Gateway Healthcare Inc
Public records show a registered, tax-exempt organization in good standing.
What it says it does
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.
- Income
- $32.3 million
- Spending
- $37.0 million
- Spent on programs
- 75%
- Reserves
- 1.4 months of spending
- Largest source of income
- fees for its services, 73%
- Employees
- 450
- Volunteers
- 16
- Highest pay
- $3.7 million, fmr. director
Source: Form 990 for the year ending September 30, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Financial health
Fair: 54 out of 100. Higher than 28% of charities in its peer group (mental health, $10m to $100m).
Reserves
10 of 35Spendable reserves would cover 1.4 months of spending.
Debt
10 of 20It owes 37% of what it owns.
Living within its means
4 of 15Spending exceeded income by 15% of income.
Income trend
15 of 15Income rose 4% on the year before.
Spending floor
15 of 1575% of spending went to programs and raising each dollar of donations cost 0 cents.
Source: Form 990 for the year ending September 30, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Governance
Strong: 100 out of 100. Higher than 37% of charities in its peer group (mental health, $10m to $100m).
Independent board
25 of 2514 of 18 voting board members are independent.
Conflict of interest policy
15 of 15Has a written conflict of interest policy.
Whistleblower policy
8 of 8Has a written whistleblower policy.
Record keeping policy
7 of 7Has a written policy on keeping and destroying records.
Board minutes
5 of 5Keeps minutes of board meetings.
Board sees the tax return
10 of 10Gave the board a copy of this return before filing it.
Pay set independently
5 of 5Sets its chief executive's pay through independent review and comparison.
Independent check of accounts
15 of 15Its accounts were audited by an independent accountant.
No reported misuse
10 of 10Reports no diversion of assets, excess benefits or loans to insiders.
Source: Form 990 for the year ending September 30, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Impact evidence
Describes programs. Its tax return describes what it does but we have found no measurable results in it.
Programs described in its return (2)
- $23.7 million spent. 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) 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.
- $4.1 million spent. 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.
Source: Form 990 for the year ending September 30, 2024, filed with the Internal Revenue Service. Rating method 2026.2. How we rate
Legitimacy checks
Is it registered with the IRS? Passed.
Listed in the IRS master file of tax-exempt organizations as a 501(c)(3) charitable organization.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Has the IRS revoked its tax-exempt status? Passed.
Not on the IRS automatic revocation list.
Source: Automatic revocation of exemption list, Internal Revenue Service, file dated September 30, 2026.
Are donations tax-deductible? Passed.
On the IRS list of organizations eligible to receive tax-deductible contributions.
Source: Publication 78 data: organizations eligible for tax-deductible contributions, Internal Revenue Service, file dated September 10, 2026.
Is it keeping up with its IRS filings? Passed.
Most recent return on file covers the year ending September 2025.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
How long has it been tax-exempt? Passed.
Recognized by the IRS since November 2005.
Source: Exempt Organizations Business Master File, Internal Revenue Service, file dated September 7, 2026.
Is it in good standing with state regulators? Passed.
Not on California's list of charities barred from soliciting. Other states are not yet checked.
Source: May Not Operate or Solicit for Charitable Purposes list, California Attorney General, Registry of Charities and Fundraisers, file dated October 7, 2026.
Ratings and checks are our reading of public records, using the published method. They are not a statement about anyone's honesty. If you work for this organization, you can send corrections or results, confirm you want gifts through Veridonate, or ask to be removed from giving.