Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2011
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2011 and ending 12-31-2011
BCheck if applicable:
CName of organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
ONE HAMILTON HEALTH PLACE
 
Room/suite
City or town, state or country, and ZIP + 4
HAMILTON, NJ086903599
D Employer identification number

21-0634572
E Telephone number

G Gross receipts $ 203,639,522
F Name and address of principal officer:
ANTHONY J CIMINO
ONE HAMILTON HEALTH PLACE
HAMILTON,NJ086903599
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.RWJHAMILTON.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1941
M State of legal domicile: NJ
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a)..... 3 29
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 20
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ... 5 1,916
6 Total number of volunteers (estimate if necessary) .... 6 539
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 19,061
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 5,342
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 546,981 121,705
9 Program service revenue (Part VIII, line 2g) ......... 199,988,143 200,599,585
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 879,770 922,358
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,101,682 1,542,247
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 202,516,576 203,185,895
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 0 0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 99,782,370 100,144,568
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 102,194,871 103,684,962
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 201,977,241 203,829,530
19 Revenue less expenses. Subtract line 18 from line 12....... 539,335 -643,635
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 229,412,659 224,218,190
21 Total liabilities (Part X, line 26)............. 177,199,719 173,706,996
22 Net assets or fund balances. Subtract line 21 from line 20..... 52,212,940 50,511,194
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid preparer use only
Print/type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name Right pointing arrowhead image

Firm's EIN Right pointing arrowhead image
Firm's address Right pointing arrowhead image



Phone no.
May the IRS discuss this return with the preparer shown above? See instructions .........bullet
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2011)
Form 990 (2011)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III .........
1
Briefly describe the organization’s mission: THE ORGANIZATION PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 15,636,629 including grants of $ 0 ) (Revenue $ 18,707,386 )
EXPENSES INCURRED (DIRECT EXPENSES ONLY ARE REFLECTED, NO INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY OPERATING ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL, ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2011 THERE WERE 1,882 ENCOUNTERS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 9,128,445 including grants of $ 0 ) (Revenue $ 14,049,766 )
EXPENSES INCURRED (DIRECT EXPENSES ONLY ARE REFLECTED, NO INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY ONCOLOGY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL, ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2011 THERE WERE 7,782 ENCOUNTERS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4c (Code:   ) (Expenses $ 7,797,512 including grants of $ 0 ) (Revenue $ 9,121,448 )
EXPENSES INCURRED (DIRECT EXPENSES ONLY ARE REFLECTED, NO INDIRECT EXPENSES) IN PROVIDING MEDICALLY NECESSARY OB/GYN SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL, ORIGIN, RELIGION OR ABILITY TO PAY. DURING 2011 THERE WERE 7,014 ENCOUNTERS. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4d Other program services (Describe in Schedule O.)
(Expenses $ 150,883,991 including grants of $ 0 ) (Revenue $ 158,720,985 )
4e Total program service expensesMediumBullet$ 183,446,577
Form 990 (2011)
Form 990 (2011)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
Click to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part IClick to see attachment....................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statement to this return? Note. All Form 990 filers that operated one or more hospitals must attach audited financial statements. Click to see attachment
20b
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III.....
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
......................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
 
No
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
 
No
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2011)
Form 990 (2011)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V .........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
249
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
1,916
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBD
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
No
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2011)
Form 990 (2011)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI .........
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
If the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
1a
29
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
20
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? .................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ............
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ..........
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? ....
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done ....................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes," to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
JAMES M MAHER
ONE HAMILTON HEALTH PLACE
HAMILTON,NJ086903599
(609) 584-2865
Form 990 (2011)
Form 990 (2011)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII .........
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) DANIEL J GRAZIANO JR
CHAIRMAN - TRUSTEE
1.0 X   X       0 0 0
(2) LYNNE J CANNON
VICE CHAIRMAN - TRUSTEE
1.0 X   X       0 0 0
(3) SHARIQ A AFRIDI
TRUSTEE
1.0 X           0 0 0
(4) JOHN F BENCIVENGO
TRUSTEE
1.0 X           0 0 0
(5) GREGORY BLAIR
TRUSTEE
1.0 X           0 0 0
(6) ANTHONY J CIMINO
TRUSTEE- PRES/CEO
55.0 X   X       596,137 0 19,072
(7) RICHARD GREGG MD
TRUSTEE
1.0 X           0 0 0
(8) SIDNEY HOFING
TRUSTEE
1.0 X           0 0 0
(9) SHING FU HSUEH PHD
TRUSTEE
1.0 X           0 0 0
(10) PETER INVERSO
TRUSTEE
1.0 X           0 0 0
(11) RIAZ IQBAL MD
TRUSTEE
10.0 X           23,100 0 0
(12) STEPHEN K JONES
TRUSTEE
60.0 X           0 1,147,670 26,913
(13) SHARON LAMONT
TRUSTEE
1.0 X           0 0 0
(14) ANN MACCARONE
TRUSTEE
1.0 X           0 0 0
(15) JACK MORRIS
TRUSTEE
1.0 X           0 0 0
(16) STEVEN J PICCO
TRUSTEE
1.0 X           0 0 0
(17) MICHAEL PRATICO JR
TRUSTEE
1.0 X           0 0 0
Form 990 (2011)
Form 990 (2011)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) BEVERLY RICHARDSON PHD
TRUSTEE
1.0 X           0 0 0
(19) MARK RISI DO
TRUSTEE - CHIEF OF STAFF
10.0 X           30,000 0 0
(20) SHERISE RITTER
TRUSTEE
1.0 X           0 0 0
(21) WILLIAM M RUE
TRUSTEE
1.0 X           0 0 0
(22) PATRICK RYAN
TRUSTEE
1.0 X           0 0 0
(23) RONALD G RYDER DO
TRUSTEE
1.0 X           20,833 0 0
(24) W WILLIAM SAUL
TRUSTEE
1.0 X           0 0 0
(25) ANTHONY SCARDELLA MD
TRUSTEE
1.0 X           0 0 0
(26) MICHAEL SCHEIRING
TRUSTEE
1.0 X           0 0 0
(27) MARTIN TUCHMAN
TRUSTEE
1.0 X           0 0 0
(28) CYNTHIA E VONA DDS MD
TRUSTEE
1.0 X           0 0 0
(29) WILLIAM J WALSH JR
TRUSTEE
1.0 X           0 0 0
(30) JAMES MAHER
SENIOR VP/CFO
55.0     X       358,472 0 25,220
(31) BARBARA SMITH
SR VP - COO
55.0     X       354,019 0 27,620
(32) DIANE M GRILLO
SR VP-CHIELF LEARN & COMM OFF.
55.0     X       242,425 0 11,206
(33) JANE KAYE
VP - FINANCE
55.0     X       200,391 0 25,020
(34) JOYCE M SCHWARTZ
VP - QUALITY
55.0     X       184,354 0 10,185
(35) LISA A BREZA
VP - CNO
55.0     X       178,128 0 22,894
(36) ROBERT MAYSON MD
PHYSICIAN
55.0         X   295,006 0 21,666
(37) EDUARDO G FLORES MD
PHYSICIAN
55.0         X   288,458 0 16,170
(38) CHRISTIAN HOFFMAN MD
PHYSICIAN
55.0         X   265,533 0 1,200
(39) FRANCISCO JAVIER VILLOTA MD
MEDICAL DIRECTOR - OCC HEALTH
55.0         X   263,655 0 23,031
(40) HONESTO M POBLETE MD
VASCULAR PHYSICIAN
55.0         X   260,299 0 22,505
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 3,560,810 1,147,670 252,702
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet103
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
HAMILTON ANESTHESIA ASSOCIATES
1245 WHITEHORSE MERCERVILLE ROAD
MERCERVILLE,NJ08619
MEDICAL 1,912,392
DIAGNOSTIC IMAGING OF SOUTH JERSEY
4 NESHAMINY INTERPLEX
TREVOSE,PA19053
MEDICAL 967,926
OXFORD COMMUNICATIONS
11 MUSIC MOUNTAIN BOULEVARD
LAMBERTVILLE,NJ08530
MARKETING 896,226
NOTTINGHAM PHYSICIAN ASSOCIATES PA
66 WEST GILBERT STREET SUITE 100
RED BANK,NJ07719
MEDICAL 680,701
EMERGENCY PHYSICIAN ASSOCIATES PA
307 SOUTH EVERGREEN AVENUE
WOODBURY,NJ08096
MEDICAL 678,720
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet30
Form 990 (2011)
Form 990 (2011)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 82,113
e Government grants (contributions)1e 39,592
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 121,705
 Program Service Revenue Business Code
2a NET PATIENT SERVICE REVENUE 541,900 199,361,666 199,361,666    
b OTHER HEALTHCARE RELATED REVENUE 541,900 1,218,858 1,218,858    
c OTHER REVENUE 722,320 19,061   19,061  
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 200,599,585
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 937,947     937,947
4 Income from investment of tax-exempt bond proceeds..MediumBullet 123,638     123,638
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 99,573  
b Less: rental expenses 1,200  
c Rental income or (loss) 98,373  
d Net rental income or (loss).......MediumBullet 98,373      
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   313,200
b Less: cost or other basis and sales expenses   452,427
c Gain or (loss)   -139,227
d Net gain or (loss)..........MediumBullet -139,227     -139,227
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA 722,210 754,187     754,187
b VENDOR DISCOUNTS 900,099 677,892     677,892
c VENDING MACHINES 722,210 11,795     11,795
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 1,443,874
12 Total revenue. See Instructions....MediumBullet 203,185,895 200,580,524 19,061 2,366,232
Form 990 (2011)
Form 990 (2011)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Check if Schedule O contains a response to any question in this Part IX. .........
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 2,276,027 2,048,380 227,647  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 83,017,911 74,716,165 8,301,746  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 0      
9 Other employee benefits ....... 9,045,014 8,140,513 904,501  
10 Payroll taxes ........... 5,805,616 5,225,054 580,562  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 390,869 351,782 39,087  
c Accounting ........... 82,000 73,800 8,200  
d Lobbying ........... 0      
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 0      
g Other .......... 2,403,601 2,163,241 240,360  
12 Advertising and promotion .... 1,626,796 1,464,116 162,680  
13 Office expenses ....... 3,257,750 2,931,975 325,775  
14 Information technology ...... 0      
15 Royalties .. 0      
16 Occupancy ........... 3,116,892 2,805,203 311,689  
17 Travel ............ 38,556 34,700 3,856  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 106,911 96,220 10,691  
20 Interest ........... 4,450,321 4,005,289 445,032  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 9,663,006 8,696,705 966,301  
23 Insurance .............. 840,052 756,047 84,005  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule O.)
a MEDICAL SUPPLIES 35,619,469 32,057,522 3,561,947  
b PURCHASED SERVICES 15,640,129 14,076,116 1,564,013  
c PROVISION FOR BAD DEBT 7,374,708 6,637,237 737,471  
d PHYSICIAN FEES 7,151,432 6,436,289 715,143  
e
f All other expenses 11,922,470 10,730,223 1,192,247  
25 Total functional expenses. Add lines 1 through 24f 203,829,530 183,446,577 20,382,953 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2011)
Form 990 (2011)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 0 1 0
2 Savings and temporary cash investments ....... 17,645,619 2 13,443,886
3 Pledges and grants receivable, net ......... 0 3 0
4 Accounts receivable, net ......... 24,811,033 4 25,775,912
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 0 5 0
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L .......... 0 6 0
7 Notes and loans receivable, net ............. 6,313,861 7 5,677,895
8 Inventories for sale or use .............. 3,064,478 8 3,392,260
9 Prepaid expenses and deferred charges ............ 1,298,704 9 1,506,373
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 232,789,280
b Less: accumulated depreciation. ..... 10b 120,396,962 115,751,485 10c 112,392,318
11 Investments—publicly traded securities .......... 0 11 0
12 Investments—other securities. See Part IV, line 11 ...... 0 12 0
13 Investments—program-related. See Part IV, line 11 .. 53,241,938 13 54,069,278
14 Intangible assets ......... 4,033,301 14 3,728,161
15 Other assets. See Part IV, line 11 ........... 3,252,240 15 4,232,107
16 Total assets. Add lines 1 through 15 (must equal line 34)... 229,412,659 16 224,218,190
Liabilities 17 Accounts payable and accrued expenses . 31,582,465 17 32,359,771
18 Grants payable .......... 0 18 0
19 Deferred revenue .......... 0 19 0
20 Tax-exempt bond liabilities .......... 117,008,861 20 113,635,606
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 478,885 23 235,241
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D..... 28,129,508 25 27,476,378
26 Total liabilities. Add lines 17 through 25..... 177,199,719 26 173,706,996
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 51,376,370 27 48,915,859
28 Temporarily restricted net assets ..... 836,570 28 1,595,335
29 Permanently restricted net assets ..... 0 29 0
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 52,212,940 33 50,511,194
34 Total liabilities and net assets/fund balances ..... 229,412,659 34 224,218,190
Form 990 (2011)
Form 990 (2011)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI .........
1
Total revenue (must equal Part VIII, column (A), line 12) ...
1
203,185,895
2
Total expenses (must equal Part IX, column (A), line 25) ....
2
203,829,530
3
Revenue less expenses. Subtract line 2 from line 1 ...
3
-643,635
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
52,212,940
5
Other changes in net assets or fund balances (explain in Schedule O) ...
5
-1,058,111
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) ....
6
50,511,194
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII .........
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?....
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. ...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2011)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization
(ii)
EIN
(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv)
Is the organization in col. (i) listed in your governing document?
(v)
Did you notify the organization in col. (i) of your support?
(vi)
Is the organization in col. (i) organized in the U.S.?
(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2011
Name of organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part I
Contributors (see Instructions). Use duplicate copies of Part I if additional space is needed.
     
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part II
Noncash Property (see Instructions). Use duplicate copies of Part II if additional space is needed.
     
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
(a) No.
from
Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(see instructions).
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)
Name of organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  

Use duplicate copies of Part III if additional space is needed
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I
(b)
Purpose of gift
(c)
Use of gift
(d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public
Inspection
If the organization answered “Yes” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, line 35c (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2011

Schedule C (Form 990 or 990-EZ) 2011
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check expenses, and share of excess lobbying expenditures).
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...... 143,960 143,960
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ................... 143,960 143,960
d Other exempt purpose expenditures ........................ 203,685,570 213,380,417
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 203,829,530 213,524,377
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
1,000,000 1,000,000
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000 250,000
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in)
(a) 2008 (b) 2009 (c) 2010 (d) 2011 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e))
        6,000,000
             
c Total lobbying expenditures 76,518 77,155 83,083 143,960 380,716
             
d Grassroots nontaxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))
        1,500,000
             
f Grassroots lobbying expenditures   77,155 83,083 143,960 304,198
Schedule C (Form 990 or 990-EZ) 2011


Schedule C (Form 990 or 990-EZ) 2011
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each “Yes” response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? ..........................
 
 
 
j
Total. Add lines 1c through 1i ...............................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2 are answered “No” OR (b) Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, Part II-A; line 5; and Part ll-B, line 1.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2011

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958), relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 836,570 952,803 927,329 2,039,838
b Contributions ........        
c Net investment earnings, gains, and losses ... 885,386 230,517 225,474 -277,509
d Grants or scholarships .....        
e Other expenditures for facilities
and programs ........
126,621 346,750 200,000 835,000
f Administrative expenses ....        
g End of year balance ...... 1,595,335 836,570 952,803 927,329
2
Provide the estimated percentage of the year end balance (line 1g) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet100.000 %
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
 
No
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   87,255 87,255
b Buildings ................   126,745,246 39,541,717 87,203,529
c Leasehold improvements ............        
d Equipment ................   97,810,404 76,375,943 21,434,461
e Other .................   8,146,375 4,479,302 3,667,073
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 112,392,318
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) LIMITED USE 10,605,320 F
(2) USE 214,447 F
(3) USE 10,630,371 F
(4) USE 10,070,348 F
(5) LIMITED USE 7,423,272 F
(6) LIMITED USE 4,255,555 F
(7) LIMITED USE 1,400,085 F
(8) USE 5,878,661 F
(9) ACCRUED INTEREST; LIMITED USE 900,965 F
(10) LIMITED USE 2,690,254 F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 54,069,278
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Book value
Federal Income Taxes 0
EST. AMOUNTS DUE TO THIRD PARTIES 10,713,086
INSURANCE LIABILITY 2,324,585
DUE TO AFFILIATES; NET 2,256,907
LOAN FROM RELATED ORGANIZATION 12,000,000
ACCRUED INTEREST 181,800




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 27,476,378
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2011

Schedule D (Form 990) 2011
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV.) ................................. 8  
9 Total adjustments (net). Add lines 4 through 8 ......................... 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
ENDOWMENT FUNDS SCHEDULE D, PART V, QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.
TEXT OF FIN 48 AUDITED FINANCIAL STATEMENT FOOTNOTE SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN THE ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON ("SYSTEM"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON ("RWJHCCH") IS THE PARENT OF THE SYSTEM. THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FIN 48 FOOTNOTE BELOW IS FROM THE SYSTEM'S 2011 CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2011 AND 2010.
Schedule D (Form 990) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants
and other assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? ..............................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other
assistance outside the United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region
(f) Total
expenditures for region/investments
in region
Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 3,435,226
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 1 1 3,435,226
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 1 1 3,435,226
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount of
of non-cash
assistance
(h) Description
of non-cash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
non-cash
assistance
(g) Description
of non-cash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2011
Schedule F (Form 990) 2011
Page 5
Part V
Supplemental Information
Complete this part to provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2011
Additional Data


Software ID:  
Software Version:  



SCHEDULE H (Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a....
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG to determine eligibility for providing discounted care? If "Yes," indicate which of the
following was the family income limit for eligibility for discounted care: ............
3b
Yes
 
c
If the organization did not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

 

No
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount?......
5b
 
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year?...........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ...............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance
and Means-Tested Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) ..
  4,952 7,351,713 614,404 6,737,309 3.430 %
b Medicaid (from Worksheet 3, column a) .....   14,925 16,338,438 13,259,458 3,078,980 1.570 %
c Costs of other means-tested government programs (from Worksheet 3, column b) .            
dTotal Financial Assistance and
Means-Tested Government Programs .....
  19,877 23,690,151 13,873,862 9,816,289 5.000 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) ....
1,415 41,042 4,109,219 100,638 4,008,581 2.040 %
f Health professions education
(from Worksheet 5) ..
119 5,392 1,704,964 2,000 1,702,964 0.870 %
g Subsidized health services
(from Worksheet 6) ..
19 23,595 108,144   108,144 0.060 %
h Research (from Worksheet 7)            
i Cash and in-kind contributions for community benefit (from Worksheet 8) .... 86   114,518   114,518 0.060 %
jTotal Other Benefits ... 1,639 70,029 6,036,845 102,638 5,934,207 3.030 %
kTotal. Add lines 7d and 7j. .. 1,639 89,906 29,726,996 13,976,500 15,750,496 8.030 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense........
2
7,374,708
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy .....
3
 
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
55,149,272
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
69,041,132
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-13,891,860
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures
(see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership%
(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 RWJ UNIVERSITY HOSPITAL HAMILTON
ONE HAMILTON HEALTH PLACE
HAMILTON,NJ08690
X X         X    
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
RWJ UNIVERSITY HOSPITAL HAMILTON
Name of Hospital Facility:  
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2011)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet the community health needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Participation in the development of a community-wide community benefit plan
d Participation in the execution of a community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the Needs Assessment
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs. .... 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care?........... 9    
If "Yes," indicate the FPG family income limit for eligibility for free care:   %
If "No," explain in Part VI the criteria the hospital facility used.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care?................. 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
If "No," explain in Part VI the criteria the hospital facility used.
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?....... 14    
15 Check all of the following collection actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
16 Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the patient’s eligibility under the facility’s FAP?.......... 16    
If “Yes,” check all actions in which the hospital facility or a third party engaged:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other similar actions (describe in Part VI)
17 Indicate which efforts the hospital facility made before initiating any of the actions checked in line 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether patients were eligible for financial assistance under the hospital facility’s financial assistance policy
e Other (describe in Part VI)
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate why:
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility’s policy was not in writing
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Individuals Eligible for Financial Assistance
19 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged
b The hospital facility used the average of it's three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged
c The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its FAP-eligible patients an amount equal to the gross charge for any services provided to that patient?............................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VFacility Information (continued)

Section C. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?6
Name and address Type of Facility (describe)
1 CANCER INSTITUTE NEW JERSEY HAMILTON
2525 KLOCKNER ROAD
HAMILTON,NJ08690
ONCOLOGY SERVICES
2 RWJ HAMILTON SLEEP CARE CENTER
1 UNION STREET
ROBBINSVILLE,NJ08691
SLEEP CENTER
3 RWJ HAMILTON CTR FOR HEALTH & WELLNESS
3100 QUAKERBRIDGE ROAD
HAMILTON,NJ08619
REHAB., COMMUNITY EDUCATION & FITNESS CENTER
4 RWJ HAMILTON OCCUPATIONAL HEALTH
2 HAMILTON HEALTH PLACE
HAMILTON,NJ08690
OCCUPATIONAL FACILITY
5 RWJ HAMILTON AT EWING
1440 LOWER FERRY ROAD
EWING,NJ08618
REHABILITATION FACILITY
6 RWJ HAMILTON DIAGNOSTIC CTR AT COLUMBUS
1 SHEFFIELD DRIVE
MANSFIELD TOWNSHIP,NJ08022
DIAGNOSTIC FACILITY
7
8
9
10
Schedule H (Form 990) 2011
Schedule H (Form 990) 2011
Page
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 3, 4, 5c, 6i, 7, 9, 10, 11h, 13g, 15e, 16e, 17e, 18d, 19d, 20, and 21.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
FINANCIAL ASSISTANCE ELIGIBILITY SCHEDULE H, PART I, LINE 3C  
COMMUNITY BENEFIT REPORT SCHEDULE H, PART I, LINE 6A  
FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST SCHEDULE H, PART I, LINE 7  
COMMUNITY BUILDING ACTIVITIES SCHEDULE H, PART II  
BAD DEBT EXPENSE SCHEDULE H, PART III, LINE 4  
MEDICARE SHORTFALL SCHEDULE H, PART III, LINE 8  
DEBT COLLECTION POLICY SCHEDULE H, PART III, LINE 9B  
FACILITY POLICIES AND PRACTICES SCHEDULE H, PART V; SECTION B  
NEEDS ASSESSMENT SCHEDULE H, PART VI; QUESTION 2  
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE SCHEDULE H, PART VI; QUESTION 3  
COMMUNITY INFORMATION SCHEDULE H, PART VI; QUESTION 4  
PROMOTION OF COMMUNITY HEALTH SCHEDULE H, PART VI; QUESTION 5  
AFFILIATED HEALTHCARE SYSTEM SCHEDULE H, PART VI; QUESTION 6  
AFFILIATED HEALTHCARE SYSTEM CONTINUED SCHEDULE H, PART VI; QUESTION 6  
STATE FILING OF COMMUNITY BENEFIT REPORT SCHEDULE H, PART VI; QUESTION 7  
Schedule H (Form 990) 2011
Additional Data


Software ID:  
Software Version:  
Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
 
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and column (E) for that individual.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) ANTHONY J CIMINO (i)
(ii)
463,430
0
116,869
0
15,838
0
1,823
0
17,249
0
615,209
0
0
0
(2) STEPHEN K JONES (i)
(ii)
0
788,232
0
240,000
0
119,438
0
14,700
0
12,213
0
1,174,583
0
0
(3) JAMES MAHER (i)
(ii)
292,871
0
58,263
0
7,338
0
1,867
0
23,353
0
383,692
0
0
0
(4) BARBARA SMITH (i)
(ii)
280,471
0
58,263
0
15,285
0
1,867
0
25,753
0
381,639
0
0
0
(5) DIANE M GRILLO (i)
(ii)
180,839
0
38,710
0
22,876
0
2,984
0
8,222
0
253,631
0
0
0
(6) JANE KAYE (i)
(ii)
168,719
0
27,334
0
4,338
0
1,782
0
23,238
0
225,411
0
0
0
(7) JOYCE M SCHWARTZ (i)
(ii)
154,242
0
23,700
0
6,412
0
1,900
0
8,285
0
194,539
0
0
0
(8) LISA A BREZA (i)
(ii)
151,799
0
22,594
0
3,735
0
2,392
0
20,502
0
201,022
0
0
0
(9) ROBERT MAYSON MD (i)
(ii)
269,094
0
22,622
0
3,290
0
913
0
20,753
0
316,672
0
0
0
(10) EDUARDO G FLORES MD (i)
(ii)
269,757
0
15,000
0
3,701
0
921
0
15,249
0
304,628
0
0
0
(11) CHRISTIAN HOFFMAN MD (i)
(ii)
248,892
0
15,000
0
1,641
0
0
0
1,200
0
266,733
0
0
0
(12) FRANCISCO JAVIER VILLOTA MD (i)
(ii)
246,249
0
17,250
0
156
0
2,278
0
20,753
0
286,686
0
0
0
(13) HONESTO M POBLETE MD (i)
(ii)
259,876
0
0
0
423
0
2,450
0
20,055
0
282,804
0
0
0



Schedule J (Form 990) 2011

Schedule J (Form 990) 2011
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: STEPHEN K. JONES, $98,912.
COMPENSATION INFORMATION SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2011 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2011 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
Schedule J (Form 990) 2011

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number
21-0634572
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer
(i) Pool
financing
Yes No Yes No Yes No
A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1987084 64579FGE7 07-01-2005 30,300,000 REFUND SERIES 1994 BONDS   X   X   X
B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
 
22-1987084 64579FGD9 07-01-2005 65,375,000 CONSTRUCT 4-STORY HOSPITAL TOWER   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . 30,300,000 65,375,000    
2 Amount of bonds legally defeased . . . . . . . . . . 0 0    
3 Total proceeds of issue . . . . . . . . . . . . . 0 0    
4 Gross proceeds in reserve funds . . . . . . . . 0 0    
5 Capitalized interest from proceeds . . . . . . . . . . 0 0    
6 Proceeds in refunding escrows . . . . . . . . . . . 0 0    
7 Issuance costs from proceeds . . . . . . . . . . . 0 0    
8 Credit enhancement from proceeds . . . . . . . . . . 0 0    
9 Working capital expenditures from proceeds . . . . . . . 0 0    
10 Capital expenditures from proceeds . . . . . . . . . . 0 0    
11 Other spent proceeds . . . . . . . . . . . 0 0    
12 Other unspent proceeds . . . . . . . . . . . 0 0    
13 Year of substantial completion . . . . . . . . . . . 2024 2035
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . X     X        
15 Were the bonds issued as part of an advance refunding issue? . . . .   X   X        
16 Has the final allocation of proceeds been made? . . . . . . X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . X   X          
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .   X   X        
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2011
Schedule K (Form 990) 2011
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . .   X   X        
b If ‘Yes’ to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . . . . .                
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . .   X   X        
d If ‘Yes’ to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.00000% 0.00000%   %   %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0.00000% 0.00000%   %   %
6 Total of lines 4 and 5 . . .. . . . . . . . . 0.00000% 0.00000%   %   %
7 Does the bond issue meet the private security or payment test? . . . X   X          
8 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2?
X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X        
2 Is the bond issue a variable rate issue? X     X        
3a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X        
b Name of provider . . . . . . . . 0
 
0
 
 
 
 
 
c Term of hedge . . . . . . . .        
d Was the hedge superintegrated? . . . .                
e Was a hedge terminated? . . . . .                
4a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . .   X   X        
b Name of provider . . . . . . 0
 
0
 
 
 
 
 
c Term of GIC . . . . . . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . .                
5 Were any gross proceeds invested beyond an available temporary period? . . . . . .                
6 Did the bond issue qualify for an exception to rebate? .   X   X        
7 Has the organization established written procedures to monitor the requirements of section 148? . . .   X   X        
Schedule K (Form 990) 2011

Schedule K (Form 990) 2011
Page 3
Part V
Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? . . . . . . . . . . . . . .
Part VI
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
Schedule K (Form 990) 2011

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2011
Schedule L (Form 990 or 990-EZ) 2011
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) RUE INSURANCE COMPANY PLEASE REFER TO PART V 166,919 INSURANCE/FEE   No
(2) JULIANNE RYDER TRUSTEE-FAMILY MEMBER 36,435 EMPLOYEE   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
DISCLOSURE INFORMATION SCHEDULE L, PART IV WILLIAM M. RUE IS THE OWNER OF RUE INSURANCE COMPANY AND VOTING MEMBER OF THE BOARD OF TRUSTEES OF THIS ORGANIZATION. THIS ORGANIZATION PAID RUE INSURANCE COMPANY A TOTAL OF $166,919 FOR INSURANCE AND RELATED SERVICES. THE INSURANCE PAYMENT AMOUNT TOTALED $141,919 AND THE SERVICES FEE RETAINED BY RUE INSURANCE COMPANY WAS $25,000. SERVICES WERE RENDERED AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS.
Schedule L (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public
Inspection
Name of the organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Identifier Return Reference Explanation
COMMUNITY BENEFIT STATEMENT CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Background ========== Robert Wood Johnson University Hospital Hamilton ("RWJ Hamilton") is a general medical and surgical hospital recognized by the IRS as an Internal Revenue Code section 501(c) (3) tax-exempt organization. Pursuant to its charitable purposes, RWJ Hamilton provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, the hospital operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. RWJ Hamilton provides medically necessary healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, Medicare and Medicaid patients. 2. RWJ Hamilton operates an active Emergency Department that is open 24 hours a day, seven days a week, 365 days per year. RWJ Hamilton's new Pediatric Emergency Department opened in Fall 2011, answering a need to support families and this vulnerable population - our children - who require immediate access to pediatric emergency care. Treating 8,000 children annually in one of the busiest emergency departments in the region, RWJ Hamilton is invested in this dedicated location to create a family-centered approach to emergency care, just down the hall from the hussle of the main Emergency Department. 3. RWJ Hamilton maintains an open medical staff with privileges available to all qualified physicians; 4. Control of RWJ Hamilton rests with its Board of Directors. The Board is comprised of independent civic leaders and other prominent community members; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care; programs and activities. RWJ Hamilton is guided by its dedication to attending to the healthcare needs of the community it serves. The hospital provides medically necessary healthcare services to patients who meet certain criteria under its charity care policy as defined by the New Jersey state attorney general, without charge or at amounts less than established rates. RWJ Hamilton maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. RWJ Hamilton participated in an extensive community needs assessment with the three area hospitals, Mercer County Health Office, St. Lawrence Rehabilitation Center and eight local health offices to ensure the health needs of our community are met. The community health assessment utilized a participatory, collaborative approach to look at health in its broadest context. The assessment process included synthesizing existing data on social, economic, and health indicators in the region as well as information from 28 focus groups conducted with community residents, 15 interviews with community stakeholders, and 1 forces of change session examining larger external factors that affect health which consisted of 6 discussion groups. Focus groups and interviews were conducted with individuals from across the thirteen municipalities that comprise Mercer County, the hospitals' primary service area, and with a range of individuals representing different audiences, including youth, seniors, government officials, educational leaders, social service and healthcare providers, people living with disabilities and their families, as well as participants in a drug addiction recovery program. Ultimately, the qualitative research engaged over 400 individuals. RWJ Hamilton serves communities within a five-county area and includes: - Robert Wood Johnson University Hospital Hamilton, an acute care hospital - The Cancer Institute of New Jersey Hamilton, the Hospital's oncology program of excellence - Outpatient services in Columbus and Ewing - Lakeview Child Centers in seven locations - RWJ Hamilton Center for Health & Wellness, an 86,000 square foot medically based fitness and wellness center, conference center, rehabilitation center and community education space for programming and healthy eating demonstration kitchen - RWJ Hamilton Foundation, which receives philanthropic gifts to support RWJ Hamilton initiatives The following medical groups are affiliated with RWJ Hamilton: - RWJ Hamilton ob/gyn group, in three locations - RWJ Hamilton vascular surgery group - RWJ medical associates at Hamilton family practice medicine Each year, RWJ Hamilton touches hundreds of thousands of lives: - 284 inpatient beds (licensed) - 615 active staff physicians - more than 200,000 patients treated - averaging 55,700 emergency visits, making RWJ Hamilton one of the busiest Emergency Departments in Mercer County - approximately 12,800 admissions (including newborns) - approximately 1,700 hospital employees (includes Lakeview) - 150,000 people participate in RWJ Hamilton community education programs and health screenings Mission Statement ================= RWJ Hamilton is committed to excellence through service and quality. The hospital exists to promote, preserve and restore the health of the community. Vision ====== RWJ Hamilton's vision is to passionately pursue the health and well-being of our patients, employees and the community through our culture of exceptional service and commitment to quality. RWJ Hamilton's Principles ========================= RWJ Hamilton is guided by the following principles in performing its charitable tax-exempt purposes: 1. We believe that community health improvement is essential to our mission 2. We believe community-based coalitions are uniquely qualified to achieve community health goals and we value partnerships with them. 3. We value evidence-based practices and seek to model excellence in community health practice based on evidence-based medicine. 4. We believe in applying continuous quality improvement to community health, measuring need, matching resources to need, measuring outcomes and making adjustments in process. We will participate in a county wide community wide needs assessment with the other hospitals in Mercer County to further validate our commitment to our community. RWJ Hamilton Employee's Values - TEAMWORK ========================================== Trust: we are responsible for and committed to those who place their trust in us for healthcare. Ethical behavior: we perform our daily work in a manner which is right and good and benefits our patients, families and one another. Accountability: we are responsible for all of our interactions with the lives that we touch. Make an impact: we provide the highest quality care and service, maintain operational efficiency and seek out innovative methods to improve care. We: we are proud to be employees of Robert Wood Johnson University Hospital Hamilton and its affiliates. Openness: we foster an environment of collaboration, camaraderie, transparency and communication. Respect: we treat everyone in our diverse community with dignity, sensitivity and integrity. Kindness: we demonstrate compassion, empathy and understanding in our daily encounters with all.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Recognition and Awards ====================== RWJ Hamilton is passionate about providing our patients with the highest quality of care. The commitment to patients begins at the top levels of hospital administration and is demonstrated in the caring and professional manner of RWJ Hamilton's physicians, nurses, hospital employees and volunteers. "RWJ Hamilton's passion for pursuing the best ways to treat the physical, emotional and spiritual needs of our community distinguishes us as a regional leader in the future of healthcare," says Anthony J. (Skip) Cimino, President and CEO. Malcolm Baldrige National Quality Award Providing the highest levels of care has long been the Hospital's mission. The achievement of this mission is reflected in the Hospital's successful quest for the Malcolm Baldrige National Quality Award, the nation's only presidential award for quality and organizational performance excellence. RWJ Hamilton was the first hospital in New Jersey to achieve this recognition. Press Ganey Associates, Inc. To ensure that RWJ Hamilton remains at peak performance levels, the hospital works with Press Ganey Associates, Inc., the healthcare industry's leading provider of measurement and improvement services. Press Ganey partners with more than 7,000 healthcare organizations including nearly 40% of U.S. hospitals to measure and improve their quality of care. They send surveys to millions of patients, employees, and physicians every year to produce the most comprehensive data on service quality and safety culture. RWJ Hamilton consistently earns high marks in patient satisfaction as reflected in the surveys conducted by Press Ganey. RWJ Hamilton Also Received the Following Awards and Recognitions: ================================================================= Bariatric Surgery Center of Excellence American Society for Metabolic and Bariatric Surgery (ASMBS) The ASMBS Bariatric Surgery Center of Excellence designation recognizes surgical programs with a demonstrated track record of favorable outcomes in bariatric surgery, two years in a row. Get with the Guidelines (GWTG) Heart Failure Silver Performance Achievement Award American Heart Association Recognizes the Hospital's achievement across core measures in heart failure. Certification for Primary Stroke Centers State of New Jersey and Joint Commission, re-certified in 2011 Certification for Outpatient Diabetes Joint Commission, re-certified in 2011 Certification for Hip and Knee Replacement Joint Commission, certified in 2011 Maternity Care Excellence Award HealthGrades Recognizes five-star rating and excellence in maternity care Emergency Medicine Excellence Award HealthGrades, 2011 Recognizes five-star rating and excellence in emergency medicine Start! Fit-Friendly American Heart Association (2007, 2008, 2011) Recognizes our efforts to promote a wellness culture for our employees, support physical activity and offer healthy eating options at work Joint Commission Accreditation ============================== An independent, not-for-profit organization, the Joint Commission accredits and certifies more than 16,000 healthcare organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization's commitment to meeting certain performance standards. The American College of Surgeons' Commission on Cancer recognized RWJ Hamilton's cancer program as an accredited cancer program for three years, with commendation. Affiliations ============ In 1994, RWJ Hamilton began an exciting partnership with Robert Wood Johnson University Hospital in New Brunswick, NJ, the principle hospital for the University of Medicine and Dentistry-Robert Wood Johnson Medical School. This affiliation has led to significant growth in every area of the Hospital and has provided RWJ Hamilton's patients with the latest medical innovations and the expertise of outstanding physicians in every specialty. Together, RWJ Hamilton and Robert Wood Johnson University Hospital provide the community with access to every medical advancement at all levels of patient care. RWJ Hamilton is a member of the RWJ Health System and Network. The System includes Robert Wood Johnson University Hospital, the Bristol-Myers Squibb Childrens Hospital, Robert Wood Johnson University Hospital Rahway and Children's Specialized Hospital. About Robert Wood Johnson Health Network The Robert Wood Johnson Health Network is a clinically integrated network of independent and legally affiliated healthcare providers in central New Jersey. With UMDNJ-Robert Wood Johnson Medical School, it is also the only state-based healthcare network to include a medical school among its members. The Network includes six of New Jersey's leading acute care hospitals including Raritan Bay Medical Center, a children's rehabilitation hospital, a behavioral healthcare system, four federally qualified healthcare centers and a system of elder care facilities. University of Medicine and Dentistry of New Jersey (UMDNJ)-Robert Wood Johnson Medical School, is also part of this Network and is also the only state-based healthcare network to include a medical school among its members. RWJ Hamilton is affiliated with the Cancer Institute of New Jersey (CINJ), the state's only national cancer institute-designated cancer center. The Cancer Institute of New Jersey Hamilton provides local access to leading academic physicians and research initiatives. The RWJ Hamilton Health Care Corporation serves communities within a five-county area and includes an acute care hospital, the Cancer Institute of New Jersey Hamilton, three affiliated medical groups, seven Lakeview Child Centers and the RWJ Hamilton Center for Health & Wellness, home of a medically-based fitness center and the hospital's extensive community education program. Over 1,700 hospital employees and 615 medical staff physicians share RWJ Hamilton's passion for excellence through service and quality. RWJ Hamilton is an affiliate of the New Jersey council of teaching hospitals (NJCTH), the state's premier teaching hospital network. Founded in 1986 to recognize the unique nature and special needs of teaching hospitals, this non-profit consortium consists of Atlantic Health System, Cooper Health System, Meridian Health, Robert Wood Johnson University Hospital, Robert Wood Johnson University Hospital Hamilton, St. Joseph's Regional Medical Center, Somerset Medical Center, UMDNJ-University Hospital, University of Medicine and Dentistry of New Jersey, and Warren Hospital. Together, NJCTH Institutions represent more than 29,000 healthcare professionals and 7,100 hospital beds; care for more than 216,000 inpatients and nearly 3,000,000 outpatients each year; total an aggregate budget in excess of $3,200,000,000 per year; and provide a significant amount of the state's charity care while constituting less than 20% of the state's hospitals. RWJ Hamilton has joined the Jefferson Neuroscience Network (JNN). Through this collaboration, Jefferson and RWJ Hamilton will provide some of the most sophisticated care and expertise available to patients with time-sensitive neurovascular diseases. By joining JNN, RWJ Hamilton will now offer patients access to the resources of Jefferson's comprehensive stroke center with leading edge clinical trials, advanced protocols and education for the detection and treatment of stroke and other neuroscience disorders. Lakeview Child Center is an autonomous affiliate of Robert Wood Johnson University Hospital Hamilton. Lakeview Child Center, which opened in 1985, operates a network of seven childcare centers throughout central New Jersey. Lakeview Child Center is required by the state of New Jersey Child Care Licensing Law to be licensed by the Department of Children and Families (DCF), Office of Licensing and is accredited by the National Association for the Education of Young Children (NAEYC).
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Comprehensive Medical Services ============================== Bariatric Surgery: the bariatric surgery program at RWJ Hamilton offers patients advanced clinical treatment for weight loss, enabling them to overcome the most damaging health effects of being overweight. Through a team approach, candidates are evaluated and pre-existing conditions are taken into consideration. Patients receive education on procedure options, risks, outcomes, potential side effects, and lifestyle modifications. Progress is monitored and strict dietary and exercise regimens are instituted. Patients are paired with clinical professionals, exercise specialists, nutritionists and support staff to provide a full continuum of services and counseling. Cancer Care: The Cancer Institute of New Jersey Hamilton-RWJ Hamilton's oncology program-integrates a medical and radiation oncology practice with leading oncology specialists, outpatient treatment and support services. As an affiliate of the Cancer Institute of New Jersey in New Brunswick-the only national cancer institute-designated cancer center in New Jersey-we provide access to cancer research and leading edge scientific advances for the treatment of all types of malignancies and blood disorders. Located on the hospital campus to provide added convenience and comfort to our patients, CINJ Hamilton's cancer center is a modern 18,500-square-foot building integrating all of the services needed to care for someone with cancer: - dedicated support services and resource library - Though a partnership with the American Cancer Society, access to a Look Good Feel Better Salon is offered to our cancer patients - genetic testing and counseling - infusion and radiation treatment areas - laboratory services - on-site medical services - oncology medical practice - research program/clinical trials - dedicated breast cancer navigator to help our patients navigate appropriately through the complex treatment of breast cancer. Diabetes and Endocrinology Care: Our diabetes self-management program offers one-on-one education to our patients about the importance of self-management and how to apply the basic principles to their everyday lives. To do this, we communicate with patients through inpatient care, on an outpatient level and through support and continued education. Our diabetes support group is a free service for those living with diabetes and their loved ones. We also offer community education programs held at the RWJ Hamilton Center for Health & Wellness. A diabetes nurse practioner is assigned to manage the inpatient and outpatient care of our patients. A special emphasis is given to our obstetric population, where her expertise has been incorporated into the OB practice. Our outpatient diabetes program is certified by the American Diabetes Association as a Center of Excellence since 2002. Diagnostics & Imaging: The Hospital offers picture archiving and communication system (PACS) a state-of-the-art imaging technology. PACS is a diagnostic imaging system that eliminates the use of imaging film by providing patient imaging records and profiles on a computer terminal. This imaging technology eliminates the need for bulk storage of films, provides a higher level of patient confidentiality, expedites the viewing of patient records and medical images, provides 24-hour access for physicians and is more cost efficient. Radiology services include: - pet/ct - interventional radiology - cardiovascular system - central nervous system - digestive, urinary and respiratory systems - musculoskeletal system - reproductive system and mammography Emergency Services: The emergency department (ED) delivers prompt, quality care 24 hours a day, 365 days a year. The ED is staffed by specially trained emergency physicians, nurse practitioners, physician assistants, registered nurses (RNS), emergency department technicians and unit secretaries. Serving an average of 53,000 patients per year, the department offers advanced technologic equipment and therapies available, including: - computerized radiography - emergency angioplasty for heart attack patients. - certified stroke program - bedside registration and - mid-level triage providers during peak times Prompt Care: Promptcare, our fast-track section of the ed, provides immediate care for non-life threatening illnesses and injuries that do not require extensive diagnostic testing. The promptcare area is open daily from 9 a.m. to 1 a.m. Emergency Cardiac Care: In conjunction with our state-of-the-art cardiac catheterization lab and our emergent angioplasty program, we provide the highest quality of care to cardiac patients. The department is also equipped with an advanced computerized patient tracking and documentation system that connects with existing hospital information systems to find your prior hospital health history and keep track of your care every step of the way. Heart Care: We are dedicated to preventive care and offer a comprehensive program that includes education, prevention, diagnosis, treatment and rehabilitation. Patients have access to emergent angioplasty, cardiac catheterization, cardiac rehabilitation and cardiopulmonary diagnostic services. Our newly opened and renovated Pediatric Emergency Department is staffed with certified and trained pediatric specialists, catering to the pediatric population. Our heart care services are highly rated by patients-we score in the 95th percentile and above in patient satisfaction for cardiac catheterization, telemetry nursing and cardiac rehabilitation. We also offer minimally-invasive cardiovascular procedures with state-of-the-art catheterization technology that fosters quicker recovery. Our cardiac team includes cardiologists, telemetry nurses, cardiovascular technologists, imaging technologists, respiratory therapists, exercise physiologists, dietitians and social workers. Outpatient Rehabilitation Services: A multidisciplinary team of therapists and healthcare professionals work together to evaluate each patient and develop an individualized treatment program. At each step along the way, treatment and progress are carefully reviewed so that the program can be adjusted to fit the patient's evolving condition. The rehabilitation department offers a number of therapeutic services, including physical therapy, occupational therapy, speech and language therapies, audiology, cardiac rehab and two balance centers, which use a multidisciplinary program to diagnose and treat symptoms that impact balance. Our patients are can also be offered aqua therapy in the warm therapy pool located adjacent to the rehabilitation department at the RWJ Hamilton center for health and wellness. Our services are offered at several locations: - RWJ Hamilton's main hospital campus, outpatient services, One Hamilton Health Place, Hamilton, NJ - RWJ Hamilton Center for Health & Wellness, 3100 Quakerbridge Road, Hamilton, NJ - Pennington-Ewing Athletic Club, 1400 Lower Ferry Road, Ewing, NJ Audiology & Hearing Aids: RWJ Hamilton offers on-site audiology testing. Our audiology services include: - testing and diagnosing hearing loss and other hearing related disorders, including balance disorders - treating infants, children and adults - comprehensive testing of central auditory processing - auditory processing therapy - newborn infant hearing screening - pre-school hearing screenings - hearing aid evaluations and fittings - hearing conservation - custom noise protectors - custom made ear molds and swim molds - digital hearing aid fittings with 30-day trial The Balance Centers: The Balance Centers, located in rehabilitation services department at the RWJ Hamilton Center for Health & Wellness and the RWJ Hamilton Diagnostic & Treatment Center in Columbus, use a multidisciplinary program to diagnose and treat symptoms that impact balance.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Physical Therapy: Physical therapy is designed to strengthen the body and improve balance, coordination, movement and function. It benefits patients with many types of injuries, impairments and conditions, such as those caused by accidents, strokes, trauma, sports, burns and arthritis. Each patient is given a comprehensive evaluation and treatment plan. Our services also include: - aquatic therapy - lymphedema treatment - neurological therapy - spinal care - general orthopedics - foot and ankle care - stroke - geriatrics - industrial rehabilitation Speech/Language Therapy: RWJ Hamilton provides services for people of all ages who have difficulty with speech, language or swallowing. These services include treatment for language, swallowing, articulation and voice disorders. Vital stim therapy is available. Outpatient Specialty Services Diabetes care (see diabetes and endocrinology care section) Nutrition Counseling: Schedule a visit with the outpatient nutrition counseling service where you can count on sound nutritional guidance from dietitians who are trained in disease specific medical nutrition therapy for children and adults. They are skilled at separating nutrition facts from fads and are trained in translating the latest medical information on diet and nutrition into practical use. During the counseling session, your lifestyle, physical condition and food preferences will be considered in order to create a healthy, realistic eating plan. Typically, the nutritionist, a registered dietitian, will spend one hour with you during the initial visit. The need for follow-up appointments will be determined on an individual basis. Nutrition counseling includes: - expert nutrition information - an individualized meal plan - individually tailored educational materials - information on nutrition labeling - healthy recipes - tips for eating away from home - food shopping tips - nutrition needs for appropriate growth of infants/children and adolescents Nutrition counseling is provided for a variety of health needs including: - food allergies - cancer - celiac disease - diabetes-type 1, type 2, gestational - heart disease - high cholesterol - kidney disease - pre-diabetes - pre and post-weight loss surgery - pregnancy - weight management Occupational & Corporate Health: The Occupational and Corporate Health department provides comprehensive medical services to over 800 employers in our local community (central and northern New Jersey, greater Mercer County and Burlington County). Services are available in building 2 on the hospital campus. Our mobile team also offers on-site services at employer locations throughout the state. Services are designed to meet the needs of the corporate client to improve work force health and lower health costs, as well as the individual seeking medical advice for international travel. The practice is experienced in delivering physical examinations with multiple components. RWJ Hamilton performs firefighter physical examinations (per NFPA guidelines), DOT physical examinations (per federal motor carrier safety regulations, 49 cfr 391.41), HAZWOPER medical surveillance examinations (per OSHA 29 cfr 1910.120) and asbestos medical surveillance examinations. The department provides initial and follow-up treatment for work-related injuries along with case management services. The program provides a unique focus on reducing these injuries and their severity, reducing lost work time and optimizing clinical outcomes while reducing associated costs. RWJ Hamilton is also a certified yellow fever vaccination site. Consultations may be scheduled to discuss all health concerns while traveling abroad. Influenza vaccine is also available to the public, including Medicare recipients. The department offers a travel medicine program and provides consultations to discuss all health concerns for traveling abroad. Other services offered by the department include pre-employment physicals, executive physicals, pulmonary function testing, respiratory fit testing, audiogram testing, urine drug screen testing and breath alcohol testing. Outpatient Diagnostic: RWJ Hamilton's outpatient services building was created with our patients' comfort in mind. All procedures are accomplished in a central testing area designed for patient privacy and comfort. Every patient is assigned a dedicated team of healthcare providers. We offer ample and convenient, free parking and hours to fit your needs. Our Outpatient Services building is open Monday through Saturday. In addition, we offer Express Lab service. Express Lab is designed to offer quick, easy testing with the convenience of the working public in mind. Patients can call for an early morning, weekday lab or x-ray appointment, and upon arrival, register at the Outpatient Services registration desk. This Express Lab service has been expanded and now operates at the RWJ Hamilton Center for Health & Wellness on Quakerbridge Road for ease and convenience of our community. Sleepcare Center: The state-of-the-art RWJ Hamilton Sleepcare Center can diagnose and treat the full range of sleep disorders. We have more board certified sleep specialists on staff than any other hospital in Mercer County. The sleep study is painless and designed for your comfort. Most major insurance carriers should cover your test. We perform all pre-authorization tasks that may be required. Pharmacy Services: The RWJ Hamilton department of pharmacy provides pharmaceutical care to patients throughout RWJ Hamilton and is open 24-hours a day, 365 days a year. The pharmacy is staffed by registered pharmacists, certified pharmacy technicians, and support staff. The pharmacy provides all sterile intravenous product preparations, oral medications, drug information, and reviews all medication orders for safety and appropriateness. The pharmacy is completely computerized and has a state-of-the-art IV room to prepare sterile medications. The pharmacy staff is dedicated to patient safety and to empowering our patients to optimum medication use. Patient care pharmacists educate our patients daily on their medications while here at the hospital. Many of our pharmacists participate in outpatient outreach programs like brown bag sessions and health fairs to bring medication information and screening to our community. Weight Management: RWJ Hamilton offers shape for life, our comprehensive weight management program that provides a healthy way to live beyond the weight loss phase. Unlike other medical weight loss programs, shape for life combines all the key components necessary for successful long term weight loss. Additionally, our nationally certified Shapedown program is offered free of charge to students and their families of any school in Mercer and Burlington County, our primary and secondary service areas. Senior Services: RWJ Hamilton proudly serves the health, educational and social needs of our senior community. Our mission is to promote health via wide-ranging activities such as the 50+ club; preserve health with screenings and social activities; and restore health by providing excellent care focused on the unique needs of seniors. Some of the senior programs offered include: - Comprehensive health resources integrated with senior housing (cherish): clinical services are offered at Hamilton senior citizen housing. - Community educators provide classes and screenings at centers in Hamilton, Lawrence, Robbinsville, East Windsor and West Windsor and Columbus/Florence, NJ. - Senior programs/ wired seniors: classes explore topics from mental health to medical conditions affecting older adults. Regularly scheduled favorites include medication brown bag, aarp driving class, caregiver support and education, grief and loss support groups, navigating retirement, and a wired seniors program to teach seniors computer basics in a small-group setting. We also offer an evidence-based chronic disease self-management program called "take control of your health," a similar program for diabetes self-management, and "a matter of balance," which helps participants overcome the fear of falling and stay safe in their home. - Screenings measure hearing loss; cholesterol, glucose and blood pressure levels; and look for the onset of medical conditions such as osteoporosis and cancer. - Medicare counseling: free, objective, confidential Medicare counseling is available to seniors. - 50+ club membership in the 50+ club is free and open to anyone at least 50 years old. Free activities include bridge, walking and knitting. There are also a discount for dinner in the hospital's cafe when a loved one is in our hospital and discounts on inpatient bills for costs not covered by insurance.
COMMUNITY BENEFIT STATEMENT CONTINUED CORE FORM, PART III, STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS Lifeline: For peace of mind, RWJ Hamilton offers lifeline personal emergency response systems link subscribers to 24-hour assistance at the push of a button. Subscribers wear a one-ounce button as a pendant or wristband at all times. Pushing the button contacts the lifeline central monitoring center. Stroke Care: Designated by the state of New Jersey Department of Health and Senior Services and the Joint Commission as a primary stroke center, RWJ Hamilton's certified primary stroke center serves as a model for other community hospitals seeking to improve stroke care. Additional certifications include: - Get with the Guidelines (GWTG) Heart Failure Silver Performance Achievement Award from the American Heart Association which recognizes the Hospital's achievement across core measures in heart failure. - Certification for Primary Stroke Centers, State of New Jersey and Joint Commission, re-certified in 2011 RWJ Hamilton's continuum of stroke care includes on-the-scene care; skilled emergency personnel gather essential information; communicate with RWJ Hamilton; and begin treatment even before the patient reaches the hospital. Care is coordinated by a dedicated advanced practice nurse who acts as the stroke coordinator. - Emergency Care high-speed diagnostics and the most current treatments available give physicians a better chance to treat a stroke. - Affiliation with the Jefferson University Hospital Neurosciences program - inpatient care: the critical care and dedicated stroke unit provide specially trained staff and equipment for stroke care. The stroke program coordinator-a neuroscience nurse practitioner-works with patients, families, physicians and hospital staff, assuring that each patient receives the highest standard of care. - immediate therapy: physical therapists and other members of the rehabilitation team assess each patient within 24 hours of arrival and therapy is provided directly in the stroke unit. - Outpatient rehabilitation: our rehabilitation centers help patients continue to improve after leaving RWJ Hamilton and a rehabilitation hospital. - Preventive care: classes and screenings, including stroke risk assessments, are regularly offered. Nutritional counseling and fitness programs promote healthy lifestyles and reduce the risk of stroke and other cardiovascular diseases. Surgical services: - bariatric (weight loss) surgery - gastrointestinal endoscopy - gynecologic surgery - orthopedic surgery - plastic surgery - spine surgery - urologic surgery - vascular surgery RWJ Hamilton surgical services provide access to: - board certified surgeons and endoscopists - advanced technology - specially trained surgical staff A team highly skilled in medical-surgical and anesthesia medicine allow our patients to benefit from the latest surgical and endoscopic procedures. These minimally-invasive procedures typically result in less pain and faster recovery. The surgery center is equipped with advanced systems and instruments, including lasers, fiber optic cameras and video systems. Same-day surgery provides the convenience of returning to the comforts of home and support of family and friends on the same day. The surgical center is staffed with a team of professional nurses skilled in all aspects of surgery and endoscopic procedures. A comprehensive wound care center is available for patients with chronic non healing wounds and provides medical and hyperbaric treatment of wounds in an environment that encourages a multidisciplinary approach to healing. Women's Services: At RWJ Hamilton, hospital services are integrated with the leading OB/GYN group in the area. The women's health team includes: - board-certified obstetricians/gynecologists - certified nurse midwives and registered nurses - specialized physicians - radiologists and imaging technologists - dieticians and health educators - advanced practice diabetes nurse The RWJ Hamilton ob/gyn group is a patient-centered medical practice offering a full range of personalized care to prevent, diagnose and treat gynecologic conditions, as well as obstetrics services for high- and low-risk pregnancies. Women turn to RWJ Hamilton for preventive care and annual exams, contraception management, and treatment for conditions such as uterine fibroids, abnormal bleeding, endometriosis, ovarian cysts and polyps. Our physicians are also here to guide women through cancer care and treatment for infertility. Midwifery services are offered to women seeking personalized care for their well woman visits, preconception counseling, contraception and STD screening, and care during pregnancy for low-risk women. Maternal Child Health The maternal child health program offers: - preconception counseling - prenatal care - labor and delivery hospital care - a level II special care nursery - breastfeeding support and new baby education A commitment to community education and lifelong learning. In addition to hosting numerous community events throughout the year, the department offers a wide variety of classes, educational seminars, screenings and programs in topics as varied as: - caregiving - childbirth and family life - CPR - healthy cooking in the state-of-the-art healthy cooking kitchen - holistic health and lifestyle programs - health screenings, including: - Cancer screenings - Glucose, cholesterol and blood pressure - Stroke risk screening - Kidney disease screening - Vascular screening - Carpal tunnel screening - Body fat analysis - Hearing screening - Foot/ankle screening - Glaucoma screening - Balance screening - Osteoporosis screening - managing your condition - senior programs - shapedown, a family weight management program - stress management - support groups and resources - weight management Here are the many available support groups and programs, including both those offered through the Hospital and CINJ Hamilton: - Alzheimer's caregivers support group - Annual cancer survivors' weekend - - Bariatric surgery weight loss support group - Bedside harp - Bereavement support group - Beyond the diagnosis: survivor-to-survivor - Breastfeeding support group - Chronic fatigue support group - Circle of hope support group - CPR training center sponsored by the American heart association - CPAP workshop - Crohn's disease and ulcerative colitis telephone support - Dealing with breast cancer - Diabetes support group - Grief & loss group for older adults - Kids share-a workshop for children - Nicotine anonymous - Ovarian cancer support group - Overeaters anonymous - Peripheral neuropathy telephone support - Sharing your journey through cancer - Thyroid cancer support group - 4moms networking hour The speakers bureau at RWJ Hamilton and can help clubs, neighborhood associations and civic groups find the perfect individual to present a program on specific health-related issues. Healthcheck and about health magazines are mailed to over 100,000 households within the greater Mercer County community. Produced quarterly by the public relations & marketing department, in collaboration with the community education department, the magazines relay health information, patient profiles and class/support group listings.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
BUSINESS RELATIONSHIPS CORE FORM, PART VI; QUESTION 2 GREGORY BLAIR AND MARTIN TUCHMAN - BUSINESS RELATIONSHIP. PETER INVERSO, SHARON LAMONT AND MARTIN TUCHMAN - BUSINESS RELATIONSHIP. ANTHONY CIMINO AND DANIEL J. GRAZIANO, JR. - BUSINESS RELATIONSHIP. PATRICK RYAN, SIDNEY HOFING AND WILLIAM J. WALSH, JR. - BUSINESS RELATIONSHIP. JACK MORRIS AND SIDNEY HOFING - BUSINESS RELATIONSHIP.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON ("SYSTEM") IS THE SOLE MEMBER OF THIS ORGANIZATION. SYSTEM HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO AND MADE AVAILABLE TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING OF THE FEDERAL FORM 990 WITH THE IRS. THE ORGANIZATION'S GOVERNING BODY IS ITS BOARD OF TRUSTEES. THE ORGANIZATION'S BOARD OF TRUSTEES HAS ASSUMED THE RESPONSIBILITY TO OVERSEE, REVIEW AND APPROVE OF THE FEDERAL FORM 990, INCLUDING THE PREPARATION, REVIEW AND FILING PROCESS. AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS OF THE ORGANZIATION TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION OF THE FEDERAL FORM 990 TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION'S CHIEF COMPLIANCE OFFICER FOR REVIEW. THEREAFTER THE CHIEF COMPLIANCE OFFICER PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS. THIS SUMMARY IS THEN GIVEN TO THE ORGANIZATION'S PRESIDENT/CHIEF EXECUTIVE OFFICER FOR REVIEW. THEREAFTER, BOTH THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND THE CHIEF COMPLIANCE OFFICER OF THE ORGANIZATION PRESENT THIS SUMMARY TO THE ORGANIZATION'S GOVERNANCE COMMITTEE FOR THEIR REVIEW AND DISCUSSION.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
DISCLOSURE INFORMATION CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY SECRETARY OF STATE.
COMPENSATION INFORMATION CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
RELATED HOURS DISCLOSURE CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS PART OF ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE NETWORK INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE NETWORK. THE HOURS SHOWN ON THIS FORM, 990 FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENTS THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE NETWORK, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE NETWORK; NOT SOLELY THIS ORGANIZATION.
OTHER CHANGES IN NET ASSETS CORE FORM, PART XI; QUESTION 5 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET CHANGE IN UNREALIZED GAINS AND LOSSES ON OTHER THAN TRADING INVESTMENTS - ($63,709) - CHANGE IN NET ASSETS HELD BY RELATED ORGANIZATION - $885,386 - NET ASSETS RELEASED FOR RESTRICTONS FOR OPERATIONS - ($126,621) - FORGIVENESS OF AMOUNTS DUE TO/FROM AFFILIATES - ($1,753,167)
AUDITED FINANCIAL STATEMENTS CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE WITHIN THE ROBERT WOOD JOHNSON UNIVERSITY HEALTH CARE CORP. AT HAMILTON SYSTEM ("SYSTEM"), A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. THE SYSTEM'S PARENT ENTITY IS ROBERT WOOD JOHNSON HEALTH CARE CORP. AT HAMILTON. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE SYSTEM AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; INCLUDING THIS ORGANIZATION; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT BIG FOUR CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF THE RWJ HEALTH CARE CORP. AT HAMILTON OBLIGATED GROUP FOR THE YEARS ENDED DECEMBER 31, 2011 AND DECEMBER 31, 2010; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL AT HAMILTON'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2011

Additional Data


Software ID:  
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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL
HAMILTON
Employer identification number

21-0634572
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity



















Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) CHILDRENS SPECIALIZED HOSPITAL

150 NEW PROVIDENCE ROAD

MOUNTAINSIDE,NJ07092
22-1487148
PED. CARE NJ 501(C)(3) HOSPITAL RWJHCC
 
 
No
(2) CHILDRENS SPECIALIZED HOSPITAL FDN

150 NEW PROVIDENCE ROAD

MOUNTAINSIDE,NJ07092
13-6844298
FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJHCC
 
 
No
(3) LAKEVIEW CHILD CARE CENTER INC

ONE HAMILTON HEALTH PLACE

HAMILTON,NJ08690
22-2627639
CHILD CARE NJ 501(C)(3) 509(A)(2) RWJHCCH
 
 
No
(4) RWJ UNIV HOSP AT HAMILTON FDN INC

ONE HAMILTON HEALTH PLACE

HAMILTON,NJ08690
22-2552329
FUNDRAISING NJ 501(C)(3) 509(A)(1) RWJHCCH
 
 
No
(5) RWJ HEALTH CARE CORPORATION AT HAMILTON

ONE HAMILTON HEALTH PLACE

HAMILTON,NJ08690
22-2566863
HOLDING CO. NJ 501(C)(3) 509(A)(3) RWJHCC
 
 
No
(6) RWJ UNIV HOSP RAHWAY AUXILIARY

865 STONE STREET

RAHWAY,NJ07065
22-0012205
SUPPORTING NJ 501(C)(3) 509(A)(3) RWJUHR
 
 
No
(7) RWJ UNIV HOSP RAHWAY FOUNDATION

865 STONE STREET

RAHWAY,NJ07065
22-2405094
FUNDRAISING NJ 501(C)(3) 509(A)(3) RWJUHR
 
 
No
(8) RWJ UNIVERSITY HOSPITAL RAHWAY

865 STONE STREET

RAHWAY,NJ07065
22-1487305
HLTHCARE SVC NJ 501(C)(3) HOSPITAL RWJHCC
 
 
No
(9) NEW BRUNSWICK AFFILIATED HOSPITALS INC

120 ALBANY STREET SUITE 750

NEW BRUNSWICK,NJ08901
22-1946837
HLTHCARE SVC NJ 501(C)(3) 509(A)(3) RWJHCC
 
 
No
(10) RWJ PROPERTY HOLDING CORPORATION

120 ALBANY STREET SUITE 750

NEW BRUNSWICK,NJ08901
22-2474955
PROPERTY NJ 501(C)(3) 509(A)(3) RWJHCC
 
 
No
(11) RWJ HEALTH CARE CORPORATION

120 ALBANY STREET SUITE 750

NEW BRUNSWICK,NJ08901
22-2568905
HOLDING CO. NJ 501(C)(3) 509(A)(3) NA
 
 
No
(12) RWJ UNIV HOSPITAL FOUNDATION INC

120 ALBANY STREET SUITE 750

NEW BRUNSWICK,NJ08901
22-2378007
FUNDRAISING NJ 501(C)(3) 509(A)(3) RWJHCC
 
 
No
(13) RWJ UNIVERSITY HOSPITAL

ONE ROBERT WOOD JOHNSON PLACE

NEW BRUNSWICK,NJ08903
22-1487243
HLTHCARE SVC NJ 501(C)(3) HOSPITAL RWJHCC
 
 
No
(14) AUXILIARY OF RWJ UNIVERSITY HOSPITAL

120 ALBANY STREET SUITE 750

NEW BRUNSWICK,NJ08901
22-6014339
SUPPORTING NJ 501(C)(3) 509(A)(2) RWJUH
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) HAMILTON OB GYN PA
ONE HAMILTON HEALTH PLACE
HAMILTON,NJ08690
20-0218248
HLTHCARE SRVCS. NJ RWJUHH
 
C CORP.      
(2) RWJ DIABETES & ENDOCRINOLOGY
ONE HAMILTON HEALTH PLACE
HAMILTON,NJ08690
26-1447574
HLTHCARE SRVCS. NJ RWJUHH
 
C CORP.      
(3) RWJ MED ASSOC AT HAMILTON
ONE HAMILTON HEALTH PLACE
HAMILTON,NJ08690
22-3454267
PROF. SVCS. NJ RWJUHH
 
C CORP.      
(4) RWJ MED SVCS ORG AT HAMILTON
ONE HAMILTON HEALTH PLACE
HAMILTON,NJ08690
22-3454270
RENTAL REAL EST. NJ NA
 
C CORP.      
(5) VISION HEALTHCARE INC
865 STONE STREET
RAHWAY,NJ07065
20-4285005
INVESTMENT NJ NA
 
C CORP.      
(6) RWJ HEALTH NETWORK INC
120 ALBANY STREET SUITE 750
NEW BRUNSWICK,NJ08901
22-3420314
HLTHCARE SRVCS. NJ NA
 
C CORP.      
(7) RWJ KIDNEY TRANSPLANT ASSOC
120 ALBANY STREET SUITE 750
NEW BRUNSWICK,NJ08901
03-0382501
HLTHCARE SRVCS. NJ NA
 
C CORP.      
(8) RWJ MULTI-SPECIALTY PA
120 ALBANY STREET SUITE 750
NEW BRUNSWICK,NJ08901
03-0382492
HLTHCARE SRVCS. NJ NA
 
C CORP.      
(9) RWJ MEDICAL ASSOCIATES PA
120 ALBANY STREET SUITE 750
NEW BRUNSWICK,NJ08901
22-3586872
HLTHCARE SRVCS. NJ NA
 
C CORP.      
(10) RWJ SURGERY CENTER INC
120 ALBANY STREET SUITE 750
NEW BRUNSWICK,NJ08901
22-3698431
HLTHCARE SRVCS. NJ NA
 
C CORP.      
(11) RWJ PHYSICIAN ENTERPRISE PA
120 ALBANY STREET TOWER 2 FLOOR 3
NEW BRUNSWICK,NJ08901
45-3967414
HEALTHCARE SVCS. NJ NA
 
C CORP.      
(12) SYSTEM AND AFFILIATE MEMBERS
CRAIG APPIN HOUSE 8 WESLEY STREET
HAMILTON,BDHM JX
BD
98-0656382
FINANCIAL VEHICLE BD NA
 
FOREIGN CORP.      
Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
Yes
 
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
 
No
q Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) RWJ DIABETES & ENDOCRINOLOGY

E 1,382,138 COST
(2) HAMILTON OB GYN PA

P 69,751 COST
(3) HAMILTON OB GYN PA

D 256,434 COST
(4) RWJ MEDICAL ASSOCIATES AT HAMILTON

D 477,580 COST
(5)

(6)

Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(e)
Are all
partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2011
Schedule R (Form 990) 2011
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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