2015-08-14T10:27:01-07:00 2014-09-30 KPMG LLP 2 Financial Center 60 South Street Boston MA 02110 990 2013-10-01 050309043 Gateway Healthcare Inc GATE 4016676502 249 Roosevelt Avenue Pawtucket RI 02860 Mary A Wakefield Treasurer 2015-08-14 true P00431862 6179881000 2013 2016-03-07 17:11:31Z Richard H LeClerc 167 Point Street Providence RI 02903 42129815 false 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. (See Sch. O) 24 16 941 21 0 570972 2710997 9346356 37659788 13593 56758 409597 1494870 10340518 41922413 0 0 9532012 39907651 0 10570 2064414 8888098 11596426 48795749 -1255908 -6873336 18016423 15859763 12845675 17530708 5170748 -1670945 The development, establishment, operation, maintenance, and provision of mental health and substance abuse treatment services and other related services for children, the adults, elderly, and families in Rhode Island and neighboring communities. false false 20274462 23109610 Gateway Healthcare, Inc.'s (Gateway) Emergency Services program 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 or those in need of help 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, Emergency Services ensures that consumers in need of ongoing treatment gain access to treatment, or if they are medically or psychiatrically hospitalized, will assist consumers with discharge planning and care coordination. (See Schedule O) 15743903 14786113 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 or at home or within the community. The Empowered Families 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. 2442149 1266486 Adult substance abuse services offer substance abuse education as well as individual, family, and group counseling in an office-based outpatient setting. In addition to psychotherapy, 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. (See Schedule O) 38460514 true true false false false false false false true true true false false true true true false true false false false false false false true false false false false true false false false false false false false false false true true false false false false false true true false false false true 114 0 true 941 true false false false false false false true true false 0 false false false false false false false false false false X 24 16 true false false false true true true true true false false true true true true true true true true false X Scott W DiChristofero 4016676502 249 Roosevelt Ave Ste 205 Pawtucket RI 02860 X Thomas Anders MD Director 0.25 4.00 X 0 0 0 Sr Therese M Antone Director- 12/13 0.25 3.50 X 0 0 0 Lawrence Aubin Sr Vice Chair 2.00 18.00 X X 0 0 0 Timothy J Babineau MD Director 2.00 38.00 X 0 1624647 297468 Emanuel Barrows Director 0.25 1.75 X 0 0 0 David A Brown Director 0.25 4.75 X 0 0 0 Peter Capodilupo Director 0.25 3.25 X 0 0 0 Ellen A Collis Director 0.50 4.50 X 0 0 0 Michael Ehrlich MD Director 0.50 5.00 X 0 5059 0 Jonathan D Fain Director 0.15 1.90 X 0 0 0 Edward D Feldstein Director 0.50 3.00 X 0 0 0 Jason Fowler Director 0.00 0.00 X 0 0 0 David Gorelick MD Director 0.25 3.75 X 0 0 0 Michael L Hanna Director 0.50 4.00 X 0 0 0 Pamela Harrop MD Director 0.75 4.75 X 0 0 0 Dayle Hunt Joseph Director- 12/13 0.50 7.50 X 0 0 0 Marie J Langlois Director 0.25 5.75 X 0 0 0 Scott B Laurans Chairman 1.00 6.50 X X 0 0 0 Jerrold Lavine Director 0.00 0.00 X 0 0 0 Bertram M Lederer Director-12/13 0.10 1.50 X 0 0 0 Alan H Litwin Director 1.00 6.00 X 0 0 0 Stephen P Massed Director-12/13 1.00 6.50 X 0 0 0 Steven Pare Director 2.00 16.50 X 0 0 0 Lloyd J Robertson Director 0.25 4.35 X 0 0 0 Lawrence Sadwin Director 1.00 12.00 X 0 0 0 Fred J Schiffman Director 0.25 3.25 X 0 0 0 Hon Bruce Selya Director-12/13 0.50 4.50 X 0 0 0 Shivan Subramaniam Director 0.75 7.75 X 0 0 0 Brian J Zink MD Director 0.25 2.25 X 0 1000 0 Kenneth E Arnold Secretary 2.00 38.00 X 0 572947 30441 Scott W DiChristofero CFO 30.00 10.00 X 129963 0 33265 Richard H LeClerc President 23.75 16.25 X 222557 0 33408 Mary A Wakefield Treasurer 1.00 39.00 X 0 674066 376632 Stephen Chabot MD Medical Director 40.00 0.00 X 246288 0 4314 Sajid Choudhry MD Psychiatrist 40.00 0.00 X 153390 0 14558 Teresa Greer MD Psychiatrist 40.00 0.00 X 158799 0 13047 Warren Ong MD Psychiatrist 40.00 0.00 X 174742 0 30281 David Savitzky MD Assoc Med Director 40.00 0.00 X 190642 0 30466 Richard P Whalen MD Psychiatrist 40.00 0.00 X 181076 0 31972 James DiNunzio VP- Adult Services 40.00 0.00 X 116222 0 26380 Katherine E Powell VP- Child Services 30.00 10.00 X 110878 0 27163 1684557 2877719 949395 17 true true false Nixon Peabody One Citizens Plaza Providence RI 02903 Legal Services 103341 1 29401 2681596 2710997 Client Fees 900099 284179 284179 Patient Revenue 900099 28601336 28601336 Program Service Fees 900099 7956954 7956954 Rent 900099 817319 817319 37659788 13246 13246 0 0 0 219984 176472 43512 43512 43512 23379 29401 30930 -7551 -7551 0 0 Mainstream 900099 551594 551594 Management Fees 900099 720937 720937 Other 900099 229890 229890 1502421 41922413 39162209 49207 0 0 0 0 546970 138306 408664 69082 69082 29769746 24434206 5332884 2656 0 7461050 6058762 1402288 2060803 1680953 379647 203 0 114182 70549 43633 81575 47564 34011 0 0 0 198377 57765 140612 26354 451 25903 619153 359227 259926 476596 1643 474953 0 2813968 1975967 838001 83518 9222 74296 0 0 444454 120048 324406 0 701327 575514 125813 402122 372714 29408 Program expenses 740869 701379 39490 Repairs and Maintenance 712098 538105 173993 Provision for bad debts 670633 670633 Mainstream Expense 503331 503331 299541 75093 216737 7711 48795749 38460514 10324665 10570 976197 1166965 106770 118045 0 8144078 5289225 0 0 0 0 179182 41417 20160779 13841198 6119118 6319581 0 0 0 769 0 2490309 2924530 18016423 15859763 6417843 6162725 3410 3535 3424422 3678913 3000000 7685535 12845675 17530708 X 4340474 -2581428 777591 857800 52683 52683 5170748 -1670945 18016423 15859763 -6873336 31643 X false true X true true true X 8294399 6076891 9655331 570972 2710997 27308590 32906920 31876602 30700269 9346356 37659788 142489935 0 0 433500 433500 433500 154626 695504 2150630 41634819 38386993 40789100 10071954 41066289 171949155 0 0 171949155 103462 22553 7999 4778 13246 152038 0 103462 22553 7999 4778 13246 152038 0 3378771 3846228 2090768 437974 1525800 11279541 45117052 42255774 42887867 10514706 42605335 183380734 0.93770 0.93470 0.00080 0.00060 X Additional Supplemental Information - Support Schedule Effective July 1, 2013, Gateway Healthcare, Inc. became an affiliate of Lifespan Corporation. As a result, Gateway's fiscal year was changed from June 30th to September 30th. The information provided in column (d) of Part III, Section A consists of Gateway's activities from July 1, 2013 through September 30, 2013. The activities from October 1, 2013 through September 30, 2014 are disclosed in column (e) and the activities from July 1, 2012 through June 30, 2013 are disclosed in column (c). The two prior fiscal years ended June 30, 2012 and 2011 are being reported in columns (a) and (b),respectively. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false 3410 125 3535 true 771030 78486 849516 736018 35012 771030 736018 736018 1.00000 false false false 1356690 1356690 6038937 3091839 2947098 5851985 4782666 1069319 6112444 5196805 915639 800723 769888 30835 6319581 Assets limited as to use-held by trustee 849516 Deposits 24903 Due From Related Parties 1571273 Mass Mutual-life insurance CSV 180013 Other assets 298825 2924530 Due to Affiliates 2885535 Due to Rhode Island Hospital 4800000 7685535 X Part V, Line 4: Intended uses of the endowment fund. Part V, Line 4Gateway's 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 initiate new programming. Part X : FIN48 Footnote Gateway Healthcare, Inc. (Gateway), as a not-for-profit corporation, is recognized under Section 501 (c)(3) of the Internal Revenue Code and is exempt from Federal income taxes. 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 during the fiscal year ended September 30, 2014. false Golf Tourney 46145 26516 19629 560 14898 235 7715 Annual Luncheon 6635 2885 3750 5437 2085 52780 29401 23379 560 20335 235 9800 30930 -7551 X X X X false true false false false false false true false false David Savitzky MD Assoc Med Director 189877 765 5301 25165 221108 James DiNunzio VP- Adult Services 109630 6480 112 3412 22968 142602 Katherine E Powell VP- Child Services 103485 7228 165 27163 138041 Kenneth E Arnold Secretary 471520 101427 12750 17691 603388 Mary A Wakefield Treasurer 570570 103496 359872 16760 1050698 76672 Richard H LeClerc President 219147 3410 22046 11362 255965 Richard P Whalen MD Psychiatrist 180695 381 5632 26340 213048 Sajid Choudhry MD Psychiatrist 153201 189 4406 10152 167948 Scott W DiChristofero CFO 122219 6265 1479 9682 23583 163228 Stephen Chabot MD Medical Director 231673 13316 1299 1325 2989 250602 Teresa Greer MD Psychiatrist 158121 678 2407 10640 171846 Timothy J Babineau MD Director 942401 237500 444746 271520 25948 1922115 118412 Warren Ong MD Psychiatrist 174508 234 5254 25027 205023 Part I, Line 7: Non-Fixed payments not listed above During calendar year 2013, Gateway Senior Management was eligible to participate in a discretionary incentive program which is overseen by Gateway's President. On an annual basis, the President and each individual member of senior management agree to four to six key measurable performance goals. Upon completion of the fiscal year, the outcome and level of achievement of the goals are evaluated by the President and the respective senior manager. Based on the attainment of the key performance goals, individuals are eligible for an annual bonus of up to 10 percent of their annual base compensation. The informal incentive program is not based on profit sharing but is subject to the financial performance of Gateway and the final approval of the President. Barbara LeClerc Spouse- Pres 53374 Employee Comp. false Laura LeClerc Daughter-Pre 15708 Employee comp. false Schedule L, Part V Supplemental Information * The spouse of Richard H. LeClerc, President & CEO, is employed as a part-time nurse of Gateway Healthcare, Inc.'s (Gateway) Adult Community Support program. In fiscal year 2014, Gateway paid Barbara LeClerc $53,374 for her services.* The daughter of Richard H. LeClerc, President & CEO, is employed as a counselor in Gateway's Valley School Program. In fiscal year 2014, Gateway paid Laura LeClerc $15,708 for her services. Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Kenneth E. Arnold, Secretary, Timothy J. Babineau, MD, Director, and Mary A. Wakefield, Treasurer, are officers of related for-profit corporations. Mr. Arnold and Ms. Wakefield are officers of the same related for-profit organizations, Lifespan MSO, Inc. and Lifespan Risk Services, Inc. Dr. Babineau and Ms. Wakefield are officers of the same related for-profit organization, VNA Technicare, Inc. (VNA). Scott B. Laurans, Chair, is an officer of VNA.Lawrence Aubin, Vice Chair, and Shivan Subramaniam, Director, are Directors of Citizens Bank.Jonathan Fain, Director, is the CEO of Teknor Apex Co. Bertram Lederer, Director, is a Director of Teknor Apex Co.Scott W. DiChristofero, CFO, and Katherine Powell, VP of Child Services, are officers of Gateway Healthcare, Inc. as well as Gateway Professional Group, Inc., a related for-profit corporation. Gateway Healthcare, Inc. received reimbursement of expenses from Gateway Professional Group, Inc. during the tax year. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Lifespan Corporation is the sole corporate member of Gateway Healthcare, Inc. (Gateway). Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Effective October 23, 2012, the Board of Directors of Lifespan and the Boards of Trustees of Rhode Island Hospital, The Miriam Hospital, Newport Health Care Corporation, Newport Hospital, and Emma Pendleton Bradley Hospital approved a restructuring of their governance. Gateway Healthcare, Inc. (Gateway) joined the Lifespan health system on July 1, 2013 and adopted this restructured governance. The restructuring has increased governance effectiveness and has streamlined governance operation, as well as provided a single strategic perspective for the Lifespan system hospitals. Pursuant to the restructuring, the bylaws of each of the affiliates were amended such that the composition of the boards of trustees of each of the hospitals and Newport Health Care Corporation is defined as those persons serving from time to time as the directors of Lifespan. As a result, the Boards of each entity are comprised of the same individuals. The Board of each entity retains its responsibilities and authorities notwithstanding the revision in its composition. The Board of Directors of Lifespan consists of not less than fourteen nor more than thirty-one directors, including the President and CEO of Lifespan, who serves ex-officio with vote, and the following ex-officio voting directors: the Chairs of Rhode Island Hospital Foundation, The Miriam Hospital Foundation, Newport Hospital Foundation, Bradley Hospital Foundation, and Gateway Foundation, each of whom, by extension, serves as a trustee of each of the hospitals.Additionally, the bylaws of Gateway confer certain reserved powers on Lifespan to provide it with the means of effective oversight, coordination, and support of the system. Powers reserved to Lifespan include: to elect and remove Gateway trustees and to approve the election of and to remove certain officers. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders As noted above, the Gateway Board is comprised of the same individuals who serve on the Lifespan Board. Lifespan 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 Lifespan, 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 investment policies and any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness. Form 990, Part VI, Line 11b: Form 990 Review Process The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Lifespan Chief Financial Officer and Lifespan's Finance Department, with review by Lifespan's tax advisors, KPMG LLP. The Form 990 is prepared by the accounting staff upon completion of Lifespan's annual independent audit and reviewed by the Corporate Services Tax Compliance Manager. Further review is performed by the Director of Finance and the Vice President of Finance - Corporate Services. Once the draft Form 990 is complete, the Tax Compliance Manager forwards it with all supporting worksheets to KPMG, which then reviews the completed form in detail. The Tax Compliance Manager answers questions as they arise and provides additional information as needed. KPMG provides the Tax Compliance Manager with any recommended changes which are reviewed, and if agreed upon, are incorporated into the return. The draft Form 990 is then provided to the Lifespan Chief Financial Officer for final management review. Prior to filing the return with the Internal Revenue Service, a copy of the entire form, along with a video presentation detailing form highlights, are posted to Gateway's Board of Directors website portal in advance of its next Board meeting, at which all questions and concerns of the members of the Board are addressed by the Chief Financial Officer 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 Chief Financial Officer is authorized to file the Form 990. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Lifespan, the sole member of Gateway Healthcare, Inc. (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 Lifespan's financial information to repositories and investors alike. Gateway's financial statements are included in the audited consolidated financial statements of Lifespan Corporation 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 Lifespan Chief Financial Officer, either in person or by mail. Form 990, Part I, Line 1: Established in 1995 as a community mental health center for residents of northern and central Rhode Island, Gateway has grown to include more than 42 locations across Rhode Island, including Pawtucket, Central Falls, Johnston, Cranston, Middletown, Lincoln, Smithfield, Woonsocket, and West Greenwich. Gateway's size and statewide reach sets it apart from other community-based mental health and substance abuse organizations, providing more than $1.5 million in free care each year to those in need. Gateway and its affiliates employ over 900 professionals and reach more than 15,000 Rhode Islanders each year through residential, outpatient, and community-based programs. Gateway's network affiliates include The Autism Project, Capital City Community Centers, and 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 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. Form 990, Part III, Line 4c (continued): In addition to office-based therapy, Gateway also offers residential treatment for men and women in need of more intensive treatment. The three residential locations serving men and women house 12-16 individuals and are fully staffed, providing recovery services which include individual therapy, group therapy, relapse prevention, psycho-education, co-occurring disorders, spirituality, peer-led groups, trauma issues, vocational counseling, and housing case management. Form 990, Part VI, Line 12c: Lifespan Corporation has a Conflict of Interest Policy that is applicable to all affiliates, including Gateway, and administered by Lifespan's Corporate Compliance Department as follows: Each designated person subject to Lifespan's conflict of interest policy is required to provide Lifespan 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 Lifespan 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. This requirement shall be acknowledged as part of the annual performance evaluation process. 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 Lifespan Corporation.Annually, the Lifespan Compliance Officer shall review and report to the Lifespan Executive Corporate Compliance Committee and to the Lifespan 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 Lifespan. Form 990, Part VI, Line 1b: *Lawrence Aubin, Vice Chair, is a Director of Citizens Bank (Citizens). In 2013, Rhode Island Hospital (RIH), The Miriam Hospital (TMH), and Emma Pendleton Bradley Hospital (EPBH) entered into a master lease and loan and security agreement with Citizens Asset Finance, an affiliate of Citizens, to which RIH, TMH, and EPBH made debt service and interest payments. *Michael J. Ehrlich, MD, Director, is the President of University Orthopedics, Inc. Rhode Island Hospital contracts with University Orthopedics for various services.*Edward Feldstein, Director, is a partner in Roberts, Carroll, Feldstein, and Peirce, a law firm that provides legal services to Lifespan Risk Services, Inc. on behalf of various Lifespan affiliates.*David Gorelick, Director, is an officer of Aquidneck Medical Associates, a physician practice which has a professional service contract with Newport Hospital.*The spouse of Pamela Harrop, Director, is employed as a cardiologist by TMH. *Shivan Subramaniam, Director, is the CEO of FM Global. Lifespan purchases property insurance coverage from Factory Mutual Insurance Company, a member of FM Global. Additionally, Mr. Subramaniam is a Director of Citizens. In 2013, RIH, TMH, and EPBH entered into a master lease and loan and security agreement with Citizens Asset Finance, an affiliate of Citizens, to which RIH, TMH, and EPBH made debt service and interest payments. *Brian J. Zink, MD, Director, received taxable tuition reimbursement from Rhode Island Hospital. Form 990, Part VI, Lines 15a: The following applies to Lifespan and all of its affiliates, including Gateway Healthcare, Inc.:EXECUTIVE COMPENSATIONLifespan'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 Lifespan as well as other officers, senior management, and key employees. Lifespan's executive compensation program complies with both law and 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 Lifespan's Corporate Compliance Policy on Excess Benefit Transactions.The Compensation Committee of the Lifespan Corporation Board of Directors (the Committee), comprised of disinterested Lifespan and affiliate 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 Lifespan's annual incentive plan, including measuring points, and using audited 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 Lifespan's performance within the healthcare industry and the degree to which total remuneration levels at Lifespan are generally commensurate with Lifespan performance relative to healthcare industry performance* Conducting an annual performance review of Lifespan'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 Lifespan's executive compensation philosophy. The independent consultants are not engaged by management to perform any services for Lifespan without prior approval by the Committee.Lifespan'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 Lifespan'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, the office of the President works with the Committee's independent compensation consultant or relies 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. Alternative Living Concepts 249 Roosevelt Avenue Pawtucket RI 02860 050442015 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true Bayberry Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 204590384 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true Bradley Hospital Foundation 167 Point Street Providence RI 02803 050500688 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Capital City Community Centers Inc 249 Roosevelt Avenue Pawtucket RI 02860 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 Lifespan Corporation false Families Reaching Into Each New Day 249 Roosevelt Avenue Pawtucket RI 02860 050504841 Bereavement Services for Children RI 501(c)(3) 7 Gateway Healthcare Inc true Gateway Foundation 249 Roosevelt Avenue Pawtucket RI 02860 464002163 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Hospital Properties Inc 167 Point Street Providence RI 02860 222869743 Property Management RI 501(c)(4) N/A Lifespan Corporation false Human Service Realty Inc 249 Roosevelt Avenue Pawtucket RI 02860 050398161 Housing for Elderly and Mentally Ill RI 501(c)(2) N/A Gateway Healthcare Inc true JM Apartments Inc 249 Roosevelt Avenue Pawtucket RI 02860 050435537 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true Lifespan Corporation 167 Point Street Providence RI 02903 222861978 Holding Company/Mgmnt Services RI 501(c)(3) 11 NA false Lifespan Diversified Services Inc 167 Point Street Providence RI 02903 050258935 Holding Company/Mgmnt Services RI 501(c)(3) 11 Lifespan Corporation false Lifespan Foundation 167 Point Street Providence RI 02903 050493219 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false Lifespan of Massachusetts Inc c/o Archstone Law 245 Winter St Waltham MA 02451 043408517 Holding Company MA 501(c)(3) 11 Lifespan Corporation false Lifespan Physician Group Inc 167 Point Street Providence RI 02903 050389801 Healthcare Services RI 501(c)(3) 9 Lifespan Corporation false Lifespan School Solutions Inc 225 Chapman Street Providence RI 02905 464910847 Educational Services RI Applied For N/A Emma Pendleton Bradley Hospital false LJR Corporation 249 Roosevelt Avenue Pawtucket RI 02860 030508346 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true Mill River Community Housing Corporation 249 Roosevelt Avenue Pawtucket RI 02860 050427152 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true Newport Health Care Corporation 11 Friendship Street Newport RI 02840 222535537 Holding Company/Mgmnt Services RI 501(c)(3) 7 Lifespan Corporation false Newport Health Property Management 11 Friendship Street Newport RI 02840 222335539 Property Management RI 501(c)(3) 11 Newport Health Care Corporation false Newport Hospital 11 Friendship Street Newport RI 02840 050258914 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Newport Hospital Foundation Inc 11 Friendship Street Newpot RI 02840 222535533 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false NHCC Medical Associates Inc 11 Friendship Street Newport RI 02840 050472268 Health Care Services RI 501(c)(3) 11 Lifespan Corporation false Obed Apartments Inc 249 Roosevelt Avenue Pawtucket RI 02860 050422771 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true Pathways Inc 249 Roosevelt Avenue Pawtucket RI 02860 050393004 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true Rhode Island Hospital 593 Eddy Street Providence RI 02903 050258954 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false Rhode Island Hospital Foundation 167 Point Street Providence RI 02903 050468736 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false RIH Ventures 593 Eddy Street Providence RI 02903 050448686 Parking Facilities/Phleb otomy Services RI 501(c)(3) 11 Lifespan Corporation false Shore Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 050504003 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true The Autism Project 249 Roosevelt Avenue Pawtucket RI 02860 050512037 Services for Children with Autism RI 501(c)(3) 9 Gateway Healthcare Inc true The Miriam Hospital 164 Summit Avenue Providence RI 02906 050258905 Health Care Services RI 501(c)(3) 3 Lifespan Corporation false The Miriam Hospital Foundation 167 Point Street Providence RI 02903 050377502 Philanthropic Activities RI 501(c)(3) 7 Lifespan Corporation false TLR Realty 249 Roosevelt Avenue Pawtucket RI 02860 043742771 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true Wentworth Corporation 249 Roosevelt Avenue Pawtucket RI 02860 050488520 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true Westerly Courts Inc 249 Roosevelt Avenue Pawtucket RI 02860 611439766 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc true JRR Housing 249 Roosevelt Avenue Pawtucket RI 02860 263121266 Housing for Elderly and Mentally Ill RI 501(c)(3) 9 Gateway Healthcare Inc false RI Sound Enterprises Insurance Co Ltd 65 Front Street Hamilton HM 12 BD Offshore Insurance Captive BD N/A N/A Lifespan Corporation false Gateway Professional Group Inc 249 Roosevelt Avenue Pawtucket RI 02860 050498391 Psychotherapy RI Gateway Healthcare C Corp -44511 119211 1.00000 true Lifespan MSO Inc 167 Point Street Providence RI 02903 050508717 Mgmnt Svcs RI Lifespan Corp C Corp false Lifespan Risk Services Inc 167 Point Street Providence RI 02903 050459767 Risk Mgmnt RI Lifespan Corp C Corp false VNA Technicare Inc 622 George Washington Highway Lincoln RI 02865 050472710 DME Sales RI LDS Inc C Corp false true false false false false false false false false true false true false true true true true false false Capital City Community Centers Inc q 413498 Accrual Families Reaching Into Each New Day q 90891 Accrual Human Service Realty Inc q 70971 Accrual Mill River Community Housing Corporation q 50081 Accrual Shore Courts Inc q 50794 Accrual The Autism Project a 52200 Accrual The Autism Project q 66478 Accrual