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        <FormAndLineReferenceDesc>Schedule D, Part V, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>TAP's temporarily restricted fund is used for its summer camp program, including scholarships, transportation, and program materials.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part X, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>The Autism Project (TAP) is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from Federal income taxes pursuant to Section 501(a) of the Code. TAP is also exempt from Rhode Island income taxes. However, income from certain activities not directly related to TAP's tax-exempt purpose may be subject to taxation as unrelated business income at both the Federal and state levels. TAP qualifies for the charitable contribution deduction under Section 170(b)(1)(A) and has been classified as an organization other than a private foundation under Section 509(a)(2). TAP 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. TAP did not recognize the effect of any income tax positions in either 2025 or 2024.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule D, Part XI, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising Expenses: ($17,010).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule D, Part XII, Line 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Fundraising Expenses: $17,010.</ExplanationTxt>
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        <PersonNm>John Fernandez</PersonNm>
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        <PersonNm>Peter K Markell</PersonNm>
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        <PersonNm>Scott DiChristofero</PersonNm>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Line 4a: The following individuals received severance and/or change of control payments during the calendar year ending December 31, 2024: Scott DiChristofero, former Officer - $173,077. Line 4b: Brown Health offers a non-qualified supplemental employee retirement plan (SERP) to certain executives. The following individual was credited with the non-vested amount indicated during calendar year 2024 and such amount is included in deferred compensation on Schedule J, Part II, Column C: John Fernandez - $313,833. In 2024, the following individual became vested in and was paid a 2021 non-qualified supplemental employee retirement plan (SERP) amount and such amount is included in Medicare wages, more specifically on Schedule J, Part II, Column B(iii): Peter K. Markell - $158,521. The portion of the above payments that was reported as deferred compensation in prior years is reflected on Schedule J, Part II, Column F. Participants included in Brown Health's SERP are awarded plan contributions on a quarterly basis. Contributions and interest earned during a plan year vest after three years and are paid to plan participants at that time. SERP payments earned during the calendar year which have not yet vested are disclosed on Schedule J, Part II, Column C. Vested SERP payments received during the year are disclosed on Schedule J, Part II, Column B(iii) (as well as Column F if reported on Schedule J, Part II, Column C of a previously filed Form 990). Plan contributions awarded to participants who have reached age 62 become vested as of the beginning of the following calendar year.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>Gateway is the sole member of TAP. Brown University Health is the sole member of Gateway.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The bylaws of TAP confer certain reserved powers upon Gateway to provide it with the means of effective oversight, coordination, and support of the Gateway system. Powers reserved to Gateway include: to elect and remove directors and to approve the election/removal of certain officers. At each annual meeting of TAP's Board of Directors, a list is compiled of the names of those persons selected to serve as Directors of TAP so that it can be approved and submitted to Gateway for ratification and election. The Gateway Board is comprised of the same individuals serving as the directors of Brown University Health.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>Brown Health has the responsibility for planning, directing, and establishing policies to assure the development and delivery of quality health services on an integrated, cost-effective basis. Powers reserved to Brown Health include: to approve amendment of the Articles of Incorporation and Bylaws and other charter documents; to approve strategic plans; to approve any capital or operating budgets or material non-budgeted expenditures; and to authorize incurrence or guaranty of material indebtedness. Brown Health holds these powers with respect to Gateway; Gateway holds identical powers with respect to TAP, which it may exercise with the authorization of Brown Health.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The preparation and filing of the Form 990 and supporting schedules is the responsibility of the Gateway Chief Financial Officer (CFO) and Brown Health Tax Compliance Manager. The Form 990 is prepared by the Brown Health Tax Compliance Manager upon completion of Brown Health's annual independent audit and reviewed by the Brown Health Director of Finance. A draft of the Form 990 is then provided to the Brown Health EVP/CFO for review and edit. The draft Form 990 is then provided to the Gateway CFO for final management review. At this point, a copy of the Form 990 is provided to the Board prior to the next scheduled Board of Directors meeting, which occurs prior to filing Form 990 with the Internal Revenue Service. At this meeting, the Gateway CFO reviews the form and discusses its highlights with the Board, as well as answering any questions or addressing any concerns. The Form 990 is then finalized to include any changes, if necessary, based on comments from the Board. The Gateway CFO is authorized to file the Form 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Brown Health has a Conflict of Interest Policy that is applicable to all affiliates, including TAP, 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. 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 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>Brown 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 Lifespan's financial information to repositories and investors alike. TAP's audited financial statements are included in Gateway Healthcare, Inc. and Related Entities' audited consolidated financial statements, which in turn are included in the audited consolidated financial statements of Brown University Health and Affiliates. In addition, copies of TAP'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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Column (b): Contract Labor: $455,990. Consulting Fees: $15,276. Column C: Contract Labor: ($1,566). Consulting Fees: $8,757. Column D: Consulting Fees: $1,723.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in funded status of pension plan: $990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2b</FormAndLineReferenceDesc>
        <ExplanationTxt>TAP produced audited financial statements as of and for the fiscal year ended September 30, 2025. Additionally, it was included in the Gateway Healthcare, Inc. and Related Entities' (Gateway) audited consolidated financial statements, in which one column is used for TAP individually. The Gateway audited consolidated financial statements are included in the audited consolidated financial statements of Brown University Health and Affiliates. The Brown Health Audit and Compliance Committee assumes responsibility for oversight of the audit of Brown Health's consolidated financial statements and the selection of Brown Health's independent accountant.</ExplanationTxt>
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          <AddressLine1Txt>593 Eddy Street</AddressLine1Txt>
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          <ZIPCd>02903</ZIPCd>
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          <CityNm>Fall River</CityNm>
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          <BusinessNameLine1Txt>Brown University Health</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Gateway Healthcare Inc</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>15 LaSalle Square</AddressLine1Txt>
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          <ZIPCd>02903</ZIPCd>
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          <BusinessNameLine1Txt>Brown University Health Alliance LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>15 LaSalle Square</AddressLine1Txt>
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        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Brown University Health</BusinessNameLine1Txt>
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        <EntityTypeTxt>C</EntityTypeTxt>
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        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
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        <USAddress>
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          <ZIPCd>02904</ZIPCd>
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        <EIN>050472710</EIN>
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        <LegalDomicileStateCd>RI</LegalDomicileStateCd>
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      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>0</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>0</LoansOrGuaranteesFromOthOrgInd>
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      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
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      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>