Rob Roy is vice president and chief investment officer for Adventist Health System (AHS), a faith-based hospital system that carries out the health care ministry of the Seventh-day Adventist Church headquartered in Altamonte Springs, Florida. Roy oversees the organization’s investment assets exceeding $5 billion. Under his leadership since 2013, the investment office has grown both in staff size and portfolio value. In this interview, he discusses recent development of Adventist’s investment portfolio and the health care system’s mission-driven investment approach.