JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (EIN 36-2229255)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-06
IRS object ID
201703109349300725
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-06T09:00:16-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1225 West Wacker Drive Suite 2600AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606061224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362229255EIN

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Renaissance BlvdAddressLine1Txt
CityOakbrook TerraceCityNm
State AbbreviationILStateAbbreviationCd
ZIP60181ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPaige RodgersPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Signature2017-10-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn WoodhullPreparerPersonNm
PTINP01305268PTIN
Phone3128997000PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1The Joint CommissionBusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Dr Mark ChassinBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Renaissance BlvdAddressLine1Txt
CityOakbrook TerraceCityNm
State AbbreviationILStateAbbreviationCd
ZIP60181ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$232,799,102GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.jointcommission.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTo continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value.ActivityOrMissionDesc
Voting Members Governing Body32VotingMembersGoverningBodyCnt
Voting Members Independent30VotingMembersIndependentCnt
Total Employee521TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$4,001NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,510,988PYContributionsGrantsAmt
CY Contributions Grants$2,062,010CYContributionsGrantsAmt
PY Program Service Revenue$145,954,509PYProgramServiceRevenueAmt
CY Program Service Revenue$149,232,506CYProgramServiceRevenueAmt
PY Investment Income$6,043,969PYInvestmentIncomeAmt
CY Investment Income$5,114,994CYInvestmentIncomeAmt
PY Other Revenue$6,802,228PYOtherRevenueAmt
CY Other Revenue$7,546,725CYOtherRevenueAmt
PY Total Revenue$160,311,694PYTotalRevenueAmt
CY Total Revenue$163,956,235CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$100,274,834PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$104,511,111CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$47,060,086PYOtherExpensesAmt
CY Other Expenses$48,819,609CYOtherExpensesAmt
PY Total Expenses$147,334,920PYTotalExpensesAmt
CY Total Expenses$153,330,720CYTotalExpensesAmt
PY Revenues Less Expenses$12,976,774PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,625,515CYRevenuesLessExpensesAmt
Total Assets BOY$209,280,318TotalAssetsBOYAmt
Total Assets EOY$219,756,393TotalAssetsEOYAmt
Total Liabilities BOY$62,254,592TotalLiabilitiesBOYAmt
Total Liabilities EOY$52,726,735TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$147,025,726NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$167,029,658NetAssetsOrFundBalancesEOYAmt
MissionThe Joint Commission periodically evaluates and accredits nearly 21,000 health care organizations and programs in the US. The comprehensive accreditation process evaluates an organization's compliance with state-of-the-art standards and other accreditation requirements that directly and indirectly relate to the quality and safety of care provided by the organization (See Schedule O).MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$114,708,760ExpenseAmt
Revenue$145,684,146RevenueAmt
DescSURVEY AND CERTIFICATION FEES ARE GENERATED AS A CONSEQUENCE OF PERFORMING ACCREDITATION SURVEYS THAT ARE DESIGNED TO EVALUATE AN ORGANIZATION'S COMPLIANCE WITH STATE-OF-THE-ART STANDARDS AND THEIR ACCREDITATION REQUIREMENTS. ABOUT 13,400 SURVEYS WERE COMPLETED AT THE REQUEST OF HEALTHCARE ORGANIZATIONS TO DETERMINE IF THE ORGANIZATION MEETS THE STANDARDS FOR ACCREDITATION. 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. ABOUT 20,500 ORGANIZATIONS WERE ENROLLED IN 2016 FOR A SUBSCRIPTION FEE PLAN.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,997,892ExpenseAmt
Revenue$3,548,360RevenueAmt
DescPERFORMANCE MEASUREMENT & RELATED ACTIVITIES (ORYX) AT THE JOINT COMMISSION ADVANCES HEALTHCARE QUALITY AND PATIENT SAFETY BY UNDERTAKING SCIENTIFICALLY CREDIBLE RESEARCH THAT INFORMS HEALTH SERVICES PRACTICE AND POLICY. THE PROGRAM SUPPORTS THE DEVELOPMENT OF EVIDENCE-BASED AND MEANINGFUL PERFORMANCE MEASURES, SOUND STATISTICAL AND ANALYTICAL APPROACHES TO DATA ANALYSIS, AND THE IDENTIFICATION OF PERFORMANCE IMPROVEMENT AND PATIENT SAFETY STRATEGIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$118,706,652TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountYes (true)EscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document162IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee521EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members32GoverningBodyVotingMembersCnt
Independent Voting Member30IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Paige RodgersBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6307925685PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Renaissance BlvdAddressLine1Txt
CityOakbrook TerraceCityNm
State AbbreviationILStateAbbreviationCd
ZIP60181ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (53 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
David L Bronson MD MACP FRCP
Vice Chair5.02.0Yes (X)Yes (X)$833$0$0
Mark R Chassin MD FACP MPP MPH
President & CEO36.04.0Yes (X)Yes (X)$1,611,146$0$60,985
Craig W Jones FACHE
Chair5.02.0Yes (X)Yes (X)$50,964$0$0
John A Babriaz
Commissioner4.01.0Yes (X)$0$0$0
LD Britt MD MPH FACS FCCM
Commissioner3.01.0Yes (X)$833$0$0
Charles R Buck Jr SCD
Commissioner3.00Yes (X)$0$0$0
Roger W Bush MD MACP FRCP
Commissioner3.00Yes (X)$1,025$0$0
Joan Shinkus Clark
Commissioner3.00Yes (X)$0$0$0
Ilene Corina
Commissioner3.00Yes (X)$964$0$0
Grant C Davies FACHE
Commissioner3.01.0Yes (X)$0$0$0
Joan Doyle RN MSN MBA
Commissioner3.00Yes (X)$976$0$0
Jane D Englebright PHD RN CENP FAAN
Commissioner3.01.0Yes (X)$0$0$0
Jay A Gregory MD FACS
Commissioner3.00Yes (X)$976$0$0
Aurie Hollingsworth Miller BA MA
Commissioner3.00Yes (X)$1,025$0$0
Mark A Kelley MD MACP
Commissioner3.00Yes (X)$964$0$0
Marie E Knedler RN MS MBA FACHE
Commissioner3.00Yes (X)$964$0$0
Scott C Malaney FACHE
Commissioner3.00Yes (X)$0$0$0
Connie S March-Curtis RN MSN
Commissioner4.00Yes (X)$0$0$0
Mary Anne McCaffree MD FAAP FCCP
Commissioner3.00Yes (X)$833$0$0
Mary H McGrath MPH FACS
Commissioner3.00Yes (X)$0$0$0
Najmedin Meshkati PHD
Commissioner3.00Yes (X)$976$0$0
Gregg S Meyer MD
Commissioner3.00Yes (X)$1,025$0$0
Albert J Osbahr III MD MSCM
Commissioner4.00Yes (X)$0$0$0
Joseph J Parks MD
Commissioner3.00Yes (X)$964$0$0
Carlos A Pellegrini MD FACS
Commissioner3.00Yes (X)$0$0$0
Stephen R Permut MD JD
Commissioner3.00Yes (X)$0$0$0
David Perrott MD DDS MBA FACS
Commissioner4.01.0Yes (X)$0$0$0
David B Pryor MD
Commissioner3.01.0Yes (X)$833$0$0
Christopher J Queram
Commissioner3.01.0Yes (X)$0$0$0
Steven S Sharfstein MD MPA
Commissioner3.01.0Yes (X)$976$0$0
Michael B Simon MD MBA
Commissioner3.00Yes (X)$0$0$0
Carl A Sirio MD
Commissioner4.00Yes (X)$964$0$0
David Baker MD MPH FACP
Exec VP Health Care Quality Evaluation40.00Yes (X)$481,037$0$106,845
Ann Scott Blouin PHD RN FACHE
Exec VP Customer Relations40.00Yes (X)$507,040$0$127,627
Lynn Dragisic
Exec VP Support Operations39.01.0Yes (X)$451,162$0$130,517
Brian Enochs JD
Exec VP Bus Dev & Marketing40.00Yes (X)$346,965$0$89,385
Mike Kaba
CHIEF HUMAN RESOURCES OFFICER39.01.0Yes (X)$167,754$0$3,492
Kin Lee
CIO & SECURITY OFFICER40.00Yes (X)$44,417$0$18,049
John Mache
Chief Information Officer (Part of year)40.00Yes (X)$772,852$0$4,903
Ana Pujols McKee MD
Exec VP & Chief Medical Officer40.00Yes (X)$620,701$0$31,930
Mark Pelletier RN MS
Chief Operating Officer, Accred & Cert Ops39.01.0Yes (X)$404,926$0$56,351
Paige Rodgers
Chief Financial Officer38.02.0Yes (X)$474,830$0$57,057
Margaret Van Amringe MHS
Exec VP Public Policy & Govnt Relations39.01.0Yes (X)$0$424,022$118,700
Lisa Diehl Vandecaveye JD MBA HRM FACHE
General Counsel36.04.0Yes (X)$360,200$0$102,385
Susan Boylan Murray
SENIOR DIRECTOR FIELD OPERATIONS40.00$177,654$0$15,249Yes (X)
Michael DeGraff
Director Tech Services & Security40.00$156,006$0$24,461Yes (X)
Anoop Verma
Dir Applications Development40.00$195,280$0$33,211Yes (X)
Fran Carroll
Corporate Compliance & Privacy Officer40.00$195,324$0$26,638Yes (X)
David Gilmartin
Associate General Counsel40.00$246,343$0$46,856Yes (X)
Debra Kiel
IT DIRECTOR STRATEGIC PLANNING40.00$205,015$0$34,136Yes (X)
Marion Panagopoulos
Sr. Dir Quality Evaluation & Strategy40.00$193,156$0$52,847Yes (X)
Ronald Wyatt MD
Medical Director & Chief Safety Officer40.00$279,878$0$28,709Yes (X)
BARBARA BUTURUSIS
FORMER DIRECTOR DEVELOPMENT FIELD STAFF0.00$180,751$0$47,010Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,138,532TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$424,022TotReportableCompRltdOrgAmt
Total Other Compensation$1,217,343TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K187IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Leopardo Companies Inc
333 W Wacker DriveSuite 250ChicagoIL60606Headquarters Construction & Remodeling Contractor$9,907,699
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVEDALLASTX75235PROFESSIONAL SERVICES/CERTIFICATIONS$3,084,024
Corporate Concepts Inc
PO Box 83324ChicagoIL60691Office Furniture Distributor$1,884,138
Hyatt Corp
PO Box 98314ChicagoIL60693Hospitality Services$899,191
Cognizant Technology Solutions
24721 Network PlaceChicagoIL60673Software Development Projects$773,502
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K52CntrctRcvdGreaterThan100KCnt
Government Grants$1,906,355GovernmentGrantsAmt
All Other Contributions$155,655AllOtherContributionsAmt
Total Contributions$2,062,010TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Survey Fees900099$69,189,824$69,189,824
Annual Subscription900099$75,903,181$75,903,181
Performance Measurements900099$3,548,360$3,548,360
Honorarium Fees900099$140,678$140,678
Other Revenue532000$450,463$450,463

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$149,232,506TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,191,633TotalRevenueColumnAmt
Exclusion$2,191,633ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,071,359TotalRevenueColumnAmt
Exclusion$1,071,359ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$71,766,228SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$68,842,867SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,923,361SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,923,361TotalRevenueColumnAmt
Exclusion$2,923,361ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescShared Services Fee from Related Tax Exempt OrganizationsDesc
Business900099BusinessCd
Total Revenue Column$6,475,366TotalRevenueColumnAmt
Related Or Exempt Func Income$6,475,366RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,475,366OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$163,956,235TotalRevenueColumnAmt
Related Or Exempt Func Income$155,707,872RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,186,353ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$7,634,415TotalAmt
Program Services$2,965,709ProgramServicesAmt
Management And General$4,668,706ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$79,040,645TotalAmt
Program Services$65,743,392ProgramServicesAmt
Management And General$13,297,253ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,287,224TotalAmt
Program Services$4,370,265ProgramServicesAmt
Management And General$916,959ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,581,617TotalAmt
Program Services$5,345,215ProgramServicesAmt
Management And General$1,236,402ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,967,210TotalAmt
Program Services$4,876,227ProgramServicesAmt
Management And General$1,090,983ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$520,001TotalAmt
Program Services$78,824ProgramServicesAmt
Management And General$441,177ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$359,534TotalAmt
Management And General$359,534ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$189,983TotalAmt
Management And General$189,983ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$880,764TotalAmt
Management And General$880,764ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,092,012TotalAmt
Program Services$4,269,105ProgramServicesAmt
Management And General$2,822,907ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$880,336TotalAmt
Program Services$598,166ProgramServicesAmt
Management And General$282,170ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,252,307TotalAmt
Program Services$824,321ProgramServicesAmt
Management And General$427,986ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,043,289TotalAmt
Program Services$260,386ProgramServicesAmt
Management And General$1,782,903ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,039,736TotalAmt
Program Services$667,300ProgramServicesAmt
Management And General$1,372,436ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$23,329,383TotalAmt
Program Services$23,094,663ProgramServicesAmt
Management And General$234,720ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,046,277TotalAmt
Program Services$1,581,478ProgramServicesAmt
Management And General$464,799ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$676,368TotalAmt
Program Services$277,243ProgramServicesAmt
Management And General$399,125ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,354,744TotalAmt
Program Services$2,133,131ProgramServicesAmt
Management And General$2,221,613ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$967,477TotalAmt
Program Services$967,478ProgramServicesAmt
Management And General-$1ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Equipment Rental & Repairs$678,916$143,253$535,663
Reference Materials$300,335$19,553$280,782
Bad Debt Expense$360,685$360,685
Recruitment$546,609$130,258$416,351

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$300,853TotalAmt
Program Services$0ProgramServicesAmt
Management And General$300,853ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$153,330,720TotalAmt
Program Services$118,706,652ProgramServicesAmt
Management And General$34,624,068ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$35,645,996BOYAmt
EOY$14,654,176EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,410,992BOYAmt
EOY$14,539,108EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$10,804BOYAmt
EOY$12,642EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,723,594BOYAmt
EOY$2,817,351EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$88,047,854LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$45,564,019LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$32,408,043BOYAmt
EOY$42,483,835EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$57,499,257BOYAmt
EOY$61,258,246EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$68,275,867BOYAmt
EOY$83,991,035EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$305,765BOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$209,280,318BOYAmt
EOY$219,756,393EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,932,935BOYAmt
EOY$14,167,021EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,765,789BOYAmt
EOY$3,532,937EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,924,235BOYAmt
EOY$21,161,581EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,631,633BOYAmt
EOY$13,865,196EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,254,592BOYAmt
EOY$52,726,735EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$147,025,726BOYAmt
EOY$167,029,658EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$147,025,726BOYAmt
EOY$167,029,658EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$209,280,318BOYAmt
EOY$219,756,393EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$10,625,515ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,271,724NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,106,693OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,125,663CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,902,807CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,154,242CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,510,988CurrentTaxYearMinus1YearAmt
Current Tax Year$2,062,010CurrentTaxYearAmt
Total$9,755,710TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$137,010,728CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$142,545,602CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$139,684,281CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$145,954,509CurrentTaxYearMinus1YearAmt
Current Tax Year$149,232,506CurrentTaxYearAmt
Total$714,427,626TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$140,136,391CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$144,448,409CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$140,838,523CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$147,465,497CurrentTaxYearMinus1YearAmt
Current Tax Year$151,294,516CurrentTaxYearAmt
Total$724,183,336TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

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

Substantial Contributors Amt SubstantialContributorsAmtGrp

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

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$724,183,336PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,452,041CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,781,039CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,742,699CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,471,863CurrentTaxYearMinus1YearAmt
Current Tax Year$3,262,992CurrentTaxYearAmt
Total$16,710,634TotalAmt

Post1975 UBTI Post1975UBTIGrp

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

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,452,041CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,781,039CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,742,699CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,471,863CurrentTaxYearMinus1YearAmt
Current Tax Year$3,262,992CurrentTaxYearAmt
Total$16,710,634TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,932,412CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,006,477CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,437,147CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,763,104CurrentTaxYearMinus1YearAmt
Current Tax Year$6,475,366CurrentTaxYearAmt
Total$27,614,506TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$148,520,844CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$153,235,925CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$149,018,369CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$156,700,464CurrentTaxYearMinus1YearAmt
Current Tax Year$161,032,874CurrentTaxYearAmt
Total$768,508,476TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.9423PublicSupportCY509Pct
Public Support PY5090.9435PublicSupportPY509Pct
Investment Income CY0.0217InvestmentIncomeCYPct
Investment Income PY0.0232InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12 Other IncomeFormAndLineReferenceDesc
ExplanationDESCRIPTION - FEES FROM RELATED ORGANIZATIONS, COLUMN A - 4932412.0, COLUMN B - 5006477.0, COLUMN C - 5437147.0, COLUMN D - 5763104.0, COLUMN E - 6475366.0, COLUMN F - 27614506.0;ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$189,983DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$189,983TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYThe Joint Commission made direct contact with legislators or their staffs and paid 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 believes will help improve patient safety and quality of health care.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYThe Joint Commission made direct contact with legislators or their staffs and paid 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 believes will help improve patient safety and quality of health care.

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,177,343OtherCostOrOtherBasisAmt
Depreciation$18,986,368DepreciationAmt
Book Value$26,190,975BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$271,266OtherCostOrOtherBasisAmt
Depreciation$228,013DepreciationAmt
Book Value$43,253BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,281,431OtherCostOrOtherBasisAmt
Depreciation$6,829,711DepreciationAmt
Book Value$3,451,720BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,113,414OtherCostOrOtherBasisAmt
Depreciation$19,519,927DepreciationAmt
Book Value$8,593,487BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$42,483,835TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (7 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Mutual & Comingled Funds - Domestic Equity Funds
Mutual & Comingled Funds - International Equity Funds
Mutual & Comingled Funds - Fixed Income & Bonds
Mutual & Comingled Funds - Domestic Equity Funds$31,089,260F
Mutual & Comingled Funds - International Equity Funds$31,958,652F
Mutual & Comingled Funds - Fixed Income & Bonds$697,684F
Common & Collective Funds - Measured at NAV$20,245,439F
FieldValueIRS element (for citing)
Total Book Value Securities$83,991,035TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Deferred Swap$21,347
Unrestricted Operating Pledge to Affiliate$1,600,000
Fair value of hedge$195,535
Accrued pension liability$12,048,314
Due to Affiliate
FieldValueIRS element (for citing)
Total Liability$13,865,196TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$174,780,657TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$4,271,724NetUnrealizedGainsInvstAmt
Other Revenue$6,706,693OtherRevenueAmt
Revenue Not Reported$10,978,417RevenueNotReportedAmt
Revenue Subtotal$163,802,240RevenueSubtotalAmt
Investment Expenses Not Incld$153,995InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$153,995RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$163,956,235TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$151,576,725TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$151,576,725ExpensesSubtotalAmt
Investment Expenses Not Incld2$153,995InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$1,600,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,753,995ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$153,330,720TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Internal Revenue Service has determined that The Joint Commission and its affiliates are exempt from federal income taxation under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code. The Joint Commission and its affiliates are subject to income taxes on income determined to be unrelated business taxable income. The Joint Commission accounts for income tax uncertainties in accordance with the Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740-10, Income Taxes - Overall, which prescribes a comprehensive model for how an organization should measure, recognize, present, and disclose in its financial statements uncertain tax positions that an organization has taken or expects to take on a tax return. The Joint Commission has analyzed tax positions taken for filing with the Internal Revenue Service and all state jurisdictions where it operates. The Joint Commission believes that income tax filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on The Joint Commission's financial condition, results of operations, or cash flows. Accordingly, The Joint Commission has not recorded any reserves, or related accruals for interest and penalties for uncertain income tax positions at December 31, 2016 or 2015 for its U.S. operations. JCR's Singapore branch is subject to Singapore taxes on its operations. As of December 31, 2016 and 2015, a tax liability of $45,542 and $0 have been recorded in the accompanying consolidated statements of financial position, respectively.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990CHANGE IN FAIR VALUE OF HEDGE - INTEREST RATE SWAP - 227302 TRANSFER OF NET ASSETS TO PARENT CO - 3508957 CHANGE IN UNRECOGNIZED NET DEFINED BENEFIT PLAN COSTS NOT YET - 2970434
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statementsTRANSFER OF NET ASSETS TO AFFILIATE - OPERATING - 1600000

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Mark R Chassin MD FACP MPP MPH
President & CEO$881,916$0$489,930$0$239,300$0$25,908$0$35,077$0$1,672,131$0$0$0
David Baker MD MPH FACP
Exec VP Health Care Quality Evaluation$468,277$0$697$0$12,063$0$83,448$0$23,397$0$587,882$0$0$0
Ann Scott Blouin PHD RN FACHE
Exec VP Customer Relations$372,628$0$16,072$0$118,340$0$106,647$0$20,980$0$634,667$0$106,073$0
Lynn Dragisic
Exec VP Support Operations$374,804$0$930$0$75,428$0$96,777$0$33,740$0$581,679$0$61,779$0
Brian Enochs JD
Exec VP Bus Dev & Marketing$336,581$0$233$0$10,151$0$56,992$0$32,393$0$436,350$0$0$0
Mike Kaba
CHIEF HUMAN RESOURCES OFFICER$140,919$0$25,000$0$1,835$0$0$0$3,492$0$171,246$0$0$0
John Mache
Chief Information Officer (Part of year)$59,344$0$0$0$713,508$0$1,319$0$3,584$0$777,755$0$377,059$0
Ana Pujols McKee MD
Exec VP & Chief Medical Officer$533,663$0$930$0$86,108$0$23,092$0$8,838$0$652,631$0$0$0
Mark Pelletier RN MS
Chief Operating Officer, Accred & Cert Ops$393,600$0$930$0$10,396$0$54,992$0$1,359$0$461,277$0$0$0
Paige Rodgers
Chief Financial Officer$462,485$0$930$0$11,415$0$33,226$0$23,831$0$531,887$0$0$0
Margaret Van Amringe MHS
Exec VP Public Policy & Govnt Relations$0$335,535$0$12,804$0$75,683$0$106,966$0$11,734$0$542,722$0$71,111
Lisa Diehl Vandecaveye JD MBA HRM FACHE
General Counsel$347,049$0$465$0$12,686$0$67,396$0$34,989$0$462,585$0$0$0
BARBARA BUTURUSIS
FORMER DIRECTOR DEVELOPMENT FIELD STAFF$174,830$0$3,019$0$2,902$0$13,608$0$33,402$0$227,761$0$0$0
Susan Boylan Murray
SENIOR DIRECTOR FIELD OPERATIONS$168,909$0$7,938$0$807$0$14,684$0$565$0$192,903$0$0$0
Michael DeGraff
Director Tech Services & Security$153,361$0$930$0$1,715$0$13,154$0$11,307$0$180,467$0$0$0
Anoop Verma
Dir Applications Development$192,253$0$930$0$2,097$0$15,814$0$17,397$0$228,491$0$0$0
Fran Carroll
Corporate Compliance & Privacy Officer$190,257$0$2,230$0$2,837$0$19,697$0$6,941$0$221,962$0$0$0
David Gilmartin
Associate General Counsel$243,800$0$930$0$1,613$0$23,663$0$23,193$0$293,199$0$0$0
Debra Kiel
IT DIRECTOR STRATEGIC PLANNING$186,727$0$16,258$0$2,030$0$27,333$0$6,803$0$239,151$0$0$0
Marion Panagopoulos
Sr. Dir Quality Evaluation & Strategy$191,049$0$930$0$1,177$0$19,396$0$33,451$0$246,003$0$0$0
Ronald Wyatt MD
Medical Director & Chief Safety Officer$276,953$0$930$0$1,995$0$2,543$0$26,166$0$308,587$0$0$0

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1a First-class or charter travelThe 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. First class travel benefits are not treated as taxable compensation to the interested person.
Schedule J, Part I, Line 1a Personal servicesCertain officers are offered an allowance for tax preparation and 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 paymentTHE JOINT COMMISSION MADE PAYMENTS PURSUANT TO AN AGREEMENT IN CONNECTION WITH STAFF SEPARATIONS. THESE PAYMENTS WERE TREATED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, PART II COLUMN (B)(III), OTHER REPORTABLE COMPENSATION.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planAll officers are allowed to participate in a nonqualified supplemental defined benefit retirement plan. 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 organizationThe Joint Commission's Human Resources and Compensation Committee approved the 2015 and 2016 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 2015 and 2016 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 promotor score rating. Individual gainsharing awards were capped at $3,000 for both 2015 and 2016. There were no 2015 awards accrued for in the year ended December 31, 2015. The 2016 awards were accrued for in the year ended December 31, 2016 and will be paid out in 2017.
Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organizationThe Joint Commission's Human Resources and Compensation Committee approved the 2015 and 2016 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 2015 and 2016 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 promotor score rating. Individual gainsharing awards were capped at $3,000 for both 2015 and 2016. There were no 2015 awards accrued for in the year ended December 31, 2015. The 2016 awards were accrued for in the year ended December 31, 2016 and will be paid out in 2017.
Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organizationFor 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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$16,024,520TotalProceedsAmt
In Reserve Fund$0InReserveFundAmt
Capitalized Interest$389,239CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$229,946IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$14,588,472CapitalExpendituresAmt
Other Spent Proceeds$0OtherSpentProceedsAmt
Unspent$1,206,102UnspentAmt
Substantial Completion2016SubstantialCompletionYr
Current RefundingfalseCurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Rebate Not Due YetYes (true)RebateNotDueYetInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecfalseHedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

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

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part I, Column (f) Description of PurposeBond proceeds are to finance a portion of the costs to renovate, remodel, and to purchase equipment for the Joint Commission headquarters building, and all necessary and attendant facilities, equipment, site work, zoning, entitlements and utilities related thereto.
Schedule K, Part II, Line 3 Total Proceeds of Issue Amount DifferenceThe total proceeds of issue reported on Schedule K, Part II, Line 3 are not identical to the issue price listed in Part I, column (e), due to investment earnings.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED(CONTINUATION FROM ABOVE) 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 APPROXIMATELY 550 SURVEYORS THAT INCLUDE LIFE SAFETY SPECIALISTS. 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 GOALS AND REQUIREMENTS ARE DRAWN FROM A "POOL" OF RECOMMENDATIONS IDENTIFIED BY THE PATIENT SAFETY ADVISORY GROUP AS EVIDENCE- OR CONSENSUS-BASED, COST-EFFECTIVE, AND FEASIBLE TO IMPLEMENT. 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. *The Joint Commission conducted a project (through a CDC cooperative agreement) to develop an educational on-line course for care providers regarding the use of Rapid Influenza Diagnostic Testing (RIDTs) in ambulatory settings. The Joint Commission continues to host, promote, and update course to educate clinicians about the appropriate use of RIDTs within the context of circulating influenza types and prevalence. In addition, another course was developed focusing on influenza pandemic preparedness. *The Joint Commission conducted a project to identify how high reliability practices can be applied in facility-based long term care settings to reduce transmission of infection. Two products resulted from this project: an online, easy-to-use, engaging 50-minute e-learning module designed for the long term care (nursing home, assisted living) settings, which has been disseminated internationally; and, a searchable index of related resources, derived from a scoping literature review, that is intended to identify effective practices that improve reliability and reduce transmission of infections in nursing homes and assisted living facilities. Both products are available at no charge. *The Joint Commission continually works 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. *The Joint Commission collaborated with CDC/NIOSH/NPPTL to develop an educational monograph designed to assist hospitals in addressing common challenges and barriers in the implementation of respiratory protection programs. The monograph, "Implementing Hospital Respiratory Protection Programs: Strategies from the Field," features case study examples, strategies, and new resources. The Joint Commission embarked on expanded dissemination of this monograph TO INCLUDE PRESENTATIONS AT NATIONAL FORUMS AND AN EDUCATIONAL WEBINAR HOSTED BY NIOSH IN SEPTEMBER OF 2015. In September of 2016 work began on another related project, "Hospital Respiratory Protection Programs: Usefulness of Resources and Informational Gaps." This project seeks to obtain feedback on two published respiratory protection program resources and to identify ongoing clinical issues whereby more guidance regarding use of respirators is needed. *The Joint Commission continues work on a CDC three-year project titled, "Adaptation and Dissemination of Outpatient Infection Prevention (ADOPT) Guidance." This project is designed to prevent healthcare associated infections in ambulatory settings by identifying gaps and inconsistencies in current infection control materials for outpatient settings and adapting materials to better meet the needs of outpatient settings. *The Joint Commission began work on a CDC-supported project titled "Implementing standardized measurement of infections in nursing homes: challenges and facilitators." Thirty-six nursing homes have enrolled and are being supported through the process of NHSN enrollment in the C. difficile Lab-Id module. This 12-month project is scheduled to conclude in September of 2017. *The Joint Commission collaborated with Len Mermel MD and members from the Society for Healthcare Epidemiology of America on a nationally representative survey of hospitals to estimate staff and supply costs and benefits associated with preparation for Ebola patients. *In collaboration with the Centers for Disease Control and Prevention (CDC), The Joint Commission began a project with the overall goal to facilitate the use of National Healthcare Safety Network (NHSN) information for improvement in hospitals and explore incorporating this information in the accreditation process. (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 HAVE INCLUDED: *Work on a project to create and pilot test an Informed Consent toolkit to help hospitals improve their informed consent process. *Work with Pfizer Independent Grants for Learning and Change (IGLC), previously known as the Pfizer Medical Education Group (PMEG), to successfully pilot test a partnership with the long-term goal to support an array of projects designed to accelerate the adoption of evidence-based innovations that improve patient care. This collaboration was designed to utilize the Request for Proposal (RFP) process to identify, fund and oversee projects related to specific improvement objectives that align the mutual interests of patients, health care providers and the two partner organizations. Phase II is focused on projects related to transitions of care (TOC) among a defined venous thromboembolism patient population. Five awards were issued for two year research projects starting in 2016. *WORK ON A PROJECT WITH AHA'S HEALTH RESEARCH AND EDUCATIONAL TRUST (HRET) TO IMPLEMENT A COMPREHENSIVE UNIT-BASED SAFETY PROGRAM (CUSP) TO REDUCT CATHETER-ASSOCIATED URINARY TRACT INFECTION (CAUTI) IN LONG TERM CARE FACILITIES. *WORK ON A PROJECT FUNDED BY BMS/PFIZER TO DETERMINE WHETHER OR NOT COMPREHENSIVE PATIENT EDUCATION OR DISCHARGE MATERIALS ARE AVAILABLE FOR VENOUS THROMBOEMBOLISM (VTE) PATIENTS BEING DISCHARGED ON ANTICOAGULANTS OTHER THAN WARFARIN. *Ongoing work with CDC NIOSH to identify research priorities related to patient and worker safety for the National Occupational Research Agenda. 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: *New and revised pain assessment and management standards for the Hospital accreditation program. In early 2016, The Joint Commission conducted an extensive literature review on contemporary guidelines and best practices for pain assessment and management in order to identify disparities between current accreditation requirements and contemporary guidance. The standards address: (a)Identifying a leader or leadership team that is responsible for pain management and safe opioid prescribing; (b)Involving patients in developing their treatment plans and setting realistic expectations and measurable goals; (c)Promoting safe opioid use by identifying high-risk patients; (d)Monitoring high-risk patients; (e)Facilitating clinician access to prescription drug monitoring program databases *New requirements addressing antimicrobial stewardship for hospitals, critical access hospitals, and nursing care centers. Current 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 Centers for Disease Control and Prevention (CDC) identified that 20%-50% of all antibiotics prescribed in U.S. acute care hospitals are either unnecessary or inappropriate, and that antibiotics are among the most commonly prescribed medications in nursing homes. Expansion of the requirements to ambulatory care are being considered. *Revised requirements for National Patient Safety Goals on multidrug-resistant organisms (MDRO), central-line associated bloodstream infections (CLABSI), and catheter-associated urinary tract infections (CAUTI) to reflect the most current evidence-based practices for preventing these infections. The CAUTI and MDRO Goals were also expanded to the Nursing Care Center accreditation program. *Work with the American Heart Association and American Stroke Association to develop thrombectomy-ready requirements to improve the quality and safety of care for stroke patients. The Joint Commission continues to monitor the rapidly changing science in this field to assure requirements align with current science. *Revision of the Emergency Management standards to reflect new requirements from the Centers for Medicare and Medicaid Services (CMS) related to planning, training, and conducting exercises. These modifications apply to the critical Access Hospital, Hospital, Ambulatory Care, and Home Care accreditation programs. (CONTINUATION BELOW)
Form 990, Part III, Line 1 ORGANIZATION MISSION CONTINUED(CONTINUATION FROM ABOVE) *Adoption of an updated version of the Life Safety Code by CMS resulted in revisions to relevant Joint Commission standards in the Life Safety and Environment of Care chapters in the standards manuals for all accreditation programs. *Development of a medication compounding certification program addressing quality and safety issues. The program evaluates a pharmacy's compliance with standards that are based on the sterile and non-sterile compounding requirements issued by the USP in its chapters 797 and 795. A chapter on medication compounding was also added to the Home Care accreditation manual. *The Joint Commission added several new requirements applicable to accredited behavioral health care organizations as follows: (a) New standards were developed that provide care for individuals with eating disorders. Eating disorders have the highest mortality rate of any behavioral health disorder, making it very important that these programs provide the safest and highest-quality care possible. (b) Standards were developed for permanent housing support services related to a "housing first" program model. For organizations that do provide these case management services, the standards are designed to help "raise the bar" and ensure a uniform provision of services from one organization to the next. Research has shown that when an individual's housing needs are met and are secure, improvements can often be made in other areas of the individual's life. (c) Revision of a standard that requires organizations to assess outcomes through the use of a standardized tool or instrument. Results of these assessments would then be used to inform goals and objectives identified in individual plans of care, treatment, or services as needed, and evaluate outcomes of care, treatment, or services provided to the population(s) served. The enhancements to this standard will help accredited customers increase the quality of the care, treatment, and services they provide. *The Joint Commission is working with experts to explore the following safety and quality issues that may be considered for inclusion in standards: *The safe delivery of fluoroscopy services *Minimum qualifications for physicians interpreting sleep studies *Use of scribes *Documenting maternal health status *Telehealth issues across health care settings *Identification of newborns *Hair coverings in the OR *Modification of existing National Patient Safety Goal on suicide risk assessment THE SPEAK UP INITIATIVES THE JOINT COMMISSION, TOGETHER WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), CONTINUE TO DEVELOP MATIERALS WITH A 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 A VARIETY OF PATIENT SAFETY TOPICS INCLUDING THOSE LISTED BELOW. SPEAK UP BROCHURES ARE AVAILABLE TO THE GENERAL PUBLIC AT NO COST ON THE JOINT COMMISSION'S WEBSITE. *HELP PREVENT ERRORS IN YOUR CARE *HELP AVOID MISTAKES IN YOUR SURGERY *TIPS FOR YOUR DOCTOR'S VISIT *INFORMATION FOR LIVING ORGAN DONORS *FIVE THINGS YOU CAN DO TO PREVENT INFECTION *HELP AVOID MISTAKES WITH YOUR MEDICINE *WHAT YOU SHOULD KNOW ABOUT RESEARCH STUDIES *PLANNING YOUR FOLLOW-UP CARE *HELP PREVENT MEDICAL TEST MISTAKES *KNOW YOUR RIGHTS *UNDERSTANDING YOUR DOCTORS AND OTHER CAREGIVERS *PREVENT ERROR'S IN YOUR CHILD'S CARE *WHAT YOU SHOULD KNOW ABOUT PAIN MANAGEMENT *REDUCE YOUR RISK OF FALLING *DIALYSIS - FIVE WAYS TO BE ACTIVE IN YOUR CARE AT THE HOSPITAL *DIABETES - FIVE WAYS TO BE ACTIVE IN YOUR CARE AT THE HOSPITAL *WHAT YOU NEED TO KNOW ABOUT BREASTFEEDING *WHAT YOU SHOULD KNOW ABOUT STROKE *WHAT YOU SHOULD KNOW ABOUT MEMORY PROBLEMS & DEMENTIA *WHAT YOU SHOULD KNOW ABOUT YOUR DEPRESSION *ASK YOUR ADVOCATE TO SPEAK UP *SPEAK UP: AT HOME, KID POWER, & AT THE DOCTOR'S OFFICE *WHAT YOU SHOULD KNOW ABOUT YOUR SERIOUS ILLNESS & PALLIATIVE CARE *SPEAK UP: RIGHT ID, RIGHT CARE *The ABCs of C-sections *Avoid a Return Trip to the Hospital THE JOINT COMMISSION HAS 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 40 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 21,000 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 PHYSICIAN 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 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEESOTHER OFFICERS: THE OTHER OFFICERS' COMPENSATION ARRANGEMENT IS SUBJECT TO AN INDEPENDENT BOARD COMMITTEE REVIEW AND APPROVAL REFERRED TO AS THE HUMAN RESOURCES AND 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 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 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 process for determining the organizations' top management officials' compensation is undertaken annually for: dr. mark chassin - president, dr. david baker - vp, ann scott Blouin - vp, lynn dragisic - vp, brian Enochs - vp, mike kaba - vp, kin lee - cio, ana pujols mckee - vp, mark pelletier - vp, paige rodgers - cfo, Lisa Diehl Vandecaveye - vp, and Margaret Van Amringe - vp. 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 DECISIONMAKING 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 6 Classes of members or stockholdersTHE JOINT COMMISSION HAS CORPORATE MEMBERS AS NOTED IN THEIR BYLAWS. EACH MEMBER IS GRANTED A CERTAIN NUMBER OF VOTES WHEN VOTING ON ISSUES BROUGHT UP DURING MEMBER MEETINGS. THE FOLLOWING CORPORATIONS ARE MEMBERS OF THE JOINT COMMISSION: AMERICAN COLLEGE OF PHYSICIANS, THREE VOTES; AMERICAN COLLEGE OF SURGEONS, THREE VOTES; AMERICAN DENTAL ASSOCIATION, ONE VOTE; AMERICAN HOSPITAL ASSOCIATION, SEVEN VOTES; AND AMERICAN MEDICAL ASSOCIATION, SEVEN VOTES. THE NUMBER OF VOTES TO WHICH ANY ADDITIONAL MEMBERS SHALL BE ENTITLED SHALL BE ESTABLISHED BY AMENDMENT TO THE BYLAWS
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodySEE NARRATIVE FOR LINE 6
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersSEE NARRATIVE FOR LINE 6
Form 990, Part VI, Line 11b Review of form 990 by governing bodyThe Joint Commission's management, including the CEO, CFO, Corporate Compliance & Privacy Officer, and Legal 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 copy of the return will be placed on the Organization's website for the public once accepted by the IRS.
Form 990, Part VI, Line 12c Conflict of interest policyTHE POLICY STATES THAT ANY DECISION THAT COULD RESULT IN AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST MUST BE AVOIDED. ALL STAFF AND BOARD MEMBERS REVIEW THE POLICY ON AN ANNUAL BASIS AND COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE EACH YEAR, WHICH IS DESIGNED TO IDENTIFY INTERESTS THAT COULD GIVE RISE TO POSSIBLE CONFLICTS. ALTHOUGH MANY SUCH POTENTIAL CONFLICTS ARE AND WILL BE DEEMED INCONSEQUENTIAL, EVERY INDIVIDUAL OF THE ORGANIZATION HAS AN ONGOING RESPONSIBILITY TO DISCLOSE SITUATIONS THAT INVOLVE PERSONAL, FAMILIAR, OR BUSINESS RELATIONSHIPS THAT COULD BE PERCEIVED AS A CONFLICT OF INTEREST. THE INTERESTS IDENTIFIED ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER AND MANAGER AND APPROPRIATELY MANAGED. ALL DISCLOSURES ARE PURSUED UNTIL 100% COMPLETED. THE BOARD 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. THE COMPLIANCE OFFICER MONITORS AND REVIEWS THE CONFLICT OF INTEREST POLICY AS WELL AS THE RESPONSES TO THE QUESTIONNAIRES ON AN ANNUAL BASIS. THE ORGANIZATION ALSO HAS AVAILABLE AN INDEPENDENT HOTLINE NUMBER FOR STAFF TO REPORT ANONYMOUSLY ANY POTENTIAL CONFLICTS DURING THE YEAR.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialThe ceo's compensation arrangement is subject to an independent Board committee review and approval referred to as the human resources and 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 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 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 process for determining the ceo's compensation is undertaken annually.
Form 990, Part VI, Line 15b Process to establish compensation of other employeesSee narrative for Part VI, line 15b
Form 990, Part VI, Line 19 Required documents available to the publicTHE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AND IN ACCORDANCE WITH APPLICABLE LAWS. THE CONFLICT OF INTEREST POLICY, CODE OF CONDUCT, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesChange in fair value of hedge - interest rate swap - 227302; Transfer of net assets to Parent Co - 3508957; Transfer of net assets to Affiliate - Operating - -1600000; Change in unrecognized net defined benefit plan costs not yet recognized in net periodic benefit cost - 2970434;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
JOINT COMMISSION RESOURCES INC
1515 WEST 22ND STREET STE 1300WOAKBROOKIL60523363521721HEALTHCAREIL501(c)(3)10JOINT COMMISSIONYes (true)
JOINT COMMISSION CENTER FOR TRANSFORMING HLTCR
ONE RENAISSANCE BLVDOAKBROOK TERRACEIL60181263020947HEALTHCAREIL501(c)(3)Type IJOINT COMMISSIONYes (true)
JCAHO SURVEYOR & QHR CONSULTANT CORP
ONE RENAISSANCE BLVDOAKBROOK TERRACEIL60181363673595HEALTHCAREIL501(c)(3)Type IJOINT COMMISSIONYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
JOINT COMMISSION RESOURCES INC
A$1,071,359ACTUAL
JOINT COMMISSION RESOURCES INC
L$5,026,256CONTRACTUAL
JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE
L$1,449,110CONTRACTUAL
JOINT COMMISSION RESOURCES INC
Q$16,962,068ACTUAL
JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE
Q$639,201ACTUAL
Joint Commission Center for Transforming Healthcare
R$1,600,000Contractual
Joint Commission Resources Inc
S$3,508,957Contractual
Joint Comission Resources Inc
M$157,780Actual
Jcaho Surveyor & QHR Consultant Corporation
P$45,250,334Actual

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