Gateway Healthcare Inc
Nonprofit profile at a glance
- EIN
- 050309043
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024
- Location
- Providence, RI, USA
- Phone
- 4016676502
- Rating
- 70
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Alcohol, Drug Abuse, Treatment Only
Reported finances
- Revenue
- $45,671,057
- Expenses
- $46,199,443
- Assets
- $17,373,819
- Liabilities
- $9,109,636
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
34 people listed
Executive titles in this filing
- John Fernandez (President & CEO)
Highest reported compensation
- John Fernandez (President & CEO): $2,016,723 total reported compensation
- Ziya L Gokaslan MD (Trustee): $1,717,949 total reported compensation
- Peter K Markell (Treasurer): $1,505,315 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
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.
What it reported doing in 2024
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. 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.
Operating model
- Revenue model
- Other-operating. 95% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Program spending has declined or grown slowly and revenue has declined or grown slowly.
Rating breakdown
- Financial Efficiency: 67
- Transparency & Controls: 85
- Accountability: 83
- Sustainability: 25
- Growth: 0
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 75.6%; rating input score 76
- Program expense ratio: 74.6%; rating input score 75
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.3%; rating input score 92; 8th percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Scored; rating input score 0
Accountability
- Independent voting board: 70.6%; rating input score 71; 12th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -1.2%; rating input score 26; 26th percentile among comparable filings
- Total-asset coverage ratio: 0.38; rating input score 10; 10th percentile among comparable filings
- Liabilities to assets ratio: 0.52; rating input score 27; 27th percentile among comparable filings
- Officer compensation ratio: 4%; rating input score 59; 59th percentile among comparable filings
Growth
- Program expense growth: -1.2% per year; rating input score 0; 8th percentile among comparable filings
- Revenue growth: -2.1% per year; rating input score 0; 4th percentile among comparable filings
- Asset growth: -2.6% per year; rating input score 0; 5th percentile among comparable filings
Details
- Where the money goes: 75.6% of revenue deployed · 74.6% of spending went to programs
- Governance: 12 of 17 board members independent · 9 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $34.4M in reported program spending
- Leadership: top reported pay $2M · 34 people listed · 5 of 6 pay-setting controls reported
- Highest-paid contractors: 2 contractors listed · $276K reported
- Consistency: 43 of 43 current checks pass
- Schedules: 6 filed schedules · includes major donors, executive pay, and related organizations
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 6 filed money-flow records
- Related organizations: 40 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Growth: Program expense growth scored 0/100.
- High — Growth: Revenue growth scored 0/100.
- High — Transparency & Controls: Related-party transparency scored 0/100.
- High — Sustainability: Operating margin scored 26/100.
- High — Sustainability: Total-asset coverage ratio scored 10/100.
- High — Growth: Asset growth scored 0/100.
- High — Sustainability: Liabilities to assets ratio scored 27/100.
- Review — Sustainability: Officer compensation ratio scored 59/100.