JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (EIN 36-2229255)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-02
IRS object ID: 201103069349300545
Schema version: 2010v3.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-02T13:00:13-05:00	Timestamp
Tax Period End Date	2010-12-31	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	2010-01-01	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	CFO	Title
Date Signed	2011-11-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3128997000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-03-07 17:11:31Z	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	148534244	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	468	TotalNbrEmployees
Total Nbr Volunteers	32	TotalNbrVolunteers
Total Gross UBI	690	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2324665	ContributionsGrantsPriorYear
Contributions Grants Current Year	2625473	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	115799388	ProgramServiceRevenuePriorYear
Program Service Revenue CY	119132283	ProgramServiceRevenueCY
Investment Income Prior Year	987491	InvestmentIncomePriorYear
Investment Income Current Year	3916930	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4241393	OtherRevenuePriorYear
Other Revenue Current Year	4422120	OtherRevenueCurrentYear
Total Revenue Prior Year	123352937	TotalRevenuePriorYear
Total Revenue Current Year	130096806	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	70490	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	125867	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	79759378	SalariesEtcPriorYear
Salaries Etc Current Year	80890186	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	33739221	OtherExpensePriorYear
Other Expenses Current Year	34836363	OtherExpensesCurrentYear
Total Expenses Prior Year	113569089	TotalExpensesPriorYear
Total Expenses Current Year	115852416	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9783848	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	14244390	RevenuesLessExpensesCY
Total Assets BOY	126559932	TotalAssetsBOY
Total Assets EOY	146500090	TotalAssetsEOY
Total Liabilities BOY	48577334	TotalLiabilitiesBOY
Total Liabilities EOY	42747682	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	77982598	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	103752408	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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).	MissionDescription
Significant Change	false	SignificantChange
Expense	84231598	Expense
Grants	125867	Grants
Revenue	126686099	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 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	4831772	Expense
Grants	0	Grants
Revenue	3410707	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	89063370	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	true	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	true	ForeignActivities
More Than5000 K To Organizations	true	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	138	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	468	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (47 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	FormerFormer	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
MARY H MCGRATH MD MPH
COMMISSIONER	5	X	0	0	0
MARY ANNE MCCAFFREE MD
COMMISSIONER	4	X	636	0	0
T ANTHONY DENTON JD MHA
COMMISSIONER	4	X	0	0	0
BENJAMIN K CHU MD MPH MACP
COMMISSIONER	4	X	403	0	0
DAVID L BRONSON MD FACP
COMMISSIONER	3	X	0	0	0
GINA VAL ZIMMERMAN
SENIOR EXECUTIVE DIRECTOR	40		157231	0	50570	X
ERIC B LARSON MD MPH MACP
COMMISSIONER	4	X	0	0	0
DENNIS O'LEARY
RETIRED PRESIDENT/CEO	0		385632	0	18351		X
ISABEL V HOVERMAN MD MACP
VICE CHAIRMAN	4	X	636	0	0			X
ELEANOR WAGNER
DIRECTOR, LEGAL AFFAIRS	40		187823	0	40587				X
M NICOLE JAMALI MD
COMMISSIONER	3	X	0	0	0
EDWARD L LANGSTON MD RPH
COMMISSIONER	4	X	636	0	0
MARK PELLETIER
EXECUTIVE DIRECTOR	40		232053	0	12750				X
CRAIG W JONES FACHE
COMMISSIONER	5	X	636	0	0
GERALD M SHEA
TREASURER	4	X	0	0	0			X
ILENE CORINA
COMMISSIONER	4	X	0	0	0
KURT D NEWMAN MD FACS
COMMISSIONER	3	X	0	0	0
CATHERINE BARRY IPEMA
CHIEF COMMUNICATION OFFICER	40		172158	0	48851				X
CHRISTOPHER J QUERAM
COMMISSIONER	3	X	636	0	0
MARILYN P CHOW RN DNSC FANN
COMMISSIONER	3	X	636	0	0
JB SILVERS PHD
COMMISSIONER	3	X	0	0	0
RICHARD MORROW
DIRECTOR, BUSINESS EXCELLENCE	40		196997	0	21896				X
JOSEPH T ENGLISH MD
COMMISSIONER	4	X	636	0	0
JAMES FLEWELLEN
EXEC DIR, TECHNOLOGY & SUPPORT	40		205861	0	30443	X
JOSIE R WILLIAMS MD MMM
COMMISSIONER	5	X	0	0	0
LAMAR S MCGINNIS JR MD FACS
COMMISSIONER	4	X	0	0	0
JOSEPH M HEYMAN MD
COMMISSIONER	3	X	636	0	0
REBECCA J PATCHIN MD
SECRETARY	3	X	0	0	0			X
RALPH W MULLER
COMMISSIONER	3	X	0	0	0
DAVID A WHISTON DDS
CHAIRMAN OF THE BOARD	5	X	50636	0	0			X
JONATHAN B PERLIN MD PHD MSHA FACP
COMMISSIONER	3	X	0	0	0
ALEXANDER M CAPRON
COMMISSIONER	3	X	0	0	0
MARK CHASSIN MD MPP MPH
PRESIDENT/CEO	35	X	942963	0	48951			X
PAUL SCHYVE
SENIOR VICE PRESIDENT	40		2377104	0	287111			X
JEROD LOEB
EXECUTIVE VICE PRESIDENT	40		311358	0	87700			X
CHARLES MOWLL
EXECUTIVE VICE PRESIDENT	40		316690	0	333502			X
ANN SCOTT BLOUIN
EXECUTIVE VICE PRESIDENT	39		519557	0	164303			X
GEORGE MORRIS
FORMER VICE PRESIDENT	0		213274	0	15658		X
PAIGE RODGERS
CHIEF FINANCIAL OFFICER	38		376771	0	182378			X
LYNN DRAGISIC
VICE PRESIDENT	39		250830	0	89639			X
ROBERT WISE
VICE PRESIDENT	40		315989	0	44464			X
ANNE MARIE BENEDICTO
CHIEF OF STAFF/EXEC VP	34		276323	0	117278			X
HAROLD BRESSLER
GENERAL COUNSEL	40		344099	0	124477			X
NANCY HOWELL AGEE
COMMISSIONER	4	X	0	0	0
CHARLES R BUCK JR SCD
COMMISSIONER	4	X	0	0	0
R TIMOTHY RICE FACHE
COMMISSIONER	4	X	636	0	0
DAVID GILMARTIN
SENIOR LEGAL COUNSEL	40		180586	0	32445				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8020062	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1751354	TotalOtherCompensation
Number Individuals GT100 K	124	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
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

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	24	NumberOfContractorsGT100K
Government Grants	1208727	GovernmentGrants
All Other Contributions	1416746	AllOtherContributions
Total Contributions	2625473	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SURVEY FEES	57773922	57773922
ANNUAL SUBSCRIPTION FEES	57381285	57381285
PERFORMANCE MEASUREMENT & RELATED ACTIVITIES	3264621	3264621
HONORARIUM FEES	193570	193570
APPLICATION FEES	133000	133000

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	385885	TotalRevenueColumn
Related Or Exempt Function Income	385195	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	690	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	119132283	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2586037	TotalRevenueColumn
Exclusion	$2,586,037	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	1062418	TotalRevenueColumn
Exclusion	$1,062,418	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	19768331	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	18437438	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1330893	Securities
Other	0	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1330893	TotalRevenueColumn
Exclusion	$1,330,893	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

Field	Value	IRS element (for citing)
Description	FEE FOR SERVICE FROM RELATED TAX EXEMPT ORGANIZATIONS	Description
Total Revenue Column	3359702	TotalRevenueColumn
Related Or Exempt Function Income	3359702	RelatedOrExemptFunctionIncome

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	3359702	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	130096806	TotalRevenueColumn
Related Or Exempt Function Income	122491295	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	690	UnrelatedBusinessRevenue
Exclusion	$4,979,348	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	125867	Total
Program Services	125867	ProgramServices

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	4828331	Total
Program Services	1755856	ProgramServices
Management And General	3072475	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	61132157	Total
Program Services	50350955	ProgramServices
Management And General	10781202	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4750702	Total
Program Services	3795467	ProgramServices
Management And General	955235	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5714250	Total
Program Services	4307704	ProgramServices
Management And General	1406546	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4464746	Total
Program Services	3604755	ProgramServices
Management And General	859991	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	311000	Total
Program Services	194266	ProgramServices
Management And General	116734	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	212472	Total
Program Services	18750	ProgramServices
Management And General	193722	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	185630	Total
Management And General	185630	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	622004	Total
Management And General	622004	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3380938	Total
Program Services	1773887	ProgramServices
Management And General	1607051	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1358415	Total
Program Services	1303173	ProgramServices
Management And General	55242	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	685609	Total
Program Services	172320	ProgramServices
Management And General	513289	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	799437	Total
Program Services	51682	ProgramServices
Management And General	747755	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2169061	Total
Program Services	860292	ProgramServices
Management And General	1308769	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	16674273	Total
Program Services	16480537	ProgramServices
Management And General	193736	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	820899	Total
Program Services	535890	ProgramServices
Management And General	285009	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	784638	Total
Program Services	376469	ProgramServices
Management And General	408169	ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3437045	Total
Program Services	1321161	ProgramServices
Management And General	2115884	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	984703	Total
Program Services	984703	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
TELEPHONE	726527	577991	148536
EQUIPMENT RENTAL	706726	35171	671555
POSTAGE & SHIPPING	228889	131770	97119
RECRUITMENT	211491	46373	165118
OTHER	536606	258331	278275

All Other Expenses AllOtherExpenses

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

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	115852416	Total
Program Services	89063370	ProgramServices
Management And General	26789046	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	10257665	BOY
EOY	19999721	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	9078281	BOY
EOY	14347375	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	5102	BOY
EOY	4527	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1793304	BOY
EOY	1446412	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	63371112	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	39423279	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	26510666	BOY
EOY	23947833	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	38400530	BOY
EOY	42060066	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	40514384	BOY
EOY	44694156	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	126559932	BOY
EOY	146500090	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11957114	BOY
EOY	11738220	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1309311	BOY
EOY	935769	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	22120000	BOY
EOY	20385000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	13190909	BOY
EOY	9688693	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	48577334	BOY
EOY	42747682	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	77982598	BOY
EOY	103752408	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	77982598	BOY
EOY	103752408	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	126559932	BOY
EOY	146500090	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	14244390	ReconcilationRevenueExpenses
Reconcilation Other Changes	11525420	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	2267564	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2068118	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2391006	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2324665	CurrentTaxYearMinus1Year
Current Tax Year	2625473	CurrentTaxYear
Total	11676826	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	95644437	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	98919524	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	110796686	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	115797728	CurrentTaxYearMinus1Year
Current Tax Year	119131593	CurrentTaxYear
Total	540289968	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	97912001	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	100987642	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	113187692	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	118122393	CurrentTaxYearMinus1Year
Current Tax Year	121757066	CurrentTaxYear
Total	551966794	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
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	551966794	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3204788	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3901283	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4308525	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3567554	CurrentTaxYearMinus1Year
Current Tax Year	3648455	CurrentTaxYear
Total	18630605	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	7100	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	7620	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	13961	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1660	CurrentTaxYearMinus1Year
Current Tax Year	0	CurrentTaxYear
Total	30341	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3211888	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3908903	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4322486	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3569214	CurrentTaxYearMinus1Year
Current Tax Year	3648455	CurrentTaxYear
Total	18660946	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	4621992	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4547629	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3521851	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3293084	CurrentTaxYearMinus1Year
Current Tax Year	3359702	CurrentTaxYear
Total	19344258	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	105745881	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	109444174	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	121032029	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	124984691	CurrentTaxYearMinus1Year
Current Tax Year	128765223	CurrentTaxYear
Total	589971998	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.93560	PublicSupportPercentage509
Prior Year Support Percentage	0.93292	PriorYearSupportPercentage
Investment Income Percentage	0.03160	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.03045	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509
General Explanation	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,	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)
Total Exmpt Function Expenditures	0	TotalExmptFunctionExpenditures
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	$185,630	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	185630	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Non Ded Lobby Political Total	0	NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	LOBBYING ACTIVITIES - SUPPLEMENTAL INFORMATION	Identifier
Return Reference	SCHEDULE C, PART IV - SUPPLEMENTAL INFORMATION	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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
End Of Year Balance	0	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	0	BeginningOfYearBalance
End Of Year Balance	0	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
End Of Year Balance	0	EndOfYearBalance

Field	Value	IRS element (for citing)
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

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	27529421	OtherCostOrOtherBasis
Depreciation	13648774	Depreciation
Book Value	13880647	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	166293	OtherCostOrOtherBasis
Depreciation	92705	Depreciation
Book Value	73588	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6565375	OtherCostOrOtherBasis
Depreciation	5037264	Depreciation
Book Value	1528111	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	24905623	OtherCostOrOtherBasis
Depreciation	20644536	Depreciation
Book Value	4261087	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	23947833	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 (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
FINANCIAL DERIVATIVES	0
COMMON & COLLECTIVE TRUST FUNDS	44694156	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	44694156	TotalOfBookValueSecurities
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
CURRENT PORTION OF ACCRUED PENSION	$1,819,632
LONG TERM ACCRUED PENSION	$5,566,124
FAIR VALUE OF HEDGE	$2,003,663
OTHER NONCURRENT LIABILITY	$299,274

Field	Value	IRS element (for citing)
Total Of Amounts	9688693	TotalOfAmounts
Total Revenue	130096806	TotalRevenue
Total Expenses	115852416	TotalExpenses
Excess Or Deficit For Year	14244390	ExcessOrDeficitForYear
Net Unrealized GL On Investments	6326165	NetUnrealizedGLOnInvestments
Other	$5,494,430	OtherAmount
Total Adjustments	11820595	TotalAdjustments
Excess Or Deficit Per FS	26064985	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	142781542	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	6326165	NetUnrealizedGainsInvestments
Other Revenues	6620456	OtherRevenues
Revenue Not Rptd F990	12946621	RevenueNotRptdF990
Revenue Subtotal	129834921	RevenueSubtotal
Investment Expenses Not Included	261885	InvestmentExpensesNotIncluded
Other Revenues Not Included	0	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	261885	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	130096806	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	116716557	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	1126026	OtherExpensesIncluded
Expenses Not Rptd F990	1126026	ExpensesNotRptdF990
Expenses Subtotal	115590531	ExpensesSubtotal
Investment Expenses Not Included2	261885	InvestmentExpensesNotIncluded2
Other Expenses Not Included	0	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	261885	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	115852416	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	true	GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	EUROPE (INCLUDING ICELAND AND GREENLAND)	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConducted
Specific Services Provided	HEALTHCARE SERVICES	SpecificServicesProvided
Total Expenditures	125867	TotalExpenditures

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	125867	TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Field	Value	IRS element (for citing)
Region	EUROPE (INCLUDING ICELAND AND GREENLAND)	Region
Purpose Of Grant	GENERAL SUPPORT TO FURTHER WORK DEDICATED TO PATIENT SAFETY OVERSEAS	PurposeOfGrant
Amount Of Cash Grant	0	AmountOfCashGrant
Amount Of Non Cash Assistance	125867	AmountOfNonCashAssistance
Description Of Non Cash Assistance	IN-KIND	DescriptionOfNonCashAssistance
Method Of Valuation	BOOK	MethodOfValuation

Field	Value	IRS element (for citing)
Total Number Of501c3 Orgs	1	TotalNumberOf501c3Orgs
Total Number Of Other Orgs	0	TotalNumberOfOtherOrgs
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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.

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	true	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 (19 entries)

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
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

Form990 Schedule J Part III Form990ScheduleJPartIII (6 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.
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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 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, 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;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	true	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	true	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	true	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
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	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
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

Form990 Schedule R Part VII Form990ScheduleRPartVII

Field	Value	IRS element (for citing)
Identifier	LOANS OR LOAN GUARANTEES TO OR FOR OTHER ORGANIZATIONS	Identifier
Return Reference	SCHEDULE R, PART V, LINE 1D	ReturnReference
Explanation	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.	Explanation