# Russell Street Ventures

Russell Street Ventures is a Venture Capital based in Nashville, United States.

## Overview

- **Organization type:** Venture Capital
- **Headquarters:** Nashville, United States
- **Region:** North America
- **Address:** Nashville, TN, United States
- **Founded:** 2020
- **Assets under management:** Undisclosed
- **Website:** russellstreetventures.com
- **LinkedIn:** https://www.linkedin.com/company/russell-street-ventures

## Regulatory record

- **Reports private funds:** No

## About

Russell Street Ventures is a healthcare-focused venture capital firm based in Nashville, Tennessee. Founded in 2021, the company invests in companies serving vulnerable and underserved patient populations. Its portfolio includes Tnemec, a company invested in on June 21, 2023.

## Sectors

- Healthcare Services
- Digital Health

## Offices

- Stamford, CT, United States

## People

- Brad Smith — Chairman
- Aneesh Krishna — Partner

## Questions

### Who founded Russell Street Ventures and what is their background?

Brad Smith founded the firm in 2020. Smith previously served as Administrator of the Centers for Medicare & Medicaid Services and director of the Center for Medicare and Medicaid Innovation, and he co-founded palliative care provider Aspire Health, which was acquired by Anthem in 2018. His background in value-based care policy and operations directly informs the firm's company-building approach.

### How does Russell Street Ventures source and build its portfolio companies?

The firm does not invest in external startups — it creates companies internally. Russell Street Ventures identifies gaps in healthcare delivery for underserved populations, forms legal entities, hires management, and provides operational support and capital directly. This company-creation model gives the firm control over strategy and execution from day one.

### What types of healthcare businesses does Russell Street Ventures focus on?

The firm targets value-based care delivery models for complex, underserved patient populations. Confirmed investments span rural primary care (Main Street Health), home and community-based services management (CareBridge), and specialty care consolidation (Russell Street Dermatology). The common thread is risk-bearing care models for Medicaid, Medicare Advantage, and dual-eligible populations.

### What is the firm's relationship with Main Street Health?

Main Street Health is a Russell Street Ventures-incubated company focused on bringing value-based care to rural primary care practices across the United States. Brad Smith co-founded the business, and Russell Street Ventures provided the initial capital and operational architecture. In 2023, Main Street Health raised $315 million from outside investors including Oak HC/FT (per TechCrunch, 2023).

### Does Russell Street Ventures disclose its assets under management?

The firm does not publicly disclose AUM. It does not appear to operate as a traditional fund with limited partners — its permanent capital structure and company-building model make standard AUM comparisons less relevant. Deployment figures are not publicly reported.

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Last updated: 2026-06-03T20:00:00.000Z

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