Decades of institutional leadership drive every product and service.

Hospital and healthcare systems have been relying on us to help ensure their investment programs are aligned with their overall financial objectives for nearly 40 years.

Offering holistic investment solutions for your long-term or operating pools, defined benefit plan, defined contribution plan, foundation assets, and insurance assets.

We provide outsourced CIO (OCIO) solutions as well as custom investment solutions such as consulting, dynamic, multi-asset class investment management, and implementation services to healthcare organizations of all sizes and levels of complexity.

Solutions and capabilities for healthcare systems

Outsourcing capabilities

You retain fiduciary oversight over your program, while delegating the day-to-day investment operations to us.

Investment solutions

Designed to maximize return potential, efficiently manage risk, and reduce costs for health systems.

Case studies & research

Cutting-edge research written for you by our analysts, and designed to deliver knowledge.

RFP Builder

Selecting a outsourcing partner can be complicated. Our "build your own" request for proposal (RFP) tool can help.

You can count on these guiding principles that underline our investment approach

Investment discipline

We remove emotional and behavioral biases and focus on a research-driven approach to investing. We consider and evaluate the broadest investment opportunity set available, seek returns where opportunity is greatest, and exercise stringent investment discipline to keep your portfolio on an even keel.

Open architecture

No single asset manager can do it all. We leverage our industry manager research to find the asset managers we believe to be among the best in the world, then work to incorporate them in a portfolio specifically designed to meet your risk and return requirements.

Outcome-oriented investing

It’s not enough to beat benchmark returns. We start with an understanding of your objectives and then design an investment solution tailored to meet your goals.

Dynamic portfolio management

Our investment capabilities enable us to quickly respond to changing market dynamics. Timing and efficient implementation matter, and every basis point counts.

Cost-efficient approach

Our investment solutions are designed to help you increase returns and reduce risk, all while staying within your fee budget. We put our scale, purchasing power, and access to work on your behalf.

Effective risk management

It’s critical to “know what you own” before making changes to your investment portfolio. We leverage cutting-edge tools and software to help mitigate unexpected outcomes.

We are proud to be globally recognized for excellence in the investment industry.

Russell Investments was ranked as the largest global manager of Healthcare outsourced assets, out of 47 firms, in CIO Magazine's "2023 Outsourced Chief Investments Officer (OCIO) Survey," based on the AUM from its fully discretionary clients (as of 12/31/2022).

CIO 2023 OCIO Survey - Largest Healthcare Outsourcer

Russell Investments' multi-asset approach is core to what we deliver to our OCIO clients

Multi-asset investing is the process of incorporating exposures to a globally diverse mix of asset classes and dynamically managing those exposures to capture short-term market opportunities and to mitigate risks. We incorporate this approach into every outsourced CIO solution we build for our clients.

The pies below illustrate a typical approach and Russell Investments' multi-asset approach. We believe this is what makes us a best-in-class solution, a cut above the rest.

Image for illustrative purposes only.

The "typical" portfolio, shown on the left above, is constructed using single asset class sleeves combined with an additional tactical sleeve bolted onto the portfolio. In this type of portfolio construction, each sleeve is managed separately, and the tactical sleeve is applied without taking into account the current position and risk budget of the managers in each individual asset class sleeve.

In the Russell Investments' multi-asset approach, shown on the right above, the decision about what tactical shifts to make are informed by the underlying holdings of the managers and strategies, plus the risk budget of the total portfolio and the shifts taking place in the market. This approach gives our portfolio managers greater flexibility to adapt the portfolio to short-term market shifts to help retain long-term return potential.

This approach requires the skills of a team of full-time, dedicated, experienced investment professionals and this capability is built into every OCIO solution we offer to our non-profit clients.

Webinar recording

Interview with Thomas Jefferson University CIO: Creating a responsive balance sheet

On May 25, 2023, Alfred Salvato, SVP and CIO at Thomas Jefferson University Hospitals (Jefferson Health) joined us to discuss how Al implemented an integrated risk framework across TJU’s balance sheet assets to align the investment risk positioning with expected capital needs over the short, medium and long term.

Healthcare fiduciary's guidebook | Russell Investments


We created the Healthcare fiduciary's guidebook as a step-by-step guide for non-profit hospitals and healthcare systems to provide a fiduciary roadmap to help you simplify your complex investment programs.

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Lisa Schneider

Please reach out to me directly through this form.

Lisa Schneider, CFA

Managing Director,
Head of Client Solutions

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