the revenue by the nonprofit was $147m in 2013 and in that fiscal year , it paid its ceo more than $1m. hospitals pay the joint commission up to $37,000 in fees annually to maintain their accreditation status. inspections cost approximately $18,000 every three years. these costs are shadowed by the ties of the joint commission to industry. twenty of the joint commission’s 32 board members are executives at health systems it accredits or else work at parent organizations of such health systems. in addition, other board members are named by health-care lobbying groups, such as the american hospital association and the american medical association.