JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (EIN 36-2229255)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-04
IRS object ID: 201343089349300744
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-04T11:00:05-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	70 West Madison Street	AddressLine1
Address Line2	Suite 700	AddressLine2
City	Chicago	City
State	IL	State
ZIP Code	606024903	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	362229255	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	JOIN	NameControl
Phone	6307925000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Renaissance Blvd	AddressLine1
City	Oakbrook Terrace	City
State	IL	State
ZIP Code	60181	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PAIGE RODGERS	Name
Title	CHIEF FINANCIAL OFFICER	Title
Date Signed	2013-10-29	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	john woodhull	Name
PTIN	P01305268	PTIN
Phone	3128997000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	THE JOINT COMMISSION	BusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DR MARK CHASSIN	BusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	One Renaissance Blvd	AddressLine1
City	Oakbrook Terrace	City
State	IL	State
ZIP Code	60181	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	187087665	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.JOINTCOMMISSION.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1951	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	29	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	27	NbrIndependentVotingMembers
Total Nbr Employees	513	TotalNbrEmployees
Total Nbr Volunteers	32	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2487209	ContributionsGrantsPriorYear
Contributions Grants Current Year	3125663	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	127333477	ProgramServiceRevenuePriorYear
Program Service Revenue CY	137010728	ProgramServiceRevenueCY
Investment Income Prior Year	4360544	InvestmentIncomePriorYear
Investment Income Current Year	4194525	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4607201	OtherRevenuePriorYear
Other Revenue Current Year	5784665	OtherRevenueCurrentYear
Total Revenue Prior Year	138788431	TotalRevenuePriorYear
Total Revenue Current Year	150115581	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	84589897	SalariesEtcPriorYear
Salaries Etc Current Year	92807458	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	37728084	OtherExpensePriorYear
Other Expenses Current Year	42578962	OtherExpensesCurrentYear
Total Expenses Prior Year	122317981	TotalExpensesPriorYear
Total Expenses Current Year	135386420	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16470450	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	14729161	RevenuesLessExpensesCY
Total Assets BOY	152071523	TotalAssetsBOY
Total Assets EOY	171639956	TotalAssetsEOY
Total Liabilities BOY	57050198	TotalLiabilitiesBOY
Total Liabilities EOY	53869920	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	95021325	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	117770036	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE JOINT COMMISSION PERIODICALLY EVALUATES AND ACCREDITS NEARLY 23,000 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).	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	102449093	Expense
Revenue	138560452	Revenue
Description	SURVEY 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 11,900 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 20,300 ORGANIZATIONS WERE ENROLLED IN 2012 FOR A SUBSCRIPTION FEE PLAN.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	2972996	Expense
Revenue	3382688	Revenue
Description	PERFORMANCE 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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	105422089	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	159	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	513	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	29	NbrVotingGoverningBodyMembers
Number Independent Voting Members	27	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	6307925685	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	One Renaissance Blvd	AddressLine1
City	Oakbrook Terrace	City
State	IL	State
ZIP Code	60181	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (52 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
CRAIG W JONES FACHE
SECRETARY	6.00	1.00	X	X	0	0	0
GERALD M SHEA
VICE CHAIR	6.00	2.00	X	X	294	0	0
ISABEL V HOVERMAN MD MACP
CHAIRMAN	7.00	2.00	X	X	50265	0	0
MARK CHASSIN MD MPP MPH
PRESIDENT/CEO	35.00	5.00	X	X	1057151	0	49647
REBECCA J PATCHIN MD
TREASURER	6.00	1.00	X	X	0	0	0
ALBERT J OSBAHR LLLMD MSCM
COMMISSIONER	4.00		X		294	0	0
CARL A SIRIO MD FACP FCCP FCCM
COMMISSIONER	4.00		X		0	0	0
CHARLES R BUCK JR SCD
COMMISSIONER	4.00		X		0	0	0
CHRISTOPHER J QUERAM
COMMISSIONER	4.00	1.00	X		0	0	0
CONNIE S MARCH RN MSN
COMMISSIONER	3.00		X		0	0	0
DAVID B PRYOR MD
COMMISSIONER	4.00		X		312	0	0
DAVID L BRONSON MD FACP
COMMISSIONER	4.00		X		294	0	0
DAVID PERROTT DDS MD MBA FACS
COMMISSIONER	9.00		X		0	0	0
ILENE CORINA
COMMISSIONER	4.00		X		0	0	0
JB SILVERS PHD
COMMISSIONER	4.00	1.00	X		0	0	0
JOAN DOYLE RNMSNMBA
COMMISSIONER	4.00		X		0	0	0
JOEL T ALLISON FACHE
COMMISSIONER	4.00		X		0	0	0
JOHN A BABIARZ
COMMISSIONER	4.00		X		0	0	0
JULIANNE M MORATH RN MS
COMMISSIONER	4.00		X		196	0	0
LAMAR S MCGINNIS JR MD FACS
COMMISSIONER	6.00	2.00	X		294	0	0
LD BRITT MD MPH FACS
COMMISSIONER	4.00		X		0	0	0
M NICOLE JAMALI MD
COMMISSIONER	4.00		X		0	0	0
MARY ANNE MCCAFFREE MD
COMMISSIONER	4.00		X		265	0	0
MARY H MCGRATH MD MPH
COMMISSIONER	6.00		X		0	0	0
MICHAEL F HOGAN PHD
COMMISSIONER	4.00		X		294	0	0
NANCY HOWELL AGEE
COMMISSIONER	4.00		X		0	0	0
R TIMOTHY RICE FACHE
COMMISSIONER	4.00		X		0	0	0
RALPH W MULLER
COMMISSIONER	4.00		X		0	0	0
ROGER W BUSH MD FACP
COMMISSIONER	6.00		X		265	0	0
STEPHEN R PERMUT MD JD
COMMISSIONER	5.00		X		294	0	0
STEVEN S SHAFSTEIN MD MPA
COMMISSIONER	5.00		X		265	0	0
T ANTHONY DENTON JD MHA
COMMISSIONER	2.00		X		0	0	0
ANA PUJOLS MCKEE
VP & CHIEF MEDICAL OFFICER	40.00			X	501661	0	16163
ANN SCOTT BLOUIN
EXECUTIVE VICE PRESIDENT	40.00			X	439947	0	93100
ANNE MARIE BENEDICTO
CHIEF OF STAFF/EXEC VP	34.00	6.00		X	316317	0	119918
CHARLES MOWLL
EXECUTIVE VICE PRESIDENT	40.00			X	408063	0	129958
HAROLD BRESSLER
GENERAL COUNSEL	40.00			X	351272	0	115171
JEROD LOEB
EXECUTIVE VICE PRESIDENT	40.00			X	785563	0	152943
JOHN MACHE
CHIEF INFORMATION OFFICER	40.00			X	282357	0	102003
LYNN DRAGISIC
VICE PRESIDENT	39.00	1.00		X	314437	0	113225
MARK PELLETIER
ACTING CHIEF OPERATING OFFICER	39.00	1.00		X	289600	0	46278
PAIGE RODGERS
CHIEF FINANCIAL OFFICER	38.00	2.00		X	398049	0	139402
BARBARA BUTURUSIS
DIR. SURVEYOR MGMT & SUPPORT	40.00				166890	0	25166	X
DEBRA KIEL
DIRECTOR, STRATEGIC PLANNING IT	40.00				177952	0	38312	X
DAVID GILMARTIN
ASSOCIATE GENERAL COUNSEL	40.00				216720	0	38118		X
FRANCES CARROLL
CORPORATE COMPLIANCE & PRIVACY OFFICER	40.00				172729	0	23036		X
GINA VAL ZIMMERMAN
EXECUTIVE DIRECTOR, CONTINUUM OF CARE	40.00				164302	0	46753		X
JOHN CULLINAN
DIRECTOR, QUALITY SUPPORT OPERATIONS	40.00				174108	0	41848		X
MARION PANAGOPOULOS
SR. DIR QUALITY EVALUATION & STRATEGY	40.00				180798	0	40611		X
DENNIS O'LEARY
RETIRED PRESIDENT/CEO	0.00				385632	0	12914			X
PAUL SCHYVE
SR ADVISOR-HEALTHCARE IMPROVEMENT	20.00				283844	0	59595			X
ROBERT WISE
MEDICAL ADVISOR-HQE	24.00				163552	0	39884			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7284276	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1444045	TotalOtherCompensation
Number Individuals GT100 K	150	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SHERATON CHICAGO HOTEL & TOWERS
301 EAST NORTH WATER	CHICAGO	IL	60611	CONFERENCE ROOM & FOOD SERVICES	814037
TEKSYSTEMS TELECOM INC
P O 198568	ATLANTA	GA	303848568	IT CONSULTING	729200
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVE	DALLAS	TX	75235	PROFESSIONAL SERVICES/CERTIFICATIONS	658450
GOLDMAN SACHS BANK USA
85 BROADWAY STREET 26TH	NEW YORK	NY	10004	INTEREST RATE SWAP FEES	555074
COGNIZANT TECHNOLOGY SOLUTIONS
LOCKBOX NO 24721	CHICAGO	IL	60673	IT CONSULTING	548818

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	42	NumberOfContractorsGT100K
Government Grants	2548723	GovernmentGrants
All Other Contributions	576940	AllOtherContributions
Total Contributions	3125663	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SURVEY FEES	900099	68630526	68630526
ANNUAL SUBSCRIPTION FEES	900099	64487564	64487564
PERFORMANCE MEASUREMENT & RELATED ACTIVITIES	900099	3382688	3382688
HONORARIUM FEES	900099	180816	180816
OTHER REVENUE	532000	329134	329134

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	137010728	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2599788	TotalRevenueColumn
Exclusion	$2,599,788	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	852253	TotalRevenueColumn
Exclusion	$852,253	ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	0	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	38566821	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	36972084	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1594737	Securities
Other	0	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1594737	TotalRevenueColumn
Exclusion	$1,594,737	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FEE FOR SERVICE FROM RELATED TAX EXEMPT ORGANIZATIONS	900099	4932412	4932412
		0
		0

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4932412	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	150115581	TotalRevenueColumn
Related Or Exempt Function Income	141943140	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$5,046,778	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	5084882	Total
Program Services	1966244	ProgramServices
Management And General	3118638	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	71314703	Total
Program Services	59299385	ProgramServices
Management And General	12015318	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5349623	Total
Program Services	4341894	ProgramServices
Management And General	1007729	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5913146	Total
Program Services	4415694	ProgramServices
Management And General	1497452	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5145104	Total
Program Services	4227344	ProgramServices
Management And General	917760	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	571500	Total
Program Services	324323	ProgramServices
Management And General	247177	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	268863	Total
Program Services	13663	ProgramServices
Management And General	255200	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	193044	Total
Program Services	0	ProgramServices
Management And General	193044	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	700085	Total
Management And General	700085	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5319995	Total
Program Services	3372885	ProgramServices
Management And General	1947110	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1313773	Total
Program Services	1021489	ProgramServices
Management And General	292284	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	413812	Total
Program Services	166132	ProgramServices
Management And General	247680	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1102267	Total
Program Services	58734	ProgramServices
Management And General	1043533	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2079470	Total
Program Services	818739	ProgramServices
Management And General	1260731	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	21202608	Total
Program Services	20859723	ProgramServices
Management And General	342885	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1014361	Total
Program Services	731661	ProgramServices
Management And General	282700	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	733229	Total
Program Services	349603	ProgramServices
Management And General	383626	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3052315	Total
Program Services	823433	ProgramServices
Management And General	2228882	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	973575	Total
Program Services	973575	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
TELEPHONE	983749	821717	162032
EQUIPMENT RENTAL	767024	26200	740824
POSTAGE & SHIPPING	181631	114140	67491
RECRUITMENT	451677	102745	348932

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1255984	Total
Program Services	592766	ProgramServices
Management And General	663218	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	135386420	Total
Program Services	105422089	ProgramServices
Management And General	29964331	ManagementAndGeneral
Fundraising	0	Fundraising

Total Joint Costs TotalJointCosts

Field	Value	IRS element (for citing)
Total	0	Total

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21352893	BOY
EOY	18505829	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	11823660	BOY
EOY	21431880	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5811	BOY
EOY	10364	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2279033	BOY
EOY	2697771	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	69253551	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	44270353	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	24304895	BOY
EOY	24983198	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	52365336	BOY
EOY	56311380	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	39939895	BOY
EOY	47699534	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	152071523	BOY
EOY	171639956	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	12183726	BOY
EOY	13740815	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1035234	BOY
EOY	1110424	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	18500000	BOY
EOY	16460000	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	25331238	BOY
EOY	22558681	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	57050198	BOY
EOY	53869920	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	95021325	BOY
EOY	117770036	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	95021325	BOY
EOY	117770036	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	152071523	BOY
EOY	171639956	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	14729161	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	7519296	ReconciliationUnrealizedInvest
Reconcilation Other Changes	500254	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	true	FederalGrantAuditRequired
Federal Grant Audit Performed	true	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2391006	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2324665	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2625473	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2487209	CurrentTaxYearMinus1Year
Current Tax Year	3125663	CurrentTaxYear
Total	12954016	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	110796686	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	115797728	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	119131593	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	127333477	CurrentTaxYearMinus1Year
Current Tax Year	137010728	CurrentTaxYear
Total	610070212	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	113187692	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	118122393	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	121757066	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	129820686	CurrentTaxYearMinus1Year
Current Tax Year	140136391	CurrentTaxYear
Total	623024228	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	0	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	0	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	623024228	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4308525	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3567554	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3648455	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3849715	CurrentTaxYearMinus1Year
Current Tax Year	3452041	CurrentTaxYear
Total	18826290	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	13961	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1660	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	0	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	0	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	15621	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4322486	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3569214	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3648455	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3849715	CurrentTaxYearMinus1Year
Current Tax Year	3452041	CurrentTaxYear
Total	18841911	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3521851	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3293084	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3359702	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3682007	CurrentTaxYearMinus1Year
Current Tax Year	4932412	CurrentTaxYear
Total	18789056	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	121032029	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	124984691	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	128765223	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	137352408	CurrentTaxYearMinus1Year
Current Tax Year	148520844	CurrentTaxYear
Total	660655195	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.94300	PublicSupportPercentage509
Prior Year Support Percentage	0.93930	PriorYearSupportPercentage
Investment Income Percentage	0.02850	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.03100	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509
General Explanation	OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - FEES FROM RELATED ORGANIZATIONS, COLUMN A - 3521851, COLUMN B - 3293084, COLUMN C - 3359702, COLUMN D - 3682007, COLUMN E - 4932412, COLUMN F - 18789056;,	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$193,044	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	193044	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Description of the activities reported on Lines 1a through 1i	Identifier
Return Reference	Schedule C, Part II-B, Line 1	ReturnReference
Explanation	THE 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 JOINT COMMISSION BELIEVES WILL HELP IMPROVE PATIENT SAFETY AND QUALITY OF CARE.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4204400	OtherCostOrOtherBasis
Book Value	4204400	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28214928	OtherCostOrOtherBasis
Depreciation	15100672	Depreciation
Book Value	13114256	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	166293	OtherCostOrOtherBasis
Depreciation	166293	Depreciation
Book Value	0	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8604383	OtherCostOrOtherBasis
Depreciation	5542083	Depreciation
Book Value	3062300	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	28063547	OtherCostOrOtherBasis
Depreciation	23461305	Depreciation
Book Value	4602242	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	24983198	TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Closely Held Equity Interests CloselyHeldEquityInterests

Field	Value	IRS element (for citing)
Book Value	0	BookValue

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	COMMON & COLLECTIVE TRUST FUNDS	Description
Book Value	47699534	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	47699534	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$12,570,510
FAIR VALUE OF HEDGE	$1,611,550
DEFERRED SWAP	$176,621
PLEDGE TO AFFILIATE	$5,000,000
UNRESTRICTED PLEDGES TO THE CENTER FOR TRANSFORMING HEALTHCARE	$3,200,000

Field	Value	IRS element (for citing)
Total Of Amounts	22558681	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	167909145	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	7519296	NetUnrealizedGainsInvestments
Other Revenues	10564705	OtherRevenues
Revenue Not Rptd F990	18084001	RevenueNotRptdF990
Revenue Subtotal	149825144	RevenueSubtotal
Investment Expenses Not Included	290437	InvestmentExpensesNotIncluded
Other Revenues Not Included	0	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	290437	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	150115581	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	145160434	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	10064451	OtherExpensesIncluded
Expenses Not Rptd F990	10064451	ExpensesNotRptdF990
Expenses Subtotal	135095983	ExpensesSubtotal
Investment Expenses Not Included2	290437	InvestmentExpensesNotIncluded2
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	290437	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	135386420	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FIN 48 (ASC 740) footnote	Schedule D, Part X, Line 2	THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE JOINT COMMISSION AND ITS AFFILIATES ARE EXEMPT FROM FEDERAL INCOME TAXATION UNDER 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. AS OF JANUARY 2009, THE JOINT COMMISSION ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) 740 10 (FORMERLY KNOWN AS FASB INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES), 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 AFFECT 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, 2012 FOR ITS UNITED STATES OPERATIONS.
Other revenues in audited financial statements not in form 990	Schedule D, Part XI, Line 2d	CHANGE IN FAIR VALUE OF HEDGE-INTEREST RATE SWAP - 345125; TRANSFER OF ASSETS TO AFFILIATE - 10219580;
Other expenses in audited financial statements not in form 990	Schedule D, Part XII, Line 2d	CHANGE IN UNRECOGNIZED NET DEFINED BENEFIT PLAN COSTS - 289445; TRANSFER OF NET ASSETS FROM AFFILIATE - 1575000; BOARD DESIGNATED RESTRICTED QUASI ENDOWMENT - 5000000; OPERATING PLEDGE FROM AFFILIATE COMPANY DESIGNATED - 3200000; ROUNDING DIFFERENCE - 6;

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	true	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
BARBARA BUTURUSIS
DIR. SURVEYOR MGMT & SUPPORT	155954	0	10000	0	936	0	0	0	25166	0	192056	0	0	0
GINA VAL ZIMMERMAN
EXECUTIVE DIRECTOR, CONTINUUM OF CARE	162066	0	2000	0	236	0	22694	0	24059	0	211055	0	0	0
DENNIS O'LEARY
RETIRED PRESIDENT/CEO	0	0	0	0	385632	0	0	0	12914	0	398546	0	385632	0
JOHN CULLINAN
DIRECTOR, QUALITY SUPPORT OPERATIONS	171808	0	2000	0	300	0	20594	0	21254	0	215956	0	0	0
MARK PELLETIER
ACTING CHIEF OPERATING OFFICER	287051	0	2000	0	549	0	45568	0	710	0	335878	0	0	0
MARION PANAGOPOULOS
SR. DIR QUALITY EVALUATION & STRATEGY	178546	0	2000	0	252	0	16403	0	24208	0	221409	0	0	0
FRANCES CARROLL
CORPORATE COMPLIANCE & PRIVACY OFFICER	170069	0	2000	0	660	0	15761	0	7275	0	195765	0	0	0
DEBRA KIEL
DIRECTOR, STRATEGIC PLANNING IT	175787	0	2000	0	165	0	21846	0	16466	0	216264	0	0	0
MARK CHASSIN MD MPP MPH
PRESIDENT/CEO	821377	0	57000	0	178774	0	21593	0	28054	0	1106798	0	0	0
PAUL SCHYVE
SR ADVISOR-HEALTHCARE IMPROVEMENT	231456	0	1000	0	51388	0	50710	0	8885	0	343439	0	45888	0
JEROD LOEB
EXECUTIVE VICE PRESIDENT	352799	0	2000	0	430764	0	125461	0	27482	0	938506	0	415374	0
CHARLES MOWLL
EXECUTIVE VICE PRESIDENT	321214	0	2000	0	84849	0	105823	0	24135	0	538021	0	73121	0
ANN SCOTT BLOUIN
EXECUTIVE VICE PRESIDENT	427072	0	2000	0	10875	0	76282	0	16818	0	533047	0	0	0
PAIGE RODGERS
CHIEF FINANCIAL OFFICER	395700	0	2000	0	349	0	121980	0	17422	0	537451	0	0	0
LYNN DRAGISIC
VICE PRESIDENT	240430	0	2000	0	72007	0	88177	0	25048	0	427662	0	56926	0
ROBERT WISE
MEDICAL ADVISOR-HQE	162352	0	1200	0	0	0	21661	0	18223	0	203436	0	0	0
ANNE MARIE BENEDICTO
CHIEF OF STAFF/EXEC VP	306310	0	2000	0	8007	0	95562	0	24356	0	436235	0	0	0
HAROLD BRESSLER
GENERAL COUNSEL	280232	0	2000	0	69040	0	97266	0	17905	0	466443	0	56914	0
DAVID GILMARTIN
ASSOCIATE GENERAL COUNSEL	214237	0	2000	0	483	0	18600	0	19518	0	254838	0	0	0
JOHN MACHE
CHIEF INFORMATION OFFICER	279684	0	2000	0	673	0	74157	0	27846	0	384360	0	0	0
ANA PUJOLS MCKEE
VP & CHIEF MEDICAL OFFICER	448724	0	1500	0	51437	0	11028	0	5135	0	517824	0	40000	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
First-class or charter travel	Schedule J, Part I, Line 1a	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. FIRST CLASS TRAVEL BENEFITS ARE NOT TREATED AS TAXABLE COMPENSATION TO THE INTERESTED PERSON.
Personal services	Schedule J, Part I, Line 1a	CERTAIN 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 SCHEDULE J-2, PART I, COLUMN D AS REPORTABLE COMPENSATION.
Supplemental nonqualified retirement plan	Schedule J, Part I, Line 4b	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.
Compensation contingent on net earnings of the organization	Schedule J, Part I, Line 6a	THE JOINT COMMISSION'S HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVED THE 2011 AND 2012 GAINSHARE PLANS, WHICH PROVIDES 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 2011 AND 2012 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. INDIVIDUAL GAINSHARING AWARDS WERE CAPPED AT $3,000 FOR 2011 AND 2012, RESPECTIVELY. THE 2011 AWARDS WERE ACCRUED FOR IN THE YEAR ENDED DECEMBER 31, 2011 AND PAID OUT IN 2012. THE 2012 AWARDS WERE ACCRUED FOR IN THE YEAR ENDED DECEMBER 31, 2012 AND WILL BE PAID OUT IN 2013.
Compensation contingent on net earnings of a related organization	Schedule J, Part I, Line 6b	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 O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1	(CONTINUATION FROM PART III, LINE 1) 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 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 MORE THAN 500 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 IS ALSO THE FIRST ACCREDITING BODY TO REQUIRE ITS SURVEYOR CADRE TO ACHIEVE AND MAINTAIN CERTIFICATION THROUGH FORMAL PERIODIC EXAMINATIONS. 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, CORONARY ARTERY DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, SKIN AND WOUND MANAGEMENT, PRIMARY STROKE CARE, JOINT REPLACEMENT, SPINAL SURGERY PROGRAMS, AND PALLIATIVE CARE. AN ADVANCED CERTIFICATION IN DISEASE-SPECIFIC CARE PROGRAM IS 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 CENTERS, COMPREHENSIVE STROKE CENTERS, VENTRICULAR ASSIST DEVICES, AND ETC. THE JOINT COMMISSION'S HEALTH CARE STAFFING SERVICES CERTIFICATION PROGRAM PROVIDES INDEPENDENT, THOROUGH EVALUATIONS OF THE ABILITY OF STAFFING FIRMS TO PROVIDE COMPETENT STAFFING SERVICES. THE JOINT COMMISSION DEVELOPED THIS CERTIFICATION PROGRAM TO MEET QUALITY OVERSIGHT NEEDS THAT HAVE ARISEN BECAUSE OF THE ONGOING SHORTAGES OF NURSES AND OTHER PROFESSIONAL PERSONNEL. THESE SHORTAGES FORCE HEALTH CARE ORGANIZATIONS TO FILL POSITIONS WITH TEMPORARY EMPLOYEES PROVIDED BY STAFFING FIRMS, WHICH ARE OFTEN NOT OTHERWISE SUBJECT TO ANY QUALITY OVERSIGHT MECHANISM. AT THEIR HEART, ACCREDITATION AND CERTIFICATION ARE RISK-REDUCTION ACTIVITIES; COMPLIANCE WITH APPROPRIATE STANDARDS REDUCES THE RISK OF ADVERSE OUTCOMES. THE JOINT COMMISSION SPECIFICALLY TARGETS IMPROVEMENT IN PATIENT SAFETY THROUGH THE FOLLOWING EFFORTS: PATIENT SAFETY-RELATED STANDARDS JOINT COMMISSION STANDARDS ADDRESS PERFORMANCE OBJECTIVES AND EXPECTATIONS IN KEY FUNCTIONAL AREAS, SUCH AS PATIENT RIGHTS MEDICATION MANAGEMENT, AND INFECTION CONTROL. THE STANDARDS AND 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 SENTINEL EVENT ALERT IS A PERIODIC NEWSLETTER THAT ADDRESSES SPECIFIC TYPES OF SENTINEL EVENTS, DESCRIBES THEIR COMMON UNDERLYING CAUSES, AND RECOMMENDS STEPS TO PREVENT FUTURE OCCURRENCES. INFORMATION FOR SENTINEL EVENT ALERT IS DERIVED PRINCIPALLY FROM THE JOINT COMMISSION'S SENTINEL EVENT DATABASE. THE JOINT COMMISSION BEGAN PUBLISHING SENTINEL EVENT ALERT IN 1998 TO REDEFINE THE PRINCIPAL PURPOSE OF ADVERSE EVENT REPORTING AS BEING FOR LEARNING. 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 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, AND OPERATIVE/POST-OPERATIVE COMPLICATIONS. NATIONAL PATIENT SAFETY GOALS IN JULY 2002, THE JOINT COMMISSION ESTABLISHED ITS FIRST SET OF SIX NATIONAL PATIENT SAFETY GOALS (NPSGS) AND 11 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. ONE NEW NPSG GOAL WAS APPROVED FOR 2012 THAT FOCUSES ON CATHETER-ASSOCIATED URINARY TRACT INFECTION (CAUTI). CAUTI IS THE MOST FREQUENT TYPE OF HEALTH CARE-ASSOCIATED INFECTION, AND REPRESENTS AS MUCH AS 80% OF INFECTIONS IN HOSPITALS. (CONTINUATION BELOW)
ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1	(CONTINUATION FROM ABOVE) OFFICE OF QUALITY MONITORING THE JOINT COMMISSION'S OFFICE OF QUALITY MONITORING 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 CONTROL INITIATIVES INFECTION CONTROL IS A CRITICAL COMPONENT OF SAFE, QUALITY HEALTH CARE. THE JOINT COMMISSION IS ADDRESSING THIS IMPORTANT ISSUE WITH A NUMBER OF INITIATIVES. * THE JOINT COMMISSION RELEASED "PROVIDING A SAFER ENVIRONMENT FOR HEALTH CARE PERSONNEL AND PATIENTS THROUGH INFLUENZA VACCINATION: STRATEGIES FROM RESEARCH AND PRACTICE," A FREE MONOGRAPH, TO HELP HEALTH CARE ORGANIZATIONS OF ALL TYPES IMPROVE SEASONAL INFLUENZA VACCINATION RATES IN HEALTH CARE PERSONNEL. * THE JOINT COMMISSION RELEASED "MEASURING HAND HYGIENE ADHERENCE: OVERCOMING THE CHALLENGES," TO HELP HEALTH CARE ORGANIZATIONS TARGET THEIR EFFORTS IN MEASURING HAND HYGIENE PERFORMANCE. THE MONOGRAPH IS DESIGNED TO ADDRESS "EVERYTHING YOU EVER WANTED TO KNOW ABOUT HAND HYGIENE MEASUREMENT BUT WERE AFRAID TO ASK." THE AIM OF THE MONOGRAPH IS TO BROADEN UNDERSTANDING OF THE ISSUES AND PROVIDE PRACTICAL SOLUTIONS FOR STRENGTHENING MEASUREMENT AND IMPROVEMENT ACTIVITIES. * THE JOINT COMMISSION HAS TEAMED UP WITH THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) ON THE INITIATIVE TO INCREASE IMMUNIZATION RATES OF HEALTHCARE WORKERS FOR SEASONAL INFLUENZA. * THE JOINT COMMISSION FUNCTIONS AS THE PRIMARY ORGANIZATION ON THE TASK FORCE, COMPENDIUM OF STRATEGIES TO PREVENT HEALTHCARE-ASSOCIATED INFECTIONS IN ACUTE CARE, WHOSE INITIATIVE IS TO MAINTAIN IMPLEMENTATION-FOCUSED STRATEGIES FOR SIX HEALTH ACQUIRED INFECTIONS INCLUDING: CENTRAL LINE ACUTE BLOOD STREAM INFECTION, VENTILATOR ASSOCIATED PNEUMONIA, CATHETER ASSOCIATED URINARY TRACK INFECTION, SURGICAL SITE INFECTION, METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS, AND CLOSTRIDIUM DIFFICILE INFECTION. * THE JOINT COMMISSION HAS DEVELOPED THE NURSING-SENSITIVE STREAM INFECTION MEASURE, URINARY CATHETER-ASSOCIATED URINARY TRACT INFECTION FOR INTENSIVE CARE UNIT (ICU) PATIENTS MEASURE, AND VENTILATOR-ASSOCIATED PNEUMONIA FOR ICU PATIENTS MEASURE. * THE JOINT COMMISSION HAS TEAMED UP WITH THE CENTER FOR DISEASE CONTROL (CDC) TO STUDY THE VALIDITY OF RACE AND ETHNICITY IN VACCINATION FOR INFLUENZA IN VULNERABLE ELDERLY, AND DETERMINE WHETHER RACE MIGHT INFLUENCE IMMUNIZATION RATES OF LONG-TERM CARE FACILITY RESIDENTS. * THE CENTER FOR DISEASE CONTROL (CDC) AND THE JOINT COMMISSION ARE DEVELOPING A NATIONAL MONOGRAPH OF EFFECTIVE PRACTICES FOR RESPIRATORY PROTECTION PROGRAMS FOR U.S. ACUTE CARE HOSPITALS TO REINFORCE HEALTHCARE WORKERS' PROPER USE OF RESPIRATORY PROTECTION. * THE JOINT COMMISSION AND ITS AFFILIATES RECEIVED FUNDING FOR AN INTERNATIONAL PROJECT FOCUSING ON THE "PREVENTION OF CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTIONS (CLABSI): PREFERRED PRACTICES AND USE OF TECHNOLOGY". THE PROJECT IS DIVIDED INTO THREE PHASES: 1) PUBLISHED IN MAY 2012 WAS A MONOGRAPH HIGHLIGHTING EVIDENCE-BASED PRACTICES KNOWN TO MINIMIZE AND PREVENT CLABSI; 2) DEVELOP A TOOLKIT DESIGNED TO SUPPORT ORGANIZATIONAL SELF-ASSESSMENT RELATIVE TO RECOMMENDED PRACTICES AND PROVIDE GUIDANCE RESPECTING ACHIEVEMENT OF THE PREFERRED STATE OF PRACTICE; AND 3) DEVELOPMENT OF AN EDUCATIONAL APPROACH DESIGNED TO TEACH USERS ABOUT THE PRACTICE APPLICATIONS OF THE CONTENT AND TOOLS DEVELOPED IN PHASES I AND II. * THE CDC DIVISION OF HEALTHCARE QUALITY PROMOTION (DHQP) AWARDED THE JOINT COMMISSION THE SAFETY AND HEALTHCARE EPIDEMIOLOGY PREVENTION RESEARCH DEVELOPMENT (SHEPHERD) PROGRAM, TO PROVIDE A MECHANISM TO OBTAIN REQUIRED SERVICES THROUGH ISSUANCE OF INDIVIDUAL TASK ORDERS IN SUPPORT OF HEALTHCARE ACQUIRED INFECTION (HAI) PREVENTION RESEARCH STUDIES THAT MEET PUBLIC HEALTH PRIORITIES FOR CDC. * THE JOINT COMMISSION IS CONDUCTING TRIALS TO DETERMINE THE EFFECTIVENESS OF UNIVERSAL GLOVE AND GOWNING PROCEDURES IN REDUCING HAI RATES IN THE ICU. (CONTINUATION BELOW)
ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1	(CONTINUATION FROM ABOVE) PATIENT SAFETY RESEARCH THE JOINT COMMISSION'S DIVISION OF HEALTH SERVICES RESEARCH INCLUDES THE CENTER FOR PATIENT SAFETY RESEARCH (PSR), WHICH WORKS WITH EXTERNAL COLLABORATORS AND CONSULTANTS TO ADVANCE THE FIELD OF PATIENT SAFETY RESEARCH AND THE DESIGN OF ADVERSE EVENT REPORTING SYSTEMS. JOINT COMMISSION RESEARCH INITIATIVES HAVE INCLUDED: * CREATION OF A STANDARDIZED PATIENT SAFETY TAXONOMY AND ONTOLOGY TO SUPPORT NATIONAL ADVERSE EVENT REPORTING SYSTEMS. * DEVELOPMENT OF AN INTERNATIONAL PATIENT SAFETY CLASSIFICATION (IPSEC) TO FACILITATE THE GLOBAL EXCHANGE AND DISSEMINATION OF INFORMATION AMONG USERS OF DISPARATE INCIDENT REPORTING SYSTEMS. * DEVELOPMENT OF BEST PRACTICES FOR PATIENT SAFETY, A COLLABORATION WITH THE CENTER FOR HEALTH POLICY AND THE CENTER FOR PRIMARY CARE AND OUTCOMES RESEARCH AT STANFORD UNIVERSITY. THIS PROJECT INVOLVES FORMULATION AND IMPLEMENTATION OF A SURVEY OF HOSPITAL ORGANIZATION CULTURE AS A TOOL FOR ASSESSING DETERMINANTS OF PATIENT SAFETY. * PERFORMANCE OF RESEARCH AND THE CONVENING OF A ROUNDTABLE TARGETED AT MEASURING AND IMPROVING CARE FOR PATIENTS WITH OSTEOPOROSIS. * EXPLORATION OF METHODS FOR IMPROVING PATIENT COMMUNICATION AND QUALITY OF CARE IN UNDERSERVED POPULATIONS. * THE JOINT COMMISSION'S HOSPITALS, LANGUAGE, AND CULTURE: A SNAPSHOT OF THE NATION (HLC) STUDY WAS DESIGNED TO GATHER INFORMATION ABOUT THE ACTIVITIES HOSPITALS ARE UNDERTAKING TO ADDRESS CULTURAL AND LANGUAGE NEEDS AMONG AN INCREASINGLY DIVERSE PATIENT POPULATION. * EVALUATION OF HOW RAPID TESTS FOR INFLUENZA ARE IMPLEMENTED AND USED IN OUTPATIENT MEDICAL SETTINGS IN SOLO AND GROUP PRACTICE PHYSICIAN OFFICES. * AN ASSESSMENT OF NATIONAL HOSPITAL SMOKE-FREE CAMPUS POLICIES AND THE DEVELOPMENT OF A TOOLKIT THAT FACILITATES HOSPITALS' TRANSITION TO SMOKE-FREE CAMPUSES. * DEVELOPMENT OF A MONOGRAPH HIGHLIGHTING SUCCESSFUL STRATEGIES TO IMPROVE IMMUNIZATION RATES FOR TDAP AMONG HEALTH CARE PERSONNEL AND THE ADULT PATIENTS THEY SERVE. * DEVELOPMENT OF A FIELD GUIDE ADVANCING EFFECTIVE COMMUNICATION, CULTURAL COMPETENCE, AND PATIENT- AND FAMILY-CENTERED CARE FOR THE CONVENING OF STAKEHOLDERS TO IDENTIFY AND DISCUSS KEY RECOMMENDATIONS TO PROVIDE EQUITABLE CARE TO LESBIAN, GAY, BISEXUAL AND TRANSGENDER PATIENTS AND FAMILIES. * CREATION OF NEW ALGORITHMS AND THEIR COMPARISON AGAINST STANDARD ALGORITHMS FOR ADMINISTERING PREOPERATIVE ANTIBIOTIC PROPHYLAXIS OF SURGICAL SITE INFECTIONS IN CERTAIN CARDIAC AND ORTHOPEDIC PROCEDURES. * DEVELOPMENT OF A MONOGRAPH THAT PROVIDES GLOBAL PERSPECTIVE ON IDENTIFICATION AND DISSEMINATION OF PREFERRED PRACTICES AND TECHNOLOGY TO PREVENT CENTRAL LINE-ASSOCIATED BLOODSTREAM INFECTION (CLABSI). * A CLUSTER RANDOMIZED TRIAL TO DETERMINE THE EFFECTIVENESS OF UNIVERSAL GLOVE AND GOWNING PROCEDURES IN REDUCING HEALTHCARE ASSOCIATED INFECTION (HAI) RATES IN THE INTENSIVE CARE UNIT (ICU). * BUILDING AN INTERNATIONAL, COLLABORATIVE LEARNING NETWORK THAT FOSTERS THE SHARING OF KNOWLEDGE AND EXPERIENCE IN IMPLEMENTING INNOVATIVE, STANDARDIZED OPERATING PROTOCOLS THAT ADDRESS PATIENT SAFETY. * DEVELOPED MONOGRAPH ON THE OPPORTUNITIES FOR SYNERGY, COLLABORATION AND INNOVATION BETWEEN PATIENT SAFETY AND WORKER SAFETY IN HEALTH CARE. THE SPEAK UP INITIATIVES IN MARCH 2002, THE JOINT COMMISSION, TOGETHER WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS), LAUNCHED A NATIONAL 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: * 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
ORGANIZATION'S MISSION	FORM 990, PART III, LINE 1	(CONTINUATION FROM ABOVE) SPEAK UP BROCHURES ARE AVAILABLE TO THE GENERAL PUBLIC AT NO COST ON THE JOINT COMMISSION'S WEBSITE. 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 35 COUNTRIES. QUALITY CHECK AND QUALITY REPORTS QUALITY CHECK OFFERS A COMPREHENSIVE COMPENDIUM OF QUALITY AND SAFETY-RELATED PERFORMANCE INFORMATION ON THE NEARLY 22,000 JOINT COMMISSION-ACCREDITED HEALTH CARE ORGANIZATIONS AND PROGRAMS THROUGHOUT THE UNITED STATES. THESE QUALITY REPORTS MAKE PUBLICLY AVAILABLE SPECIFIC INFORMATION REGARDING ORGANIZATION ACCREDITATION STATUS, PERFORMANCE IN CARING FOR PATIENTS WITH COMMON CONDITIONS (SUCH AS PNEUMONIA) AND COMPLIANCE WITH NATIONAL PATIENT SAFETY GOAL REQUIREMENTS, AMONG OTHER FEATURES. QUALITY REPORTS UTILIZE A USER-FRIENDLY FORMAT WITH CHECKS, PLUSES AND MINUSES TO HELP THE PUBLIC COMPARE HEALTH CARE ORGANIZATION PERFORMANCE IN KEY AREAS. OTHER RESOURCES THE JOINT COMMISSION 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.
Classes of members or stockholders	Form 990, Part VI, Section A, Line 6	THE 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
Members or stockholders electing members of governing body	Form 990, Part VI, Section A, Line 7a	SEE NARRATIVE FOR LINE 6
Decisions requiring approval by members or stockholders	Form 990, Part VI, Section A, Line 7b	SEE NARRATIVE FOR LINE 6
Review of form 990 by governing body	Form 990, Part VI, Section B, Line 11b	THE 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.
Conflict of interest policy	Form 990, Part VI, Section B, Line 12c	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, 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 ANY POTENTIAL CONFLICTS DURING THE YEAR ANONYMOUSLY.
Process used to establish compensation of top management official	Form 990, Part VI, Section B, Line 15a	THE 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 OFFICERS. IN SETTING THE OFFICERS' COMPENSATION, THE JOINT COMMISSION'S HUMAN RESOURCES AND COMPENSATION COMMITTEE RELIES ON RECENT COMPENSATION STUDIES THAT PROVIDE COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE 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 INSURE THAT HE OR SHE IS INDEPENDENT. THE PROCESS FOR DETERMINING THE JOINT COMMISSION'S OFFICERS COMPENSATION IS UNDERTAKEN ANNUALLY FOR ALL OFFICERS.
Process used to establish compensation of other officers/key employees	Form 990, Part VI, Section B, Line 15b	THE JOINT COMMISSION ENGAGES ITS HUMAN RESOURCES DEPARTMENT TO ASSIST IN DETERMINING COMPENSATION OF ITS KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES. IN SETTING THE KEY AND HIGHEST COMPENSATED EMPLOYEES' COMPENSATION, THE HUMAN RESORUCES DEPARTMENT RELIES ON INDEPENDENT SURVEY AND COMPENSATION DATA FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS AND/OR ON THE INTERNAL JOB EVALUATION SYSTEM TO SUPPORT ITS DECISION-MAKING PROCESS. THE KEY AND HIGHEST COMPENSATED EMPLOYEES' COMPENSATION AGREEMENT IS SUBJECT TO A REVIEW AND APPROVAL BY THE VICE PRESIDENT OF HUMAN RESOURCES. THE COMPENSATION OF KEY AND HIGHEST COMPENSATED EMPLOYEES IS ADEQUATELY DOCUMENTED IN AN ANNUAL PERFORMANCE APPRAISAL WHICH REQUIRES APPROVAL BY A VICE PRESIDENT. THE PROCESS FOR DETERMINING THE JOINT COMMISSION'S KEY AND HIGHEST COMPENSATED EMPLOYEES' COMPENSATION IS UNDERTAKEN ANNUALLY IN FEBRUARY FOR ALL KEY EMPLOYEES.
Governing documents, conflict of interest policy and financial statements available to the public	Form 990, Part VI, Section C, Line 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY, CODE OF CONDUCT, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC.
Other changes in net assets or fund balances	Form 990 , Part XI, Line 9	CHANGE IN FAIR VALUE OF HEDGE-INTEREST RATE SWAP - 345125; CHANGE IN UNRECOGNIZED NET DEFINED BENEFIT PLAN COSTS NOT YET RECOGNIZED IN NET PERIODIC BENEFIT COST - -289445; TRANSFER OF NET ASSETS TO AFFILIATE COMPANY - 10219580; TRANSFER OF NET ASSETS FROM AFFILIATE COMPANY - -1575000; OPERATING PLEDGE FROM AFFILIATE COMPANY DESIGNATED AS UNRESTRICTED - -3200000; BOARD-DESIGNATED FUNDS FUNCTIONING AS ENDOWMENT - -5000000; ROUNDING - -6;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
JOINT COMMISSION RESOURCES INC
1515 WEST 22ND STREET STE 1300W	OAKBROOK	IL	60523	HEALTHCARE	IL	501(C)(3)	9	JOINT COMMISSION	true
JOINT COMMISSION CENTER FOR TRANSFORMING HLTCR
ONE RENAISSANCE BLVD	OAKBROOK TERRACE	IL	60181	HEALTHCARE	IL	501(C)(3)	9	JOINT COMMISSION	true
JCAHO SURVEYOR & QHR CONSULTANT CORP
ONE RENAISSANCE BLVD	OAKBROOK TERRACE	IL	60181	HEALTHCARE	IL	501(C)(3)	11	JOINT COMMISSION	true

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	false	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	true	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
JOINT COMMISSION RESOURCES INC
Q	1033526	ACTUAL
JOINT COMMISSION RESOURCES INC
S	10219580	CONTRACTUAL
JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE
R	8200000	CONTRACTUAL
JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE
R	1586246	ACTUAL
JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE
R	619792	ACTUAL
JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE
Q	177152	ACTUAL
JOINT COMMISSION RESOURCES INC
A	852253	ACTUAL
JOINT COMMISSION RESOURCES INC
L	3900264	CONTRACTUAL
JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE
L	1032148	CONTRACTUAL
JOINT COMMISSION RESOURCES INC
L	720384	ACTUAL