Visiting Nurse Service of Rochester and Monroe County Cash Balance Pension Plan

Overview

This pension plan covers legacy employees of the Visiting Nurse Service of Rochester and Monroe County, Inc., a home-health provider that became part of the University of Rochester Medical Center Health System. The plan is a cash balance pension — a defined-benefit structure where each participant's account grows through annual pay credits and interest credits — and is now frozen, meaning no new members accrue benefits. Its remaining obligations are tied to a closed population of former visiting-nurse staff. The plan's reported address in Webster, New York, places its administrative oversight within the Rochester-area healthcare ecosystem. Cash balance plans of this vintage and size typically allocate to fixed-income and liability-driven investment strategies, with limited exposure to equity or alternatives. No specific investment managers, co-investments, or direct alternatives positions are publicly disclosed. The University of Rochester's central investment office, which managed approximately $7.The office's staff and committee structure — historically led by Senior Vice President and Chief Investment Officer Douglas Phillips — oversee the university's endowment, defined-benefit plans, and other reserves. No separate investment committee or dedicated staff is disclosed for this particular plan. The plan stands out for its simplicity: a frozen, single-purpose, single-employer cash balance plan with no active accruals and no known alternatives sleeve. That structure differed sharply from corporate pension plans that have migrated toward private equity and real assets to close funding gaps. Its conservatism is structural — mandated by a frozen participant base and the liability horizon of a closed healthcare workforce — rather than an episodic risk-off decision.