true Bayberry Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 204590384 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc true Bradley Hospital Foundation 167 Point Street Providence RI 02803 050500688 Philanthropic Activities RI 501(c)(3) 7 Brown University Health false Capital City Community Centers Inc 1 Virginia Avenue Suite 200 Providence RI 02905 050259090 Daycare Services RI 501(c)(3) 7 Gateway Healthcare Inc true Emma Pendleton Bradley Hospital 1011 Veterans Memorial Parkway East Providence RI 02915 050258806 Pediatric Psychiatric HealthCare Service RI 501(c)(3) 3 Brown University Health false Families Reaching Into Each New Day 1 Virginia Avenue Suite 200 Providence RI 02905 050504841 Bereavement Services for Children RI 501(c)(3) 7 Gateway Healthcare Inc true Hospital Properties Inc 167 Point 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Roosevelt Avenue Pawtucket RI 02860 050512037 Services for Children with Autism RI 501(c)(3) 10 Gateway Healthcare Inc true The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 Health Care Services RI 501(c)(3) 3 Brown University Health false The Miriam Hospital Foundation 167 Point Street Providence RI 02903 050377502 Philanthropic Activities RI 501(c)(3) 7 Brown University Health false TLR Realty 1 Virginia Avenue Suite 200 Providence RI 02905 043742771 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc true Wentworth Corporation 1 Virginia Avenue Suite 200 Providence RI 02905 050488520 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc true Westerly Courts Inc 1 Virginia Avenue Suite 200 Providence RI 02905 611439766 Housing for Elderly and Mentally Ill RI 501(c)(3) 10 Gateway Healthcare Inc true Brown Health Medical Group Primary Care 10 Davol Square Providence RI 02903 844944884 Physician Health Care Services RI 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