2019-11-13T09:00:25-06:00 2018-12-31 350921680 CROWE LLP 225 West Wacker Drive Suite 2600 Chicago IL 606061224 990 2018-01-01 363521721 Joint Commission Resources Inc JOIN 6302687400 1515 West 22nd Street 1300W Oak Brook IL 60523 Paige Rodgers CFO/Treasurer 2019-11-13 true RACHEL SPURLOCK P00520729 3128997000 2018 2020-01-14 16:20:31Z Joint Commission International Paula Wilson 1515 West 22nd Street 1300W Oak Brook IL 60523 69783734 false X www.jcrinc.com X 1986 IL The mission is to continuously improve the safety & quality of health care in the US and international community through the provision of education, publications, consultative technical assistance and evaluation services. 16 13 149 13 0 65700 0 0 62012351 62107236 1239165 1223629 4649478 4456412 67900994 67787277 0 0 0 32323845 33764108 0 0 0 28988138 28824614 61311983 62588722 6589011 5198555 57598755 56247096 24224085 23841002 33374670 32406094 X JCR's mission is to continuously improve the safety and quality of health care in the United States and in the international community through the provision of education, publications, consultation, and evaluation services. JCR's vision is that people always experience the safest, highest quality, best value health care across all settings. false false 15765471 14739668 JCR supports its mission by providing consultative technical assistance services to healthcare organizations, Ministries of Health, and other third-party stakeholders, such as USAID and World Bank, on topics such as quality of care, patient safety, performance improvement, infection prevention and control, medication safety, environment of care, health-related systems evaluation, and accreditation preparation assistance. JCR also helps international governments, develop their own national accreditation systems. JCR also offers consultative technical assistance to hospitals in the U.S. and globally (through JCI) that are renovating or building new healthcare structures. This service, Safe Health Design, integrates Joint Commission or JCI standards requirements, evidence-based design principles, and globally recognized patient safety and quality practices. JCR assists organizations in their efforts to maintain safe, high quality care by providing professionals to temporarily oversee certain quality and safety activities. The service can provide focused quality improvement in patient care and safety areas that need attention (e.g., readmissions and falls) and sharing of best practices from professionals with deep industry knowledge. 12851680 17802241 JCR, the official publisher for the Joint Commission, publishes accreditation manuals, books, and periodicals on standards compliance, patient safety, performance improvement, infection control, medication management, and other issues related to healthcare quality. These resources are offered in print and electronically, including through web-based applications. JCR also manages The Joint Commission's peer-reviewed journal on quality and patient safety. JCR also offers electronic accreditation and certification manuals and other electronic products to help healthcare organizations assess and manage their compliance with Joint Commission standards and support organizations' efforts to improve the quality and safety of healthcare delivery. In addition, JCR offers a Web-based tool that allows healthcare organizations to trace a simulated patient's care throughout an organization to identify focus areas related to standards compliance, patient safety, and performance improvement. JCR also offers an online multimedia portal that features information about CMS' Conditions of Participation requirements and survey methodology for accredited and non-accredited hospitals. 12473575 17573898 JCI provides international standards and accreditation programs for international healthcare organizations. JCI standards and evaluation methods are designed to provide quantifiable benchmarks for patient care quality and improvement, to stimulate and support sustained performance improvement, and to provide a framework for risk reduction for international healthcare organizations. JCI offers accreditation programs for hospitals, academic medical centers, clinical laboratories, ambulatory care, long-term care, home care, primary care, and medical transport organizations. JCI also provides disease-specific and clinical care program certification in programs such as primary stroke, heart failure, chronic kidney disease, HIV/AIDs, oncology care, palliative care, and diabetes care. JCI has accredited nearly 1,100 healthcare organizations in more than 100 countries. JCI's accreditation program/organization, standards, and surveyor training program are accredited worldwide by the International Society for Quality in Health Care (ISQua), a non-profit, independent organization that accredits healthcare accrediting bodies. Accreditation under ISQua's International Accreditation Program provides the assurance that the standards, training, and processes used by JCI to survey healthcare organizations meet the highest international benchmark. 11275677 16447841 JCR offers a service called Continuous Service Readiness that provides ongoing guidance with a dedicated healthcare quality and safety expert to help organizations meet the standards to achieve and maintain Joint Commission accreditation and/or disease-specific care certification. In addition, JCR aids organizations that are preparing for CMS or state agency (on behalf of CMS) surveys. JCR (and internationally through JCI) offers seminars, conferences, webinars, education programs, and a video broadcast service that address standards compliance, performance improvement, and patient safety, among other topics, for different healthcare settings. JCI also offers diploma-style education programs, which are intensive, 3--12 month education programs, for infection control and quality management and patient safety staff within healthcare organizations. JCR offers the Certified Joint Commission Professional (CJCP) program, a certification program for accreditation professionals that features an online examination and continuing education requirements to achieve and maintain certification. JCR offers most of its educational offerings with continuing education credits from ANCC, ACCME, and ACHE. (See Schedule O, Part III, Line 1, for further description) 11275677 16447841 52366403 true false false false false false false false false true true false false true true false true false true true false 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 X 92 0 149 true true true true SN CH false false false false true false false false false false X 16 13 false false false false true true true true true false false true true true true true true true true true false CA IL X Paige Rodgers 6307925685 1515 West 22nd Street 1300W Oak Brook IL 60523 Paula Wilson PRESIDENT & CEO 39.0 1.0 X X 802669 0 161856 J Thornton Kirby FACHE Chair 2.0 0 X X 903 0 0 Tamra Minnier RN MSN FACHE Vice Chair 1.0 0 X X 204 0 0 John A Babiarz Treasurer 1.0 1.0 X X 0 0 0 Kenneth Bloem Director 1.0 0 X 0 0 0 Charles O Bracken BS MBA Director 1.0 0 X 0 0 0 David L Bronson MD MACP FRCP Edin Director 1.0 5.0 X 0 50594 0 Mark R Chassin MD FACP MPP MPH Director 2.0 38.0 X 0 1630910 66756 Grant C Davies FACHE Director 1.0 2.0 X 0 0 0 Carlos A Pellegrini MD FACS Director 1.0 3.0 X 0 594 0 David Perrott DDS MD MBA FACS Secretary 1.0 7.0 X 0 0 0 Mary Kay Plantes PhD Director 1.0 0 X 0 0 0 David B Pryor MD Director 1.0 1.0 X 0 0 0 Desmond Thio DBAPhD MBM MS MD BS Director 2.0 0 X 0 0 0 Jacob Thomas MD Director 2.0 0 X 0 0 0 Paul Morrow White Director 2.0 0 X 0 0 0 Paul Chang MD MPH CPHQ FACHE VP INTERNATIONAL ACCREDITATION & STDS 40.0 0 X 307411 0 137688 Jean Courtney CPA Chief Operating Officer 40.0 0 X 302917 0 241006 Ying Qu VP EPRODUCTS & PER 40.0 0 X 292288 0 122840 Marwa Zohdy PHD VP GLOBAL CONSULTATIVE SERVICES 40.0 0 X 294975 0 66478 Paul Eskew ED INTL CONSULTING 40.0 0 X 159635 0 43820 Kristine Slepicka ED-US & CSR Consulting Srvcs 40.0 0 X 184282 0 37031 Mary Fialkowski EXEC DIR INT'L ACCRED OPS 40.0 0 X 179371 0 32286 Catherine Hinckley Exec Dir, Publications 40.0 0 X 196659 0 47662 Kelly Quigley Regional Client Relations Manager JCR 40.0 0 X 178540 0 35642 Bonnie L Quinn Executive Director Global Strategy 40.0 0 X 167798 0 48240 Sheela Suresh Business Leader Product Development & Technology Innovation 40.0 0 X 180594 0 23740 3248246 1682098 1065045 51 false true false JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS ONE RENAISSANCE BLVD OAKBROOK TERRACE IL 60181 SHARED SERVICES FEE 6909820 COGNIZANT TECHNOLOGY SOLUTIONS 24721 NETWORK PLACE CHICAGO IL 60673 SOFTWARE DEVELOPMENT 1238402 JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS ONE RENAISSANCE BLVD OAKBROOK TERRACE IL 60181 ROYALTIES 1211154 TEK SYSTEMS 1501 E Woodfield Rd Suite 110W Schaumburg IL 60173 WEBSITE SERVICES 830747 PBD 1650 BLUEGRASS LAKES PARKWAY ALPHARETTA GA 300047753 PUBLICATIONS FULFILLMENT 740485 27 X 0 PUBLICATION AND MULTIMEDIA SALES 521190 13345829 13345829 SURVEY FEES 541900 17573898 17573898 CONSULTATIVE TECHNICAL ASSISTANCE 541600 14739668 14739668 EDUCATIONAL PROGRAMS 611000 7823516 7823516 CONTINUOUS SERVICE READINESS 541600 5587222 5587222 3037103 3037103 0 0 62107236 477789 0 477789 0 0 0 0 1939088 1193248 745840 0 745840 745840 5259621 803209 4456412 4456412 0 0 0 0 0 67787277 66563648 0 1223629 X 3154896 2190371 964525 24820138 23582307 1237831 1286248 919147 367101 2639044 2430098 208946 1863782 1742920 120862 216068 93566 122502 115524 18538 96986 47214 47214 16575536 11384576 5190960 0 699797 653512 46285 1289410 1076965 212445 870828 259610 611218 1211154 1211154 806824 541009 265815 3710877 3477220 233657 2116501 2066149 50352 0 0 0 940928 636129 304799 73072 73072 Recruitment/Relocation 145402 10000 135402 REPAIRS FURNITURE & EQUIPMENT 5479 60 5419 0 0 0 0 62588722 52366403 10222319 0 20148979 18617224 8593488 9888916 0 0 0 256015 374367 1612203 1637483 7210077 5235540 2147589 1974537 21661624 20816129 3178857 2938440 0 0 0 57598755 56247096 6021116 6869134 7635114 7555385 0 10567855 9416483 24224085 23841002 X 33374670 32406094 33374670 32406094 57598755 56247096 X 5198555 -2380106 -3787025 X false true X true false X 2511508 46469 0 0 0 2557977 53361002 58034355 62050530 67435590 67366857 308248334 0 0 0 55872510 58080824 62050530 67435590 67366857 310806311 0 0 0 0 0 0 6338946 2714404 1114642 1333352 1652338 13153682 6338946 2714404 1114642 1333352 1652338 13153682 297652629 310765 431551 367912 458485 477789 2046502 6519 640 0 0 0 7159 317284 432191 367912 458485 477789 2053661 0 0 0 0 0 0 0 56189794 58513015 62418442 67894075 67844646 312859972 0.9514 0.9381 0.0066 0.0070 X 0 0 598307 26096 572211 195878 165703 30175 6415892 5043741 1372151 1974537 Mutual funds and Comingled funds - Domestic Equity Funds Mutual Funds and Comingled Funds - International Equity Funds Mutual Funds and Comingled Funds - Fixed Income Bonds Common and Collective Funds - Measured at NAV 2871938 F Common and Collective Funds-Hedge Fund 66502 F 2938440 Accrued pension cost 2589184 Due to Parent Company - The Joint Commission EIN 36-2229255 6827299 9416483 X 66399304 -2380106 1039347 -1340759 67740063 47214 0 47214 67787277 67367880 4826372 4826372 62541508 47214 0 47214 62588722 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Internal Revenue Service has determined that The Joint Commission and its affiliates are exempt from federal income taxation under Section 501(a) as organizations described in Section 501(c)(3) of the Internal Revenue Code (IRC). The Joint Commission and its affiliates are subject to income taxes on income determined to be unrelated business taxable income. The Joint Commission continues to evaluate its tax positions pursuant to the Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Subtopic 740 10, Income Taxes - Overall. As of December 31, 2018 and 2017, The Joint Commission believes it has taken no significant uncertain tax positions. JCR's Singapore branch is subject to Singapore taxes on its operations. As of December 31, 2018 and 2017, a tax liability of $87,292 and $63,912 have been recorded in other accrued expenses in the accompanying consolidated statements of financial position, respectively. JCR continuously analyzes its income tax exposure in foreign jurisdictions and is evaluating the potential effect that status changes will have on its financial and business operations, but it does not believe that such future taxes will have a material impact. The Joint Commission and each of its affiliates have been classified as an organization that is not a private foundation under IRC Section 509(a) and may receive deductible contributions under Section 170(c). Both The Joint Commission and JCR are organizations that normally receive more than 33 1/3% of their support from contributions, membership fees, and gross receipts from activities related to its exempt functions and no more than 33 1/3% of its support from gross investment income and unrelated business taxable income under IRC Section 509(a)(2). JCAHO Surveyor and QHR Consultant Corporation is organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purpose of The Joint Commission and JCR under IRC Section 509(a)(3), while The Center is organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purpose of The Joint Commission under IRC Section 509(a)(3). Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Change in unrecognized net defined benefit plan costs not yet recognized in periodic benefit costs - 236138 Costs of goods sold on inventory (part VIII line 10b) - 803209 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Transfer of net assets to Parent Company - The Joint Commission EIN 36-2229255 - 4023163 Cost of goods sold on inventory (part VIII line 10b) - 803209 Europe (Including Iceland and Greenland) 0 102 Program Services,Conference Travel Entity sent agents to provide &/or manage the program services of consultative technical assistance, international standards and accreditation, and educational programs on standards compliance, patient safety and performance improvement offered to international healthcare organizations. As well as the entity sent agents to attend &/or speak at conferences internationally. 1140416 Middle East and North Africa 1 151 Program Services,Speaking engagements,Conference Travel Entity sent agents to provide &/or manage the program services of consultative technical assistance, international standards and accreditation, and educational programs on standards compliance, patient safety and performance improvement offered to international healthcare organizations. As well as the entity sent agents to attend &/or speak at conferences internationally. 3497806 East Asia and the Pacific 2 145 Program Services,Speaking engagements,Conference Travel Entity sent agents to provide &/or manage the program services of consultative technical assistance, international standards and accreditation, and educational programs on standards compliance, patient safety and performance improvement offered to international healthcare organizations. As well as the entity sent agents to attend &/or speak at conferences internationally. 3942648 North America (Canada & Mexico only) 0 10 Program Services Entity sent agents to provide &/or manage the program services of consultative technical assistance, international standards and accreditation, and educational programs on standards compliance, patient safety and performance improvement offered to international healthcare organizations. 52466 South America 0 34 Program Services,Speaking engagements,Conference Travel Entity sent agents to provide &/or manage the program services of consultative technical assistance, international standards and accreditation, and educational programs on standards compliance, patient safety and performance improvement offered to international healthcare organizations. As well as the entity sent agents to attend &/or speak at conferences internationally. 358021 South Asia 0 74 Program Services,Conference Travel Entity sent agents to provide &/or manage the program services of consultative technical assistance, international standards and accreditation, and educational programs on standards compliance, patient safety and performance improvement offered to international healthcare organizations. As well as the entity sent agents to attend &/or speak at conferences internationally. 291509 Central America and the Caribbean 0 8 Program Services,Conference Travel Entity sent agents to provide &/or manage the program services of consultative technical assistance, international standards and accreditation, and educational programs on standards compliance, patient safety and performance improvement offered to international healthcare organizations. As well as the entity sent agents to attend &/or speak at conferences internationally. 36634 Sub-Saharan Africa 0 9 Program Services,Conference Travel Entity sent agents to provide &/or manage the program services of consultative technical assistance on standards compliance, patient safety and performance improvement offered to international healthcare organizations. As well as the entity sent agents to attend &/or speak at conferences internationally. 19767 Russia and Neighboring States 0 26 Program Services,Speaking engagements Entity sent agents to provide &/or manage the program services of consultative technical assistance, international standards and accreditation, and educational programs on standards compliance, patient safety and performance improvement offered to international healthcare organizations. 85415 3 559 0 0 3 559 9424682 0 9424682 false false true false false true X X X true true X X X X false true false true false true true false false Paula Wilson PRESIDENT & CEO 565511 0 99193 0 137965 0 159071 0 2785 0 964525 0 130969 0 Mark R Chassin MD FACP MPP MPH Director 0 1383067 0 30530 0 217313 0 28561 0 38195 0 1697666 0 0 Paul Chang MD MPH CPHQ FACHE VP INTERNATIONAL ACCREDITATION & STDS 262636 0 35596 0 9179 0 117023 0 20665 0 445099 0 0 0 Jean Courtney CPA Chief Operating Officer 266125 0 34279 0 2513 0 221843 0 19163 0 543923 0 0 0 Ying Qu VP EPRODUCTS & PER 257080 0 33728 0 1480 0 97688 0 25152 0 415128 0 0 0 Marwa Zohdy PHD VP GLOBAL CONSULTATIVE SERVICES 257439 0 35855 0 1681 0 65661 0 817 0 361453 0 0 0 Paul Eskew ED INTL CONSULTING 157256 0 2048 0 331 0 8804 0 35016 0 203455 0 0 0 Kristine Slepicka ED-US & CSR Consulting Srvcs 180484 0 2730 0 1068 0 14774 0 22257 0 221313 0 0 0 Mary Fialkowski EXEC DIR INT'L ACCRED OPS 176199 0 2730 0 442 0 24970 0 7316 0 211657 0 0 0 Catherine Hinckley Exec Dir, Publications 191040 0 2730 0 2889 0 25368 0 22294 0 244321 0 0 0 Kelly Quigley Regional Client Relations Manager JCR 109433 0 68135 0 972 0 13492 0 22150 0 214182 0 0 0 Bonnie L Quinn Executive Director Global Strategy 163528 0 2730 0 1540 0 25427 0 22813 0 216038 0 0 0 Sheela Suresh Business Leader Product Development & Technology Innovation 176725 0 2730 0 1139 0 23160 0 580 0 204334 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel JOINT COMMISSION RESOURCE'S BOARD TRAVEL POLICY PERMITS REIMBURSEMENT FOR THE PURCHASE OF UPGRADE COUPONS FOR FIRST-CLASS AIR TRAVEL. FIRST CLASS AIR TRAVEL BENEFITS ARE NOT TREATED AS TAXABLE COMPENSATION TO THE INTERESTED PERSON. Schedule J, Part I, Line 1a Travel for companions JOINT COMMISSION RESOURCE'S BOARD TRAVEL POLICY PERMITS REASONABLE REIMBURSEMENT FOR TRAVEL WHEN AN EMPLOYEE RELOCATES TO ANOTHER COUNTRY FOR HIS OR HER JOB. SUCH TRAVEL BENEFITS ARE TREATED AS TAXABLE COMPENSATION TO THE EMPLOYEE. Schedule J, Part I, Line 1a Personal services CERTAIN OFFICERS ARE OFFERED AN ALLOWANCE FOR TAX PREPARATION AND FINANCIAL PLANNING SERVICES. NOT ALL OFFICERS ELIGIBLE FOR THESE SERVICES UTILIZE THEM. THESE SERVICES ARE TREATED AS TAXABLE COMPENSATION AND REPORTED ON SCHEDULE J, Part II Column (B)(iii), other reportable compensation. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan All officers are allowed to participate in a nonqualified supplemental defined benefit retirement plan. The increases in the value of the plan during the year are reflected in Column C deferred Compensation on Schedule J. Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization BUSINESS DEVELOPMENT INCENTIVE PLAN JCR'S HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVED THE 2017 AND 2018 BUSINESS DEVELOPMENT INCENTIVE COMPENSATION PLAN, WHICH REWARDS REVENUE GENERATION FOR BOTH DOMESTIC AND INTERNATIONAL BUSINESS DEVELOPMENT. ACTUAL AWARDS MADE TO PLAN PARTICIPANTS WERE BASED ON 1% of the Target Incentive Amount for each 1% of Annual Sales Revenue Quota Performance Attainment. For amounts greater than the Annual Sales Revenue Quota Performance Target, the incentive was 1.5%. Each plan caps the maximum award opportunity to participants based on job function. PARTICIPANTS IN THIS PLAN DO NOT PARTICIPATE IN ANY OTHER INCENTIVE PLANS. CORPORATE GAINSHARE PLAN JCR's HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVED THE 2017 AND 2018 GAINSHARING PLANS, WHICH PROVIDES FINANCIAL AWARDS TO STAFF FOR PERFORMANCE THAT CONTRIBUTES TO THE MISSION AND OBJECTIVES OF JCR. THE PLAN IS SELF-FUNDED, IN THAT ALL AWARDS WERE CONTINGENT UPON WHETHER THE ACTUAL FINANCIAL RESULTS FOR JCR EXCEEDED THE ORGANIZATION'S BUDGETED NET EARNINGS OF 2% EXCESS OVER BUDGET, THE ACTUAL FINANCIAL RESULTS MET OR EXCEEDED THE ORGANIZATION'S BUDGETED REVENUES, AND JCR MET OR EXCEEDED A NET PROMOTOR SCORE RATING. IN BOTH 2017 AND 2018, INDIVIDUAL GAINSHARING AWARDS WERE CAPPED AT $3,000. PARTICIPANTS IN THIS PLAN DO NOT PARTICIPATE IN ANY OTHER INCENTIVE PLANS. FOR BOTH PLANS THERE WERE AWARDS ACCRUED FOR BASED ON 2018 FINANCIAL RESULTS FOR THE YEAR ENDED DECEMBER 31, 2018 THAT WILL BE PAID IN 2019. FOR BOTH PLANS THERE WERE AWARDS ACCRUED FOR BASED ON 2017 FINANCIAL RESULTS FOR THE YEAR ENDED DECEMBER 31, 2017 THAT WERE PAID OUT IN 2018. Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization EXECUTIVE INCENTIVE PLAN JCR'S HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVED THE 2017 AND 2018 EXECUTIVE INCENTIVE PLAN, WHICH IS INTENDED TO FURTHER THE MISSION OF JCR BY PROVIDING THE CHIEF EXECUTIVE OFFICER AND OTHER EXECUTIVES AS DESIGNATED BY THE COMMITTEE WITH FINANCIAL AWARDS FOR PERFORMANCE THAT CONTRIBUTES SIGNIFICANTLY TO THE MISSION AND OBJECTIVES OF JCR. THE PLAN WAS ALSO INTENDED TO HELP JCR ATTRACT AND RETAIN EXECUTIVES WHILE ENSURING THAT A PART OF EXECUTIVE TOTAL CASH COMPENSATION IS "AT RISK" AND DEPENDENT UPON PERFORMANCE ON SPECIFIC GOALS. THE PLAN GUIDELINES INCLUDED THE DEFINITION OF FUNDING TRIGGERS AND INCENTIVE OPPORTUNITIES SET AS A PERCENT OF A PARTICIPANT'S SALARY. ONE OF THE PLAN PERFORMANCE MEASURES IS BASED UPON THE NET REVENUES IN EXCESS OF EXPENSES ACHIEVED AS MEASURED AGAINST BUDGETED NET REVENUES IN EXCESS OF EXPENSE EXPECTATIONS. THE PLAN'S TOTAL PAYOUTS ARE CAPPED AT 10% OF JCR'S OPERATING EXCESS. PARTICIPANTS IN THIS PLAN DO NOT PARTICIPATE IN ANY OTHER INCENTIVE PLANS. CORPORATE GAINSHARE PLAN JCR's HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVED THE 2017 AND 2018 GAINSHARING PLANS, WHICH PROVIDES FINANCIAL AWARDS TO STAFF FOR PERFORMANCE THAT CONTRIBUTES TO THE MISSION AND OBJECTIVES OF JCR. THE PLAN IS SELF-FUNDED, IN THAT ALL AWARDS WERE CONTINGENT UPON WHETHER THE ACTUAL FINANCIAL RESULTS FOR JCR EXCEEDED THE ORGANIZATION'S BUDGETED NET EARNINGS OF 2% EXCESS OVER BUDGET, THE ACTUAL FINANCIAL RESULTS MET OR EXCEEDED THE ORGANIZATION'S BUDGETED REVENUES, AND JCR MET OR EXCEEDED A NET PROMOTOR SCORE RATING. IN BOTH 2017 AND 2018, INDIVIDUAL GAINSHARING AWARDS WERE CAPPED AT $3,000. PARTICIPANTS IN THIS PLAN DO NOT PARTICIPATE IN ANY OTHER INCENTIVE PLANS. FOR BOTH PLANS THERE WERE AWARDS ACCRUED FOR BASED ON 2018 FINANCIAL RESULTS FOR THE YEAR ENDED DECEMBER 31, 2018 THAT WILL BE PAID IN 2019. FOR BOTH PLANS THERE WERE AWARDS ACCRUED FOR BASED ON 2017 FINANCIAL RESULTS FOR THE YEAR ENDED DECEMBER 31, 2017 THAT WERE PAID OUT IN 2018. Schedule J, Part I, Line 6b Compensation contingent on net earnings of a related organization FOR THE CORPORATE GAINSHARING PLAN TO BE PAID, ALL AWARDS WERE CONTINGENT UPON WHETHER THE ACTUAL OPERATING MARGIN FINANCIAL RESULTS FOR THE ENTERPRISE EXCEEDED THE ENTERPRISE'S BUDGETED NET EARNINGS EXCESS OF 2% OVER BUDGET. Form 990, Part III, Line 1 Organization's Mission (Continuation from Form 990 Part III, Line 1) Joint Commission Resources (JCR), a wholly controlled, not-for-profit affiliate of The Joint Commission, is a global, knowledge-based organization that disseminates information regarding accreditation, standards development and compliance, good practices, and patient safety and performance improvement. Joint Commission International (JCI), a division of JCR, has extensive experience working with public and private healthcare organizations, ministries of health, and local governments in more than 100 countries. JCI provides accreditation based on international standards, as well as third-party review and evaluation services. Examples of Projects in Support of JCR's Mission At the request of several Ministries of Health, JCI developed the International Essentials of Health Care Quality and Patient Safety (Essentials), which is a quality and safety roadmap designed to help healthcare organizations identify and focus on those areas that pose the greatest risk to patient safety. The Essentials have been used as a basis for the development of the Rwandan Hospital Accreditation Program, a USAID project that JCI has been a subcontractor for Management Sciences for Health. The Essentials have also been used as the basis for assessing organizations as part of the SafeCare Foundation, which is described below. SafeCare Foundation JCI signed an agreement with the South African-based Council for Health Service Accreditation of Southern Africa (COHSASA) and the PharmAccess Foundation of the Netherlands to establish the SafeCare Foundation. SafeCare has grown out of a global initiative to introduce a comprehensive quality improvement program using internationally recognized standards to improve healthcare delivery in resource-poor settings in Africa. To assist with establishment of this program, JCI contributed a royalty-free license to use its proprietary analytical platform based on its Essentials quality and safety roadmap (described above). SafeCare is active in Ghana, Nigeria, Kenya, and Tanzania. The program is funded primarily by USAID, Gates Foundation, and other US and international donor agencies. JCI-CRHG Academy of Hospital Management JCI has entered into a joint venture with China Resources Healthcare Group, a healthcare organization in the People's Republic of China, to introduce JCI's knowledge system of quality and patient safety through training, education, and publications to educate local professionals in quality management, thus improving the quality and safety in Chinese healthcare organizations. The JCI-CRHG Academy of Hospital Management began offering education programs in China in 2016. In 2017, in addition to the education offerings, the JCI-CRHG Academy of Hospital Management translated several JCR publications into simplified Chinese for release into the Chinese market. Free Resources JCR offers more than 125 free resources on quality and patient safety to customers and the public. These free resources, which are available on JCR's Website, include articles published in JCR periodicals, books, whitepapers, toolkits, and checklists, on topics ranging from medication management to infection prevention and control to emergency management. A description of JCR's primary program services can be found on Form 990, Part III, Lines 4a to 4d. Form 990, Part III, Line 4d Description of other program services (Expenses $ 11,275,677 including grants of $)(Revenue $ 16,447,841) JCR offers a service called Continuous Service Readiness that provides ongoing guidance with a dedicated healthcare quality and safety expert to help organizations meet the standards to achieve and maintain Joint Commission accreditation and/or disease-specific care certification. In addition, JCR aids organizations that are preparing for CMS or state agency (on behalf of CMS) surveys. JCR (and internationally through JCI) offers seminars, conferences, webinars, education programs, and a video broadcast service that address standards compliance, performance improvement, and patient safety, among other topics, for different healthcare settings. JCI also offers diploma-style education programs, which are intensive, 3--12 month education programs, for infection control and quality management and patient safety staff within healthcare organizations. JCR offers the Certified Joint Commission Professional (CJCP) program, a certification program for accreditation professionals that features an online examination and continuing education requirements to achieve and maintain certification. JCR offers most of its educational offerings with continuing education credits from ANCC, ACCME, and ACHE. (See Schedule O, Part III, Line 1, for further description) Form 990, Part VI, Line 16b Written Policy for Evaluation of Participation in JV Arrangements Although there is no formal written policy, such arrangements are evaluated by internal counsel, appropriate accounting department personnel, and external tax advisers for compliance with applicable federal tax law, including taking appropriate steps to safeguard the corporation's tax exempt status. Furthermore, JCR Articles of Incorporation provide that The Joint Commission, as the sole member of JCR, reserves the power to approve all creations of subsidiaries or controlled affiliates, all permanent or long-term affiliations and all joint ventures of JCR involving capital investment in excess of $250,000. In addition, JCR's Code of Conduct highlights legal and ethical obligations to act in compliance with applicable laws and to engage in activities in furtherance of JCR's charitable purpose. Form 990, Part VI, Line 8b Committee Authority to Act on behalf of the Governing Body All board committees document their meetings and actions taken. However, no board committees have authority to act on behalf of governing board except by board resolution. Form 990, Part VI, Line 1a Delegate broad authority to a committee As the sole member of the filing organization, The Joint Commission, a related tax-exempt organization, has broad authority to act on behalf of the governing body. Please see the narratives for Part VI, Lines 6, 7a and 7b for a description of such authority. Form 990, Part VI, Line 6 Classes of members or stockholders The Organization has one sole member, The Joint Commission. The Joint Commission has the power to: 1) Appoint all Directors to the Board and remove them, with or without cause. 2) Appoint the Chairman, Vice-Chairman and the President/ Chief Executive Officer (President/CEO) of the Corporation and removing them, with or without cause. 3) Approve changes to the Bylaws, mission and/or vision statements, and all strategic or long-term plans of the Organization. 4) Approve all creations of subsidiaries or controlled affiliates, mergers, consolidations, permanent or long-term affiliations and all joint ventures of the Organization involving capital investments in excess of $250,000. 5) Approve the sale or encumbrance of all or substantially all the assets of the Organization and all long-term debt in excess of $250,000. 6) Approve the Organization's annual operating and capital budgets and material amendments thereto. 7) Approve the dissolution of and all liquidations from the Organization. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body See narrative for line 6 Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders See narrative for line 6 Form 990, Part VI, Line 11b Review of form 990 by governing body The organization's management, including the Joint Commission CFO, Controller, 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 was done with the JCR Finance Committee prior to filing. A copy of the Form 990 was provided to the entire Board of Directors prior to filing. A final filed copy of the return will be placed on the Organization's website for the public once accepted by the IRS. Form 990, Part VI, Line 12c Conflict of interest policy The policy states that any decision that could result in an actual or perceived conflict of interest must be avoided. All staff and board members review the policy on an annual basis and complete a Conflict of Interest questionnaire each year which, is designed to identify interests that could give rise to possible conflicts. Although many such potential conflicts are and will be deemed inconsequential, every individual of the Organization has an ongoing responsibility to disclose situations that involve personal, family, or business relationships that could be perceived as a conflict of interest. The interests identified are reviewed by the corporate compliance officer, general counsel, and governance committee and appropriately managed. All disclosures are pursued until 100% completed. 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. At the beginning of each board or committee meeting a request is made to disclose any potential conflict of interest. The Compliance Officer monitors and reviews the conflict of interest policy as well as the responses to the questionnaires on an annual basis. The Organization also has available an independent hotline number for staff to report anonymously any potential conflicts during the year. Form 990, Part VI, Line 15a Process to establish compensation of top management official The CEO's compensation arrangement is subject to an independent board committee review and approval referred to as the Human Resources and Executive Compensation Committee. Joint Commission Resources engaged an independent compensation consultant to assist in determining compensation of its CEO. In setting the CEO's compensation, the organization's Human Resources and Executive Compensation Committee relies on recent compensation studies that provide compensation data for comparable position in other organizations to support its decision-making process. The Human Resources and Executive Compensation Committee adequately documents its compensation determinations and deliberations regarding compensation in its committee minutes on a timely basis. Each voting Committee member has been determined to be independent in accordance with intermediate Sanctions regulations and signs the Board's Conflict of Interest policy annually to ensure that he or she is independent. The Board approves the compensation annually. The process for determining Paula Wilson, CEO, compensation is undertaken annually. Form 990, Part VI, Line 15b Process to establish compensation of other employees OTHER OFFICERS: THE OTHER OFFICERS' COMPENSATION ARRANGEMENT IS SUBJECT TO AN INDEPENDENT BOARD COMMITTEE REVIEW AND APPROVAL REFERRED TO AS THE HUMAN RESOURCES AND EXECUTIVE COMPENSATION COMMITTEE. JOINT COMMISSION RESOURCES ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING COMPENSATION OF ITS OTHER OFFICERS. IN SETTING THE OTHER OFFICERS' COMPENSATION, THE ORGANIZATIONS' HUMAN RESOURCES AND EXECUTIVE COMPENSATION COMMITTEES RELY ON RECENT COMPENSATION STUDIES THAT PROVIDE COMPENSATION DATA FOR COMPARABLE POSITIONS IN OTHER ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE HUMAN RESOURCES AND EXECUTIVE COMPENSATION COMMITTEES ADEQUATELY DOCUMENTED ITS COMPENSATION DETERMINATIONS AND DELIBERATIONS REGARDING COMPENSATION IN ITS COMMITTEE MINUTES ON A TIMELY BASIS. EACH VOTING COMMITTEE MEMBER HAS BEEN DETERMINED TO BE INDEPENDENT IN ACCORDANCE WITH INTERMEDIATE SANCTIONS REGULATIONS AND SIGNS THE BOARD'S CONFLICT OF INTEREST POLICY ANNUALLY TO ENSURE THAT HE OR SHE IS INDEPENDENT. The process for determining the organizations' top management officials' compensation is undertaken annually FOR: Dr. Mark Chassin - director, Marwa Zohdy - vp, Jean Courtney - vp, Ying Qu - vp, and Paul Chang - vp. KEY EMPLOYEES: JOINT COMMISSION RESOURCES ENGAGES ITS HUMAN RESOURCES DEPARTMENT TO ASSIST IN DETERMINING COMPENSATION OF ITS KEY EMPLOYEES. IN SETTING THE KEY EMPLOYEES' COMPENSATION, THE HUMAN RESOURCES DEPARTMENT RELIES ON INDEPENDENT SURVEY AND COMPENSATION DATA FOR COMPARABLE POSITIONS IN OTHER ORGANIZATIONS AND/OR ON THE INTERNAL JOB EVALUATION SYSTEM TO SUPPORT ITS DECISIONMAKING PROCESS. THE KEY EMPLOYEES' COMPENSATION AGREEMENT IS SUBJECT TO A REVIEW AND APPROVAL BY THE CHIEF HUMAN RESOURCES OFFICER. INCENTIVE COMPENSATION FOR KEY EMPLOYEES IS ALSO REVIEWED AND APPROVED BY THE ORGANIZATION'S HUMAN RESOURCES AND COMPENSATION COMMITTEES. THE PROCESS FOR DETERMINING THE ORGANIZATION'S KEY EMPLOYEES' COMPENSATION IS UNDERTAKEN ANNUALLY FOR ALL KEY EMPLOYEES. Form 990, Part VI, Line 19 Required documents available to the public The organization makes its governing documents and the form 990 available to the public upon request and in accordance with applicable laws. The conflict of interest policy and the Joint Commission Consolidated financial statements are made available to the public on the Joint Commission website. The organization also makes available on its website a copy of form 990-t and public disclosure copy of form 990. Form 990, Part VIII, Line 2f Other Program Service Revenue Contract Evaluation Services - Total Revenue: 2151645, Related or Exempt Function Revenue: 2151645, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Services - Total Revenue: 885458, Related or Exempt Function Revenue: 885458, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees OTHER FEES - Total Expense: 9665716, Program Service Expense: 9223457, Management and General Expenses: 442259, Fundraising Expenses: ; SHARED SERVICES FEE - Total Expense: 6909820, Program Service Expense: 2161119, Management and General Expenses: 4748701, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer of net assets to parent company - The Joint Commission EIN 36-2229255 - -4023163; Change in unrecognized net defined benefit plan costs not yet recognized in periodic benefit cost - 236138; JOINT COMMISSION ON ACCREDITATION OF HC ONE RENAISSANCE BLVD OAKBROOK TERRACE IL 60181 362229255 HEALTHCARE IL 501(c)(3) 10 JOINT COMMISSION false JCAHO SURVEYOR AND QHR CONSULTANT ONE RENAISSANCE BLVD OAKBROOK TERRACE IL 60181 363673595 HEALTHCARE IL 501(c)(3) Type I JOINT COMMISSION false JOINT COMMISSION CENTER FOR TRANSFORMING HLTCR ONE RENAISSANCE BLVD OAKBROOK TERRACE IL 60181 263020947 HEALTHCARE IL 501(c)(3) Type I JOINT COMMISSION false JCI ACCREDITATION (BEIJING) CO LTD Rm 1538 FL 15 Bldg 3 Yard 2 Jianguomenwai Street Chaoyang District Beijing CH 100022 (See Statement) CH JCR C Corporation -458479 45836 1 true false false false false false false false false false false false true true true true true true true false JCI ACCREDITATION (BEIJING) CO LTD R 459214 Actual Schedule R, Part IV, Column (b) Primary Activity PROVIDES INTERNATIONAL STANDARDS AND ACCREDITATION AND CERTIFICATION PROGRAMS FOR HEALTHCARE ORGANIZATIONS THROUGHOUT CHINA