The Robert Wood Johnson Foundation (RWJF) is an American

philanthropic Philanthropy is a form of altruism that consists of "private initiatives, for the public good, focusing on quality of life". Philanthropy contrasts with business initiatives, which are private initiatives for private good, focusing on material ...

organization. It is the largest one focused solely on health. Based in

Princeton, New Jersey Princeton is a municipality with a borough form of government in Mercer County, in the U.S. state of New Jersey. It was established on January 1, 2013, through the consolidation of the Borough of Princeton and Princeton Township, both of whi ...

, the foundation focuses on access to health care,

public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the det ...

health equity Health equity arises from access to the social determinants of health, specifically from wealth, power and prestige. Individuals who have consistently been deprived of these three determinants are significantly disadvantaged from health inequiti ...

, leadership and training, and changing systems to address barriers to health. RWJF has been credited with helping to develop the 911 emergency system, reducing tobacco use among Americans, lowering rates of unwanted teenage pregnancies, and improving perceptions of hospice care. The Robert Wood Johnson Foundation: supports the development of programs that can be used in community-led initiatives or by government bodies; funds research through surveys and polls; and makes impact investments. According to '' Pensions & Investments'' and

Foundation Center Candid is an information service specializing in reporting on U.S. nonprofit companies. In 2016, its database provided information on 2.5 million organizations.Wyland, Michael. "GuideStar Introduces Program Metrics Section for Nonprofit Profile ...

, the foundation was the fifth-largest in the U.S. in investment assets, as of 2015. As of 2020, the value of its endowment was $13 billion.

History

The Robert Wood Johnson Foundation was initially established as the Johnson-New Brunswick Foundation in December 1936, and focused on charitable efforts in

New Brunswick New Brunswick (french: Nouveau-Brunswick, , locally ) is one of the thirteen provinces and territories of Canada. It is one of the three Maritime provinces and one of the four Atlantic provinces. It is the only province with both English and ...

and Middlesex County,

New Jersey New Jersey is a state in the Mid-Atlantic and Northeastern regions of the United States. It is bordered on the north and east by the state of New York; on the east, southeast, and south by the Atlantic Ocean; on the west by the Delaware ...

. The original board of trustees included Robert Wood Johnson II,

John Seward Johnson II John Seward Johnson II (April 16, 1930 – March 10, 2020), also known as J. Seward Johnson Jr. and Seward Johnson, was an American artist known for ''trompe-l'œil'' painted bronze statues. He was a grandson of Robert Wood Johnson I, the co-fou ...

, and others. It was renamed the Robert Wood Johnson Foundation in 1952. Robert Wood Johnson II left a bequest of 10,204,377 shares of Johnson & Johnson stock to the foundation upon his death in 1968. The foundation became a national philanthropy in 1972. The value of the stock was more than US$1 billion, making it the second-largest private foundation at the time.

1972–1985

Initially, the foundation worked on improving access to health care, with a focus on

impoverished Poverty is the state of having few material possessions or little

income

and minority groups, infant and elder care, and

mental health Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. It likewise determines how an individual handles stress, interpersonal relationships, and decision-making. Mental hea ...

. It created a $15 million grant program to contribute to the development of emergency services systems in the United States. Then-president David E. Rogers established a partnership with the National Academy of Sciences to increase oversight of how the funds were used and assess project outcomes. Ultimately, the funds were distributed to 44 grantees in amounts ranging from $350,000 to $400,000. The program funded primary aspects of

emergency medical services Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. ...

, including: technology access, such as equipping ambulances with radios; training for ambulance drivers and dispatchers; interagency coordination through a national centralized, regional-based system; and development of the 911 emergency system. In 1973, 11 percent of areas covered by the foundation's program had access to a centralized emergency services system. By 1977, when the program ended, coverage had increased to 95 percent. In 1985, the foundation partnered with

The Pew Charitable Trusts The Pew Charitable Trusts is an independent non-profit, non-governmental organization (NGO), founded in 1948. With over 6 billion in assets, its stated mission is to serve the public interest by "improving public policy, informing the public, a ...

to launch a new program to improve access to health care for the American homeless population. The organizations committed $25 million over five years to 19 pilot programs as part of their Health Care for the Homeless initiative. Approaches to the issue varied by city. For example, a

Philadelphia Philadelphia, often called Philly, is the List of municipalities in Pennsylvania#Municipalities, largest city in the Commonwealth (U.S. state), Commonwealth of Pennsylvania, the List of United States cities by population, sixth-largest city i ...

program connected hospitals with

homeless shelters Homeless shelters are a type of homeless service agency which provide temporary residence for homeless individuals and families. Shelters exist to provide residents with safety and protection from exposure to the weather while simultaneously re ...

, so individuals experiencing homelessness had access to

inpatient A patient is any recipient of health care services that are performed by healthcare professionals. The patient is most often ill or injured and in need of treatment by a physician, nurse, optometrist, dentist, veterinarian, or other health car ...

and outpatient care. Another program in

New York City New York, often called New York City or NYC, is the most populous city in the United States. With a 2020 population of 8,804,190 distributed over , New York City is also the most densely populated major city in the Un ...

focused on providing care in soup kitchens.

Congress A congress is a formal meeting of the representatives of different countries, constituent states, organizations, trade unions, political parties, or other groups. The term originated in Late Middle English to denote an encounter (meeting of ...

followed the foundation's program for providing health care through shelters by passing the

McKinney–Vento Homeless Assistance Act The McKinney–Vento Homeless Assistance Act of 1987 is a United States federal law that provides federal money for homeless shelter programs.National Coalition for the Homeless"Fact sheet on The Stewart B. McKinney Homeless Assistance Act" Jun ...

. Other early foundation efforts included: support for the

Nurse-Family Partnership Nurse-Family Partnership (NFP) is a non-profit organization operating in the United States that connects mothers pregnant with their first child with registered nurses, who provide home visits until the child's second birthday. NFP interventio ...

, which partners at-risk pregnant women with nurses; establishing the Minority Medical Faculty Development Program (renamed the Harold Amos Medical Faculty Development Program in 2004); and supporting development of the "swing bed" concept in rural hospitals, which allows patients to transition from acute care to skilled-nursing without having to transfer to a

nursing home A nursing home is a facility for the residential care of elderly or disabled people. Nursing homes may also be referred to as skilled nursing facility (SNF) or long-term care facilities. Often, these terms have slightly different meanings to i ...

1986–2001

Beginning in 1986, the foundation focused on funding programs for the treatment

HIV/AIDS Human immunodeficiency virus infection and acquired immunodeficiency syndrome (HIV/AIDS) is a spectrum of conditions caused by infection with the human immunodeficiency virus (HIV), a retrovirus. Following initial infection an individual ...

, despite the stigma surrounding the disease. It launched the AIDS Health Services Program in 11 communities around the U.S., which aimed to integrate a network of human services agencies for case management and favored community-care models for patients. By May 1989, the foundation had given $50 million to care services and

prevention Prevention may refer to: Health and medicine * Preventive healthcare, measures to prevent diseases or injuries rather than curing them or treating their symptoms General safety * Crime prevention, the attempt to reduce deter crime and crim ...

campaigns. The

Ryan White CARE Act The Ryan White Comprehensive AIDS Resources Emergency Act (Ryan White CARE Act), ), was an act of the United States Congress and is the largest federally funded program in the United States for people living with HIV/AIDS. In exchange for State ...

was partially modeled on RWJF's program. After Dr. Steven A. Schroeder became the foundation's president in 1990, he made substance abuse a major focus of the foundation’s work. Between 1991 and 2003, the foundation spent approximately $408 million on a variety of tobacco-related programs, including awareness campaigns on

smoking cessation Smoking cessation, usually called quitting smoking or stopping smoking, is the process of discontinuing tobacco smoking. Tobacco smoke contains nicotine, which is addictive and can cause dependence. As a result, nicotine withdrawal often m ...

and the negative effects of tobacco use. The foundation launched Smokeless States in 1993, a program designed to educate local groups about the effects of tobacco and options for regulating tobacco usage. By 2007, 31 states and the

District of Columbia ) , image_skyline = , image_caption = Clockwise from top left: the Washington Monument and Lincoln Memorial on the National Mall, United States Capitol, Logan Circle, Jefferson Memorial, White House, Adams Morgan, ...

had adopted the program. The foundation's Center for Tobacco-Free Kids was asked to participate as a "disinterested and trustworthy party" in state litigation leading up to the

Tobacco Master Settlement Agreement The Tobacco Master Settlement Agreement (MSA) was entered on November 23, 1998, originally between the four largest United States tobacco companies ( Philip Morris Inc., R. J. Reynolds, Brown & Williamson and Lorillard – the "original participati ...

of 1998. Apart from substance abuse, the foundation also funded studies on

palliative care Palliative care (derived from the Latin root , or 'to cloak') is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. Wit ...

and worked with researchers to develop the chronic care model. In 1989, the organization funded a five-year, $28 million study on palliative care, publishing the results in 1995. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment found that most Americans die alone in hospitals while receiving high-cost care and treatment, often against the patient's desires. The study led to the formation of several groups by the foundation, including Last Acts, 900 entities that have drafted best practices for

. Between 1989 and 2007, the foundation gave more than $148 million for research related to palliative care. By 2007, more than 500 hospitals throughout the U.S. had palliative care programs, most of which were created after the foundation and George Soros's Open Society Institute began research and advocacy efforts. During this period, the foundation also contributed to efforts to enroll more uninsured U.S. children in Medicare (United States) medicare. A study published in

Health Affairs ''Health Affairs'' is a monthly peer-reviewed healthcare journal established in 1981 by John K. Iglehart; since 2014, the editor-in-chief is Alan Weil. It was described by ''The Washington Post'' as "the bible of health policy". Abstracting an ...

noted that RWJF spent $55 million on its Covering Kids campaign, which lasted from 1997 until 2002. The study found that the overall rate of uninsured children in the U.S. decreased during the campaign.

2002–2017

In the early 2000s, under the leadership of Dr. Risa Lavizzo-Mourey, the foundation prioritized childhood obesity, and pledged of $1 billion for research and advocacy to raise awareness on the topic. Grants from this pledge, the first $500 million of which came in 2007, have been used to fund projects in cities throughout the United States. As early as 2003, the foundation was working in

Louisville Louisville ( , , ) is the largest city in the Commonwealth of Kentucky and the 28th most-populous city in the United States. Louisville is the historical seat and, since 2003, the nominal seat of Jefferson County, on the Indiana border. ...

Kentucky Kentucky ( , ), officially the Commonwealth of Kentucky, is a state in the Southeastern region of the United States and one of the states of the Upper South. It borders Illinois, Indiana, and Ohio to the north; West Virginia and Virginia ...

, providing more than $740,000 in grants between 2003 and 2011 to make infrastructure updates that encourage physical activity, such as widening sidewalks and adding the city's first

bicycle lane Bike lanes (US) or cycle lanes (UK) are types of bikeways (cycleways) with lanes on the roadway for cyclists only. In the United Kingdom, an on-road cycle-lane can be firmly restricted to cycles (marked with a solid white line, entry by motor ...

. The foundation also continued to work on

eldercare Elderly care, or simply eldercare (also known in parts of the English-speaking world as aged care), serves the needs and requirements of senior citizens. It encompasses assisted living, adult daycare, long-term care, nursing homes (often call ...

topics and provided funding for the Green House Project, a

non-profit A nonprofit organization (NPO) or non-profit organisation, also known as a non-business entity, not-for-profit organization, or nonprofit institution, is a legal entity organized and operated for a collective, public or social benefit, in co ...

that offers a long-term care alternative to nursing homes. While nursing homes tended to be regimented, the Green House model allows residents to set their own schedules, and houses fewer people in more units designed like a

single family home A stand-alone house (also called a single-detached dwelling, detached residence or detached house) is a free-standing residential building. It is sometimes referred to as a single-family home, as opposed to a multi-family residential dwellin ...

. In 2011, the foundation established a $100 million impact capital fund to develop the Green House model. By 2014, 27 states had adopted versions of the Green House Project. A 2017 study on Green House nursing homes funded by the foundation found that while imperfect, the model had better outcomes for residents, including fewer hospitalizations and a lower occurrence of conditions such as pressure ulcers. The foundation established the Commission to Build a Healthier America in 2008. The non-partisan group included individuals from business, academia, and politics and focused on studying ways to improve health in the U.S. outside of the health care system. The commission compiled five years' worth of research into a report it released in 2014. The report focused on social determinants of health and detailed three strategies to improve health in the U.S.: early-childhood education; community-based health initiatives; and preventative care. In 2010, the Robert Wood Johnson Foundation partnered with the University of Wisconsin's Population Health Institute to launch the County Health Ranking program, which calculates and compares the health of each county, nationwide. The counties are measured and ranked on various health and social factors, which include more than 30 indicators such as obesity, tobacco use, mental health, employment and poverty rates, and access to healthy food. Over time, the foundation added coaches and competitions to the program to support communities' efforts to improve local health. This was done in response to growing evidence showing that social factors and individuals' actions could affect a population's health more than the quality of medical treatment. The foundation also partnered with

Federal Reserve Bank A Federal Reserve Bank is a regional bank of the Federal Reserve System, the central banking system of the United States. There are twelve in total, one for each of the twelve Federal Reserve Districts that were created by the Federal Reserve ...

s to engage impact investors, banks, and community developers in health and wellness-based projects through the Healthy Communities Initiative. In 2014, the foundation announced a major shift in its approach to health issues. It had previously focused on specific health issues, and would instead focus on changes that could lead to large-scale social shifts by building what it called a "culture of health." The change built on the Culture of Health Action Framework adopted by the foundation in 2013. Critics of the shift expressed concern that funding for some areas—such as leadership training for doctors, and programs for nursing and health policy—was being discontinued as part of the shift. When describing the changes at the Aspen Ideas Festival, Lavizzo-Mourey said, “We have to make a seismic shift in the way we deal with health, and it has to come from the ground up.” A 2017 survey conducted by RWJF, NPR, and Harvard T.H. Chan School of Public Health found that people in America report that their personal experience with discrimination regularly affects their lives and drives decisions that influence their health, safety, and well-being. Experiences with discrimination correlated to an increased risk for health conditions such as coronary heart disease. In 2018, the foundation co-funded a study along with the

National Institutes of Health The National Institutes of Health, commonly referred to as NIH (with each letter pronounced individually), is the primary agency of the United States government responsible for biomedical and public health research. It was founded in the late ...

that found police killings of unarmed black Americans led to adverse mental health affects among black American respondents. Other public opinion polls RWJF worked on with NPR and Harvard University have covered issues such as the burden of stress in America (2014), education and health in schools (2013), trust in public health (2021), income inequality (2020), and experiences during the pandemic (2021).

2018–present

Under Richard Besser's leadership, the foundation prioritized

and removing barriers to health resulting from discrimination. In an address given at the

Sanford School of Public Policy The Sanford School of Public Policy at Duke University is named after former Duke president and Governor of North Carolina Terry Sanford, who established the university's Institute for Policy Sciences and Public Affairs in 1971 as an interdiscipl ...

at Duke University, Besser pointed to where people live, recreate, and work as well as access to healthy food and livable wages, and removal of cultural barriers as important factors in individual health. The foundation funded a 2021 analysis by the

Urban Institute The Urban Institute is a Washington, D.C.–based think tank that carries out economic and social policy research to "open minds, shape decisions, and offer solutions". The institute receives funding from government contracts, foundations and pr ...

which found that black patients experience "dangerous bleeding, infections and other serious problems related to surgical procedures" more frequently than white patients who receive care in the same hospital. In 2019, the foundation worked with the

Global Reporting Initiative The Global Reporting Initiative (known as GRI) is an international independent standards organization that helps businesses, governments and other organizations understand and communicate their impacts on issues such as climate change, human righ ...

and others to develop the Culture of Health for Business Framework. The framework provides 16 best practices for companies to measure health policies and practices against, ranging from environmental to social and governance issues. During the

COVID-19 pandemic The COVID-19 pandemic, also known as the coronavirus pandemic, is an ongoing global pandemic of coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The novel virus was first identi ...

, the foundation partnered with organizations such as

NPR National Public Radio (NPR, stylized in all lowercase) is an American privately and state funded nonprofit media organization headquartered in Washington, D.C., with its NPR West headquarters in Culver City, California. It differs from other ...

to research financial, educational, and health impacts of the pandemic. The foundation also has ongoing surveys with the Rand Corporation, one of which found that many Americans agree that minority communities have been more affected by the pandemic, but do not believe structural racism is a barrier to health. The foundation's other activities in response to the COVID-19 pandemic included collaborating with

Boston University Boston University (BU) is a Private university, private research university in Boston, Massachusetts. The university is nonsectarian, but has a historical affiliation with the United Methodist Church. It was founded in 1839 by Methodists with ...

to develop a database of state policies enacted in response to the pandemic, and hosting teleconferences and virtual discussions on how the pandemic unveiled the impact that systemic racism and other forms of discrimination have on health in America. During this period, RWJF partnered with the

Ford Foundation The Ford Foundation is an American private foundation with the stated goal of advancing human welfare. Created in 1936 by Edsel Ford and his father Henry Ford, it was originally funded by a US$25,000 gift from Edsel Ford. By 1947, after the death ...

to establish the Presidents' Council on Disability Inclusion in Philanthropy. The group includes 17 grant making organizations. The council's focus is on improving inclusion of disability issues in philanthropy. The foundation also funded the Childhood Opportunity Index, which ranks neighborhoods across the U.S. on access to childhood development resources that can affect health and life expectancy, and income later in life. The index was initially published in 2014, and an updated version was released in January 2020.

Leadership

The foundation's first president was David E. Rogers, who served from 1972 until 1987. Leighton E. Cluff served as the foundation's president from 1986 until February 1990, when he was succeeded by Steven A. Schroeder. The foundation's board of trustees selected Schroeder to lead the foundation, knowing he wanted to take it "in the direction of working on substance abuse problems". Risa Lavizzo-Mourey was the first woman and African American to be the foundation's

chief executive officer A chief executive officer (CEO), also known as a central executive officer (CEO), chief administrator officer (CAO) or just chief executive (CE), is one of a number of corporate executives charged with the management of an organization especial ...

, a role she held between 2002 and 2017. She was succeeded by Richard E. Besser, who was named president and CEO in April 2017. Besser previously worked as the medical editor for

ABC News ABC News is the news division of the American broadcast network ABC. Its flagship program is the daily evening newscast ''ABC World News Tonight, ABC World News Tonight with David Muir''; other programs include Breakfast television, morning ...

and acting director of the

Centers for Disease Control The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georgi ...

References

External links

* {{authority control Johnson & Johnson Political advocacy groups in the United States Organizations established in 1972 1972 establishments in New Jersey Non-profit organizations based in Princeton, New Jersey Medical and health foundations in the United States