Investment Strategy
AdventHealth is one of the largest faith-based, not-for-profit healthcare systems in the United States, affiliated with the Seventh-day Adventist Church. The system operates more than 50 hospitals across Florida, Colorado, Illinois, Kansas, Kentucky, North Carolina, Texas, Wisconsin, and Georgia. Its investment portfolio supports both current operations and long-term strategic initiatives, managed through an internal investment team that applies an endowment-style framework to the system’s long-duration assets.
The alternatives program spans private equity, real estate, private credit, hedge funds, and infrastructure investments. AdventHealth’s private equity allocation focuses on diversified buyout and growth equity strategies, with a preference for managers that demonstrate strong ESG practices and values alignment. The real estate portfolio includes investments across property sectors through institutional commingled funds and direct partnerships. Infrastructure investments provide long-duration, inflation-protected returns that align well with the system’s multi-decade investment horizon.
As a faith-based organization, AdventHealth applies values-based investment screens that exclude certain industries from the portfolio. These screens are implemented at the manager level and through the portfolio construction process, with the investment team working to ensure that values alignment does not compromise investment returns. The system’s investment governance includes board-level oversight through a dedicated investment committee that reviews asset allocation, manager performance, and policy compliance.
How to Approach
Fund managers approaching AdventHealth should understand the system’s faith-based investment screening requirements and be prepared to demonstrate how their strategies align with these values. The investment team values managers who can accommodate customized screening while maintaining strong investment performance. ESG integration and impact measurement capabilities are viewed favorably.
AdventHealth’s investment team engages through institutional channels, including consultant relationships, conferences, and direct outreach from managers with relevant expertise. The team is based in Central Florida and maintains relationships with managers and consultants across the Southeast. Strategies that offer institutional quality, transparent governance, and competitive returns within the system’s values framework are best positioned for consideration.
Frequently Asked Questions
How large is AdventHealth's investment portfolio?
AdventHealth manages approximately $14 billion in investment assets across its healthcare system, which includes over 50 hospitals and hundreds of care sites across nine states. The investment portfolio supports the system's operations, capital plans, and faith-based mission of extending healing and wholeness.
What is AdventHealth's investment approach?
AdventHealth employs a diversified, endowment-style investment approach with approximately 18% allocated to alternatives including private equity, real estate, private credit, hedge funds, and infrastructure. The investment program is managed through an internal team that works with an investment committee to set policy and oversee manager relationships.
Does AdventHealth apply faith-based screens to its investments?
As a Seventh-day Adventist health system, AdventHealth applies values-based investment screening that excludes certain industries and practices inconsistent with its faith-based mission. These screens are integrated into the manager selection and portfolio construction process alongside traditional financial criteria.
