DGTL Voices with Ed Marx - Feel Whole (ft. David Banks)
Episode Date: July 2, 2026David Banks is the President and CEO of AdventHealth, one of the largest faith-based health systems in the country, with 55+ hospital campuses, 2,000+ care sites, and 100,000+ team members serving com...munities across the nation. In this episode of DGTL Voices, David sits down with Ed for a conversation that begins with cycling and ends with the philosophy that shapes how AdventHealth approaches whole-person care. He talks about his path from sweeping the sidewalks of a small community hospital in California to leading a national health system, what it means for every facility leader at AdventHealth to also carry the title of Chief Spiritual Officer, and the "feel whole" promise the organization makes to every patient. Plus a story from early in his career that taught him an important lesson about putting patient need ahead of financials, and how the team did some of its most important work in the middle of COVID. https://marxadvisory.com
Transcript
Discussion (0)
You talked a little bit about the faith-based mission of Advent Health.
How do you think that the patient and team experience is different?
What makes health care so complicated is our society has never really settled on who should get it and how it should get paid for.
Our teams are still highly motivated to not let that be a distraction and focus on the patients in front of us
and build programs and services that really help people get the things they need.
So it's not enough just to address the physical issue.
Let's address the mind, the body, and the spirit of the person.
They have more than an opportunity for a career.
They have an opportunity for a call.
Welcome to Digital Voices, where healthcare and life science leaders explore the real work behind transformation.
This podcast is about people, leadership, and the conversations that move healthcare forward.
Now your host, Ed Marks.
Welcome to another edition of Digital Voices.
Thank you for listening and watching.
Thanks to you, we are top 10 in the world under tech.
And the main reason is because amazing guests like David Banks,
the president and CEO of Advent Health, David, welcome.
Well, Ed, thank you.
It's a pleasure to be with you today.
Yeah, I'm really looking forward to this because we first met actually not that long ago.
We were both at the Hymns conference at the executive portion of that conference.
you were the keynote speaker that kicked off the entire hymns.
And it was just an amazing talk.
And I was like, man, I really want to have David on this program.
So thank you so much.
And especially since you talked about cycling.
And so I was like, yes, a fellow cyclist.
And I thought that that was pretty cool.
That was really the first time we met.
But David, the most important question, maybe the second most important question I will have today,
are what songs are on your playlist?
What kind of music do you like to listen to?
So if I go on just raw download.
volume, there's three artists that will come to the top. James Taylor, Lyle Lovett, and Stevie
Ray Vaughn. Those will be one of the three in the top rotation. The time we lived in Texas
really brought in that Stevie Rayvon element. So those would probably be one of something
out of their catalogs would probably pop first. Yeah, those are good tunes. I was trying to guess I'm
wearing a Frank Sinatra shirt today. But, you know, next time it'll be JT. I definitely have a JT
shirt as well. What about life message or mantra? Are there sort of words that sort of guide who you are
and how you lead? You know, my wife and I are very aligned in the way we view the world and the way
we view life, which is no regrets, do what's in front of you. Don't miss the opportunity to do
things today that may not be available in the future. It's, so we like to just move forward,
do what's available, do what's in front of you, kind of a no regret sort of strategy.
And then the other thing that always comes through is I try to really, from a mantra standpoint,
things are neither good nor bad, they just are.
And so just trying to live into that sort of intentionality, I find to be really helpful.
Yeah, I love that.
Tell us a little bit about yourself.
Like, who are you?
You know, what's your story?
Where did you grow up?
We could start right there.
Yeah, so I grew up in the foothills of the Sierra Nevada's in California.
So our most famous sort of person to live in our area would have been marked.
Twain. It was a total gold rush area. So it was a former gold mining town in the 1849 sort of
era is kind of how that area got settled. But yeah, one of five kids, mom and dad moved from L.A.
up into the foothills in the early 50s because my dad thought L.A. was too crowded. So I was born and
raised really in a very rural. Our whole county had 40,000 people. Our town had one stoplight and
3,000, and there happened to be a little Adventist hospital in that town, which is, we'll tie
into the story later. But yeah, one of five, four older sisters, Ed. Wow. I'm
I'm going to guest with four older sisters. So that may also kind of fill in the personality
profile a little bit. Yeah. How did you get into cycling? Well, so for my dad, his seminal gift,
he would give all of us for our eighth grade graduations was a brand new 10 speed bike. So I watched my
sisters get these new bikes, and they always got Schwinn varsity bikes, if you remember. Oh, yeah.
I broke the mold and went for a Raleigh Grand Prix. Very exotic. And so cycling was just in our,
it's something my dad would do with us and our, and we just, we just always had bikes around. And we
weren't a wealthy family. And so biking is also really cheap. Yeah, it's funny. He mentioned
Schwinn-Varsie, because I actually had that bike as well. That is, that, that's kind of funny.
What about a pivotal moment in your life that fundamentally changed your trajectory?
Yeah, I think, you know, there's, it's hard to pick one.
There was one that happened for me in college where I was just kind of bouncing along.
And I had a social work professor who pulled me aside and did some things for me.
And one of the things she told me, she said, you know, I see more potential in you than I think you see in yourself.
Right.
And we're going to work together to help that come out.
And she did some things for me, but it was that interaction where I'd never had anyone sit me down and just say, there's more in you than you're aware of.
And let's see how we unlock that.
And I remember being so taken back by that and thinking, okay, let's see.
And that was definitely an early moment that my life was very different after that.
based on her intervention.
Yeah.
Well, we all need someone like that in our lives.
Let's shift a little bit to your career.
Why did you choose health care?
How did that happen?
Well, so my mom worked at this little Adventist hospital in Snora.
And so as a kid, it was the backdrop of my growing up.
We lived across the street from that hospital.
So I was a total latchkey kid.
Our family did not have a lot of resources.
You know, that's a fancy,
way of saying we were poor. Latchkey kid, older sisters, we all just kind of had to get through,
you know, school. And so after school, I would often go sit with my mom at the hospital until she got
off work. She was the switchboard operator front desk receptionist. So I would sit in the lobby of the
hospital after school from 3 to 530. She'd get off work and we'd go home. And so, you know,
and it was just in the backdrop of my growing up. And it was a small little 30-bed rural hospital
but you see it all.
And then my first job is in first real job as a ninth grader in high school was sweeping the sidewalks of that hospital.
Oh, wow.
So it was just always kind of in the ether in terms of hospitals being around.
That's pretty cool.
And did you imagine why you were sweeping the sidewalks that one day you might eventually become a CEO of the preeminent health care system and no country in the world?
No.
So I will tell you, I did.
And this is a fairly shallow assessment.
But even then I thought, I'm probably not smart enough to be a doctor.
So who's got the next best car in the parking lot?
Because I'm sweeping right out in the parking lot.
And it's the CEO of the hospital.
I thought, maybe I could do that.
So I remember literally thinking that it's like, well, maybe that's a pathway I could think about.
But very superficially, it was based on the quality of cars they were driving.
And then maybe the quality of the bikes, too.
Yeah.
And they had a nicer cycle as well.
Absolutely.
Absolutely.
Which, as you know, can cost as much as maybe
your first or second car. Absolutely the case, in my case. So, Dave, you talked to earlier while
you're in college that this person helped you to see your potential and sort of opened up your
worldview a little bit. What about in your health care journey when you were first starting out?
Was there someone like that who helped you see more who you could become? So I went on through
social work school, got my MSW at University of Maryland, and I came out working in psychiatric
facilities. So I got hired at an Advent Health facility in South Fort Worth,
Hugley Hospital, and I was the director of, I was a department director of the psych unit,
and I just joined Advent Health. And our CEO came to me and said, you know, we do a thing
within Advent Health called our annual conference on mission. And this is a Thursday, Friday,
Saturday meeting that looks at the mission of the organization. It includes patient
stories. It includes celebrating team members who have really demonstrated mission. And this was another
one of those moments. I'm just a department director, but he's like, I think you have a future in
Ed Bent Health. And I want you to go to this meeting. Wow. So I go to the meeting Thursday night. I hear
the stories Friday. And Ed, for me, it was like, I need to be a part of this organization. That just
anchored me in the mission of the organization. It so motivated me. And I was so grateful. Because usually
it was kind of C-suite level people who were attending this, but he let me go as a department
director, and I've never forgotten his gift to let me do that. Totally changed the way I thought about
the company I wanted to be a part of and where I wanted to spend my career. Yeah, that just shows you
the power of a great leader in both of your examples. My wife went to the near Hughley. I was
spacing out now the name of the university, but the Advent University down there. Yeah.
Yeah. And she went to us. Oh, and then she went to Hugley as our first job.
Save time. And then when I was an executive of Texas Health, we formed a joint venture with you and Hugley.
And so very familiar. I see it almost every day driving by because I still live in that particular area. So that's pretty cool.
And I'll tell you, we love our partnership with Texas Health Resources. They are fantastic partners. I was just there myself earlier in the week talking with the teams.
Oh, cool. That's really cool. So share, we talk now about.
Admin Health, share a little bit more about the organization and the mission and vision.
Yeah, so Advent Health, based on its roots, go all the way back to 1866, right, comes out
of the sanitarium movement and was always organized around holistic care, mind, body, and spirit.
So clearly there's been a focus on clinical excellence, clinical innovation, what's the state of the art,
but also has always had the view that you're treating people and people are part of it.
They have a story and they have a life they want to get.
back to. So it's not enough just to address the physical issue. Let's address the mind,
the body, and the spirit of the person, which is what undergirds our feel-whole promise today.
And that comes from being motivated by a Christian mission. Our mission is to extend the healing
ministry of Christ. That's not an evangelical mission, but it is a call to care for humanity,
care for evil. See where there's need and move to that need. And in our case, it happens to be in
the healthcare context, but that still informs what we do and that mission drives, you know,
drives through the organization today. Yeah, very cool and very self-evident for anyone who's
been on one of your campuses. One of the things that you talk about is this concept of going
beyond borders of pragmaticism. How is that sort of actualized? Yeah. So, you know, when you're
dealing with, in my experience, when you're dealing with in clinical situations, especially
in my role now, it would be easy to average numbers, roll up your collective sort of work,
and you would say, you know, we're getting this right 95 times out of 100, whatever the thing is.
When you're talking about finances, you can do that. You can move money around. You can, you know,
but when you're talking about patient experiences, you have to get it right every time.
Yeah. And pragmatically, you would say, well, nine out of ten is a total A. I mean, that's a great
grade unless you're having to explain to the 10 who didn't get it, why they didn't get it.
Yeah. And so for me, pragmatism would say nine out of ten's fine. The mission says, no, you've got to get it right. And it's what it's in our service standards, every person, every time, because it's their experience. And so it requires you to be a little bit non-pragmatic to think, okay, how do I get this right? A hundred out of a hundred. Now, we don't, it's hard to hit that. And rarely do you ever hit it? But that's got to be, that's got to be what we strive for. Every patient, every time.
deserves clinical excellence delivered in an experience that is affirming to who they are as a person.
Can you share a little bit going back to cycling and healthcare? Share a little bit perspectives on
healthcare headwinds and how to best react because that's one of the themes that you've spoken about.
And I think you use cycling maybe as an analogy, but yeah, speak a little bit about that.
Well, you know from your own cycling experience, you know, when you hit a headwind cycling,
it can just drain your soul.
It causes you to just like, what am I doing out here?
And what it's taught me is to be ready for it,
to know how you're going to react in the moment,
and it's not going to last.
So let's think about what condition we want to be in when the wind shifts.
And so it does speak to preparation.
It does speak to how you act in the form of crisis.
And one of the best examples I saw of this was our former CEO,
Terry Shaw, when we were in the middle of the COVID sort of just Valley, he pulled up out of our
op center and said, look, you guys keep running operations. We're going to come out of this. And I want to
go think about what position we want to be in when we come out. And that, we actually did some of our
most important reorganization work in the middle of COVID. We're going to need a better physician
model. We're going to need a stronger compensation package for our team members. We're going to need
a better supply chain. All of those innovations came out of really the deepest part of those
COVID headwinds. And so part of it's, I think, how you handle what's going on when you're in it,
but also thinking when this ends, what position do we want to be in and what key decisions
should we be making right now? It's not a time to be passive. You just got to attack and go.
So you talk a little bit about the faith-based mission of Advent Health. How do you think
that the patient and team experience is different as a result?
Well, for the team, what we strive for is that people understand they have more than an
opportunity for a career. They have an opportunity for a calling. And, you know, as you think
about the full spectrum of the type of team members we have, I was reminded of this, one of our
environmental services workers, and we did a video of her. She was so competitive.
And her telling of her work, which was, oh, no, I don't clean rooms.
I actually am the front end safety leader.
I care for patients and I care for our nurses because we're going to maintain an environment where great care can happen.
And it's that sort of, some people would think, no, I just mop floors.
Right.
But what she reminded us all of is, oh, no, there's no casual tasks when you're dealing in health care.
And it's that sort of opportunity we want to create for.
every one of our team members who want it.
Some people, let's be honest,
some people will just punch a clock and work.
Always want to invite people
to find that next layer of meaning
in the work they do.
For the patients, again,
our faith-based mission is not,
you know, evangelizing.
It informs the value we place
on the person in front of us.
So what I'm hoping they experience
is a team that is clinically excellent,
is managing their experience, but also feels that they're being cared for people who value them as a person,
not just the 55th person has walked through our ER that day.
They may not know why we do it.
We don't lead with our mission externally.
That's internally what we lead with externally is our promise of feel whole.
Yeah.
That's what we're hoping they experience.
They may not even know why we do it, but I'm hoping they walk away feeling like, man, I felt really holistically cared for.
in that experience. So that's what we're hoping they experience. When it comes to leadership,
you emphasize this missional leadership concept. Can you hear more about that? Yeah, well, it goes right
to that issue that in our construct, our CEOs of our facilities, regions,
also carry the title of chief spiritual officer. And what that means is they're responsible to
develop a culture that allows their team members to find the deepest meaning in their work
and deploy the operations and systems
that allow patients to have those feel-hole moments.
And, you know, the challenge with feel-hole moments is
it's the patient that decides if they've had it.
We took a little bit of inspiration from Disney
because if you understand how Disney,
and I do just a little, I'm not a Disney expert,
but, you know, they talk about these magical moments,
and they don't know what it is.
It could be you with your grandson
looking at something, you know, a character, and that was it for you.
For another family, it could be something completely different.
Feel-home moments are defined by the end user.
And we want our teams attentive and sort of in the moment enough to know that says,
oh, this is what matters to Ed.
Ed wants to get a phone call into his wife before, you know,
five o'clock to let her know he's okay.
If that's the most important thing, that's what we want to index to.
And there's no sort of wrote textbook that would have told us that.
Right.
So you've got to have people that are highly attentive and in tune to what does Ed need in this moment?
What's he trying to get done?
What will help him feel whole in a way that he wants?
Well, I can tell you, David, from everyone I've met before at Advent Health, one of my best friends, Brent Snyder.
They're truly missional in the way that you describe.
So it's not just theory.
I've seen it in your people.
That's pretty cool.
What about your personal fate?
Like, how do you incorporate your faith into your leadership?
Yeah, so for me, I, so it's funny, I was talking with our team the other day.
I'm not a real charismatic or effusive person in that space.
You're not going to see me at church leading a praise team.
You're not going to see me, you know, running up and down the aisles.
But for me, and it's part of my social work background as well, for me, it informs the way I want to see people.
and the fact that we want to convey deep regard for humanity
and for humans that have need.
My favorite story is really the Good Samaritan,
this idea of, and what I like about that story is
other people saw the need and crossed over
and went the other direction.
I want our organization,
I want our leadership to see that need and move to that need.
And to me, that's an applied version of a spirituality
that I think translates well into health care.
again, it's what drew me to social work as well.
It's very applied.
You're there to help people.
And we want that help to be tangible and to be the natural bias of the organization.
How do we help you?
That should be the impulse.
And for me, that comes from that missional, that's a missional drive.
Yeah, it's a great example.
Can you share a time because, you know, we all have personal beliefs and you have a deep Christian faith.
And yet, and a great mission and vision of the organization.
and yet there's going to be times with the headwinds or otherwise,
something happens that may,
there may be a key decision that conflicts with the personal beliefs.
Have you ever run into such a thing and how did you handle it?
Yeah, so this one happened before I worked at Advent.
When Janice and I moved to Texas,
I got hired by a for-profit freestanding psych hospital.
And I'd worked in psych before and was ready to do it,
and I was hired to be a program director.
And I was a little naive to the way,
ways of for-profit health care. And so I'm the social worker on the unit. I have all the patients,
the discharge dates, and we go to our morning admission and discharge meetings. So the CEO looks at me
and says, okay, David, who do you have on your list? I said, you know, here's our patients.
Here's whom they were admitted. And then he said, well, what's their insurance? I said, well,
they have this insurance, which covers 60 days. So then he goes down to his thing, goes out,
and puts a discharge date out 60 days. And I said, well, we don't, I said, sir,
respectfully, we don't know that he needs 60 days.
He goes, no, no, he has 60 days of insurance.
His discharge date is 60 days from now.
And I remember, you know, and I just sat back and thought, uh-oh, I have fallen into something
I didn't fully appreciate.
Yeah.
Then I looked around, and I was young in my career, and I looked at people who had been
in that system three, four, five years.
And I thought, if I stay, I'm going to be just like them.
You can't swim in the water and not get wet.
And so for me, that experience, and I wrestled with that for a year because I also had this naive belief that I couldn't leave the job that I just got, right?
It looked bad on my resume.
So I wrestled with that for a year.
And the minute I could hit the eject button, I did.
And that taught me you cannot put finances ahead of patient need.
Now, we need solid financial practices, but that was just blatant that it's like I can't be here.
I can't do this kind of health care.
That's also what drew me to advent because I never encountered that when I got onto the nonprofit side.
Going back to your upbringing, David, was there something your parents made you do as a kid?
Maybe you rolled your eyes a little bit, but now you look back and like, that was pretty good.
I'm glad I did it.
Well, I think one of them, so you got to understand my parents, both born and raised in L.A. around 1930,
both high school graduates never got any further education than that.
So my dad was a truck driver for many years.
He and my mom both insisted on education.
It's like you are not done with your education until you're done with college.
And in a small country town, a lot of times what you see is people go to high school, they graduate, they get jobs, they get, you know, they get a pickup.
And as a kid, you're like, man, that's got to be the way to do it.
My parents were just, you are not done with your education until you're done with college.
they did not even care what I took.
And at the time, I thought that was a little bit odd,
but then I realized, well, they had no college.
He had no point of reference other than,
and my dad would always say,
if you can work with your head and not your back, do it.
And now he was clear, David, there's no shame and hard work.
And we all worked hard.
I mean, I had paper out in fourth grade.
I'd pulled weeds, did gardening, all that sort of stuff.
But he said, if you have the option to work with your brain
instead of your back, take it.
And he goes, the only way that's going to really happen is if you get education.
And again, they didn't really know what they were pushing us to.
And then my mom said, and you're not allowed to get married until you finish college.
And they didn't care who you married, how you marry.
It's just like get your education done and then take on other life things.
And at the time, I thought, man, they're pretty dogmatic about this.
But I was pretty compliant as a kid and through high school.
And so, but Ed, that advice has served me and my four older sister.
so well.
So for two high school graduate parents,
we have doctorates, graduate degrees,
all advanced educational,
professionally driven careers
from two parents who only went as far as high school
because of their just insistence on
you've got to get an education.
We have a lot of commonalities for sure,
and that's definitely one of them where my parents
were the same way.
And there were seven of us,
and we all went on with advanced.
degrees and there's something to that.
Someday I'll have to do a little research on that
because I found a lot of people like
a lot of people in that situation. So I
have to ask David because, you know, any cyclist
that's listening is he going to be, is he
going to ask about what kind of bike? What kind of bike
does David prefer? What kind of bike does
David ride? So right now,
a couple years ago, I decided to come off the road
and I was always a trek guy. So I had a
Trek Project one I rode for years.
It's now sitting on my trainer. And I
built a wheelier, Jenna.
Italian frame.
I built a gravel bike that can hold up on the road.
For my aggressive more gravel rides, I built a salsa Fargo, titanium frame, and that's the one we use for heavier duty bike packing up in Canada and other places.
But when I'm doing more trail riding or light gravel riding, I ride my Jenna.
And you're right, I spent too much on it.
It was much more than my first car, about 10 times more than my first car.
That also tells you how bad that first car was.
But, yeah, so for me, those are the two bikes I ride most, a salsa and my willier.
Oh, man, when I come down your way someday, I'll let you know.
Maybe you'll take me out on some trails.
It'll be a lot of fun.
We have a great loop.
I'll take you on.
So, Dave, we covered a lot of ground.
We talked about songs on your, you know, how we first met at hymns,
and then J.T. and Lyle Lovett and Stevie Ray Vaughn.
And we do have a Spotify playlist.
And we'll add, if we don't already,
I don't think we have any Lyle Lovett.
We'll add some.
And then we talk about your life message,
really about living with no regrets.
Don't push anything off, you know,
that you can accomplish today
because you never know, right?
Our time is finite.
And then we talked about growing up
and your parents on like,
you know,
Salt of the Earth type of people
raised you super well and your sisters.
And then we talked really about a couple of people
in your life that helped, you know,
open your eyes to what was possible,
gave you some vision and encouragement, how important that is.
And we talked about your career and how you moved from social work
into ultimately your role as a CEO.
And then we talked a lot about Advent Health and just established in 1866
and all about the differentiator, right,
compared to most organizations, the mind, body, and spirit.
And then we talked a lot about how that manifests itself,
both from a patient experience point of view as well as a team point of view
and just what makes you different.
And then we talked about cycling and headwinds and things like that, which was pretty cool.
And then really a lot about leadership.
And I love the fact that your CEOs are also the chief spiritual officers.
And they create this culture so people can find meaning in their work.
It's so awesome.
It makes me want to jump back in, you know, and come to fly for a job.
We'll take you, Ed.
Come on.
So super, super.
What did I miss, David?
Or is there anything you want to double down on?
I'll give you the last word.
No, I just think what I feel fortunate to,
be able to do, even with all the swirl inside of health care costs and politics, and what
makes health care so complicated is our society has never really settled on who should get
it and how it should get paid for.
It's all patchwork solutions going back 50, 60 years.
I'm still, and our teams are still highly motivated to not let that be a distraction and focus
on the patients in front of us, the communities in front of us, and build programs.
and services that really help people get the things they need.
And so to me, that's just really motivating.
It's how I want to spend my time.
And I just feel so fortunate to be able to work with 100,000 people we get to
inside of Advent Health across our communities from big metro markets like Tampa to the most
rural places you've seen like Clay County, Kentucky.
It's all meaningful and it all counts.
And we're motivated to get it right and all across that full range.
David, you're a great leader.
Advent Health is a great organization.
Thank you for all that you do
in serving the communities where you serve.
Well, Ed, thank you and come to Florida
and bring your bike.
And I've got a great 50-mile ride we can go on.
All right.
I'm going to take you up on that.
I'll be there someday.
Okay.
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