Healthcare Fiduciary's Handbook

Practical advice. Planning tools.
Best practices.

Hospitals and healthcare systems

In today’s volatile markets, your job as a healthcare fiduciary is to carefully balance the goals of each distinct asset pool without negatively impacting the overall financial health of your organization. This intricate process has led many hospitals and healthcare systems to seek out the services of an experienced outsourced CIO. We’re proud to provide strategic advice, asset management, implementation, and administrative support to a wide variety of organizations, from small community hospitals to some of the nation’s largest healthcare systems.

Healthcare Fiduciary’s Handbook

To help manage the complexity surrounding your investment program, we’ve developed the Healthcare Fiduciary’s Handbook. If you are a Board member, serve on the Finance or Investment Committee, or are the CFO of a non-profit hospital or healthcare system, this reference book was written to give you practical advice, planning tools, and information on best practices to help you understand and successfully fulfill your fiduciary responsibilities.

It can pay to delegate

Typical healthcare system asset poolsIn our experience, most hospital and healthcare system fiduciaries meet 4-6 time per year, for an hour or two at a time. In that limited amount of time, there is a daunting amount to keep on top of. Regulatory and accounting changes, maintaining the funded status of your pension plan, tracking return goals for your foundation and long term pools—and ensuring that your investment program doesn’t negatively impact your balance sheet or credit rating. Often, the path to making the greatest impact may be at the strategic level—focusing your limited time on high level governance decisions. When Russell Investments joins your team, our broad team of investment professionals will manage many of the day to day details on your behalf. We will not only provide you with advice to help you make better strategic decisions, but we’ll also serve as a co-fiduciary, helping guide your organization through the decision making process.

A truly customized solution

We will listen to your goals, and then get to work building a customized outsourced CIO solution to suit your needs. Our program features can include:


The Russell Investments difference

Your hospital and healthcare system’s goals are your first priority, and you deserve to work with a provider who has all of the right capabilities, under one roof, focused on you and what you are trying to achieve. Through Russell Investments’ integrated, holistic solution, we will provide you with:

Advice. We have almost 40 years of experience providing strategic advice to hospital and healthcare system fiduciaries, designed to help you achieve successful, long-term outcomes. Our industry-leading manager research capabilities and capital markets insights are part and parcel of the advice we deliver.

Investment management. We will seek out the best investment strategies for you, whether they are internal to Russell Investments or exist elsewhere and combine them into a multi-asset portfolio designed to deliver the results you require. We manage more than $257 billion in client investments, including institutional accounts, around the world. (As of 09/30/2016)

Implementation.You’ll receive industry-leading thought leadership, award-winning implementation services, and access to innovative, results-oriented strategies like tactical portfolio tilting, dynamic de-risking, strategic overlays, and more. These are just a few of the operational details Russell Investments can take off your plate.

Flexibility in levels of discretion. Your organizational structure, resources, and in-house expertise will drive how much, and what type of discretion you choose to delegate to Russell Investments. Our outsourced CIO solution is flexible and we will work closely with you to customize it to your needs.

Operational efficiency. Our outsourced CIO solution allows you to leverage our scale and buying power to ensure you’re getting the most for your money. It also includes administrative features such as trust/custody, audit support, cash management, rebalancing, fiduciary and regulatory compliance, and many other aspects of daily account administration—another important way in which our experienced team can act as an extension of your staff.

Your sole focus as a hospital and healthcare system fiduciary is to ensure that your organization is fiscally healthy and able to meet the needs of your patients, employees, and community. Our job as your outsourced CIO provider is to ensure that your investment program is there to support that important work, every step of the way.


Please remember that all investments carry some level of risk, including the potential loss of principal invested. They do not typically grow at an even rate of return and may experience negative growth. As with any type of portfolio structuring, attempting to reduce risk and increase return could, at certain times, unintentionally reduce returns.

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