Joint Commission Resources Inc.

“Although no written policy, pursuant to its practice such arrangements are evaluated by internal counsel, appropriate accounting department personnel, and external tax advisers for compliance with applicable federal tax law, including taking appropriate steps to safeguard the corporation's tax exempt status. Furthermore, JCR Articles of Incorporation provide that The Joint Commission, as the sole member of JCR, reserves the power to approve all creations of subsidiaries or controlled affiliates, all permanent or long-term affiliations and all joint ventures of JCR involving capital investment in excess of $250,000. In addition, JCR's Code of Conduct highlights legal and ethical obligations to act in compliance with applicable laws and to engage in activities in furtherance of JCR's charitable purpose.”

“OTHER OFFICERS: THE OTHER 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 OTHER OFFICERS. IN SETTING THE OTHER OFFICERS' COMPENSATION, THE ORGANIZATIONS' HUMAN RESOURCES AND COMPENSATION COMMITTEES RELY ON RECENT COMPENSATION STUDIES THAT PROVIDE COMPENSATION DATA FOR COMPARABLE POSITIONS IN OTHER ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE HUMAN RESOURCES AND COMPENSATION COMMITTEES ADEQUATELY DOCUMENTED ITS COMPENSATION DETERMINATIONS AND DELIBERATIONS REGARDING COMPENSATION IN ITS COMMITTEE MINUTES ON A TIMELY BASIS. EACH VOTING COMMITTEE MEMBER HAS BEEN DETERMINED TO BE INDEPENDENT IN ACCORDANCE WITH INTERMEDIATE SANCTIONS REGULATIONS AND SIGNS THE BOARD'S CONFLICT OF INTEREST POLICY ANNUALLY TO ENSURE THAT HE OR SHE IS INDEPENDENT. The process for determining the organizations' top management officials' compensation is undertaken annually FOR: paula Wilson - president & ceo, dr. mark chassin - director, Marwa Zohdy - vp, jean Courtney - vp, ying qu - vp, and paul chang - vp. KEY EMPLOYEES: JOINT COMMISSION RESOURCES ENGAGES ITS HUMAN RESOURCES DEPARTMENT TO ASSIST IN DETERMINING COMPENSATION OF ITS KEY EMPLOYEES. IN SETTING THE KEY EMPLOYEES' COMPENSATION, THE HUMAN RESOURCES DEPARTMENT RELIES ON INDEPENDENT SURVEY AND COMPENSATION DATA FOR COMPARABLE POSITIONS IN OTHER ORGANIZATIONS AND/OR ON THE INTERNAL JOB EVALUATION SYSTEM TO SUPPORT ITS DECISIONMAKING PROCESS. THE KEY EMPLOYEES' COMPENSATION AGREEMENT IS SUBJECT TO A REVIEW AND APPROVAL BY THE CHIEF HUMAN RESOURCES OFFICER. INCENTIVE COMPENSATION FOR KEY EMPLOYEES IS ALSO REVIEWED AND APPROVED BY THE ORGANIZATION'S HUMAN RESOURCES AND COMPENSATION COMMITTEES. THE PROCESS FOR DETERMINING THE ORGANIZATION'S KEY EMPLOYEES' COMPENSATION IS UNDERTAKEN ANNUALLY FOR ALL KEY EMPLOYEES.”

“As the sole member of the filing organization, The Joint Commission, a related tax-exempt organization, has broad authority to act on behalf of the governing body. Please see the narratives for Part VI, Lines 6, 7a and 7b for a description of such authority.”

“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 anonymously any potential conflicts during the year.”

“The CEO's 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 CEO. In setting the CEO's compensation, the organization's Human Resources and Compensation Committee relies on recent compensation studies that provide compensation data for comparable position in other organizations to support its decision-making process. The Human Resources and Compensation Committee adequately documents its compensation determinations and deliberations regarding compensation in its committee minutes on a timely basis. Each voting Committee member has been determined to be independent in accordance with intermediate Sanctions regulations and signs the Board's Conflict of Interest policy annually to ensure that he or she is independent. The process for determining the CEO's compensation is undertaken annually.”

“See narrative for Part VI, Line 15b”

“The organization makes its governing documents available to the public upon request and in accordance with applicable laws. The conflict of interest policy and the Joint Commission Consolidated financial statements are made available to the public on the Joint Commission website.”

“EDICATION - Total Revenue: 7183954, Related or Exempt Function Revenue: 7183954, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; HONORARIUM/OTHER - Total Revenue: 432925, Related or Exempt Function Revenue: 432925, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“(Continuation from Form 990 Part III, Line 1) JCR's mission is to continuously improve the safety and quality of health care in the United States and in the international community through the provision of education, publications, consultation, and evaluation services. JCR's focus is to assure people always experience the safest, highest quality, best value health care across all settings. Joint Commission International (JCI), a division of JCR, has extensive experience working with public and private healthcare organizations, ministries of health, and local governments in more than 100 countries. JCI provides accreditation based on international standards, as well as third-party review and evaluation services. Examples of Projects in Support of JCR's Mission: Work with Ministries of Health, Regional Health Care Bodies, and the World Health Organization. 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. At the request of several Ministries of Health, JCI developed the International Essentials of Health Care Quality and Patient Safety (Essentials), which is a quality and safety roadmap designed to help healthcare organizations identify and focus on those areas that pose the greatest risk to patient safety. The Essentials have been used as a basis for the development of the Rwandan Hospital Accreditation Program, a USAID project that JCI has been a subcontractor for Management Sciences for Health. The Essentials have also been used as the basis for assessing organizations as part of the SafeCare Foundation, which is described below.”

“(Continuation from above) SafeCare Foundation JCI signed an agreement with the South African-based Council for Health Service Accreditation of Southern Africa (COHSASA) and the PharmAccess Foundation of the Netherlands to establish the SafeCare Foundation. SafeCare has grown out of a global initiative to introduce a comprehensive quality improvement program using internationally recognized standards to improve healthcare delivery in resource-poor settings in Africa. To assist with establishment of this program, JCI contributed a royalty-free license to use its proprietary analytical platform based on its Essentials quality and safety roadmap (described above). JCI's on-going role is as a member of the Advisory Board. JCI-CRHG Academy of Hospital Management. JCI has entered into a joint venture with China Resources Healthcare Group, a healthcare organization in the People's Republic of China, to introduce JCI's knowledge system of quality and patient safety through training, education, and publications to educate local professionals in quality management, thus improving the quality and safety in Chinese healthcare organizations. The JCI-CRHG Academy of Hospital Management began offering education programs in China in 2016.”

“(continuation from above) JCR Primary Program Services: JCR's primary program services are described below. Joint Commission International Accreditation JCI provides international standards and accreditation programs for international healthcare organizations. JCI standards and evaluation methods are designed to provide quantifiable benchmarks for patient care quality and improvement, to stimulate and support sustained performance improvement, and to provide a framework for risk reduction for international healthcare organizations. JCI offers accreditation programs for hospitals, academic medical centers, clinical laboratories, ambulatory care, long term care, home care, primary care, and medical transport organizations. JCI also provides disease-specific and clinical care program certification in programs such as primary stroke, heart failure, chronic kidney disease, HIV/AIDs, oncology care, palliative care, and diabetes care. JCI has accredited nearly approximately 900 healthcare organizations in more than 60 countries. JCI's accreditation program/organization, standards, and surveyor training program are accredited worldwide by the International Society for Quality in Health Care (ISQua), a non-profit, independent organization that accredits healthcare accrediting bodies. Accreditation under ISQua's International Accreditation Program provides the assurance that the standards, training, and processes used by JCI to survey healthcare organizations meet the highest international benchmark.”

“(Continuation from above) Consultative Technical Assistance: JCR supports its mission through its consultative technical assistance services to healthcare organizations on topics such as quality of care, patient safety, performance improvement, infection prevention and control, medication safety, environment of care, health-related systems evaluation, accreditation preparation assistance, and, for international governments, national accreditation system development. Internationally, JCI provides these services to healthcare organizations, Ministries of Health, and other third party stakeholders such as USAID, World Bank, and other funding groups. JCR also offers consultative technical assistance to hospitals in the U.S. and globally (through JCI) that are renovating or building new healthcare structures. This service, Safe Health Design, integrates Joint Commission or JCI standards requirements, evidence-based design principles, and globally recognized patient safety and quality practices. Healthcare organizations may find themselves without a quality director leading accreditation and regulatory efforts which can disrupt ongoing attention to providing safe, high quality care. JCR assists these organization in their efforts to maintain safe, high quality care by providing professionals to temporarily staff these vacancies. The service can provide focused quality improvement in patient care and safety areas that need attention (e.g., readmissions and falls) and sharing of best practices from professionals with deep industry knowledge.”

“(continuation from above) Publications and Multimedia Applications: JCR, the official publisher for the Joint Commission, publishes accreditation manuals, books, and periodicals on standards compliance, patient safety, performance improvement, infection control, medication management, and other issues related to healthcare quality. These resources are offered in print and electronically, including through web-based applications. JCR also offers electronic accreditation and certification manuals and other electronic products to help healthcare organizations assess and manage their compliance with Joint Commission standards and support organizations' efforts to improve the quality and safety of healthcare delivery. In addition, JCR offers a Web-based tool that allows healthcare organizations to trace a simulated patient's care throughout an organization to identify focus areas related to standards compliance, patient safety, and performance improvement. JCR also offers two distinct online multimedia portals: one features hospital accreditation requirements and compliance strategies, and the other features information about CMS' Conditions of Participation requirements and survey methodology for accredited and non-accredited hospitals.”

“(continuation from above) Other JCR Program Services: JCR offers a subscription service called Continuous Service Readiness that provides ongoing guidance with a dedicated healthcare quality and safety expert to help organizations achieve and maintain Joint Commission accreditation and/or disease-specific care certification. In addition, JCR offers assistance to organizations that are preparing for CMS or state agency (on behalf of CMS) surveys. JCR (and internationally through JCI) offers seminars, conferences, webinars, education programs, and a video broadcast service that address standards compliance, performance improvement, and patient safety, among other topics, for different healthcare settings. JCI also offers diploma-style education programs, which are intensive, 9-12 month education programs, for infection control and quality management and patient safety staff within healthcare organizations. JCR offers the Certified Joint Commission Professional (CJCP) program, a certification program for accreditation professionals that features an online examination and continuing education requirements to achieve and maintain certification. JCR offers most of its educational offerings with continuing education credits from ANCC, ACCME, and ACHE.”

“(Expenses $ 8,647,748 including grants of $)(Revenue $ 14,356,089) JCR offers a subscription service called Continuous Service Readiness that provides ongoing guidance with a dedicated healthcare quality and safety expert to help organizations achieve and maintain Joint Commission accreditation and/or disease-specific care certification. JCR and JCI offers seminars, conferences, webinars, education programs, diploma-style education programs, and a video broadcast service that address standards compliance, performance improvement, and patient safety, among other topics, for different healthcare settings. JCR offers the Certified Joint Commission Professional (CJCP) program, a certification program for accreditation professionals.”

“OTHER FEES - Total Expense: 12957122, Program Service Expense: 9502925, Management and General Expenses: 3454197, Fundraising Expenses: ;”

“Transfer of net assets to parent co JCR - -3508956; Change in unrecognized net defined benefit plan costs not yet recognized in periodic benefit cost - 21802;”

“The filing organization is a wholly owned controlled affiliate of the Joint Commission, a not-for-profit organization. As such, the related financial statements are prepared on a consolidated basis. As the filing organization's parent, the Joint Commission's audit committee assumes responsibility for the oversight of the audit and the selection of an independent accountant.”