Joint Commission Resources Inc.

“The amendment to the bylaws was adopted on december 13, 2013 by written consent signed by members entitled to vote. With this amendment the responsibility of receiving and reviewing reports from the firewall oversight and compliance committee for the purpose of reporting to the jcr board on jcr's compliance has shifted to the joint commission enterprise audit and firewall oversight committee.”

“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.”

“SEE NARRATIVE FOR LINE 6”

“SEE NARRATIVE FOR LINE 6”

“The organization's management, including the ceo, the joint commission 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 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.”

“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.”

“The officers' compensation arrangement is subject to an independent board committee review and approval referred to as the human resources and compensation committee. Joint commission resources engaged an independent compensation consultant to assist in determining compensation of its officers. In setting the officers' compensation, the organization's human resources and compensation committee relies on recent compensation studies that provide compensation data for similarly qualified persons in comparable organizations to support its decision-making process. The human resources and compensation committee adequately documents its compensation determinations and deliberations regarding compensation in its committee minutes on a timely basis. Each voting committee member has been determined to be independent in accordance with intermediate sanctions regulations and signs the board's conflict of interest policy annually to insure that he or she is independent. The process for determining the organization's officers' compensation is undertaken annually for all officers.”

“Joint commission resources 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 resources 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 joint commission resources' key and highest compensated employees' compensation is undertaken annually in february for all key employees.”

“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 on the organization's website.”

“(continuation from above) international essentials of health care quality at the request of several ministries of health, jci developed a new program in 2008-the international essentials of health care quality and patient safety-which is a quality and safety roadmap designed to help health care 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. This is a usaid project that jci has been a subcontractor for management sciences for health. The action on patient safety: high 5's in 2009, the joint commission and joint commission international were redesignated by the world health organization (who) as the only collaborating centre for patient safety (the original designation was in 2005). Collaborating with the who patient safety programme, the high 5s project, a multifaceted initiative, primarily focuses on the development and evaluation of standard operating protocols to address common patient safety problems. The term as a collaborating centre was completed in 2013. The high 5s project was launched by who in 2006 to address continuing major concerns about patient safety around the world. The high 5s name derives from the project's original intent to significantly reduce the frequency of 5 challenging patient safety problems in 5 countries over 5 years. The mission of the high 5s project is to facilitate implementation and evaluation of standardized patient safety protocols within a global learning community to achieve measurable, significant, and sustainable reductions in challenging patient safety problems. The countries participating in the high 5s project are australia, france, germany, the netherlands, singapore, trinidad and tobago, and the united states. The project has been primarily supported by funding given to the collaborating centre by the u.s. Agency for healthcare research and quality. The major components of the high 5s project include the development and implementation of problem-specific standardized operating protocols (sops); creation of a comprehensive impact evaluation strategy; collection, reporting, and analysis of data; and the establishment of an electronic collaborative learning community. Today, the high 5s protocols include: 1. Correct site surgery standard operating protocol 2. Medication reconciliation standard operating protocol in 2013, the high 5s project continued the management and support of the implementation phase of the project. Key activities that were completed included: * supporting seven countries in the implementation of one or more of the sops. * refining the information management system including improving data graphing functionality, revising sop implementation questionnaires for ease of entry to the international reports, and updating the hospital demographics page. * developing an event analysis methodology for correct site surgery and contributed to the medication reconciliation methodology, refining the methodologies based on pilot testing, provided training for full implementation of the methodologies, and developed templates for reporting event analysis results. * providing multiple web training sessions on the following topics: the sops, the website, registering hospitals, event analysis, data entry, and discussion forums. * conducting group conference calls to provide technical assistance on the sops, evaluation, information management system, learning community, and other project-related topics. * conducting individual technical assistance calls with ltas or hospitals. * conducting in-depth break-out sessions on each sop at the steering group meetings. * updating and refining the toolkits on the high 5s website. * supporting activities of the collaborative learning committee. * providing training to newly recruited american hospitals. * presenting protocols and project status-reports at international conferences. Safecare”

“(continuation from form 990, part iii, line 1) joint commission international has extensive experience working with public and private health care organizations, ministries of health, and local governments in more than 90 countries. Jcr offers a full spectrum of resources to accomplish its mission including seminars, conferences, hard copy and electronic books, webinars, hard copy and online periodicals, and multimedia products. Jcr offers comprehensive programs such as the continuous service readiness initiative, health care consultative technical assistance, customized third-party review and evaluation services, and accreditation based on international standards and has evaluated more than 600 health care organizations in more than 60 countries. Jci also provides technical assistance on a wide range of quality and patient safety topics such as performance improvement, patient safety, infection prevention and control, medication safety, environment of care, and many other critical topics that organizations face in their efforts to improve safety and quality in the challenging health care arena. Jcr offers comprehensive consultative technical assistance services designed to improve the safety and quality of patient care to the types of health care organizations that the joint commission accredits or certifies: ambulatory care and office-based surgery, behavioral health care, critical access hospitals, disease-specific care certification, health care staffing services certification, home care services (includes home health, personal care, hospice, dme, and pharmacy), hospitals, laboratories, long term care and primary stroke center certification. More than 10,000 organizations have relied on jcr to help them improve safety and quality. Jcr offers more than 60 seminars and customized education programs a year on a variety of different topics. Covering a range of standards compliance and patient safety subjects, seminars are held for different health care settings. Jcr also hosts a number of annual events, including an emergency preparedness conference, an ambulatory care conference, a behavioral health care conference, and hospital executive briefings. Monthly satellite broadcasts are offered as part of the joint commission resources quality and safety network, a subscription satellite broadcast service that provides current information on the joint commission standards, survey process, and strategies for compliance. Four of the broadcasts focus on cms issues for 2014. Jcr also offers several webinar series annually, covering cms compliance, environment of care and life safety issues, and hospital and ambulatory care standards compliance. Jcr also offers a professional certification program for accreditation professionals-certified joint commission professional (cjcp)-that features a rigorous online examination as well as continuing education requirements to achieve and maintain certification. Jcr offers most of its educational offerings with continuing education (ce) credits from ancc, accme, and ache. Jcr serves as the official publisher for the accreditation manuals and related books, periodicals, and electronic products of the joint commission. Jcr also publishes a line of books on standards compliance, patient safety, and health care quality. Jcr has approximately 140 titles on its backlist and publishes approximately 40 new titles per year as well as 48 issues of periodicals, including the peer-reviewed journal joint commission journal on quality and patient safety. Jcr also offers an online multimedia portal-jcaccess-that features all hospital accreditation requirements as well as compliance strategies, case studies, tools, staff education, videos, webinars, and more. In addition, jcr offers cmsaccesstm, an all-in-one portal to the latest information about medicare certification, requirements, and survey methodology for both accredited and non-accredited hospitals. It provides customers a way to connect to cms guidelines,”

“(continuation from above) electronic standards manual and other products all joint commission accredited organizations are provided a complimentary "e-dition" license. The e-dition is a web-based, fully searchable version of the joint commission comprehensive accreditation manual. Users can develop a service profile that reflects the type of health care services they provide, so that only those applicable standards are included in their personalized version. Accreditation manager plus (amp) is an interactive accreditation workflow management solution. Key functions include: - manage compliance online and streamline the focused standards assessment (fsa) - simplify self-assessment across an organization with a central location for all accreditation preparation activities - exporting amp scoring data directly to the joint commission site - customize reporting features and interactive dashboards for an organization - importing requirement for improvement (rfis) from the joint commission into amp - includes joint commission standards as well as fully loaded project management, scoring, and reporting features tracers with amp provides: - the ability to record, track, and trend internal tracer activities to assess compliance - powerful tracer tools: custom questions, detailed reporting, and task assignments - an extensive tracer library with over 1,500 questions - the ability to link amp to score elements of performance (eps) - a comparative analysis report to show how departments are performing - joint commission standards as well as fully loaded project management, scoring, and reporting features for monitoring compliance progress hospital risk managers, accreditation specialists and compliance officers must keep up to date on federal and state regulations and joint commission requirements. Not keeping current can have serious patient safety consequences. E-dition compliance monitor plus offers a daily updated, pre-selected library of industry regulations, such as the center for disease control and prevention (cdc), centers for medicare and medicaid services, food and drug administration (fda), occupational safety and health administration (osha) and state regulators. E-dition compliance monitor plus includes a smart chart feature that has helped decrease time spent researching various topics, thus improving productivity, and creating opportunities for health care providers to spend more time on patient care and less on researching various regulations. Work with ministries of health and regional healthcare bodies as nations around the world seek to raise standards for health care, jci collaborates with ministries of health to develop national accreditation programs. In turkey, egypt, rwanda, and jordan, jci has assisted the ministries with development of their own accreditation standards and a system to evaluate compliance. Jci has worked with regional health care bodies in italy on several patient safety initiatives. Jci is a collaborating partner with pharmaccess foundation (the netherlands) and the council on accreditation of southern africa (south africa) in a project to improve quality and patient safety in resource-restricted countries in africa. The program is named "safecare" and is active in ghana, nigeria, kenya, and tanzania. The program is funded primarily by usaid, gates foundation, and other us and international donor agencies. Custom education diploma programs jci has provided custom education diploma programs, which are an intensive 9-12 month education program. These programs have been provided for infection control and quality management and patient safety staff who will serve as specialists within their organization.”

“Royalty fees - total expense: 855599, program service expense: 855599, management and general expenses: , fundraising expenses: ; 3rd party inventory fulfillment - total expense: 683673, program service expense: 683673, management and general expenses: , fundraising expenses: ; domestic subcontractor prof fees - total expense: 1514938, program service expense: 1514938, management and general expenses: , fundraising expenses: ; foreign subcontractor prof fees - total expense: 1831408, program service expense: 1831408, management and general expenses: , fundraising expenses: ; information systems contractor fees - total expense: 1233497, program service expense: 983499, management and general expenses: 249998, fundraising expenses: ; sales, merchant&employee income tax consult fees - total expense: 163233, program service expense: 110183, management and general expenses: 53050, fundraising expenses: ; other professional fees - total expense: 1025671, program service expense: 974908, management and general expenses: 50763, fundraising expenses: ; consulting - total expense: 331648, program service expense: 94050, management and general expenses: 237598, fundraising expenses: ; faculty honoraria - total expense: 2500, program service expense: 2581, management and general expenses: -81, fundraising expenses: ; mgmt fee for services from tjc - total expense: 3967693, program service expense: 945715, management and general expenses: 3021978, fundraising expenses: ;”

“Change in unrecognized net defined benefit plan costs - 28992; transfer of net assets from parent company - 3060927; transfer of net assets to parent company - -3058444;”