2011-11-02T13:00:13-05:00 2010-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2010-01-01 362229255 JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS JOIN 6307925000 One Renaissance Blvd Oakbrook Terrace IL 60181 PAIGE RODGERS 2011-11-15 true 3128997000 2010 2016-03-07 17:11:31Z THE JOINT COMMISSION DR MARK CHASSIN One Renaissance Blvd Oakbrook Terrace IL 60181 148534244 false X WWW.JOINTCOMMISSION.ORG X 1951 IL 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. 29 27 468 32 690 0 2324665 2625473 115799388 119132283 987491 3916930 4241393 4422120 123352937 130096806 70490 125867 0 0 79759378 80890186 0 0 0 33739221 34836363 113569089 115852416 9783848 14244390 126559932 146500090 48577334 42747682 77982598 103752408 X THE JOINT COMMISSION PERIODICALLY EVALUATES AND ACCREDITS NEARLY 20,000 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). false 84231598 125867 126686099 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 10,800 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 19,750 ORGANIZATIONS WERE ENROLLED IN 2010 FOR A SUBSCRIPTION FEE PLAN. 4831772 0 3410707 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. 89063370 true true false true false false false false true true true false false true true false true false false true true false false false false false false false true false false false false false false false false false false false false false true true true false false true 138 0 true 468 true true true false false false false false false false false false X 29 27 false false false false true true true true true false false true true true true true true true true false IL X X Paige Rodgers 6307925685 One Renaissance Blvd Oakbrook Terrace IL 60181 X MARY H MCGRATH MD MPH 5 X 0 0 0 MARY ANNE MCCAFFREE MD 4 X 636 0 0 T ANTHONY DENTON JD MHA 4 X 0 0 0 BENJAMIN K CHU MD MPH MACP 4 X 403 0 0 DAVID L BRONSON MD FACP 3 X 0 0 0 GINA VAL ZIMMERMAN 40 X 157231 0 50570 ERIC B LARSON MD MPH MACP 4 X 0 0 0 DENNIS O'LEARY 0 X 385632 0 18351 ISABEL V HOVERMAN MD MACP 4 X X 636 0 0 ELEANOR WAGNER 40 X 187823 0 40587 M NICOLE JAMALI MD 3 X 0 0 0 EDWARD L LANGSTON MD RPH 4 X 636 0 0 MARK PELLETIER 40 X 232053 0 12750 CRAIG W JONES FACHE 5 X 636 0 0 GERALD M SHEA 4 X X 0 0 0 ILENE CORINA 4 X 0 0 0 KURT D NEWMAN MD FACS 3 X 0 0 0 CATHERINE BARRY IPEMA 40 X 172158 0 48851 CHRISTOPHER J QUERAM 3 X 636 0 0 MARILYN P CHOW RN DNSC FANN 3 X 636 0 0 JB SILVERS PHD 3 X 0 0 0 RICHARD MORROW 40 X 196997 0 21896 JOSEPH T ENGLISH MD 4 X 636 0 0 JAMES FLEWELLEN 40 X 205861 0 30443 JOSIE R WILLIAMS MD MMM 5 X 0 0 0 LAMAR S MCGINNIS JR MD FACS 4 X 0 0 0 JOSEPH M HEYMAN MD 3 X 636 0 0 REBECCA J PATCHIN MD 3 X X 0 0 0 RALPH W MULLER 3 X 0 0 0 DAVID A WHISTON DDS 5 X X 50636 0 0 JONATHAN B PERLIN MD PHD MSHA FACP 3 X 0 0 0 ALEXANDER M CAPRON 3 X 0 0 0 MARK CHASSIN MD MPP MPH 35 X X 942963 0 48951 PAUL SCHYVE 40 X 2377104 0 287111 JEROD LOEB 40 X 311358 0 87700 CHARLES MOWLL 40 X 316690 0 333502 ANN SCOTT BLOUIN 39 X 519557 0 164303 GEORGE MORRIS 0 X 213274 0 15658 PAIGE RODGERS 38 X 376771 0 182378 LYNN DRAGISIC 39 X 250830 0 89639 ROBERT WISE 40 X 315989 0 44464 ANNE MARIE BENEDICTO 34 X 276323 0 117278 HAROLD BRESSLER 40 X 344099 0 124477 NANCY HOWELL AGEE 4 X 0 0 0 CHARLES R BUCK JR SCD 4 X 0 0 0 R TIMOTHY RICE FACHE 4 X 636 0 0 DAVID GILMARTIN 40 X 180586 0 32445 8020062 0 1751354 124 true true false GOLDMAN SACHS & CO 85 BROAD STREET 26TH NEW YORK NY 10004 INTEREST RATE SWAP FEES 692399 ABM LAKESIDE INC 75 REMITTENCE DRIVE STE 3011 CHICAGO IL 60675 JANITORIAL SERVICES 285635 CONFERENCE AMERICA INC 7019 UNIVERSITY COURT MONTGOMERY AL 36117 CONFERENCE CALL EQUIP & SERVICES 221235 SODEXO MARRIOTT SERVICE INC 4880 PAYSPHERE CIRCLE CHICAGO IL 60674 CATERING SERVICES 217758 SHERATON CHICAGO HOTEL & TOWERS 301 EAST NORTH WATER CHICAGO IL 60611 CONFERENCE ROOM & FOOD SERVICES 205671 24 1208727 1416746 2625473 SURVEY FEES 57773922 57773922 ANNUAL SUBSCRIPTION FEES 57381285 57381285 PERFORMANCE MEASUREMENT & RELATED ACTIVITIES 3264621 3264621 HONORARIUM FEES 193570 193570 APPLICATION FEES 133000 133000 385885 385195 690 0 119132283 2586037 2586037 0 1062418 1062418 0 0 0 19768331 18437438 1330893 0 1330893 1330893 0 0 0 FEE FOR SERVICE FROM RELATED TAX EXEMPT ORGANIZATIONS 3359702 3359702 0 0 0 0 3359702 130096806 122491295 690 4979348 0 0 125867 125867 0 4828331 1755856 3072475 0 61132157 50350955 10781202 4750702 3795467 955235 5714250 4307704 1406546 4464746 3604755 859991 0 311000 194266 116734 212472 18750 193722 185630 185630 0 622004 622004 3380938 1773887 1607051 1358415 1303173 55242 685609 172320 513289 799437 51682 747755 0 2169061 860292 1308769 16674273 16480537 193736 0 820899 535890 285009 784638 376469 408169 0 3437045 1321161 2115884 984703 984703 TELEPHONE 726527 577991 148536 EQUIPMENT RENTAL 706726 35171 671555 POSTAGE & SHIPPING 228889 131770 97119 RECRUITMENT 211491 46373 165118 OTHER 536606 258331 278275 0 0 0 0 115852416 89063370 26789046 0 0 10257665 19999721 9078281 14347375 5102 4527 1793304 1446412 63371112 39423279 26510666 23947833 38400530 42060066 40514384 44694156 0 0 126559932 146500090 11957114 11738220 1309311 935769 22120000 20385000 13190909 9688693 48577334 42747682 X 77982598 103752408 77982598 103752408 126559932 146500090 X 14244390 11525420 X false true true X true true X 2267564 2068118 2391006 2324665 2625473 11676826 95644437 98919524 110796686 115797728 119131593 540289968 0 0 0 97912001 100987642 113187692 118122393 121757066 551966794 0 0 0 0 0 0 0 0 551966794 3204788 3901283 4308525 3567554 3648455 18630605 7100 7620 13961 1660 0 30341 3211888 3908903 4322486 3569214 3648455 18660946 0 4621992 4547629 3521851 3293084 3359702 19344258 105745881 109444174 121032029 124984691 128765223 589971998 0.93560 0.93292 0.03160 0.03045 X OTHER INCOME, SCHEDULE A, PART III LINE 12 - OTHER INCOME, DESCRIPTION - FEES FROM RELATED ORGS 2006 $4,621,992, 2007 $4,547,629, 2008 $3,521,851, 2009 $3,293,084, 2010 $3,359,702, TOTAL $19,344,258, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 false true false false false false true 185630 false false 185630 false 0 LOBBYING ACTIVITIES - SUPPLEMENTAL INFORMATION SCHEDULE C, PART IV - SUPPLEMENTAL INFORMATION 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. 0 0 0 0 0 false true true 4204400 4204400 27529421 13648774 13880647 166293 92705 73588 6565375 5037264 1528111 24905623 20644536 4261087 23947833 0 0 FINANCIAL DERIVATIVES 0 COMMON & COLLECTIVE TRUST FUNDS 44694156 F 44694156 0 CURRENT PORTION OF ACCRUED PENSION 1819632 LONG TERM ACCRUED PENSION 5566124 FAIR VALUE OF HEDGE 2003663 OTHER NONCURRENT LIABILITY 299274 9688693 130096806 115852416 14244390 6326165 5494430 11820595 26064985 142781542 6326165 6620456 12946621 129834921 261885 0 261885 130096806 116716557 1126026 1126026 115590531 261885 0 261885 115852416 Intended uses of endowment funds Schedule D, Part V, Line 4 THE JOINT COMMISSION PROVIDED EQUITY CAPITAL OF $10,000,000 TO THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE; $8,900,000 OF WHICH WAS PAID IN 2009 WITH THE REMAINING $1,100,000 PAID IN JANUARY 2010. THE JOINT COMMISSION'S EQUITY CAPITAL IS REPORTED AS BOARD-DESIGNATED FUNDS FUNCTIONING AS ENDOWMENT IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE BOARD-DESIGNATED FUNDS FUNCTIONING AS ENDOWMENT HAS A CARRYING VALUE, NET OF INVESTMENT GAINS/LOSSES AND OPERATING NET LOSS, AS OF DECEMBER 31, 2010 OF $8,572,762. SEE NOTE #7 TO THE CONSOLIDATED FINANCIAL STATEMENTS FOR DETAILS. 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 ONLY ON INCOME DETERMINED TO BE UNRELATED BUSINESS INCOME. THE JOINT COMMISSION ADOPTED FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) INTERPRETATION NO. 48, "ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES". MANAGEMENT CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS THAT REQUIRE DISCLOSURE FOR THE YEAR ENDED DECEMBER 31, 2010. RECONCILIATION OF CHANGE IN NET ASSETS - ADJUSTMENT FORM 990, SCHEDULE D, PART XI, LINE 7 JOINT COMMISSION RESOURCES, INC. HAS DETERMINED THAT THE REVENUE RECOGNITION METHODOLOGY USED HISTORICALLY FOR CERTAIN PUBLICATIONS AND MULTIMEDIA PRODUCTS IS NO LONGER APPROPRIATE. THIS ERROR WAS DISCOVERED AFTER RELEASE OF THE 2010 AUDITED FINANCIAL STATEMENTS AND IS CONSIDERED AN IMMATERIAL CORRECTION OF AN ERROR. ACCORDINGLY, THE 2010 RESULTS WILL BE CORRECTED IN CONNECTION WITH THE RELEASE OF THE 2011 FINANCIAL STATEMENTS. THE NUMBERS REFLECTED IN THE JOINT COMMISSION FORM 990 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2010, ARE REPORTED AS CORRECTED. THE ADJUSTMENTS TO BOTH REVENUE AND CORRESPONDING EXPENSES FOR INTERCOMPANY TRANSACTIONS TO THE PARENT COMPANY ARE AS FOLLOWS: PRIOR YEARS REDUCTION TO BEGINNING 2010 NET ASSETS OF $221,143 2010 ROYALTY FEE REVENUE REDUCTION OF $49,265 2010 NET ASSET TRANSFER FROM AFFILIATE COMPANY REDUCTION OF $86,767 TOTAL NET IMPACT TO NET ASSETS AS OF DECEMBER 31, 2010 OF $357,175 true EUROPE (INCLUDING ICELAND AND GREENLAND) 0 0 PROGRAM SERVICES HEALTHCARE SERVICES 125867 0 0 125867 EUROPE (INCLUDING ICELAND AND GREENLAND) GENERAL SUPPORT TO FURTHER WORK DEDICATED TO PATIENT SAFETY OVERSEAS 0 125867 IN-KIND BOOK 1 0 false false false false false false Procedures for monitoring use of grant funds Schedule F, Part I, Line 2 IN 2009, THE WORLD HEALTH ORGANIZATION (WHO) REDESIGNATED THE JOINT COMMISSION AND JOINT COMMISSION INTERNATIONAL (JCI), AS THE ONLY WHO COLLOBORATING CENTRE SOLELY DEDICATED TO PATIENT SAFETY. WITH THIS REDESIGNATION, THE JOINT COMMISSION AND JCR/JCI WORK TO FURTHER ADVANCE THE ENTIRE CONTINUUM OF PATIENT SAFETY. INITIATIVES INCLUDE ADDRESSING PRINCIPLES RELATED TO SYSTEM DESIGN AND REDESIGN, PRODUCT SAFETY, SAFETY OF CARE PROVISION, AND ENVIRONMENT OF CARE. INIITITAIVES ALSO INCLUDE THE DEVELOPMENT OF PROACTIVE SOLUTIONS FOR PATIENT SAFETY, BASED ON EMPIRICAL EVIDENCE, HARD RESEARCH AND BEST PRACTICES. THE COLLABORATING CENTRE ESTABLISHED, AND CONTINUES TO EXPAND, A COLLABORATIVE GLOBAL NETWORK OF PATIENT SAFETY EXPERTS TO FACILITATE THE IDENTIFICATION OF HIGH PRIORITY SAFETY PROBLEMS AND POTENTIAL SOLUTIONS AROUND THE WORLD. AN INTERNATIONAL STEERING COMMITTEE, WHOSE MEMBERSHIP IS DRAWN FROM NEARLY EVERY CONTINENT, IS THE CORNERSTONE OF THE NETWORK. THE COMMITTE INCLUDES PATIENT SAFETY EXPERTS FROM AROUND THE WORLD. THE COMMITTEE PROVIDES GUIDANCE AND COUNSEL ON THE PROCESS FOR SOLUTION DEVELOPMENT, THE TOPICS FOR SOLUTION DEVELOPMENT, AND ALSO APPROVES THE FINAL SOLUTIONS. THE STEERING COMMITTEE ASSEMBLES IN PERSON ONCE A YEAR AND HOLDS CONFERENCE CALLS PERIODICALLY AS NEEDED. WHO IS THE ONLY ORGANIZATION HEADQUARTERED OUTSIDE OF THE UNITED STATES THAT THE JOINT COMMISSION WORKS CLOSELY WITH AND PROVIDES ASSISTANCE. THE JOINT COMMISSION AND JCI DONATE IN-KIND SUPPORT OF SALARIES, BENEFITS, AND TRAVEL EXPENSES FOR DEDICATED STAFF CONTINUING THE WORK OF THE WHO COLLABORATING CENTRE FOR PATIENT SAFETY. STAFF ALSO ATTEND THE ANNUAL CONFERENCE. SOLUTIONS AND PROGRESS REPORTS ARE PUBLISHED ON THE WHO COLLABORATING CENTRE FOR PATIENT SAFETY WEB SITE WHICH IS IN COLLABORATION WITH THE JOINT COMMISSION AND JOINT COMMISSION INTERNATIONAL. GRANTS AND OTHER ASSISTANCE, SCHD F, PART II, LINE 1 SCHEDULE F, PART IV - SUPPLEMENTAL INFORMATION IN 2009, THE WORLD HEALTH ORGANIZATION (WHO) REDESIGNATED THE JOINT COMMISSION AND JOINT COMMISSION INTERNATIONAL (JCI), AS THE ONLY WHO COLLOBORATING CENTRE SOLELY DEDICATED TO PATIENT SAFETY. WITH THIS REDESIGNATION, THE JOINT COMMISSION AND JCR/JCI WORK TO FURTHER ADVANCE THE ENTIRE CONTINUUM OF PATIENT SAFETY. INITIATIVES INCLUDE ADDRESSING PRINCIPLES RELATED TO SYSTEM DESIGN AND REDESIGN, PRODUCT SAFETY, SAFETY OF CARE PROVISION, AND ENVIRONMENT OF CARE. INITIATIVES ALSO INCLUDE THE DEVELOPMENT OF PROACTIVE SOLUTIONS FOR PATIENT SAFETY, BASED ON EMPIRICAL EVIDENCE, HARD RESEARCH AND BEST PRACTICES. IN 2007, THE COLLABORATING CENTRE RELEASED NINE PATIENT SAFETY SOLUTIONS THAT CONTINUE TO GUIDE THE RE-DESIGN OF CARE PROCESSES. EACH SOLUTION PRESENTS THE PROBLEM, THE STRENGTH OF EVIDENCE SUPPORTING THE SOLUTION, POTENTIAL BARRIERS TO ADOPTION, RISKS OF UNINTENDED CONSEQUENCES CREATED BY THE SOLUTION, PATIENT AND FAMILY ROLES IN THE SOLUTION, REFERENCES, AND OTHER RESOURCES. THROUGH THE HIGH 5'S PROJECT, THE COLLABORATING CENTRE IS SUPPORTING A PROGRAM TO ACHIEVE MEASURABLE, SIGNIFICANT, AND SUSTAINABLE REDUCTIONS IN CHALLENGING PATIENT SAFETY PROBLEMS THROUGH THE IMPLEMENTATION AND EVALUATION OF STANDARD OPERATING PROTOCOLS WITHIN A GLOBAL LEARNING COMMUNITY OVER THE NEXT FIVE YEARS. THE INITIATIVE IS A COLLABORATION SUPPORTED BY THE US AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) AND WHO. IN 2009, THE HIGH 5'S PROJECT COMPLETED THE DEVELOPMENTAL WORK OF THE PROJECT BY PROVIDING TRAINING TO EIGHT COUNTRIES AND PRE-TESTING THE STANDARD OPERATING PROTOCOLS IN SELECTED PARTICIPATING SITES INTERNATIONALLY. THE PROJECT ALSO COMPLETED THE DEVELOPMENT OF AN ONLINE INFORMATION MANAGEMENT SYSTEM TO COLLECT DATA, PRESENT PUBLIC INFORMATION ABOUT THE PROJECT, AND PROVIDE A VIRTUAL PLATFORM FOR THE LEARNING COMMUNITY. IN 2010, THE HIGH 5'S PROJECT BEGAN THE IMPLEMENTATION PHASE OF THE PROJECT. HOSPITALS IN 6 COUNTRIES BEGAN IMPLEMENTING ONE OR MORE STANDARD OPERATING PROTOCOLS. THE COLLABORATING CENTRE SUPPORTED THE IMPLEMENTATION PHASE BY PROVIDING ONGOING CONTINUING EDUCATION AND LEARNING EXPERIENCES, PROVIDING TECHNICAL SUPPORT TO PARTICIPATING COUNTRIES, AND WRITING AND DISSEMINATING QUARTERLY REPORTS ON THE DATA SUBMITTED. THE COLLABORATING CENTRE ESTABLISHED, AND CONTINUES TO EXPAND, A COLLABORATIVE GLOBAL NETWORK OF PATIENT SAFETY EXPERTS TO FACILITATE THE IDENTIFICATION OF HIGH PRIORITY SAFETY PROBLEMS AND POTENTIAL SOLUTIONS AROUND THE WORLD. THE JOINT COMMISSION AND JCI DONATE IN-KIND SUPPORT OF SALARIES, BENEFITS, AND TRAVEL EXPENSES FOR DEDICATED STAFF CONTINUING THE WORK OF THE WHO COLLABORATING CENTRE FOR PATIENT SAFETY. SOLUTIONS AND PROGRESS REPORTS ARE PUBLISHED ON THE WHO COLLABORATING CENTRE FOR PATIENT SAFETY WEB SITE WHICH IS IN COLLABORATION WITH THE JOINT COMMISSION AND JOINT COMMISSION INTERNATIONAL. X X true true X X X X true true false false false true true false false GINA VAL ZIMMERMAN 155008 0 2000 0 223 0 20491 0 30079 0 207801 0 0 0 DENNIS O'LEARY 0 0 0 0 385632 0 0 0 18351 0 403983 0 385632 0 ELEANOR WAGNER 183598 0 2000 0 2225 0 29601 0 10986 0 228410 0 0 0 MARK PELLETIER 230042 0 1500 0 511 0 11959 0 791 0 244803 0 0 0 CATHERINE BARRY IPEMA 170158 0 2000 0 0 0 21219 0 27632 0 221009 0 0 0 RICHARD MORROW 106805 0 2000 0 88192 0 1563 0 20333 0 218893 0 0 0 JAMES FLEWELLEN 158218 0 2775 0 44868 0 4911 0 25532 0 236304 0 0 0 MARK CHASSIN MD MPP MPH 770537 0 2000 0 170426 0 19906 0 29045 0 991914 0 0 0 PAUL SCHYVE 432693 0 2000 0 1942411 0 277176 0 9935 0 2664215 0 1923809 0 JEROD LOEB 293967 0 2000 0 15391 0 59743 0 27957 0 399058 0 0 0 CHARLES MOWLL 302777 0 2000 0 11913 0 310017 0 23485 0 650192 0 0 0 ANN SCOTT BLOUIN 505407 0 2000 0 12150 0 140410 0 23893 0 683860 0 0 0 GEORGE MORRIS 0 0 0 0 213274 0 0 0 15658 0 228932 0 0 0 PAIGE RODGERS 374452 0 2000 0 319 0 154538 0 27840 0 559149 0 0 0 LYNN DRAGISIC 236222 0 2000 0 12608 0 65579 0 24060 0 340469 0 0 0 ROBERT WISE 312096 0 2000 0 1893 0 26026 0 18438 0 360453 0 0 0 ANNE MARIE BENEDICTO 271930 0 2000 0 2393 0 91998 0 25280 0 393601 0 0 0 HAROLD BRESSLER 271892 0 2000 0 70207 0 99968 0 24509 0 468576 0 56528 0 DAVID GILMARTIN 178834 0 1500 0 252 0 7157 0 25288 0 213031 0 0 0 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. Severance or change-of-control payment Schedule J, Part I, Line 4a THE JOINT COMMISSION MADE PAYMENTS PURSUANT TO AGREEMENT IN CONNECTION WITH STAFFS RESIGNATION. 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 2009 AND 2010 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 2009 AND 2010 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 2009 AND 2010, RESPECTIVELY. THE 2009 AWARDS WERE ACCRUED FOR IN THE YEAR ENDED DECEMBER 31, 2009 AND PAID OUT IN 2010. THE 2010 AWARDS WERE ACCRUED FOR IN THE YEAR ENDED DECEMBER 31, 2010 AND WILL BE PAID OUT IN 2011. 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. 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, 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. 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, AND PRIMARY STROKE CARE. THE JOINT COMMISSION LAUNCHED A HEALTH CARE STAFFING SERVICES CERTIFICATION PROGRAM IN 2004. THIS 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 ADDRESSES 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 SENTINEL EVENT 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) 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 CARE PERFORMANCE MEASURE SET. THE SET INCLUDES A CENTRAL LINE-ASSOCIATED BLOOD 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. (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. * 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. * 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 HAI RATES IN THE ICU. 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 SPEAK UP BROCHURES ARE AVAILABLE TO THE GENERAL PUBLIC AT NO COST ON THE JOINT COMMISSION'S WEBSITE. (CONTINUATION BELOW) ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 (CONTINUATION FROM ABOVE) THE JOINT COMMISSION IS SCHEDULED TO RELEASE IN MARCH 2011 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 WILL AIR ON THE JOINT COMMISSION'S YOUTUBE CHANNEL AND IN OTHER VENUES. THE CAST OF CHARACTERS INTRODUCED IN THE VIDEOS ENCOUNTER SITUATIONS WHERE THEY HAVE TO "SPEAK UP" IN EVERYDAY LIFE SUCH AS ORDERING ITEMS FROM A BAKERY OR RESTAURANT, OR VALET PARKING A CAR. 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. QUALITY CHECK AND QUALITY REPORTS QUALITY CHECK OFFERS A COMPREHENSIVE COMPENDIUM OF QUALITY AND SAFETY-RELATED PERFORMANCE INFORMATION ON THE NEARLY 20,000 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. STRATEGIC SURVEILLANCE SYSTEM IN JULY 2007, THE JOINT COMMISSION LAUNCHED THE STRATEGIC SURVEILLANCE SYSTEM (S3) TO ACCREDITED HOSPITALS. THIS SYSTEM, PROVIDED AT NO ADDITIONAL COST, IS A VALUE ADDED ELEMENT OF THE ACCREDITATION PROCESS INTENDED TO HELP ACCREDITED HOSPITALS IDENTIFY AND PRIORITIZE AREAS FOR IMPROVEMENT. THIS NEW TOOL PROVIDES A SERIES OF RISK ASSESSMENT AND COMPARATIVE PERFORMANCE MEASURE REPORTS TO HELP HOSPITALS IMPROVE THEIR CARE PROCESSES AND PRIORITIZE THE ACTIONS TO TAKE FOR IMPROVEMENT. S3 USES DATA THE JOINT COMMISSION CURRENTLY HAS, INCLUDING PAST SURVEY FINDINGS, ORYX CORE MEASURE DATA, DATA FROM THE OFFICE OF QUALITY MONITORING (COMPLAINTS AND NON SELF-REPORTED SENTINEL EVENTS), DATA FROM AN ORGANIZATION'S E-APP, AND MEDPAR DATA. REPORTS ARE POSTED AND UPDATED QUARTERLY ON EACH HOSPITAL'S SECURE JOINT COMMISSION EXTRANET SITE. S3 OFFERS THE FOLLOWING BENEFITS TO HOSPITALS: * HOSPITALS WILL HAVE ACCESS TO NATIONAL AND STATE BENCHMARKS AS WELL AS SELECT GROUPS, TO COMPARE THEMSELVES TO OTHERS. * HOSPITALS WITH A COMMON OWNER WILL BE ABLE TO COMPARE S3 DATA AMONG EACH HOSPITAL TO IDENTIFY TRENDS OR COMMON AREAS FOR IMPROVEMENT. * S3 HELPS DRIVE AND MONITOR SYSTEMS IMPROVEMENT THROUGHOUT AN ORGANIZATION BY PROVIDING ONGOING QUANTITATIVE FEEDBACK. * S3 ALLOWS ORGANIZATIONS TO DRILL-DOWN TO CERTAIN PERFORMANCE AREAS SO THEY CAN COMPARE THEMSELVES TO OTHERS ON A WELL-DEFINED BASIS. 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 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. Public Disclosure 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 AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, ETC. FORM 990, PART VII, SECTION A, LINE 1(A), COL B & SCHD J-2 MARILYN P. CHOW, COMMISSIONER, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS A DIRECTOR TO JOINT COMMISSION RESOURCES, A RELATED 501 (C) (3) ORGANIZATION. JOSEPH M. HEYMAN, COMMISSIONER, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS TREASURER TO JOINT COMMISSION RESOURCES, A RELATED 501 (C) (3) ORGANIZATION. ISABEL V. HOVERMAN, VICE CHAIRMAN, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS A DIRECTOR TO JOINT COMMISSION RESOURCES AND 1 HOUR A WEEK AS A BOARD MEMBER TO THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE, WHICH ARE BOTH RELATED 501 (C) (3) ORGANIZATIONS. CRAIG W. JONES, COMMISSIONER, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS A BOARD MEMBERTO THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE, A RELATED 501 (C) (3) ORGANIZATION. LAMAR S. MCGINNIS, COMMISSIONER, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS VICE CHAIRMAN TO JOINT COMMISSION RESOURCES AND 1 HOUR A WEEK AS A BOARD MEMBER TO THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE, WHICH ARE BOTH RELATED 501 (C) (3) ORGANIZATIONS. REBECCA J. PATCHIN, SECRETARY, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS A BOARD MEMBER TO THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE, A RELATED 501 (C) (3) ORGANIZATION. GERALD M. SHEA, TREASURER, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS A BOARD MEMBER TO THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE, A RELATED 501 (C) (3) ORGANIZATION. J.B. SILVERS, COMMISSIONER, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS A DIRECTOR TO JOINT COMMISSION RESOURCES, A RELATED 501 (C) (3) ORGANIZATION. DAVID A. WHISTON, CHAIRMAN, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS A DIRECTOR TO JOINT COMMISSION RESOURCES AND 1 HOUR A WEEK AS A BOARD MEMBER TO THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE, WHICH ARE BOTH RELATED 501 (C) (3) ORGANIZATIONS. MARK CHASSIN, PRESIDENT & CHIEF EXECUTIVE OFFICER, DEVOTES APPROXIMATELY 2 HOURS A WEEK AS A DIRECTOR TO JOINT COMMISSION RESOURCES AND 3 HOURS A WEEK AS PRESIDENT AND BOARD MEMBER TO THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE, WHICH ARE BOTH RELATED 501 (C) (3) ORGANIZATIONS. ANN SCOTT BLOUIN, EXECUTIVE VICE PRESIDENT, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS PRESIDENT TO JCAHO SURVEYOR & QHR CONSULTANT CORP, A RELATED 501 (C) (3) ORGANIZATION. PAIGE RODGERS, CHIEF FINANCIAL OFFICER, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS TREASURER TO JCAHO SURVEYOR & QHR CONSULTANT CORP AND 1 HOUR A WEEK AS CHIEF FINANCIAL OFFICER FOR THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE, WHICH ARE BOTH RELATED 501 (C) (3) ORGANIZATIONS. ANNE MARIE BENEDICTO, CHIEF OF STAFF & EXECUTIVE VICE PRESIDENT, DEVOTES APPROXIMATELY 6 HOURS A WEEK AS CHIEF OF STAFF & EXECUTIVE VICE PRESIDENT TO THE JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE, A RELATED 501 (C) (3) ORGANIZATION. LYNN DRAGISIC, VICE PRESIDENT, DEVOTES APPROXIMATELY 1 HOUR A WEEK AS SECRETARY TO JCAHO SURVEYOR & QHR CONSULTANT CORP, A RELATED 501 (C) (3) ORGANIZATION. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 6326165; PRIOR PERIOD ADJUSTMENTS - 62000; CHANGE IN FAIR VALUE OF HEDGE - INTEREST RATE SWAP - -26026; CHANE IN UNRECOGNIZED NET DEFINED BENEFIT PLAN COSTS NOT YET RECOGNIZED IN NET PERIODIC BENEFIT COST - 2008952; TRANSFER OF NET ASSETS TO PARENT COMPANY FROM AFFILIATE - 4475472; BOARD-DESIGNATED FUNDS FUNCTIONING AS ENDOWMENT - -1100000; ROYALTY FEE REVENUE POST AUDIT CORRECTION - -192449; TRANSFER OF NET ASSETS TO PARENT CO FROM AFFILIATE POST AUDIT CORRECTION - -28694; JOINT COMMISSION RESOURCES INC 1515 WEST 22ND STREET STE 1300W OAKBROOK IL 60523 363521721 HEALTHCARE IL 501(C)(3) 9 NA JOINT COMMISSION CENTER FOR TRANSFORMING HLTCR ONE RENAISSANCE BLVD OAKBROOK TERRACE IL 60181 263020947 HEALTHCARE IL 501(C)(3) 9 NA JCAHO SURVEYOR & QHR CONSULTANT CORP ONE RENAISSANCE BLVD OAKBROOK TERRACE IL 60181 363673595 HEALTHCARE IL 501(C)(3) 11 NA ACADEMY FOR HEALTHCARE QUALITY ONE RENAISSANCE BLVD OAKBROOK TERRACE IL 60181 364214225 EDUCATION IL 501(C)(3) 9 NA true true true true false false false false false false true false true true true false false true JOINT COMMISSION RESOURCES INC A 1013153 ACTUAL JOINT COMMISSION RESOURCES INC K 2858222 CONTRACTUAL JOINT COMMISSION RESOURCES INC K 328505 CONTRACTUAL JOINT COMMISSION RESOURCES INC P 12047377 ACTUAL JOINT COMMISSION RESOURCES INC R 4475472 CONTRACTUAL JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE B 1100000 CONTRACTUAL JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE D 1918928 ACTUAL JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE K 550745 CONTRACTUAL JOINT COMMISSION CENTER FOR TRANSFORMING HEALTHCARE P 955839 ACTUAL LOANS OR LOAN GUARANTEES TO OR FOR OTHER ORGANIZATIONS SCHEDULE R, PART V, LINE 1D THE JOINT COMMISSION HAS AGREED TO PROVIDE THE CENTER FOR TRANSFORMING HEALTHCARE A LINE OF CREDIT FOR WORKING CAPITAL PURPOSES. AT 12/31/10, THERE WERE $1,918,928 DRAWN ON THE LOC.