JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (EIN 36-2229255)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-12
IRS object ID
202423179349304047
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-12T12:12:38+00:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362229255EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joint Commission on Accreditation of Healthcare OrganizationsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOINBusinessNameControlTxt
Phone6307925000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Renaissance Blvd Suite 401AddressLine1Txt
CityOakbrook TerraceCityNm
State AbbreviationILStateAbbreviationCd
ZIP60181ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLisa SteiningerPersonNm
Person TitleCFO/TreasurerPersonTitleTxt
Signature2024-11-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMALLORY FAIRLESSPreparerPersonNm
PTINP01321579PTIN
Phone3128997000PhoneNum
Preparation2024-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1The Joint CommissionBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Dr Jonathan PerlinBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Renaissance Blvd Suite 401AddressLine1Txt
CityOakbrook TerraceCityNm
State AbbreviationILStateAbbreviationCd
ZIP60181ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$237,163,473GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.jointcommission.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee1217TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$75,222TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$13,567NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$854,087PYContributionsGrantsAmt
CY Contributions Grants$859,571CYContributionsGrantsAmt
PY Program Service Revenue$198,963,662PYProgramServiceRevenueAmt
CY Program Service Revenue$193,560,274CYProgramServiceRevenueAmt
PY Investment Income$7,751,370PYInvestmentIncomeAmt
CY Investment Income$11,656,379CYInvestmentIncomeAmt
PY Other Revenue$1,341,788PYOtherRevenueAmt
CY Other Revenue$1,423,855CYOtherRevenueAmt
PY Total Revenue$208,910,907PYTotalRevenueAmt
CY Total Revenue$207,500,079CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$130,499,189PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$125,663,664CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$60,938,984PYOtherExpensesAmt
CY Other Expenses$63,599,985CYOtherExpensesAmt
PY Total Expenses$191,438,173PYTotalExpensesAmt
CY Total Expenses$189,263,649CYTotalExpensesAmt
PY Revenues Less Expenses$17,472,734PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$18,236,430CYRevenuesLessExpensesAmt
Total Assets BOY$334,608,248TotalAssetsBOYAmt
Total Assets EOY$379,570,239TotalAssetsEOYAmt
Total Liabilities BOY$33,867,972TotalLiabilitiesBOYAmt
Total Liabilities EOY$29,443,582TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$300,740,276NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$350,126,657NetAssetsOrFundBalancesEOYAmt
MissionThe Joint Commission periodically evaluates and accredits health care organizations and programs in the US. The comprehensive accreditation process evaluates an organization's compliance with Joint Commission developed standards and CMS Conditions of Participation (CoPs), and other accreditation requirements that directly and indirectly relate to the (See Schedule O)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$129,607,097ExpenseAmt
Revenue$178,540,040RevenueAmt
DescSURVEY AND CERTIFICATION FEES ARE GENERATED AS A CONSEQUENCE OF PERFORMING ACCREDITATION SURVEYS THAT ARE DESIGNED TO EVALUATE AN ORGANIZATION'S COMPLIANCE WITH JOINT COMMISSION STANDARDS AND CMS CONDITIONS OF PARTICIPATION (CoPs), AND OTHER ACCREDITATION REQUIREMENTS. THE SUBSCRIPTION BILLING PROGRAM ALLOWS ORGANIZATIONS TO PAY AN ANNUAL SUBSCRIPTION FEE FOR THEIR PARTICIPATION IN THE ONGOING SERVICES PROVIDED BY THE JOINT COMMISSION. REVENUE FROM ANNUAL ACCREDITATION SUBSCRIPTION FEES IS RECOGNIZED RATABLY OVER THE PERIOD TO WHICH THE SUBSCRIPTION FEES RELATE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$7,978,229ExpenseAmt
Revenue$7,978,229RevenueAmt
DescThe Joint Commission provides common management services, referred to as shared services fees, of the activities carried on for related organizations. See Schedule R for list of related organizations.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,038,785ExpenseAmt
Revenue$7,042,005RevenueAmt
DescPERFORMANCE MEASUREMENT & RELATED ACTIVITIES AT THE JOINT COMMISSION ADVANCE HEALTHCARE QUALITY AND PATIENT SAFETY BY UNDERTAKING SCIENTIFICALLY CREDIBLE RESEARCH THAT INFORMS HEALTH SERVICES PRACTICE AND POLICY. THE PROGRAM SUPPORTS THE DEVELOPMENT OF EVIDENCE-BASED AND MEANINGFUL PERFORMANCE MEASURES, SOUND STATISTICAL AND ANALYTICAL APPROACHES TO DATA ANALYSIS, AND THE IDENTIFICATION OF PERFORMANCE IMPROVEMENT AND PATIENT SAFETY STRATEGIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$143,624,111TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document139IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1217EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountrySAForeignCountryCd
Foreign CountrySNForeignCountryCd
Foreign CountryCHForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Robert NylenBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6307925682PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Renaissance Blvd STE 401AddressLine1Txt
CityOakbrook TerraceCityNm
State AbbreviationILStateAbbreviationCd
ZIP60181ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Carlos A Pellegrini MD FACS
Chair2.01.0Yes (X)Yes (X)$51,331$0$0
Jonathan B Perlin MD PhD MSHA MACP FACMI
President & CEO38.02.0Yes (X)Yes (X)$2,007,614$0$46,358
Michael Suk MD JD MPH MBA FACS
Vice Chair2.01.0Yes (X)Yes (X)$0$0$0
Ana L English MBA
Commissioner1.00Yes (X)$0$0$0
Andrew C Dreyfus BA
Commissioner2.00Yes (X)$0$0$0
Christopher A Hart MEng JD
Commissioner1.00Yes (X)$0$0$0
Ena Williams PhD MBA RN CENP FAAN
Commissioner1.00Yes (X)$0$0$0
Eric Langshur
Commissioner1.00Yes (X)$981$0$0
Eric Schlesinger MBA BA
Commissioner1.00Yes (X)$1,331$0$0
Jay A Gregory MS MD
Commissioner1.00Yes (X)$1,331$0$0
Jill Hoggard Green PhD RN
Commissioner2.02.0Yes (X)$0$0$0
Joseph J Parks MD
Commissioner1.01.0Yes (X)$1,291$0$0
Lenworth M Jacobs Jr MBBS MPH DSc (Hon) FACS FWACS (Hon)
Commissioner1.00Yes (X)$0$0$0
Marvin Strohschein Jr DDS
Commissioner2.00Yes (X)$1,331$0$0
Melinda L Estes MD MBA
Commissioner1.00Yes (X)$0$0$0
Michael B Simon MD MBA FASA
Commissioner2.00Yes (X)$1,331$0$0
Najmedin Meshkati PhD CPE
Commissioner1.00Yes (X)$1,331$0$0
Susan Fox MBA BSN
Commissioner1.00Yes (X)$1,331$0$0
Tracey L Henry MD MPH MS
Commissioner1.00Yes (X)$0$0$0
Vineet Arora MD MAPP
Commissioner1.00Yes (X)$0$0$0
Willie Underwood III MD MSc MPH FACS
Commissioner1.00Yes (X)$0$0$0
Ana Pujols McKee MD
Exec VP & Chief Medical Officer (Through Mar)40.00Yes (X)$537,397$0$26,330
Brian Enochs JD
Exec VP Bus Dev & Marketing (Through June)40.00Yes (X)$1,102,578$0$207,859
David Baker MD MPH FACP
Exec VP Health Care Quality Evaluation40.00Yes (X)$912,356$0$331,618
James Merlino
EVP Chief Innovation Officer (Since Aug)40.00Yes (X)$344,635$0$213
Jason Miles
VP & US Commercial Officer (Since Dec)40.00Yes (X)$47,885$0$0
Jean Courtney CPA
EVP & Chief Operating Officer (Since Apr)2.038.0Yes (X)$0$910,864$252,857
Kathryn E Spates
VP Public Pol & Govt Relations (Since July)40.00Yes (X)$283,106$0$34,353
Kenneth Grubbs Jr
EVP COO Accreditation & Certification Ops (Since June)40.00Yes (X)$202,913$0$180
Kin Lee MS
CIO & SECURITY OFFICER40.00Yes (X)$1,214,695$0$366,570
Leslie Krohn
EVP & Chief Brand & Communications Ofcr (Since Dec)40.00Yes (X)$7,212$0$0
Lisa Diehl Vandecaveye JD HRM FACHE
General Counsel24.016.0Yes (X)$613,206$0$362,769
Margaret VanAmringe MHS
Exec VP Public Policy & Govnt Relations (Through June)40.00Yes (X)$446,232$0$141,547
Michael Kaba MS
CHIEF HUMAN RESOURCES OFFICER40.00Yes (X)$485,828$0$59,148
Paige Rodgers CPA
Chief Financial Officer (Through May)35.05.0Yes (X)$478,299$0-$258,317
Paul Gerrard
EVP & Chief Brand & Communications Ofcr (fm Jun-Oct)40.00Yes (X)$465,321$0$13,437
Deborah Ryan
SENIOR DIRECTOR FIELD OPERATIONS40.00$232,767$0$33,271Yes (X)
Suzanne C Murray
SENIOR DIRECTOR FIELD OPERATIONS40.00$221,328$0$27,945Yes (X)
Dawn Balestrieri
Director of Corporate Communications (Through Oct)40.00$279,015$0$145,807Yes (X)
Haytham Kaafarani
Chief Patient Safety Ofcr & Medical Dir (Through Aug)40.00$380,184$0$569Yes (X)
Mark Crafton
Executive Director Strategic Alliances40.00$221,628$0$53,844Yes (X)
Patrick Phelan
National Sales Leader40.00$234,625$0$30,282Yes (X)
Sheela Suresh
Senior Director Applications Development40.00$232,457$0$27,373Yes (X)
Mark Pelletier RN MS
Chief Operating Officer, Accred & Cert Ops (Through Jan)40.00$115,914$0$11,006Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$11,128,785TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$910,864TotReportableCompRltdOrgAmt
Total Other Compensation$1,915,020TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K382IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
MICROSOFT CORPORATION
PO BOX 842103DALLASTX75284INFORMATION TECHNOLOGY APPLICATION SOLUTIONS & SERVICES$2,216,805
HITACHI SOLUTIONS AMERICA LTD
100 SPECTRUM CENTER DRIVE SUITE 350IRVINECA92618SOFTWARE DEVELOPMENT & CONSULTING SERVICES$1,721,248
COGNIZANT TECHNOLOGY SOLUTIONS
US CORPORATIONChicagoIL60673SOFTWARE DEVELOPMENT & CONSULTING$1,226,27124721 NETWORK PLACE
CONNECTION
MOREDIRECT INC AKAPITTSBURGHPA152535906software, hardware & equipment purchase$829,419P O BOX 536464
HYATT REGENCY CHICAGO
10 S DEARBORNCHICAGOIL60603hotel conference lodging, meals and room services$746,165
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K60CntrctRcvdGreaterThan100KCnt
Government Grants$771,953GovernmentGrantsAmt
All Other Contributions$87,618AllOtherContributionsAmt
Total Contributions$859,571TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Annual Subscription541990$97,167,808$97,167,808
Survey Fees541990$80,110,493$80,110,493
Performance Measurements900099$7,042,005$7,042,005
Shared Services Fee From Related Tax Exempt Organizations900099$7,978,229$7,978,229
Transaction Fees900099$825,328$825,328

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$436,411TotalRevenueColumnAmt
Related Or Exempt Func Income$436,411RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$193,560,274TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,177,502TotalRevenueColumnAmt
Unrelated Business Revenue$5,490UnrelatedBusinessRevenueAmt
Exclusion$8,172,012ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,354,123TotalRevenueColumnAmt
Exclusion$1,354,123ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$33,142,271SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$29,663,394SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,478,877SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,478,877TotalRevenueColumnAmt
Exclusion$3,478,877ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCafeteria Rental IncomeDesc
Business900099BusinessCd
Total Revenue Column$69,732TotalRevenueColumnAmt
Unrelated Business Revenue$69,732UnrelatedBusinessRevenueAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$69,732OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$207,500,079TotalRevenueColumnAmt
Related Or Exempt Func Income$193,560,274RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$75,222UnrelatedBusinessRevenueAmt
Exclusion$13,005,012ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$10,996,654TotalAmt
Program Services$3,884,427ProgramServicesAmt
Management And General$7,112,227ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$92,656,288TotalAmt
Program Services$76,987,311ProgramServicesAmt
Management And General$15,668,977ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,066,340TotalAmt
Program Services$3,618,550ProgramServicesAmt
Management And General$1,447,790ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,511,803TotalAmt
Program Services$7,474,309ProgramServicesAmt
Management And General$2,037,494ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,432,579TotalAmt
Program Services$5,970,299ProgramServicesAmt
Management And General$1,462,280ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$510,391TotalAmt
Management And General$510,391ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$287,220TotalAmt
Management And General$287,220ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$393,780TotalAmt
Management And General$393,780ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$180,860TotalAmt
Management And General$180,860ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$249,981TotalAmt
Management And General$249,981ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,144,507TotalAmt
Program Services$7,229,921ProgramServicesAmt
Management And General$5,914,586ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,109,839TotalAmt
Program Services$1,025,820ProgramServicesAmt
Management And General$84,019ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,387,971TotalAmt
Program Services$490,984ProgramServicesAmt
Management And General$896,987ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,396,394TotalAmt
Program Services$2,973,214ProgramServicesAmt
Management And General$3,423,180ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,191,187TotalAmt
Program Services$1,258,178ProgramServicesAmt
Management And General$933,009ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$26,558,490TotalAmt
Program Services$26,230,512ProgramServicesAmt
Management And General$327,978ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,917,905TotalAmt
Program Services$1,277,363ProgramServicesAmt
Management And General$640,542ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$270,262TotalAmt
Program Services$160,244ProgramServicesAmt
Management And General$110,018ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,200,537TotalAmt
Program Services$3,626,141ProgramServicesAmt
Management And General$1,574,396ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,099,131TotalAmt
Program Services$535,960ProgramServicesAmt
Management And General$563,171ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Equipment rentals & maintenance$891,358$421,584$469,774
Recruitment Costs$838,419$30,096$808,323
Bad Debt Expense$378,542$370,288$8,254
Other Miscellaneous Fees$593,211$58,910$534,301

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$189,263,649TotalAmt
Program Services$143,624,111ProgramServicesAmt
Management And General$45,639,538ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$49,439,521BOYAmt
EOY$34,307,995EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,424,484BOYAmt
EOY$17,639,083EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,190,844BOYAmt
EOY$5,165,505EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$84,187,870LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$52,854,504LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$33,455,612BOYAmt
EOY$31,333,366EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$185,143,693BOYAmt
EOY$240,798,826EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$40,311,613BOYAmt
EOY$46,810,866EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,642,481BOYAmt
EOY$3,514,598EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$334,608,248BOYAmt
EOY$379,570,239EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,759,453BOYAmt
EOY$16,961,467EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$685,242BOYAmt
EOY$726,777EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,456,340BOYAmt
EOY$7,410,404EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,966,937BOYAmt
EOY$4,344,934EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,867,972BOYAmt
EOY$29,443,582EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$291,424,098BOYAmt
EOY$340,044,888EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,316,178BOYAmt
EOY$10,081,769EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$300,740,276BOYAmt
EOY$350,126,657EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$334,608,248BOYAmt
EOY$379,570,239EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$18,236,430ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,061,419NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$13,088,532OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$825,286CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$753,191CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$886,503CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$854,087CurrentTaxYearMinus1YearAmt
Current Tax Year$859,571CurrentTaxYearAmt
Total$4,178,638TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$182,737,650CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$139,594,480CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$180,671,780CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$198,963,662CurrentTaxYearMinus1YearAmt
Current Tax Year$193,560,274CurrentTaxYearAmt
Total$895,527,846TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$183,562,936CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$140,347,671CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$181,558,283CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$199,817,749CurrentTaxYearMinus1YearAmt
Current Tax Year$194,419,845CurrentTaxYearAmt
Total$899,706,484TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,487,949CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,876,956CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,574,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,623,399CurrentTaxYearMinus1YearAmt
Current Tax Year$3,471,195CurrentTaxYearAmt
Total$18,033,621TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,487,949CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,876,956CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,574,122CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,623,399CurrentTaxYearMinus1YearAmt
Current Tax Year$3,471,195CurrentTaxYearAmt
Total$18,033,621TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$881,672,863PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,740,707CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,941,505CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,786,562CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,214,353CurrentTaxYearMinus1YearAmt
Current Tax Year$9,531,625CurrentTaxYearAmt
Total$27,214,752TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,740,707CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,941,505CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,786,562CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,214,353CurrentTaxYearMinus1YearAmt
Current Tax Year$9,531,625CurrentTaxYearAmt
Total$27,214,752TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year$69,732CurrentTaxYearAmt
Total$69,732TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$188,303,643CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$144,289,176CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$185,344,845CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$205,032,102CurrentTaxYearMinus1YearAmt
Current Tax Year$204,021,202CurrentTaxYearAmt
Total$926,990,968TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9511PublicSupportCY509Pct
Public Support PY5090.9570PublicSupportPY509Pct
Investment Income CY0.03InvestmentIncomeCYPct
Investment Income PY0.02InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$286,772DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$286,772TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationThe Joint Commission made direct contact with legislators or their staffs and paid $180,860 in fees to a third-party firm for professional services which included lobbying activities. These activities related to health care legislation and related issues that the Joint Commission considers important to improve patient safety and quality of health care.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$31,014,562BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$2,865,174InvestmentEarningsOrLossesAmt
End Year Balance$33,879,736EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
Contributions$29,884,684ContributionsAmt
Investment Earnings Or Losses$1,129,878InvestmentEarningsOrLossesAmt
End Year Balance$31,014,562EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
End Year Balance$0EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
End Year Balance$0EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
End Year Balance$0EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.7BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.3PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,204,400OtherCostOrOtherBasisAmt
Book Value$4,204,400BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,959,118OtherCostOrOtherBasisAmt
Depreciation$30,570,631DepreciationAmt
Book Value$15,388,487BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$801,562OtherCostOrOtherBasisAmt
Depreciation$369,717DepreciationAmt
Book Value$431,845BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,444,887OtherCostOrOtherBasisAmt
Depreciation$3,505,071DepreciationAmt
Book Value$939,816BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,777,903OtherCostOrOtherBasisAmt
Depreciation$18,409,085DepreciationAmt
Book Value$10,368,818BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$31,333,366TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Common & Collective Funds - Measured at NAV$37,201,438F
Common & Collective Funds - Hedge Funds$6,118F
Common & Collective Funds - Small-cap value fund$9,603,310F
FieldValueIRS element (for citing)
Total Book Value Securities$46,810,866TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Accrued pension liability$289,871
Capital Lease Obligations$1,755,596
Operating Lease Obligations$2,299,467
FieldValueIRS element (for citing)
Total Liability$4,344,934TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$238,891,390TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$18,061,419NetUnrealizedGainsInvstAmt
Other Revenue$13,579,873OtherRevenueAmt
Revenue Not Reported$31,641,292RevenueNotReportedAmt
Revenue Subtotal$207,250,098RevenueSubtotalAmt
Investment Expenses Not Incld$249,981InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$249,981RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$207,500,079TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$189,505,009TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$189,505,009ExpensesSubtotalAmt
Investment Expenses Not Incld2$249,981InvestmentExpensesNotIncld2Amt
Other Expenses Not Included-$491,341OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$241,360ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$189,263,649TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Internal Revenue Service has determined that The Joint Commission and its affiliates are exempt from federal income taxation under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code (IRC). The Joint Commission and its affiliates are subject to income taxes on income determined to be unrelated business taxable income (UBTI), which is taxed at the corporate income tax rate. The Joint Commission continues to evaluate its tax positions pursuant to the Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Subtopic 740-10, Income Taxes Overall. As of December 31, 2023 and 2022, The Joint Commission believes it has taken no significant uncertain tax positions. The Joint Commission and each of its affiliates have been classified as an organization that is not a private foundation under IRC Section 509(a) and may receive deductible contributions under Section 170(c). Both The Joint Commission and JCR are organizations that normally receive more than 33 1/3% of their support from contributions, membership fees, and gross receipts from activities related to its exempt functions and no more than 33 1/3% of its support from gross investment income and unrelated business taxable income under IRC Section 509(a)(2). National Quality Forum is an organization that normally receives a substantial part of its support from the general public under section 170(b)(1)(A)(vi).
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990TRANSFER OF UNDESIGNATED NET ASSETS FROM AFFLIATE CO - JOINT COMMISSION RESOURCES, INC. EIN 36-3521721 - 6948919 CHANGE IN UNRECOGNIZED NET DEFINED-BENEFIT PLAN COSTS NOT YET RECOGNIZED IN NET PERIODIC BENEFIT COST - 6630954
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsCHANGE IN NET PERIODIC PENSION COSTS OTHER - -491341

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)02Conference Travel,TrainingSending agents of the organization to attend conferences and training$20,796
East Asia and the Pacific02Conference TravelSending agents of the organization to attend conferences$20,885
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees4SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee4TotalEmployeeCnt
Subtotal Spent$41,681SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$41,681TotalSpentAmt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesYes (true)BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part I, Line 3 Method used to account for expenditures on org's financial statementsFormAndLineReferenceDesc
ExplanationEAST ASIA AND THE PACIFIC-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-AccrualExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Discretionary Spending AcctYes (X)DiscretionarySpendingAcctInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jonathan B Perlin MD PhD MSHA MACP FACMI
President & CEO$1,539,102$0$108,150$0$360,362$0$17,011$0$29,348$0$2,053,973$0$0$0
Mark Pelletier RN MS
Chief Operating Officer, Accred & Cert Ops (Through Jan)$60,583$0$0$0$55,332$0$10,936$0$70$0$126,921$0$54,980$0
David Baker MD MPH FACP
Exec VP Health Care Quality Evaluation$731,197$0$33,216$0$147,944$0$299,722$0$31,897$0$1,243,975$0$137,671$0
Jean Courtney CPA
EVP & Chief Operating Officer (Since Apr)$0$369,921$0$113,769$0$427,175$0$224,665$0$28,192$0$1,163,721$0$350,528
Brian Enochs JD
Exec VP Bus Dev & Marketing (Through June)$248,104$0$0$0$854,475$0$183,292$0$24,566$0$1,310,437$0$723,036$0
Paul Gerrard
EVP & Chief Brand & Communications Ofcr (fm Jun-Oct)$131,510$0$12,519$0$321,292$0$107$0$13,330$0$478,758$0$0$0
Kenneth Grubbs Jr
EVP COO Accreditation & Certification Ops (Since June)$200,000$0$0$0$2,913$0$0$0$180$0$203,093$0$0$0
Michael Kaba MS
CHIEF HUMAN RESOURCES OFFICER$421,446$0$21,397$0$42,984$0$30,430$0$28,718$0$544,976$0$0$0
Kin Lee MS
CIO & SECURITY OFFICER$495,945$0$25,073$0$693,678$0$338,178$0$28,391$0$1,581,265$0$687,736$0
Ana Pujols McKee MD
Exec VP & Chief Medical Officer (Through Mar)$230,744$0$0$0$306,653$0$21,462$0$4,868$0$563,728$0$0$0
James Merlino
EVP Chief Innovation Officer (Since Aug)$293,192$0$0$0$51,443$0$0$0$213$0$344,849$0$0$0
Paige Rodgers CPA
Chief Financial Officer (Through May)$280,121$0$29,627$0$168,551$0-$263,157$0$4,840$0$219,982$0$167,644$0
Kathryn E Spates
VP Public Pol & Govt Relations (Since July)$271,792$0$10,000$0$1,314$0$20,734$0$13,619$0$317,458$0$0$0
Margaret VanAmringe MHS
Exec VP Public Policy & Govnt Relations (Through June)$222,291$0$0$0$223,941$0$135,720$0$5,827$0$587,780$0$63,391$0
Lisa Diehl Vandecaveye JD HRM FACHE
General Counsel$487,974$0$25,071$0$100,161$0$314,355$0$48,414$0$975,975$0$96,120$0
Suzanne C Murray
SENIOR DIRECTOR FIELD OPERATIONS$202,135$0$0$0$19,193$0$27,311$0$634$0$249,273$0$0$0
Deborah Ryan
SENIOR DIRECTOR FIELD OPERATIONS$151,131$0$0$0$81,636$0$24,901$0$8,370$0$266,038$0$0$0
Dawn Balestrieri
Director of Corporate Communications (Through Oct)$174,551$0$1,000$0$103,464$0$103,345$0$42,462$0$424,822$0$0$0
Mark Crafton
Executive Director Strategic Alliances$219,287$0$0$0$2,341$0$32,738$0$21,106$0$275,472$0$0$0
Haytham Kaafarani
Chief Patient Safety Ofcr & Medical Dir (Through Aug)$412,713$0-$33,000$0$471$0$0$0$569$0$380,753$0$0$0
Patrick Phelan
National Sales Leader$190,393$0$11,561$0$32,672$0$19,113$0$11,169$0$264,906$0$0$0
Sheela Suresh
Senior Director Applications Development$231,039$0$0$0$1,419$0$20,027$0$7,346$0$259,831$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travelThe Joint Commission's staff travel policy permits staff to fly business class on international flights, excluding Europe. The Joint Commission CEO is allowed to travel first-class on business trips throughout the United States and international. First class travel benefits are not treated as taxable compensation to the interested person.
Schedule J, Part I, Line 1a Discretionary spending accountTwo officers were provided a spending account for relocation allowances. These allowances are treated as taxable compensation and reported on Form 990, Part VII, Column D as Reportable Compensation
Schedule J, Part I, Line 1a Personal servicesOne officer utilized an allowance for tax preparation. Not all officers eligible for the services utilize them. These services are treated as taxable compensation and reported on Form 990, Part VII, Column D as Reportable Compensation
Schedule J, Part I, Line 4a Severance or change-of-control paymentTHE JOINT COMMISSION MADE PAYMENTS PURSUANT TO AN AGREEMENT IN CONNECTION WITH STAFF SEPARATIONS. THESE PAYMENTS WERE TREATED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II COLUMN (B)(III), OTHER REPORTABLE COMPENSATION.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planAll officers are allowed to participate in a nonqualified supplemental defined benefit retirement plan, but some choose not to participate and receive a lump sum instead. The increases or decreases in the value of the plan during the year are reflected in Column C Deferred Compensation on Schedule J, Part II. In the event that a participant terminates employment before becoming vested in the plan, the decreases will be reported in Column C deferred Compensation on Schedule J.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Illinois Finance AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN861091967BondIssuerEIN
CUSIP000000000CUSIPNum
Bond Issued2015-08-26BondIssuedDt
Issue Price$16,000,000IssuePriceAmt
Purpose(SEE STATEMENT)PurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$8,510,000RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$16,026,366TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$229,946IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$15,796,420CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2016SubstantialCompletionYr
Refunding Tax Exempt BondsfalseRefundingTaxExemptBondsInd
Refunding Taxable BondsfalseRefundingTaxableBondsInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (true)EngageBondCounselResearchInd
Private Bus Use By Others0.0077PrivateBusUseByOthersPct
Private Bus Concerning UBI0.0PrivateBusConcerningUBIPct
Total Private Business Use0.0077TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestfalseBondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetfalseRebateNotDueYetInd
Exception To RebatefalseExceptionToRebateInd
No Rebate DueYes (true)NoRebateDueInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (f) Description of PurposeBond proceeds were used to finance a portion of the costs to renovate, remodel, and to purchase equipment for the Joint Commission headquarters building, and all necessary and attendant facilities, equipment, site work, zoning, entitlements and utilities related thereto.
Schedule K, Part II, Line 3 Total Proceeds of Issue Amount DifferenceThe total proceeds of issue reported on Schedule K, Part II, Line 3 are not identical to the issue price listed in Part I, column (e), due to investment earnings.
Schedule K, Part IV, Line 2c COLUMN AIssuer name: Illinois Finance Authority The calculation for computing no rebate due was performed on 08/26/2020

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED 1 of 6(CONTINUATION FROM Part III, Line 1) quality and safety of care provided by the organization. THESE ACCREDITATION SERVICES ARE PROVIDED FOR HOSPITALS, CLINICAL LABORATORIES, HOME CARE, NURSING CARE CENTER, ASSISTED LIVING COMMUNITY, BEHAVIORAL HEALTH CARE, AND AMBULATORY CARE ORGANIZATIONS. JOINT COMMISSION ACCREDITATION AND CERTIFICATION ARE RECOGNIZED NATIONWIDE AS A SYMBOL OF QUALITY THAT REFLECTS AN ORGANIZATION'S COMMITMENT TO MEETING OPTIMUM ACHIEVABLE PERFORMANCE STANDARDS. TO EARN AND MAINTAIN THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL, AN ORGANIZATION MUST UNDERGO A SURVEY BY A JOINT COMMISSION SURVEY TEAM AT LEAST EVERY THREE YEARS. LABORATORIES MUST BE SURVEYED AT LEAST EVERY TWO YEARS. IN ORDER FOR A HEALTH CARE ORGANIZATION TO PARTICIPATE IN AND RECEIVE PAYMENT FROM THE MEDICARE OR MEDICAID PROGRAMS, IT MUST MEET ELIGIBILITY REQUIREMENTS FOR PROGRAM PARTICIPATION, INCLUDING A CERTIFICATION OF COMPLIANCE WITH THE CONDITIONS OF PARTICIPATION, SET FORTH IN FEDERAL REGULATIONS. THIS CERTIFICATION IS AVAILABLE ON THE BASIS OF SURVEYS CONDUCTED BY STATE AGENCIES ON BEHALF OF THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). WHEN THE JOINT COMMISSION HAS DEVELOPED AND ENFORCES STANDARDS AND SURVEY PROCEDURES THAT MEET OR EXCEED THE FEDERAL CONDITIONS OF PARTICIPATION, CMS MAY GRANT THE JOINT COMMISSION "DEEMING" AUTHORITY AND DEEM EACH ACCREDITED HEALTH CARE ORGANIZATION AS MEETING MEDICARE AND MEDICAID CERTIFICATION REQUIREMENTS. IN FACT, FEDERAL AND STATE AGENCIES OFTEN RELY ON THE EXPERTISE AND STANDARDS OF THE JOINT COMMISSION. FEDERAL DEEMED STATUS OPTIONS ARE CURRENTLY AVAILABLE FOR AMBULATORY CARE SURGICAL CENTERS, CLINICAL LABORATORIES, CRITICAL ACCESS HOSPITALS, HOME HEALTH AGENCIES, PSYCHIATRIC HOSPITALS, HOSPICES AND HOSPITALS. TO CONDUCT ITS ACCREDITATION SURVEYS, THE JOINT COMMISSION EMPLOYS AN EXPERIENCED, TRAINED CADRE OF SURVEYORS. BEYOND BASIC EDUCATION IN THE ACCREDITATION PROCESS, SURVEYORS RECEIVE EDUCATION IN SYSTEMS THEORY, ORGANIZATION BEHAVIOR, AND EVALUATION TECHNIQUES, AND ROBUST PROCESS IMPROVEMENT METHODS AND TOOLS. THE JOINT COMMISSION ALSO AWARDS DISEASE-SPECIFIC CARE CERTIFICATION TO HEALTH PLANS, DISEASE MANAGEMENT SERVICE COMPANIES, HOSPITALS AND OTHER CARE DELIVERY SETTINGS THAT PROVIDE DISEASE MANAGEMENT AND CHRONIC CARE SERVICES. THE JOINT COMMISSION'S CERTIFICATION PROGRAMS PROVIDE COMPREHENSIVE EVALUATIONS OF DISEASE OR CONDITION-SPECIFIC SERVICES, INCLUDING BUT NOT LIMITED TO ASTHMA, DIABETES, CONGESTIVE HEART FAILURE, SKIN AND WOUND MANAGEMENT, PRIMARY STROKE CARE, JOINT REPLACEMENT, SPINAL SURGERY PROGRAMS, PALLIATIVE CARE, PERINATAL, INTEGRATED CARE, PATIENT BLOOD MANAGEMENT, AND MEDICATION COMPOUNDING. ADVANCED CERTIFICATION DISEASE-SPECIFIC CARE PROGRAMS ARE ALSO OFFERED BY THE JOINT COMMISSION, WHICH ARE DEVELOPED IN COLLABORATION WITH INDUSTRY EXPERTS, IN VARIOUS AREAS SUCH AS: CHRONIC KIDNEY DISEASE, HEART FAILURE, PRIMARY STROKE AND COMPREHENSIVE STROKE, VENTRICULAR ASSIST DEVICES, DIABETES DISEASE, AND CHRONIC PULMONARY DISEASE. THE JOINT COMMISSION'S HEALTH CARE STAFFING SERVICES CERTIFICATION PROGRAM PROVIDES INDEPENDENT, THOROUGH EVALUATIONS OF THE ABILITY OF STAFFING FIRMS TO PROVIDE COMPETENT STAFFING SERVICES. THE JOINT COMMISSION DEVELOPED THIS CERTIFICATION PROGRAM TO MEET QUALITY OVERSIGHT NEEDS THAT HAVE ARISEN BECAUSE OF THE ONGOING SHORTAGES OF NURSES AND OTHER PROFESSIONAL PERSONNEL. THESE SHORTAGES FORCE HEALTH CARE ORGANIZATIONS TO FILL POSITIONS WITH TEMPORARY EMPLOYEES PROVIDED BY STAFFING FIRMS, WHICH ARE OFTEN NOT OTHERWISE SUBJECT TO ANY QUALITY OVERSIGHT MECHANISM. AT THEIR HEART, ACCREDITATION AND CERTIFICATION ARE RISK-REDUCTION ACTIVITIES; COMPLIANCE WITH APPROPRIATE STANDARDS REDUCES THE RISK OF ADVERSE OUTCOMES. THE JOINT COMMISSION SPECIFICALLY TARGETS IMPROVEMENT IN PATIENT SAFETY THROUGH THE FOLLOWING EFFORTS: PATIENT SAFETY-RELATED STANDARDS JOINT COMMISSION STANDARDS ADDRESS PERFORMANCE OBJECTIVES AND EXPECTATIONS IN KEY FUNCTIONAL AREAS, SUCH AS PATIENT RIGHTS, MEDICATION MANAGEMENT, AND INFECTION CONTROL. THE STANDARDS AND EVALUATION PROCESS FOCUS NOT SIMPLY ON AN ORGANIZATION'S ABILITY TO PROVIDE SAFE, HIGH QUALITY CARE, BUT ON ITS ACTUAL PERFORMANCE. ALL STANDARDS RELATE DIRECTLY OR INDIRECTLY TO SAFETY AND QUALITY-RELATED PATIENT OUTCOMES. THE JOINT COMMISSION DEVELOPS AND UPDATES ITS STANDARDS IN CONSULTATION WITH HEALTH CARE EXPERTS, PROVIDERS, PRACTITIONERS, MEASUREMENT EXPERTS, PURCHASERS AND CONSUMERS. OVER FIFTY PERCENT OF JOINT COMMISSION STANDARDS RELATE DIRECTLY TO PATIENT SAFETY, ADDRESSING A WIDE RANGE OF AREAS SUCH AS SURGERY AND ANESTHESIA, BLOOD TRANSFUSION, RESTRAINT AND SECLUSION, STAFFING AND STAFF COMPETENCE, FIRE SAFETY, MEDICAL EQUIPMENT MAINTENANCE, EMERGENCY MANAGEMENT, AND SECURITY. PATIENT SAFETY STANDARDS ADDRESS THE IMPLEMENTATION OF PATIENT SAFETY PROGRAMS; THE PREVENTION OF ACCIDENTAL HARM THROUGH THE PROSPECTIVE ANALYSIS AND REDESIGN OF VULNERABLE PATIENT SYSTEMS (E.G. THE ORDERING, PREPARATION, AND DISPENSING OF MEDICATIONS); AND THE ORGANIZATION'S RESPONSIBILITY TO TELL A PATIENT ABOUT ALL OUTCOMES OF THE CARE RESPECTING THAT PATIENT, WHETHER GOOD OR BAD. (Continuation Below)
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED 2 of 6(Continuation from Above) SENTINEL EVENT POLICY THE JOINT COMMISSION'S SENTINEL EVENT POLICY IS DESIGNED TO HELP HEALTH CARE ORGANIZATIONS TO IDENTIFY THE UNDERLYING CAUSES OF SENTINEL EVENTS AND TAKE ACTION TO PREVENT THEIR RECURRENCE. A SENTINEL EVENT IS AN UNEXPECTED OCCURRENCE INVOLVING DEATH OR SERIOUS PHYSICAL - INCLUDING LOSS OF LIMB OR FUNCTION - OR PSYCHOLOGICAL INJURY, OR THE RISK THEREOF. "RISK THEREOF" MEANS THAT, ALTHOUGH NO HARM OCCURRED ON THIS OCCASION, ANY RECURRENCE WOULD CREATE ANOTHER CHANCE FOR A SERIOUS ADVERSE OUTCOME. ANY TIME A SENTINEL EVENT OCCURS, THE HEALTH CARE ORGANIZATION IS EXPECTED TO COMPLETE A THOROUGH AND CREDIBLE ROOT CAUSE ANALYSIS, IMPLEMENT IMPROVEMENTS TO REDUCE RISK, AND MONITOR THE EFFECTIVENESS OF THOSE IMPROVEMENTS. THE ROOT CAUSE ANALYSIS IS EXPECTED TO DRILL DOWN TO EXAMINE ALL RELEVANT ORGANIZATION SYSTEMS AND PROCESSES THAT COULD HAVE CONTRIBUTED THE FAILURES LEADING TO THE OCCURRENCE. THIS EXAMINATION PROVIDES THE BASIS FOR RE-DESIGN OF SYSTEMS AND PROCESSES TO PREVENT RECURRENCE OF SIMILAR OCCURRENCES IN THE FUTURE. THE SENTINEL EVENT POLICY ALSO ENCOURAGES ORGANIZATIONS TO REPORT SENTINEL EVENTS, THEIR ASSOCIATED ROOT CAUSES AND RELATED PREVENTIVE ACTIONS TO THE JOINT COMMISSION SO THAT THE JOINT COMMISSION CAN SHARE WITH OTHER ORGANIZATIONS DE-IDENTIFIED, AGGREGATE INFORMATION ABOUT "LESSONS LEARNED", AND THEREBY REDUCE THE RISK OF FUTURE SENTINEL EVENT OCCURRENCES ACROSS THE DELIVERY SYSTEM. SENTINEL EVENT ALERTS A SENTINEL EVENT ALERT IS A PERIODIC NEWSLETTER OR WEBINAR THAT ADDRESSES SPECIFIC TYPES OF SENTINEL EVENTS, DESCRIBES THEIR COMMON UNDERLYING CAUSES, AND RECOMMENDS STEPS TO PREVENT FUTURE OCCURRENCES. INFORMATION FOR A SENTINEL EVENT ALERT IS DERIVED PRINCIPALLY FROM THE JOINT COMMISSION'S SENTINEL EVENT DATABASE. SENTINEL EVENT ALERT HAS RAISED AWARENESS IN THE HEALTH CARE COMMUNITY AND THE FEDERAL GOVERNMENT ABOUT THE OCCURRENCE OF ADVERSE EVENTS AND WAYS THAT THESE EVENTS CAN BE PREVENTED IN THE FUTURE. PAST ISSUES AND WEBINARS ARE AVAILABLE ON THE JOINT COMMISSION WEBSITE. TOPICS HAVE INCLUDED MEDICATION ERRORS, WRONG-SITE SURGERY, RESTRAINT-RELATED DEATHS, BLOOD TRANSFUSION ERRORS, INPATIENT SUICIDES, INFANT ABDUCTIONS, FATAL FALLS, OPERATIVE/POST-OPERATIVE COMPLICATIONS, HEALTH CARE WORKER FATIGUE, BEHAVIORS THAT UNDERMINE A CULTURE OF SAFETY, MATERNITY DEATHS AND INJURIES, INFECTION CONTROL, AND PREVENTING RETAINED FOREIGN OBJECTS NATIONAL PATIENT SAFETY GOALS THE JOINT COMMISSION ESTABLISHED A SET OF NATIONAL PATIENT SAFETY GOALS (NPSGS) AND RELATED SPECIFIC REQUIREMENTS FOR IMPROVING THE SAFETY OF PATIENT CARE IN HEALTH CARE ORGANIZATIONS. ALL JOINT COMMISSION ACCREDITED HEALTH CARE ORGANIZATIONS ARE REQUIRED TO IMPLEMENT GOAL-RELATED REQUIREMENTS-OR ACCEPTABLE ALTERNATIVES-THAT APPLY TO THEM. THE JOINT COMMISSION DETERMINES THE HIGHEST PRIORITY PATIENT SAFETY ISSUES, INCLUDING NPSGs, FROM INPUT FROM PRACTITIONERS, PROVIDER ORGANIZATIONS, PURCHASERS, CONSUMER GROUPS, AND OTHER STAKEHOLDERS. EACH YEAR, RECOMMENDATIONS FROM SENTINEL EVENT ALERT PUBLISHED IN THE PREVIOUS YEAR AND FROM OTHER AUTHORITATIVE SOURCES ARE ADDED TO THE POOL. OFFICE OF QUALITY AND PATIENT SAFETY THE JOINT COMMISSION'S OFFICE OF QUALITY AND PATIENT SAFETY RECEIVES, EVALUATES, TRACKS, AND AS APPROPRIATE, RESPONDS TO COMPLAINTS AND REPORTS OF CONCERN ABOUT HEALTH CARE ORGANIZATIONS THAT RELATE TO SAFETY AND CARE ISSUES. THIS INFORMATION COMES FROM PATIENTS, THEIR FAMILIES, ORGANIZATION STAFF, PRACTITIONERS, GOVERNMENT AGENCIES, AND OTHERS. THE OFFICE MAINTAINS A TOLL FREE HOT LINE AND ALSO RECEIVES WRITTEN REPORTS BY MAIL OR E-MAIL. WHEN A REPORT IS SUBMITTED, THE JOINT COMMISSION REVIEWS ANY PAST REPORTS AND THE ORGANIZATION'S MOST RECENT ACCREDITATION DECISION. DEPENDING ON THE NATURE OF THE REPORTED CONCERN, THE JOINT COMMISSION WILL TAKE ONE OF THE FOLLOWING ACTIONS: * INCORPORATE THE REPORTED CONCERN INTO THE QUALITY MONITORING DATABASE THAT IS USED TO TRACK HEALTH CARE ORGANIZATIONS OVER TIME TO IDENTIFY TRENDS OR PATTERNS IN THEIR PERFORMANCE. * ASK THE ORGANIZATION TO PROVIDE A WRITTEN RESPONSE TO THE REPORTED CONCERN. * REVIEW THE REPORTED CONCERN AND COMPLIANCE WITH RELATED STANDARDS AT THE TIME OF THE ORGANIZATION'S NEXT ACCREDITATION SURVEY. * CONDUCT AN UNANNOUNCED EVALUATION OF THE ORGANIZATION IF THE REPORT RAISES SERIOUS CONCERNS ABOUT A CONTINUING THREAT TO PATIENT SAFETY OR CONTINUING FAILURE TO COMPLY WITH STANDARDS. (Continuation below)
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED 3 of 6(CONTINUATION FROM ABOVE) INFECTION PREVENTION AND CONTROL INITIATIVES INFECTION PREVENTION AND CONTROL IS A CRITICAL COMPONENT OF SAFE, QUALITY HEALTH CARE. THE JOINT COMMISSION IS ADDRESSING THIS IMPORTANT ISSUE WITH A NUMBER OF INITIATIVES AND PRODUCTS THROUGH THE EFFORTS OF THE DEPARTMENT OF HEALTH SERVICES RESEARCH. SOME EXAMPLES OF THE DEPARTMENT'S WORK INCLUDE: * In 2023, The CDC approached The Joint Commission to conduct a qualitative investigation in a small sample of accredited hospitals that experienced an increase in Central Line Associated Blood Stream Infection (CLABSI) rates during the pandemic followed by a sustained reduction in those rates. The results generally indicated that CLABSI rates increased due to staffing shortages and obligatory deviations from organizational protocols, while the sustained reduction was due to a return to evidence-based practices, and various innovative procedures (e.g., multidisciplinary relationship building, technological improvements). * In 2020, with support from The Pew Charitable Trusts, research staff conducted a cross-sectional observational study using an electronic questionnaire to determine the extent to which hospitals are currently implementing the following antibiotic stewardship practices: a) development of facility-specific treatment guidelines, b) measuring appropriate use and concordance of care with these guidelines, c) engaging clinicians while the patient is on the unit, d) diagnostic stewardship, e) measurement of antimicrobial utilization data, and f) measuring hospital-acquired Clostridioides difficile infection rates (CDI). Among 288 acute care hospitals, most were using facility-specific treatment guidelines and measuring CDI and days of therapy. Practices for active engagement with frontline staff in prospective audit and feedback varied widely. A minority of hospitals had formally assessed compliance with one or more of the treatment guidelines or had procedures in place to prevent inappropriate diagnostic testing for urine specimens. Greater understanding of barriers to assessing adherence to hospitals' treatment guidelines and implementation of effective diagnostic testing procedures is needed to improve these practices. In August 2022, the Joint Commission entered into a new agreement with Pew to conduct an 18-month study extending the antibiotic stewardship program work into the outpatient setting - specifically focused on ambulatory clinics associated with hospitals. * The Joint Commission continues to work closely with CDC, SHEA, APIC, IDSA and other groups to help ensure coordination and collaboration among organizations working to reduce the burden of infections. The Joint Commission's comprehensive accreditation standards and national patient safety goals specific to infection prevention and control have facilitated broader implementation of CDC practice recommendations. These standards emphasize infection prevention, continuous strategic surveillance for infection and infection-related risks, and timely interventions to address identified problems. * Continue to review, update, and maintain the contents of a web portal containing links to key guidance documents related to infection prevention and control and healthcare-associated infections. Access is free to all. PATIENT SAFETY RESEARCH THE JOINT COMMISSION'S DIVISION OF HEALTHCARE QUALITY EVALUATION WORKS WITH EXTERNAL COLLABORATORS TO ADVANCE THE FIELD OF PATIENT SAFETY RESEARCH. JOINT COMMISSION RESEARCH INITIATIVES INCLUDE: (Continuation below)
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED 4 of 6(Continuation from above) * Survey of leading suicide prevention practices in hospitals. Funded by The Pew Charitable Trusts, this 2022-2023 study explores suicide risk screening practices (i.e., targeted versus universal screening) and the prevalence of leading suicide prevention discharge practices (i.e., formal safety planning, lethal means assessment, warm handoffs with outpatient providers, follow-up contact post-discharge). * Development of the Health Care Equity Resource Center. Inequitable health care is, first and foremost, a quality and safety issue. As a compliment to the new health care equity accreditation and certification standards, The Joint Commission conducted a series of case studies with health care organizations that were implementing health care equity initiatives designed to address health-related social needs. Elements of these case studies were incorporated into a publicly available website to help guide and encourage organizations as they seek to comply with the new health care equity requirements. Case study examples and resources are provided to help organizations build an infrastructure that can support long-term prioritization of health care equity. * Survey of clinician wellbeing practices in hospitals and federally qualified health centers. This 2022 internally funded survey was designed to assess the state of the field on the topic of organizational practices being implemented to measure and address clinician wellbeing in hospitals and federally qualified health centers. The survey focused on leadership, measurement practices, and comprehensive improvement efforts being implemented to address the growing problem of clinician burnout, which has a direct impact on patient safety and quality of care. * A Survey of Venous Thromboembolism (VTE) Prevention Practices in U.S. Hospitals. Funder: Centers for Disease Control and Prevention (CDC), National Center on Birth Defects and Developmental Disabilities, Division of Blood Disorders. Sub-award with the Association of University Centers on Disabilities (AUCD). The purpose of this project is to support a framework for improving VTE prevention practices through the evaluation of current VTE prevention practices in U.S. hospitals and VTE risk assessment as a performance measure. Initial activities include developing and implementing a survey for U.S. hospitals that characterizes the VTE prevention practices occurring at the general medical unit and general surgical unit. * The Effects of Organizational Culture and Related Factors on Healthcare Worker (HCW) Well-being and Patient Safety: A Scoping Review of Available Evidence. Funder: Centers for Disease Control and Prevention, National Institute of Occupational Safety and Health. This project will conduct a scoping review focused on examining the effects of organizational culture and related factors on healthcare worker well-being and patient safety. The initial scoping review will examine aspects of organizational culture such as safety culture, safety climate, leadership, teamwork, communication, and learning environment. Interventions in these areas will be identified where available and examined for their impact as well as any additional research or evaluation that may enhance the effectiveness or applicability of the intervention. * Maintenance of a healthcare-specific web portal of resources related to workplace violence that affects safety for patients and workers. It addresses a wide variety of healthcare settings and topics including resources related to prevention and response for active shooter events. Access is free to all. ACCREDITATION AND CERTIFICATION STANDARDS JOINT COMMISSION STANDARDS ARE DEVELOPED WITH INPUT FROM HEALTH CARE PROFESSIONALS, PROVIDERS, SUBJECT MATTER EXPERTS, CONSUMERS, GOVERNMENT AGENCIES (INCLUDING THE CENTERS FOR MEDICARE & MEDICAID SERVICES) AND EMPLOYERS. THEY ARE INFORMED BY SCIENTIFIC LITERATURE AND EXPERT CONSENSUS AND APPROVED BY THE BOARD OF COMMISSIONERS. NEW STANDARDS ARE ADDED ONLY IF THEY RELATE TO PATIENT SAFETY OR QUALITY OF CARE, HAVE A POSITIVE IMPACT ON HEALTH OUTCOMES, MEET OR SURPASS LAW AND REGULATION, AND CAN BE ACCURATELY AND READILY MEASURED. RECENT STANDARDS DEVELOPMENT ACTIVITIES ARE DESCRIBED BELOW: * Evaluated issues related to customizing elements of performance based on organizational services and settings for our accreditation programs. Internal and external customers' input were considered, and solutions were developed and implemented. * Development of a new Responsible Use of Health Data certification (RUHD) to help safeguard patient privacy and advance healthcare innovation. It serves as a crucial tool for healthcare organizations seeking to mitigate risk and prioritize patient privacy when transferring data to third-party organizations. * Development of a new deemed Rural Health Clinic Accreditation program to meet compliance with the Medicare Conditions for Certification (CfC). (Continued below)
Form 990, Part III, Line 1 Organization Mission Continued 5 of 6(Continuation from above) * Development of a new Sustainable Healthcare Certification (SHC) program which aims to advance decarbonization in health care through helping organizations set and maintain goals to reduce their greenhouse gas emissions. This certification program will evaluate whether healthcare organizations have put in place key structures and processes to improve energy efficiency, decrease their carbon footprint, and decrease waste * Development of a new Health Care Equity (HCE) certification program to recognize hospitals and critical access hospitals that strive for excellence in their efforts to provide equitable care, treatment, and services. The new certification requirements emphasize the structures and processes that health care organizations need to decrease health care disparities in their patient populations and promote diversity, equity, and inclusion for their staff. * Development and revision of Workplace Violence Prevention standards for the home care and behavioral health care accreditation programs and development of a compendium to provide a standardized approach to healthcare workplace violence prevention, reporting, and post-incident strategies. * Revision of Emergency Management (EM) ambulatory and office based surgery standards to strengthen organizations' ability to prepare and respond to emergencies. Standards for other accreditation programs will be reviewed and revised. * Revisions to the Environment of Care and Life Safety Code chapters within all accreditation programs to strengthen alignment with NFPA code. * Revisions to all Stroke Certification programs requirements to align with American Heart Association Guidelines. * Elevation of new and revised requirements to reduce health care disparities for Joint Commission-accredited ambulatory health care organizations, behavioral health care and human services organizations, critical access hospitals, and hospitals to National Patient Safety Goals (NPSGs). These accreditation requirements promote health care equity as a quality and safety priority. * Revisions to Infection Control (IC) Chapter requirements for all accreditation programs. (Continuation below)
Form 990, Part III, Line 1 Organization Mission Continued 6 of 6(Continuation from above) THE SPEAK UP INITIATIVES FOR THE GENERAL PUBLIC THE JOINT COMMISSION, TOGETHER WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), CONTINUE TO DEVELOP MATERIALS FOR THE NATIONAL SPEAK UP PROGRAM TO URGE PATIENTS TO TAKE AN ACTIVE ROLE IN PREVENTING HEALTH CARE ERRORS BY BECOMING INVOLVED AND INFORMED PARTICIPANTS ON THE HEALTH CARE TEAM. THE SPEAK UP PROGRAM FEATURES BROCHURES, POSTERS AND BUTTONS ON OVER 25 PATIENT SAFETY TOPICS, SUCH AS FIVE THINGS YOU CAN DO TO PREVENT INFECTION, HELP PREVENT ERRORS IN YOUR CARE, OR AVOID A RETURN TRIP TO THE HOSPITAL. SPEAK UP POSTERS ARE AVAILABLE TO THE GENERAL PUBLIC AT NO COST ON THE JOINT COMMISSION'S WEBSITE. THE JOINT COMMISSION ALSO DEVELOPED A SERIES OF ANIMATED SPEAK UP VIDEOS TO ENCOURAGE PATIENTS TO SPEAK UP AND BE ACTIVE PARTICIPANTS IN THEIR HEALTH CARE. PRODUCED BY THE JOINT COMMISSION, THESE ENTERTAINING 60-SECOND VIDEOS ARE INTENDED AS PUBLIC SERVICE ANNOUNCEMENTS AND AIR ON THE JOINT COMMISSION'S YOUTUBE CHANNEL, ON THE JOINT COMMISSION WEBSITE, AND IN OTHER VENUES. THE CAST OF CHARACTERS INTRODUCED IN THE VIDEOS ENCOUNTER EVERYDAY SITUATIONS WHERE THEY HAVE TO READ INSTRUCTIONS, INSPECT LABELS, AND "SPEAK UP" TO ASK THEIR DOCTORS AND CAREGIVERS QUESTIONS. THE VIDEOS POINT OUT THAT YOU SHOULD BE JUST AS COMFORTABLE SPEAKING UP ABOUT YOUR HEALTH CARE WHETHER IN A DOCTOR'S OFFICE OR AT THE HOSPITAL. THE VIDEOS HAVE PROVEN TO BE WIDELY POPULAR WITH AUDIENCES ALL OVER THE WORLD, AND HAVE BEEN DOWNLOADED BY ORGANIZATIONS IN MORE THAN 70 COUNTRIES. QUALITY CHECK AND QUALITY REPORTS QUALITY CHECK OFFERS A COMPREHENSIVE COMPENDIUM OF QUALITY AND SAFETY-RELATED PERFORMANCE INFORMATION ON THE NEARLY 22,000 JOINT COMMISSION-ACCREDITED HEALTH CARE ORGANIZATIONS AND PROGRAMS THROUGHOUT THE UNITED STATES. THESE QUALITY REPORTS MAKE PUBLICLY AVAILABLE SPECIFIC INFORMATION REGARDING ORGANIZATION ACCREDITATION STATUS, PERFORMANCE IN CARING FOR PATIENTS WITH COMMON CONDITIONS (SUCH AS PNEUMONIA) AND COMPLIANCE WITH NATIONAL PATIENT SAFETY GOAL REQUIREMENTS, AMONG OTHER FEATURES. QUALITY REPORTS UTILIZE A USER-FRIENDLY FORMAT WITH CHECKS, PLUSES AND MINUSES TO HELP THE PUBLIC COMPARE HEALTH CARE ORGANIZATION PERFORMANCE IN KEY AREAS. OTHER RESOURCES The Joint Commission's DASH (Data Analytics for Safe Healthcare) is a collection of proprietary business intelligence tools developed to support organizations and empower them to make more informed decisions to drive quality improvement and reduce harm. The Joint Commission provides data transparency in a convenient platform to power process and focus on relevant needs to drive efficiency and effectiveness to improve care results. The DASH business intelligence offerings include Accelerate PI, Illuminate Analytics, and SAFER Dashboard. Accelerate PI allows a health care organization to compare to national, state, and averages from Joint Commission-accredited organizations. Illuminate Analytics helps drive meaningful, actionable conclusions from disparate data sources that enhance the quality and safety of the care provided. SAFER Dashboard empowers health care leaders and business users in their efforts to deliver safe, high-quality care and better prioritize future improvement efforts. Additional resources dedicated to physicians, nurses, and consumers are available free on The Joint Commission's web site. Such dedicated resources include patient safety topics, physician leader monthly newsletter, Coronavirus (Covid-19) resources, and the latest topics around nursing and nurses roles in patient safety.
Form 990, Part VI, Line 8b Committee authority to act on behalf of governing bodySEE NARRATIVE FOR LINE 1A
Form 990, Part VI, Line 1a Delegate broad authority to a committeeThe board of directors may, by resolution, appoint an executive committee. The Executive Committee shall consist of one Commissions appointed by each member of the corporation to the board of commissions and one commissioner appointed by the board of commissioners. It shall be the duty of the executive committee to exercise the powers of the board when the board is not in session, including, without limitation, to take such emergency actions for the board as may be required between meetings of the board, and otherwise exercise the authority of the Board of Commissioners in the management of the corporation to the extent that the board may lawfully provide by resolution; council with the president regarding certain matters; and act upon recommendation of the chair of the board on the appointments to the standing committees.
Form 990, Part VI, Line 3 Delegation of management dutiesThe Joint Commission hired Kim Michael-Lee through a contractual agreement with Randstad Digital LLC to perform the duties of Chief Financial Officer from May through December.
Form 990, Part VI, Line 6 Classes of members or stockholdersThe Joint Commission has five corporate members who must approve changes to the organization's Bylaws and Articles of Incorporation. The members assist with appointing commissioners to the board. In addition, the members must approve the dissolution of the organization.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySEE NARRATIVE FOR LINE 6
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersSEE NARRATIVE FOR LINE 6
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Joint Commission's management, including the CFO, COO, Controller, Corporate Compliance & Privacy Officer, and General Counsel performed a detailed review of the Form 990 with the paid tax preparer. Once this level of review was performed, a thorough walk through of Form 990 was done with the Finance Committee prior to filing. A copy of the Form 990 was provided to the entire Board of Commissioners prior to filing. A final filed public disclosure copy of the return will be placed on the Organization's website for the public once accepted by the IRS.
Form 990, Part VI, Line 12c Conflict of interest policyTHE POLICY STATES THAT ANY DECISION THAT COULD RESULT IN AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST MUST BE AVOIDED. ALL STAFF AND BOARD MEMBERS REVIEW THE POLICY ON AN ANNUAL BASIS AND COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR, WHICH IS DESIGNED TO IDENTIFY INTERESTS THAT COULD GIVE RISE TO POSSIBLE CONFLICTS. ALTHOUGH MANY SUCH POTENTIAL CONFLICTS ARE AND WILL BE DEEMED INCONSEQUENTIAL, EVERY INDIVIDUAL OF THE ORGANIZATION HAS AN ONGOING RESPONSIBILITY TO DISCLOSE SITUATIONS THAT INVOLVE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT COULD BE PERCEIVED AS A CONFLICT OF INTEREST. THE INTERESTS IDENTIFIED ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, GENERAL COUNSEL, AND GOVERNANCE COMMITTEE AND APPROPRIATELY MANAGED. ALL DISCLOSURES ARE PURSUED UNTIL 100% COMPLETED. PRIOR TO ANY BOARD OR COMMITTEE MEETING, A MEMBER IS REQUIRED TO DISCLOSE A CONFLICT OF INTEREST OR POSSIBLE CONFLICT OF INTEREST ON ANY MATTER DURING A MEETING AND THEN NOT VOTE OR USE PERSONAL INFLUENCE ON THE MATTER. THE MINUTES OF THE MEETING REFLECTS THAT A DISCLOSURE WAS MADE AND THE MEMBER ABSTAINED FROM VOTING. AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING A REQUEST IS MADE TO DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST. THE COMPLIANCE OFFICER MONITORS AND REVIEWS THE CONFLICT OF INTEREST POLICY AS WELL AS THE RESPONSES TO THE QUESTIONNAIRES ON AN ANNUAL BASIS. THE ORGANIZATION ALSO HAS AVAILABLE AN INDEPENDENT HOTLINE NUMBER FOR STAFF TO REPORT ANONYMOUSLY ANY POTENTIAL CONFLICTS DURING THE YEAR.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe ceo's compensation arrangement is subject to an independent Board committee review and approval referred to as the human resources and executive compensation committee. The joint commission engaged an independent compensation consultant to assist in determining compensation of its ceo. In setting the ceo's compensation, the organization's human resources and executive compensation committee relies on recent compensation studies that provide compensation data for comparable position in other organizations to support its decision-making process. The human resources and executive compensation committee adequately documents its compensation determinations and deliberations regarding compensation in its committee minutes on a timely basis. Each voting committee member has been determined to be independent in Accordance with intermediate sanctions regulations and signs the Board's conflict of interest policy annually to ensure that he or she Is independent. The board engages in an active review of the compensation recommended by the Committee. In addition, the Board conducts an annual evaluation of the CEO. The process for determining the top management officials', Dr. Jonathan Perlin, ceo, compensation is undertaken annually.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesOTHER OFFICERS: THE OTHER OFFICERS' COMPENSATION ARRANGEMENT IS SUBJECT TO AN INDEPENDENT BOARD COMMITTEE REVIEW AND APPROVAL REFERRED TO AS THE HUMAN RESOURCES AND EXECUTIVE COMPENSATION COMMITTEE. THE JOINT COMMISSION ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING COMPENSATION OF ITS OTHER OFFICERS. IN SETTING THE OTHER OFFICERS' COMPENSATION, THE ORGANIZATIONS' HUMAN RESOURCES AND EXECUTIVE COMPENSATION COMMITTEES RELY ON RECENT COMPENSATION STUDIES THAT PROVIDE COMPENSATION DATA FOR COMPARABLE POSITIONS IN OTHER ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE HUMAN RESOURCES AND EXECUTIVE COMPENSATION COMMITTEES ADEQUATELY DOCUMENTED ITS COMPENSATION DETERMINATIONS AND DELIBERATIONS REGARDING COMPENSATION IN ITS COMMITTEE MINUTES ON A TIMELY BASIS. EACH VOTING COMMITTEE MEMBER HAS BEEN DETERMINED TO BE INDEPENDENT IN ACCORDANCE WITH INTERMEDIATE SANCTIONS REGULATIONS AND SIGNS THE BOARD'S CONFLICT OF INTEREST POLICY ANNUALLY TO ENSURE THAT HE OR SHE IS INDEPENDENT. THE BOARD ENGAGES IN AN ACTIVE REVIEW OF THE COMPENSATION RECOMMENDED BY THE COMMITTEE. IN ADDITION, AN ANNUAL PERFORMANCE EVALUATION OF THE OFFICERS IS CONDUCTED. The process for determining the organizations' other officers' compensation is undertaken annually for: dr. david baker - evp, brian Enochs - evp, michael kaba - chief HR officer, kin lee - cio, ana pujols mckee - evp, kenneth grubbs - cco & evp, paige rodgers - cfo, Lisa Diehl Vandecaveye - general counsel, Margaret Van Amringe - evp, james merlino - evp, kathryn spates - evp, jason miles - evp, and leslie krohn - evp KEY EMPLOYEES: THE JOINT COMMISSION ENGAGES ITS HUMAN RESOURCES DEPARTMENT TO ASSIST IN DETERMINING COMPENSATION OF ITS KEY EMPLOYEES. IN SETTING THE KEY EMPLOYEES' COMPENSATION, THE HUMAN RESOURCES DEPARTMENT RELIES ON INDEPENDENT SURVEY AND COMPENSATION DATA FOR COMPARABLE POSITIONS IN OTHER ORGANIZATIONS AND/OR ON THE INTERNAL JOB EVALUATION SYSTEM TO SUPPORT ITS DECISION MAKING PROCESS. THE KEY EMPLOYEES' COMPENSATION IS DETERMINED BY THE COMPENSATION POLICY AND GUIDELINES, WHICH ARE ESTABLISHED ANNUALLY BY THE HUMAN RESOURCES DEPARTMENT. INCENTIVE COMPENSATION FOR KEY EMPLOYEES IS ALSO REVIEWED BY THE ORGANIZATION'S HUMAN RESOURCES AND EXECUTIVE COMPENSATION COMMITTEE. THE PROCESS FOR DETERMINING THE ORGANIZATION'S KEY EMPLOYEES' COMPENSATION IS UNDERTAKEN ANNUALLY FOR ALL KEY EMPLOYEES.
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND THE FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST AND IN ACCORDANCE WITH APPLICABLE LAWS. THE CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, 990-T, AND PUBLIC DISCLOSURE COPY OF THE 990 ARE MADE AVAILABLE TO THE PUBLIC ON THE ORGANIZATION'S WEBSITE.
Form 990, Part VIII, Line 2f Other Program Service RevenueOther Revenues - Total Revenue: 436411, Related or Exempt Function Revenue: 436411, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesChange in net periodic pension costs other - -491341; Change in unrecognized net defined benefit plan costs not yet recognized in net periodic benefit cost - 6630954; Transfer of Net assets to Parent co from Joint Commission Resources, Inc. EIN 36-3521721 - 6948919;
Schedule K, Part IV, Line 3 Bond issue is a variable rate issueThe original bond was issued at a variable rate. In 2022 the organization executed the first amendment to the bond and loan agreement referred to as the interest rate reset and amendments, which renewed the loan with the current purchaser at a fixed rate of 2.8%.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
JOINT COMMISSION RESOURCES INC
ONE RENAISSANCE BOULEVARDSUITE 401OAKBROOK TERRACEIL60181363521721HEALTHCAREIL501(c)(3)10JOINT COMMISSIONYes (true)
National Quality Forum
1099 14th St NWSuite 500WashingtonDC200054858522175544HEALTHCAREDC501(c)(3)7JOINT COMMISSIONYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1ForeignAddress/AddressLine1TxtAddress Line2ForeignAddress/AddressLine2TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
JCI ACCREDITATION (BEIJING) CO LTD
Rm 1538 FL 15 Bldg 3Yard 2 Jianguomenwai StreetChaoyang DistrictBeijingCH100022SEE STATEMENTCHJCRC Corporation-$110,789$54,7191Yes (true)
Joint Commission Arabia Management Company
SEE STATEMENTSAJCRC Corporation$1,659,337$2,081,8671.00Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JOINT COMMISSION RESOURCES INC
A$1,354,123ACTUAL
JOINT COMMISSION RESOURCES INC
J$311,893ACTUAL
JOINT COMMISSION RESOURCES INC
L$7,978,229CONTRACTUAL
JOINT COMMISSION RESOURCES INC
Q$1,406,877ACTUAL
JOINT COMMISSION RESOURCES INC
S$6,948,919CONTRACTUAL

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule R, Part IV, Column (b) PRIMARY ACTIVITYPROVIDED INTERNATIONAL STANDARDS AND ACCREDITATION AND CERTIFICATION PROGRAMS FOR HEALTHCARE ORGANIZATIONS THROUGHOUT CHINA.
Schedule R, Part IV, Column (b) PRIMARY ACTIVITYPROVIDES INTERNATIONAL STANDARDS AND ACCREDITATION AND CERTIFICATION PROGRAMS FOR HEALTHCARE ORGANIZATIONS THROUGHOUT Saudi Arabia

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.