As 2022 approaches, healthcare investors can be thankful for the robust returns recently delivered by markets, but find themselves facing an environment characterized by rich equity valuations, low yields on fixed income investments and recently awakened inflation. Health systems continue to be challenged, particularly through wage pressures. In this paper, we have prioritized what we believe to be top considerations for health systems in this area over the next 12 months.


Ensuring balance sheet strength and sufficient liquidity requires a thoughtful approach, all while maintaining an investment return that will help achieve longer-term capital spending goals and pension obligations amid rising inflation and the past decade of robust US market returns. This, coupled with growing pressure to incorporate environmental, social, governance (ESG) concerns, and impact investing, not to mention simultaneously monitoring progress as it relates to diversity, equity and inclusion (DEI), leaves health systems with plenty to focus on in 2022.

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Investment management and advisory services for US clients are provided by Mercer Investments LLC (Mercer Investments), which is one of several, associated legal entities that provide investments services to clients as part of a global investment advisory and investment management business (collectively referred to as “Mercer”).Mercer Investments LLC is registered to do business as “Mercer Investment Advisers LLC” in the following states: Arizona, California, Florida, Illinois, Kentucky, New Jersey, North Carolina, Oklahoma, Pennsylvania, Texas and West Virginia; as “Mercer Investments LLC (Delaware)” in Georgia; as “Mercer Investments LLC of Delaware” in Louisiana; and “Mercer Investments LLC, a limited liability company of Delaware” in Oregon.