JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (EIN 36-2229255)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-16
IRS object ID: 202013219349311981
Schema version: 2019v5.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-16T13:30:44-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 West Wacker Drive Suite 2600	AddressLine1Txt
City	Chicago	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606061224	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362229255	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Joint Commission on Accreditation of Healthcare Organizations	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	JOIN	BusinessNameControlTxt
Phone	6307925000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Renaissance Blvd	AddressLine1Txt
City	Oakbrook Terrace	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60181	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Paige Rodgers	PersonNm
Person Title	CFO/TREASURER	PersonTitleTxt
Signature	2020-11-16	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RACHEL SPURLOCK	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	3128997000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	The Joint Commission	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Dr Mark Chassin	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Renaissance Blvd	AddressLine1Txt
City	Oakbrook Terrace	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60181	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$202,698,429	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.jointcommission.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1951	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	To 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 Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	19	VotingMembersIndependentCnt
Total Employee	556	TotalEmployeeCnt
Total Volunteers	19	TotalVolunteersCnt
Total Gross UBI	-$1,522	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$3,522	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,087,455	PYContributionsGrantsAmt
CY Contributions Grants	$825,286	CYContributionsGrantsAmt
PY Program Service Revenue	$175,578,868	PYProgramServiceRevenueAmt
CY Program Service Revenue	$182,737,650	CYProgramServiceRevenueAmt
PY Investment Income	$7,664,363	PYInvestmentIncomeAmt
CY Investment Income	$8,216,662	CYInvestmentIncomeAmt
PY Other Revenue	$1,211,154	PYOtherRevenueAmt
CY Other Revenue	$1,192,177	CYOtherRevenueAmt
PY Total Revenue	$185,541,840	PYTotalRevenueAmt
CY Total Revenue	$192,971,775	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$117,337,645	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$118,612,741	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$56,327,504	PYOtherExpensesAmt
CY Other Expenses	$60,162,816	CYOtherExpensesAmt
PY Total Expenses	$173,665,149	PYTotalExpensesAmt
CY Total Expenses	$178,775,557	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,876,691	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,196,218	CYRevenuesLessExpensesAmt
Total Assets BOY	$234,221,474	TotalAssetsBOYAmt
Total Assets EOY	$267,866,159	TotalAssetsEOYAmt
Total Liabilities BOY	$45,420,252	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$45,798,444	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$188,801,222	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$222,067,715	NetAssetsOrFundBalancesEOYAmt
Mission	The 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$122,206,712	ExpenseAmt
Revenue	$167,296,435	RevenueAmt
Desc	SURVEY 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

Field	Value	IRS element (for citing)
Expense	$8,325,486	ExpenseAmt
Revenue	$7,138,684	RevenueAmt
Desc	PERFORMANCE MEASUREMENT & RELATED ACTIVITIES (ORYX) 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

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$8,302,531	ExpenseAmt
Revenue	$8,302,531	RevenueAmt
Desc	The 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

Field	Value	IRS element (for citing)
Total Program Service Expenses	$138,834,729	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	93	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	556	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	19	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Paige Rodgers	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6307925685	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Renaissance Blvd	AddressLine1Txt
City	Oakbrook Terrace	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60181	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David Perrott DDS MD MBA FACS
Chair	6.0	2.0	Yes (X)	Yes (X)	$50,000	$0	$0
Jane D Englebright PhD RN CENP FAAN
Vice Chair	3.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
Mark R Chassin MD FACP MPP MPH
President & CEO	36.0	4.0	Yes (X)	Yes (X)	$1,631,180	$0	$69,827
Albert J Osbahr III MD MSCM
Commissioner	2.0	0	Yes (X)		$0	$0	$0
Aurie Hollingsworth Miller BA MA
Commissioner	2.0	0	Yes (X)		$0	$0	$0
Carlos A Pellegrini MD FACS
Commissioner	3.0	1.0	Yes (X)		$0	$0	$0
Eric Langshur
Commissioner	1.0	1.0	Yes (X)		$0	$0	$0
Grant C Davies FACHE
Commissioner	2.0	1.0	Yes (X)		$612	$0	$0
Gregg S Meyer MD MSc
Commissioner	2.0	0	Yes (X)		$912	$0	$0
Jay A Gregory MD
Commissioner	2.0	0	Yes (X)		$0	$0	$0
Joan Doyle RN MSN MBA
Commissioner	3.0	0	Yes (X)		$0	$0	$0
Joan Shinkus Clark DNP RN NEA-BC CENP FACHE FAAN
Commissioner	2.0	0	Yes (X)		$0	$0	$0
John A Babiarz
Commissioner	1.0	0	Yes (X)		$0	$0	$0
Joseph J Parks MD
Commissioner	2.0	0	Yes (X)		$612	$0	$0
LD Britt MD MPH DSC FACS FCCM FRCSEng FRCSEd FWACS FRCSI FCS FRCS
Commissioner	1.0	0	Yes (X)		$0	$0	$0
Mark A Kelley MD MACP
Commissioner	3.0	0	Yes (X)		$912	$0	$0
Michael B Simon MD MBA FASA
Commissioner	2.0	0	Yes (X)		$391	$0	$0
Najmedin Meshkati PhD
Commissioner	2.0	1.0	Yes (X)		$847	$0	$0
Roger W Bush MD MACP
Commissioner	4.0	0	Yes (X)		$912	$0	$0
Scott C Malaney FACHE
Commissioner	3.0	0	Yes (X)		$0	$0	$0
William A McDade MD PhD
Commissioner	1.0	0	Yes (X)		$0	$0	$0
Ana Pujols McKee MD
Exec VP & Chief Medical Officer	40.0	0		Yes (X)	$731,740	$0	$40,839
Brian Enochs JD
Exec VP Bus Dev & Marketing	40.0	0		Yes (X)	$377,516	$0	$122,825
David Baker MD MPH FACP
Exec VP Health Care Quality Evaluation	40.0	0		Yes (X)	$572,182	$0	$202,310
Kin Lee MS
CIO & SECURITY OFFICER	40.0	0		Yes (X)	$386,205	$0	$108,239
Lisa Diehl Vandecaveye JD HRM FACHE
General Counsel	29.0	11.0		Yes (X)	$403,630	$0	$128,567
Lynn Dragisic
EVP Support Op & Chief of Staff	39.0	1.0		Yes (X)	$533,239	$0	$145,721
Margaret VanAmringe MHS
Exec VP Public Policy & Govnt Relations	39.0	1.0		Yes (X)	$0	$456,013	$128,882
Mark Pelletier RN MS
Chief Operating Officer, Accred & Cert Ops	39.0	1.0		Yes (X)	$498,323	$0	$168,906
Michael Kaba MS
CHIEF HUMAN RESOURCES OFFICER	39.0	1.0		Yes (X)	$348,389	$0	$46,617
Paige Rodgers CPA
Chief Financial Officer	33.0	7.0		Yes (X)	$701,990	$0	$241,972
Deborah Ryan
SENIOR DIRECTOR FIELD OPERATIONS	40.0	0			$170,191	$0	$36,608	Yes (X)
Suzanne C Murray
SENIOR DIRECTOR FIELD OPERATIONS	40.0	0			$197,165	$0	$23,132	Yes (X)
Anoop Verma
Director Applications Development	40.0	0			$217,709	$0	$37,891		Yes (X)
Edward Pollak
Patient Safety Officer & Medical Director	40.0	0			$443,011	$0	$23,386		Yes (X)
Frances Carroll
Corp Compliance Officer & Sr Assist Gen'l Counsel	40.0	0			$213,849	$0	$32,562		Yes (X)
Mark A Crafton
Exec Dir Strategic Alliances	40.0	0			$202,984	$0	$41,679		Yes (X)
Tricia K Elliott
Director Quality Measurement	40.0	0			$209,821	$0	$18,255		Yes (X)
Anne Marie Benedicto MPP MPH
JC Center for Transforming Hltcr Vice President	0.0	40.0			$0	$346,262	$133,249			Yes (X)
Cheryl Hoying
Former Officer	0.0	0.0			$0	$220,000	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,894,320	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,022,274	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,751,466	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	196	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75235	PROFESSIONAL SERVICES/CERTIFICATIONS	$3,218,345
APERVITA INC
1 NORTH LASALLE STREET	Chicago	IL	60602	IT Applications	$3,102,510	SUITE 1825
WINWIRE TECHNOLOGIES INC
2350 MISSION COLLEGE BLVD	SANTA CLARA	CA	95054	IT Applications	$1,393,390	SUITE 925
HYATT REGENCY O'HARE
PO BOX 98314	CHICAGO	IL	60693	HOSPITALITY	$1,023,759
AMP AGENCY INC
77 N WASHINGTON ST	BOSTON	MA	02114	Web Marketing	$897,340

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Government Grants	$688,172	GovernmentGrantsAmt
All Other Contributions	$137,114	AllOtherContributionsAmt
Total Contributions	$825,286	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Annual Subscription	541900	$88,456,043	$88,456,043
Survey Fees	541900	$77,741,276	$77,741,276
Performance Measurements	900099	$7,138,684	$7,138,684
Shared Services Fee From Related Tax Exempt Organizations	900099	$8,302,531	$8,302,531
Honorarium Fees	900099	$109,700	$109,700

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$989,416	TotalRevenueColumnAmt
Related Or Exempt Func Income	$989,416	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$182,737,650	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,547,008	TotalRevenueColumnAmt
Unrelated Business Revenue	-$1,522	UnrelatedBusinessRevenueAmt
Exclusion	$3,548,530	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,192,177	TotalRevenueColumnAmt
Exclusion	$1,192,177	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$14,396,308	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$9,726,654	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,669,654	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,669,654	TotalRevenueColumnAmt
Exclusion	$4,669,654	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$192,971,775	TotalRevenueColumnAmt
Related Or Exempt Func Income	$182,737,650	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$1,522	UnrelatedBusinessRevenueAmt
Exclusion	$9,410,361	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,887,312	TotalAmt
Program Services	$3,141,736	ProgramServicesAmt
Management And General	$4,745,576	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$89,558,630	TotalAmt
Program Services	$72,819,662	ProgramServicesAmt
Management And General	$16,738,968	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,253,192	TotalAmt
Program Services	$4,335,571	ProgramServicesAmt
Management And General	$917,621	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,183,898	TotalAmt
Program Services	$7,662,112	ProgramServicesAmt
Management And General	$1,521,786	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,729,709	TotalAmt
Program Services	$5,418,157	ProgramServicesAmt
Management And General	$1,311,552	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$136,300	TotalAmt
Program Services	$34,987	ProgramServicesAmt
Management And General	$101,313	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$448,548	TotalAmt
Management And General	$448,548	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$160,400	TotalAmt
Management And General	$160,400	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,115,522	TotalAmt
Management And General	$1,115,522	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$9,384,234	TotalAmt
Program Services	$6,517,193	ProgramServicesAmt
Management And General	$2,867,041	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,374,064	TotalAmt
Program Services	$1,144,906	ProgramServicesAmt
Management And General	$229,158	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$980,609	TotalAmt
Program Services	$634,438	ProgramServicesAmt
Management And General	$346,171	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,185,106	TotalAmt
Program Services	$3,402,253	ProgramServicesAmt
Management And General	$2,782,853	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,887,031	TotalAmt
Program Services	$676,242	ProgramServicesAmt
Management And General	$1,210,789	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$26,445,938	TotalAmt
Program Services	$26,277,805	ProgramServicesAmt
Management And General	$168,133	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,562,519	TotalAmt
Program Services	$2,162,668	ProgramServicesAmt
Management And General	$399,851	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$252,230	TotalAmt
Program Services	$105,861	ProgramServicesAmt
Management And General	$146,369	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,634,652	TotalAmt
Program Services	$2,950,517	ProgramServicesAmt
Management And General	$2,684,135	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,526,550	TotalAmt
Program Services	$741,729	ProgramServicesAmt
Management And General	$784,821	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Recruitment	$401,515	$164,988	$236,527
Equipment Rental & Repairs	$639,307	$256,575	$382,732
Bad Debt Expense	$349,870	$349,870
Sundry Expense	$264,422		$264,422

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$413,999	TotalAmt
Program Services	$37,459	ProgramServicesAmt
Management And General	$376,540	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$178,775,557	TotalAmt
Program Services	$138,834,729	ProgramServicesAmt
Management And General	$39,940,828	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$15,938,170	BOYAmt
EOY	$26,805,029	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$18,595,435	BOYAmt
EOY	$13,338,621	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,609	BOYAmt
EOY	$12,250	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,003,043	BOYAmt
EOY	$3,152,423	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$94,637,102	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$53,903,327	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$39,944,913	BOYAmt
EOY	$40,733,775	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$127,960,927	BOYAmt
EOY	$150,344,069	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$28,767,377	BOYAmt
EOY	$33,479,992	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$234,221,474	BOYAmt
EOY	$267,866,159	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$13,818,861	BOYAmt
EOY	$13,990,535	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,035,647	BOYAmt
EOY	$3,747,394	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,710,096	BOYAmt
EOY	$11,657,307	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,855,648	BOYAmt
EOY	$16,403,208	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$45,420,252	BOYAmt
EOY	$45,798,444	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$188,801,222	BOYAmt
EOY	$222,067,715	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$188,801,222	BOYAmt
EOY	$222,067,715	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$234,221,474	BOYAmt
EOY	$267,866,159	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,196,218	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$18,493,265	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$577,010	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,510,988	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,062,010	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,148,318	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,087,455	CurrentTaxYearMinus1YearAmt
Current Tax Year	$825,286	CurrentTaxYearAmt
Total	$7,634,057	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$151,717,613	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$155,707,872	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$165,171,516	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$175,578,868	CurrentTaxYearMinus1YearAmt
Current Tax Year	$182,737,650	CurrentTaxYearAmt
Total	$830,913,519	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$153,228,601	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$157,769,882	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$167,319,834	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$176,666,323	CurrentTaxYearMinus1YearAmt
Current Tax Year	$183,562,936	CurrentTaxYearAmt
Total	$838,547,576	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,739,155	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,831,758	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,848,072	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,609,279	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,487,949	CurrentTaxYearAmt
Total	$15,516,213	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,739,155	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,831,758	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,848,072	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,609,279	CurrentTaxYearMinus1YearAmt
Current Tax Year	$3,487,949	CurrentTaxYearAmt
Total	$15,516,213	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$823,031,363	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,471,863	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,262,992	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,940,913	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,028,869	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,740,707	CurrentTaxYearAmt
Total	$19,445,344	TotalAmt

Post1975 UBTI Post1975UBTIGrp

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

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,471,863	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$3,262,992	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,940,913	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,028,869	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,740,707	CurrentTaxYearAmt
Total	$19,445,344	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

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

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$156,700,464	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$161,032,874	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$171,260,747	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$180,695,192	CurrentTaxYearMinus1YearAmt
Current Tax Year	$188,303,643	CurrentTaxYearAmt
Total	$857,992,920	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.9593	PublicSupportCY509Pct
Public Support PY509	0.9605	PublicSupportPY509Pct
Investment Income CY	0.0227	InvestmentIncomeCYPct
Investment Income PY	0.0213	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$228,090	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$228,090	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	The Joint Commission made direct contact with legislators or their staffs and paid $160,400 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

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,204,745	OtherCostOrOtherBasisAmt
Depreciation	$23,839,187	DepreciationAmt
Book Value	$21,365,558	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$801,562	OtherCostOrOtherBasisAmt
Depreciation	$69,303	DepreciationAmt
Book Value	$732,259	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,870,818	OtherCostOrOtherBasisAmt
Depreciation	$29,806,869	DepreciationAmt
Book Value	$12,063,949	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,555,577	OtherCostOrOtherBasisAmt
Depreciation	$187,968	DepreciationAmt
Book Value	$2,367,609	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$40,733,775	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Common & Collective Funds - Measured at NAV	$33,350,648	F
Common & Collective Funds - Hedge Funds	$129,344	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$33,479,992	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Unrestricted Operating Pledge to Affiliate - Center for Transforming Hltcr EIN 26-3020947	$3,650,000
Accrued pension liability	$10,385,599
Capital Lease Obligations	$2,367,609
Fair value of hedge

Field	Value	IRS element (for citing)
Total Liability	$16,403,208	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$215,799,637	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$18,493,265	NetUnrealizedGainsInvstAmt
Other Revenue	$4,507,985	OtherRevenueAmt
Revenue Not Reported	$23,001,250	RevenueNotReportedAmt
Revenue Subtotal	$192,798,387	RevenueSubtotalAmt
Investment Expenses Not Incld	$173,388	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$173,388	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$192,971,775	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$182,533,144	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$3,930,975	OtherExpensesIncludedAmt
Expenses Not Reported	$3,930,975	ExpensesNotReportedAmt
Expenses Subtotal	$178,602,169	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$173,388	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$173,388	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$178,775,557	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	The 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. 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, 2019 and 2018, 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). JCAHO Surveyor and QHR Consultant Corporation is organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purpose of The Joint Commission and JCR under IRC Section 509(a)(3), while The Center is organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purpose of The Joint Commission under IRC Section 509(a)(3).
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	TRANSFER OF NET ASSETS TO PARENT CO FROM JOINT COMMISSION RESOURCES, INC. EIN 36-3521721 - 3360216 CHANGE IN UNRECOGNIZED NET DEFINED BENEFIT PLAN COSTS NOT YET RECOGNIZED IN NET PERIODIC BENEFIT COST - 1147769
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	TRANSFER OF NET ASSETS TO AFFILIATE FOR OPERATING - CENTER FOR TRANSFORMING HLTCR EIN 26-3020947 - 3650000 Change in net periodic pension costs other - 280975

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (4 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Europe (Including Iceland and Greenland)	1	Speaking engagements,Conference Travel	Sending agents of the organization to attend and/or speak at seminars and conferences.	$4,183
East Asia and the Pacific	1	Speaking engagements,Conference Travel	Sending agents of the organization to attend and/or speak at seminars and conferences	$8,285
Middle East and North Africa	4	Speaking engagements,Conference Travel	Sending agents of the organization to attend and/or speak at seminars and conferences	$22,857
North America (Canada & Mexico only)	1	Speaking engagements,Conference Travel	Sending agents of the organization to attend and/or speak at seminars and conferences	$1,790

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	7	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	7	TotalEmployeeCnt
Subtotal Spent	$37,115	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$37,115	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	Yes (true)	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule F, Part IV, Line 3 Form 5471 Filing Obligation

Joint Commission Resources, Inc. (EIN: 36-3521721) filed the Form 5471 on behalf of Joint Commission on Accreditation of Healthcare Organizations (TJC). Therefore, the Form 5471 filing obligation for TJC has been satisfied pursuant to Regs. §1.6038-2(j).

Schedule F, Part IV, Line 6 Form 5713 Filing Obligation

The filing organization is a member in a controlled group as defined in section 993(a)(3). As a member of a controlled group, the filing organization must include a statement accompanying the taxpayer's annual filing disclosing any operations in or activities related to a boycotting country conducted by another member of the controlled group, Joint Commission Resources, Inc. (EIN: 36-3521721). This statement has been included with the Form 990-T for the filing organization. This statement certifies the filing organization had no operations in or related to a boycotting country and the operations or activities related to a boycotting country conducted by the controlled group member have been satisfied by the controlled group member's submission of Form 5713.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (true)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	Yes (true)	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	Yes (true)	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mark R Chassin MD FACP MPP MPH
President & CEO	$1,386,777	$0	$28,969	$0	$215,434	$0	$29,977	$0	$39,850	$0	$1,701,007	$0	$0	$0
Anne Marie Benedicto MPP MPH
JC Center for Transforming Hltcr Vice President	$0	$318,454	$0	$1,020	$0	$26,787	$0	$96,059	$0	$37,190	$0	$479,511	$0	$0
Cheryl Hoying
Former Officer	$0	$0	$0	$0	$0	$220,000	$0	$0	$0	$0	$0	$220,000	$0	$0
Lynn Dragisic
EVP Support Op & Chief of Staff	$440,348	$0	$1,020	$0	$91,871	$0	$131,989	$0	$13,733	$0	$678,960	$0	$82,310	$0
Michael Kaba MS
CHIEF HUMAN RESOURCES OFFICER	$313,885	$0	$1,020	$0	$33,484	$0	$23,442	$0	$23,175	$0	$395,006	$0	$0	$0
Mark Pelletier RN MS
Chief Operating Officer, Accred & Cert Ops	$491,360	$0	$1,020	$0	$5,943	$0	$167,297	$0	$1,609	$0	$667,229	$0	$0	$0
Paige Rodgers CPA
Chief Financial Officer	$531,775	$0	$1,020	$0	$169,195	$0	$223,752	$0	$18,220	$0	$943,962	$0	$166,213	$0
Margaret VanAmringe MHS
Exec VP Public Policy & Govnt Relations	$0	$377,820	$0	$1,020	$0	$77,172	$0	$118,342	$0	$10,539	$0	$584,894	$0	$70,865
Lisa Diehl Vandecaveye JD HRM FACHE
General Counsel	$397,394	$0	$1,020	$0	$5,216	$0	$89,305	$0	$39,261	$0	$532,196	$0	$0	$0
David Baker MD MPH FACP
Exec VP Health Care Quality Evaluation	$567,094	$0	$1,020	$0	$4,068	$0	$175,897	$0	$26,413	$0	$774,492	$0	$0	$0
Brian Enochs JD
Exec VP Bus Dev & Marketing	$373,873	$0	$1,020	$0	$2,624	$0	$85,543	$0	$37,283	$0	$500,342	$0	$0	$0
Kin Lee MS
CIO & SECURITY OFFICER	$380,336	$0	$1,020	$0	$4,849	$0	$84,562	$0	$23,678	$0	$494,444	$0	$0	$0
Ana Pujols McKee MD
Exec VP & Chief Medical Officer	$607,437	$0	$46,020	$0	$78,283	$0	$26,443	$0	$14,396	$0	$772,579	$0	$0	$0
Suzanne C Murray
SENIOR DIRECTOR FIELD OPERATIONS	$195,965	$0	$1,020	$0	$180	$0	$22,492	$0	$640	$0	$220,297	$0	$0	$0
Deborah Ryan
SENIOR DIRECTOR FIELD OPERATIONS	$167,535	$0	$1,020	$0	$1,636	$0	$17,774	$0	$18,833	$0	$206,798	$0	$0	$0
Frances Carroll
Corp Compliance Officer & Sr Assist Gen'l Counsel	$209,104	$0	$1,270	$0	$3,475	$0	$23,798	$0	$8,764	$0	$246,411	$0	$0	$0
Mark A Crafton
Exec Dir Strategic Alliances	$200,223	$0	$1,020	$0	$1,741	$0	$20,727	$0	$20,952	$0	$244,663	$0	$0	$0
Tricia K Elliott
Director Quality Measurement	$191,828	$0	$16,590	$0	$1,403	$0	$17,628	$0	$627	$0	$228,075	$0	$0	$0
Edward Pollak
Patient Safety Officer & Medical Director	$425,056	$0	$16,020	$0	$1,935	$0	$22,400	$0	$986	$0	$466,397	$0	$0	$0
Anoop Verma
Director Applications Development	$214,880	$0	$1,020	$0	$1,808	$0	$18,897	$0	$18,993	$0	$255,599	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travel	The Joint Commission Board Travel Policy permits reimbursement for the purchase of upgrade coupons for first-class air travel. The 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 Personal services	Five officers utilized an allowance for tax preparation and one officer utilized an allowance for financial planning services. 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 payment	THE 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 plan	All officers are allowed to participate in a nonqualified supplemental defined benefit retirement plan. The increases in the value of the plan during the year are reflected in Column C Deferred Compensation on Schedule J, Part II.
Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization	The Joint Commission's Human Resources and Compensation Committee approved the 2018 and 2019 gainshare plans, which provide financial awards to staff for performance that contributes to the mission and objectives of the Joint commission. The plan is self-funded, in that all awards for 2018 and 2019 were contingent upon whether the actual financial results for the Joint Commission exceeded the Joint Commission's budgeted net earnings in excess of 2% over budget, the actual financial results met or exceeded the Organization's budgeted revenues, and the Joint Commission met or exceeded a net promoter score rating. Individual gainsharing awards were capped at $3,000 for both 2018 and 2019. The 2018 awards were accrued for in the year ended December 31, 2018 and were paid out in 2019. There were no 2019 awards accrued for in the year ended December 31, 2019 .
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization	The Joint Commission's Human Resources and Compensation Committee approved the 2018 and 2019 gainshare plans, which provide financial awards to staff for performance that contributes to the mission and objectives of the Joint commission. The plan is self-funded, in that all awards for 2018 and 2019 were contingent upon whether the actual financial results for the Joint Commission exceeded the Joint Commission's budgeted net earnings in excess of 2% over budget, the actual financial results met or exceeded the Organization's budgeted revenues, and the Joint Commission met or exceeded a net promoter score rating. Individual gainsharing awards were capped at $3,000 for both 2018 and 2019. The 2018 awards were accrued for in the year ended December 31, 2018 and were paid out in 2019. There were no 2019 awards accrued for in the year ended December 31, 2019.
Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization	For the corporate gainsharing plan to be paid, all awards were contingent upon whether the actual operating margin financial results for the Enterprise exceeded the Enterprise's budgeted net earnings excess of 2% over budget.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	Illinois Finance Authority	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	861091967	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2015-08-26	BondIssuedDt
Issue Price	$16,000,000	IssuePriceAmt
Purpose	(SEE STATEMENT)	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$4,225,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$16,026,366	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$229,946	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$15,796,420	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2016	SubstantialCompletionYr
Refunding Tax Exempt Bonds	false	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	Yes (true)	AnyResearchAgreementsInd
Engage Bond Counsel Research	Yes (true)	EngageBondCounselResearchInd
Private Bus Use By Others	0.0143	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0143	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) Description of Purpose	Bond 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 Difference	The 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED	(CONTINUATION FROM ABOVE) quality and safety of care provided by the organization. THESE ACCREDITATION SERVICES ARE PROVIDED FOR HOSPITALS, CLINICAL LABORATORIES, HOME CARE, LONG TERM CARE, 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 AN ON-SITE 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. (CONTINUATION BELOW)
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED	(CONTINUATION FROM ABOVE) 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 ON-SITE 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. 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. (CONTINUATION BELOW)
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED	(CONTINUATION FROM ABOVE) 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 ON-SITE EVALUATION OF THE ORGANIZATION IF THE REPORT RAISES SERIOUS CONCERNS ABOUT A CONTINUING THREAT TO PATIENT SAFETY OR CONTINUING FAILURE TO COMPLY WITH STANDARDS. 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: * The Joint Commission, The Pew Charitable Trusts, and the CDC co-sponsored a Technical Expert Panel (TEP) meeting in May 2018 to identify specific, effective and recommended activities that Antibiotic Stewardship Programs (ASPs) should be doing based on current scientific evidence and the experience of leading organizations. To determine the degree to which identified practices are currently being implemented within ASPs around the country, The Joint Commission is currently working on an 18-month research project (funded by Pew) to determine which of the leading practices identified by the TEP have been implemented in their ASPs and whether and what barriers to implementation exist. * In 2018, CDC staff approached The Joint Commission about analyzing and possibly publishing our experience with required reporting of serious infection prevention and control (IPC) breaches to state health departments. Beginning in October 2016, the Centers for Medicare and Medicaid Services (CMS) issued expanded guidance requiring accrediting organizations and state survey agencies to report serious infection control breaches to relevant state health departments. This study sought to characterize and summarize The Joint Commission's early experiences and findings in applying this guidance to facilities accredited under the ambulatory and office-based surgery programs in 2017. The analysis identified numerous opportunities for improved staff training and competencies. Results have been submitted for publication in the Joint Commission Journal on Quality and Patient Safety. * Completed work on a research project funded by the CDC titled, Adaptation and Dissemination of Outpatient Infection Prevention (ADOPT) Guidance. This project was designed to prevent healthcare associated infections in outpatient settings by identifying gaps and inconsistencies in current CDC infection control materials for outpatient settings and by developing adapted infection prevention and control guides for specific outpatient settings. The ADOPT Guidance team is worked with 12 ambulatory-focused professional associations and 11 ambulatory health care systems on all project-related activities. Release of the adapted guides, as well as a general outpatient infection prevention customizable, fillable checklist (based on the existing CDC Guide to Infection Prevention in Outpatient Settings: Minimum Expectations for Safe Care) was completed in 2018. * Completed work on the CDC BAA supported project entitled "Implementing standardized measurement of infections in nursing homes: challenges and facilitators." There were 36 nursing homes enrolled who were supported through the process of NHSN enrollment and data submission in the C. difficile Lab-Id module. * Completed a collaborative research project related to respiratory protection. This project was supported through a contract with the CDC, National Institute for Occupational Safety and Health (NIOSH), and National Personal Protective Laboratory (NPPTL). The project had two aims: (1) To assess the usefulness of two resources related to respiratory protection, and (2) to identify clinical situations whereby clarification regarding clinical use of respiratory protection might be needed. The team worked with an eight-member Technical Advisory Panel and a scientific officer to identify clinical conundrums related to respiratory protection, as well as continuing operational challenges. A final report was submitted to CDC in October 2017 and the manuscript was published in Q1 2019. * Pfizer Independent Grants for Learning and Change (IGLC) and The Joint Commission have been collaborating since 2012 on projects that support antimicrobial stewardship. The goal was to accelerate the development and adoption of evidence-based approaches that have the capacity to prevent or contain antimicrobial resistance and that support and promote appropriate use of antimicrobial agents. In 2018, this work was expanded to include an RFP for research on antimicrobial stewardship practices in the Asia-Pacific region. Six two-year projects were awarded funding, covering antibiotic stewardship practices in India, Cambodia, Vietnam, Micronesia, Nepal, Philippines, Malaysia and China. * 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. (CONTINUATION BELOW)
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED	(CONTINUATION FROM ABOVE) 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: * 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: * Development of new antimicrobial stewardship requirements applicable to Joint Commission-accredited ambulatory health care organizations that routinely prescribe antimicrobial medications. Scientific literature emphasizes the need to reduce the use of inappropriate antimicrobials in all health care settings due to antimicrobial resistance which threatens the effective prevention and treatment of infections. The inappropriate use of antimicrobial medications contributes to antibiotic resistance and adverse drug events; improving antimicrobial prescribing practices is a patient safety priority. * Development of new Advanced Disease-Specific Care (DSC) certification programs for ST-elevation myocardial infarction (STEMI) heart attack patient care: the Primary Heart Attack Center (PHAC) and the Acute Heart Attack Ready (AHAR) certification programs. Both certification programs will standardize and improve coordinated systems of care across settings for identification, assessment, monitoring, management, data sharing, and performance improvement for multidisciplinary STEMI heart attack care. * Development of new Provision of Care, Treatment, and Services (PC) standards to improve the quality and safety of perinatal care in Joint Commission-accredited hospitals. Maternal morbidity and mortality have been on the rise since 2009, ranking the United States 65th among other developed countries for outcomes surrounding perinatal care. Cases involving hemorrhage or severe hypertension/preeclampsia are among the leading causes of maternal mortality and morbidity; however, they also are preventable. The new standards require organizations to look at their processes and procedures surrounding the care of women experiencing hemorrhage and severe hypertension/preeclampsia. * Application of elements of the national patient safety goal on suicide prevention to Critical Access Hospitals. A research and technical advisory panel representing Critical Access Hospitals indicated that rates of death by suicide are very high in rural communities. * Review of current national patient safety goals for all accredited programs resulting in some editorial revisions and incorporation of some national patient safety goals as standards. (CONTINUATION BELOW)
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED	(CONTINUATION FROM ABOVE) * Development of a requirement related to dosimetry monitoring for office-based surgery (OBS) practices that provide fluoroscopy services. The requirement aligns with current radiological practice standards for OBS practices that provide fluoroscopy services. * Development of and revisions to elements of performance for hospital-based palliative care programs certified under The Joint Commission's Advanced Certification for Palliative Care program. The new and revised requirements align with updated clinical practice guidelines aimed to improve the safety and quality of services for patients receiving palliative care. * Development of new and revised standards for behavioral health care organizations that provide substance use disorder treatment services. The new and revised requirements are intended to improve the quality and safety of care provided by these types of organizations. Improvements in this field are needed for treating individuals at an appropriate level of care, care transitions, discharge expectations, and proper uses of urine drug testing. The standards revisions are intended to incorporate best practices and decrease variation among organizations to further improve safety and quality of care. * Research and development of requirements for residents receiving services and care in Assisted Living Communities. The care provided in these settings is rapidly changing and these settings are taking on much more complex residents. As more and more of the aging population are seeking alternatives to long term care facilities and as the aging population rapidly increases the need for assisted living oversight is becoming more relevant. * The Joint Commission is working with experts to explore the following safety and quality issues that may be considered for inclusion in standards: * Substance use disorder treatment programs including medication assisted treatment (MAT) * Age-friendly health systems * Weighing all patients in kilograms * Safety and quality in child welfare * Safety and quality related to the management of biosafety threats * Digital Health - monitoring key issues and identifying potential areas for product development in the areas of EHR safety, telehealth, and texting/emailing orders * Leading board practices/governance * Workplace violence * Molecular, pathology, and anatomy laboratory standards revisions and additions 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. (CONTINUATION BELOW)
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED	(CONTINUATION FROM ABOVE) 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 ESTABLISHED THE HEALTH CARE-ASSOCIATED INFECTIONS (HAI) PORTAL IN 2011. THE WEBSITE IS A RICH RESOURCE OF INFORMATION RELATED TO HEALTH CARE-ASSOCIATED INFECTIONS. ALL INFORMATION ON THE WEBSITE IS AVAILABLE FREE TO THE PUBLIC. INFORMATION PROVIDED INCLUDES HAI CURRENT TOPICS, HAI INFORMATION BY HEALTH CARE SETTING IN THE U.S., AND INFECTION PREVENTION AND CONTROL RESOURCES. THE JOINT COMMISSION ESTABLISHED THE PHYSICAL ENVIRONMENT PORTAL DURING 2014. THE PURPOSE OF THE PORTAL IS TO PROVIDE GUIDANCE AND EDUCATION SPECIFIC TO FREQUENTLY IDENTIFIED STANDARDS AND ELEMENTS OF PERFORMANCE (EP). THE JOINT COMMISSION HAS IDENTIFIED SEVERAL STANDARDS THAT HAVE BEEN CITED DURING SURVEY ACTIVITY OVER THE YEARS. THE PORTAL WILL PROVIDE INFORMATION TO REDUCE THE FINDINGS OF NON-COMPLIANCE IMPROVING PATIENT SAFETY WITH BEST PRACTICES AND ENSURING COMPLIANCE. ALL INFORMATION ON THE SITE IS AVAILABLE FREE TO THE PUBLIC. THE JOINT COMMISSION ALSO HAS A PORTAL FOR TRANSITIONS OF CARE. THE PORTAL IS A VALUABLE SOURCE OF INFORMATION FROM THE JOINT COMMISSION AND OTHER HEALTH CARE ORGANIZATIONS RELATED TO TOPICS OF TRANSITIONS OF CARE OR THE MOVEMENT OF PATIENTS BETWEEN VARIOUS HEALTH CARE SETTINGS.
Form 990, Part VI, Line 8b Committee authority to act on behalf of governing body	All board committees document their meetings and actions taken. However, no board committees have authority to act on behalf of the governing board except by board resolution.
Form 990, Part VI, Line 4 Significant changes to organizational documents	Effective January 1, 2019: * The Board of Commissioners shall be composed of twenty-one members (reduced from thirty-two). * Of which members will consist of: a) Two Commissioners shall be appointed by the American College of Physicians, two by the American College of Surgeons, one by the American Dental Association, four by the American Hospital Association, and four by the American Medical Association; and b) In addition, In addition, the Board of Commissioners shall appoint seven additional Commissioners who shall serve as members of the Board based on the strategic needs of the Corporation as determined by the Board from time to time in its discretion. All appointments by the Board of Commissioners shall be made upon the affirmative vote of three-fourths of the Commissioners present at a regular or special meeting of the Board at which a quorum is present. And c) The President of The Joint Commission shall serve on the Board of Commissioners as an ex officio member with vote.
Form 990, Part VI, Line 6 Classes of members or stockholders	The 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 body	SEE NARRATIVE FOR LINE 6
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	SEE NARRATIVE FOR LINE 6
Form 990, Part VI, Line 11b Review of form 990 by governing body	The Joint Commission's management, including the CEO, CFO, 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 policy	THE 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 official	The 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. Mark Chassin, ceo, compensation is undertaken annually.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	OTHER 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, THE BOARD CONDUCTS AN ANNUAL EVALUATION OF THE OFFICERS. The process for determining the organizations' other officers' compensation is undertaken annually for: dr. david baker - evp, lynn dragisic - evp, brian Enochs - evp, michael kaba - chief HR officer, kin lee - cio, ana pujols mckee - evp, mark pelletier - cco & evp, paige rodgers - cfo, Lisa Diehl Vandecaveye - general counsel, and Margaret Van Amringe - 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 AGREEMENT IS SUBJECT TO A REVIEW AND APPROVAL BY THE CHIEF HUMAN RESOURCES OFFICER. INCENTIVE COMPENSATION FOR KEY EMPLOYEES IS ALSO REVIEWED AND APPROVED BY THE ORGANIZATION'S HUMAN RESOURCES AND COMPENSATION COMMITTEES. 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 public	THE 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, CODE OF CONDUCT, 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 Revenue	Other Revenues - Total Revenue: 989416, Related or Exempt Function Revenue: 989416, 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 balances	Change in net periodic pension costs other - -280975; Transfer of net assets to Parent Co from Joint Commission Resources, Inc. EIN 36-3521721 - 3360216; Transfer of net assets to Affiliate for Operating - Center for Transforming Hltcr EIN 26-3020947 - -3650000; Change in unrecognized net defined benefit plan costs not yet recognized in net periodic benefit cost - 1147769;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
JOINT COMMISSION RESOURCES INC
1515 WEST 22ND STREET STE 1300W	OAKBROOK	IL	60523	363521721	HEALTHCARE	IL	501(c)(3)	10	JOINT COMMISSION	Yes (true)
JOINT COMMISSION CENTER FOR TRANSFORMING HLTCR
ONE RENAISSANCE BLVD	OAKBROOK TERRACE	IL	60181	263020947	HEALTHCARE	IL	501(c)(3)	Type I	JOINT COMMISSION	Yes (true)
JCAHO SURVEYOR & QHR CONSULTANT CORP
ONE RENAISSANCE BLVD	OAKBROOK TERRACE	IL	60181	363673595	HEALTHCARE	IL	501(c)(3)	Type I	JOINT COMMISSION	Yes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	JCI ACCREDITATION (BEIJING) CO LTD	BusinessNameLine1Txt

Foreign Address ForeignAddress

Field	Value	IRS element (for citing)
Address Line1	Rm 1538 FL 15 Bldg 3	AddressLine1Txt
Address Line2	Yard 2 Jianguomenwai Street	AddressLine2Txt
City	Chaoyang District	CityNm
Province Or State	Beijing	ProvinceOrStateNm
Country	CH	CountryCd
Foreign Postal	100022	ForeignPostalCd

Field	Value	IRS element (for citing)
Primary Activities	SEE STATEMENT	PrimaryActivitiesTxt
Legal Domicile Foreign Country	CH	LegalDomicileForeignCountryCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	JCR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Ownership	1	OwnershipPct
Controlled Organization	false	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
joint commission resources inc
A	$1,192,177	actual
joint commission resources inc
L	$7,183,927	contractual
joint commission center for transforming healthcare
L	$1,118,604	contractual
joint commission resources inc
Q	$18,645,056	actual
joint commission center for transforming healthcare
Q	$1,231,080	contractual
joint commission center for transforming healthcare
R	$3,650,000	contractual
joint commission resources inc
S	$3,360,216	contractual
jcaho surveyor & qhr consultant corporation
P	$55,065,655	actual
joint commission resources inc
J	$53,022	Actual

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule R, Part IV, Column (h) FORM 5471 FILING OBLIGATION	JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (TJC) indirectly owns 100% of the ownership in JCI ACCREDITATION (BEIJING) CO., LTD through their control of JOINT COMMISSION RESOURCES, INC. (JCR) (EIN: 36-3521721). JCR FILED THE FORM 5471 ON BEHALF OF TJC. THEREFORE, THE FORM 5471 FILING OBLIGATION FOR TJC HAS BEEN SATISFIED PURSUANT TO REGS. §1.6038-2(J).
Schedule R, Part IV, Column (b) PRIMARY ACTIVITY	PROVIDES INTERNATIONAL STANDARDS AND ACCREDITATION AND CERTIFICATION PROGRAMS FOR HEALTHCARE ORGANIZATIONS THROUGHOUT CHINA