The Joint Commission Center for Transforming Healthcare

Nonprofit profile at a glance

EIN
263020947
IRS 990 coverage
2010–2022
Forms available
Form 990 2022
Location
Oakbrook Terrace, IL, USA
Phone
6307925000
Rating
59
Verdict
MIXED
Rating confidence
Moderate
Sector
Management & Technical Assistance

Reported finances

Revenue
$1,401,435
Expenses
$2,718,263
Assets
$0
Liabilities
$0

Source: IRS Form 990. Selected filing: tax year 2022. Amounts in USD.

Leadership & pay

12 people listed

Source: IRS Form 990. Selected filing: tax year 2022. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The Center for Transforming Healthcare was established to solve the most pressing quality and safety problems that are prevalent in health care today. (see Schedule O for continuation).

What it reported doing in 2022

Quality of care/patient safety - the joint commission center for transforming healthcare works with a network of leading hospitals and health systems to develop solutions to the most pressing quality and safety problems facing health care organizations today. These hospitals and health systems have a commitment and competency in applying robust process improvement (rpi) methods and tools to improve health care quality and patient safety. These methods include lean six sigma and change management tools to achieve high reliability. There are thirteen projects under this program: 1) hand hygiene project for improving patient safety to limit hospital acquired infections through the increased use of hand hygiene techniques. 2) hand-off communications for transfer and acceptance of patient care responsibility achieved through effective communication 3) safe surgery to reduce the risks of wrong site, wrong side and wrong patient surgical procedures 4) surgical site infections (ssi) which aims to reduce infections in patients having colorectal surgery 5) preventing avoidable heart failure hospitalizations for people with heart failure 6) improved safety culture that reinforces and supports the prevention of patient harm 7) prevention of falls that occur in health care facilities that result in injury. 8) reducing sepsis mortality 9) safe use of insulin 10) reducing clostridium difficile infections 11) preventing venous thromboembolism (vte) 12) preventing hospital-acquired pressure injuries 13) preventing falls with injury in a home health setting

Operating model

Revenue model
Investment-supported. 60% of the money available for current operations came from recurring investment income.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

MIXED - A large share of available resources goes toward mission work and most voting board members are independent. A relatively small share of total spending goes to programs and the filing reports few safeguards for money sent abroad.

Rating breakdown

  • Financial Efficiency: 74
  • Transparency & Controls: 37
  • Accountability: 81
  • Sustainability: 0
  • Growth: 40

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 55.8%; rating input score 56
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 84.6%; rating input score 85; 1st percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: Scored; rating input score 0
  • Major donor itemization: Limited
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 83.3%; rating input score 83; 19th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -94%; rating input score 1; 1st percentile among comparable filings
  • Total-asset coverage ratio: 0; rating input score 0; 0th percentile among comparable filings
  • Liabilities to assets ratio: Limited
  • Officer compensation ratio: 91.7%; rating input score 0; 0th percentile among comparable filings

Growth

  • Program expense growth: 1% per year; rating input score 100; 28th percentile among comparable filings
  • Revenue growth: -12.5% per year; rating input score 0; 3rd percentile among comparable filings
  • Asset growth: -1.1% per year; rating input score 0; 16th percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 55.8% of spending went to programs
  • Governance: 5 of 6 board members independent · 7 of 9 filing controls reported
  • Programs: 2 filed program accomplishments · $1.5M in reported program spending
  • Leadership: top reported pay $2M · 12 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 1 contractor listed · $624K reported
  • Consistency: 26 of 28 current checks pass · 2 findings to review
  • Schedules: 7 filed schedules · includes foreign activity and executive pay
  • Filing history: 12 filing years from 2010 to 2022
  • Contacts: How to reach this organization
  • Money network: 2 filed money-flow records
  • Related organizations: 2 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Review — Financial Efficiency: Program expense ratio scored 56/100.
  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Transparency & Controls: Grant itemization coverage scored 0/100.
  • High — Sustainability: Operating margin scored 1/100.
  • High — Growth: Revenue growth scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Total-asset coverage ratio scored 0/100.
  • High — Growth: Asset growth scored 0/100.
  • High — Sustainability: Officer compensation ratio scored 0/100.
  • Moderate — Transparency & Controls: Schedule D expense reconciliation did not reconcile in the filed values.
  • Moderate — Transparency & Controls: Schedule D revenue reconciliation did not reconcile in the filed values.