AdventHealth Organizational Hierarchy: Who Actually Calls Shots?
- 01. Inside AdventHealth Organizational Hierarchy-What Surprised Me
- 02. The Top of the Chain: Board and CEO
- 03. Executive Leadership Team Structure
- 04. Regional and Market Leadership
- 05. Clinical and Physician Organizations
- 06. Support Functions and Specialized Divisions
- 07. Historical Context and Evolution
- 08. Why This Structure Matters for Patients and Employees
Inside AdventHealth Organizational Hierarchy-What Surprised Me
AdventHealth's organizational hierarchy is a faith-based hierarchy led by President and CEO David Banks, who reports to a Board of Directors and oversees a multi-tiered executive team including Senior Vice Presidents for clinical operations, brand strategy, legal affairs, and regional CEOs managing facilities across nine states. The system operates under the mission "Extend the Healing Ministry of Christ," with a clear chain of command that distinguishes corporate leadership from regional hospital leadership and physician wellness divisions.
The Top of the Chain: Board and CEO
At the apex sits the Board of Directors, which sets strategic governance and holds the CEO accountable. While the corporate AdventHealth Board differs from local Advent Health Care Boards (like the one in Florida with Chair David Bannister ), the national leadership structure centers on David Banks, who was appointed President and CEO in 2021 and continues to lead as of early 2026. His direct reports include Executive Vice Presidents and Senior Vice Presidents who manage critical functions like legal, culture transformation, and information technology.
What surprised me most was the degree of decentralization: each major region or hospital division has its own President/CEO who operates with significant autonomy while aligning to corporate strategy. For example, Mark Smith serves as President and CEO of AdventHealth Littleton, Kay Barnett leads AdventHealth Minneola, and Trevor Wright manages the Southwest Region. This structure enables localized decision-making while maintaining system-wide consistency in patient care standards.
Executive Leadership Team Structure
The Leadership Team at AdventHealth is responsible for setting strategic direction and operational excellence, focusing on enhancing patient care, fostering innovation, and ensuring compliance with healthcare regulations. This team comprises top executives across various divisions, including:
- David Banks - President and CEO
- Vickie White - SVP & Chief Brand & Consumer Officer
- Jeffrey Bromme - EVP & Chief Legal Officer
- Duncan Grodack - EVP, CIO
- Timothy Pursley, MD - Chief Clinical Officer, Multi-State Division
- Rowena Valentine - Assistant to President
- Olesea Azevedo - Chief Culture & Transformation Officer
- Steve Gotshall - Chief Financial Officer
- Brent Snyder - EVP & Chief Information Officer
- Steven Kim - Executive Director Strategy & Operations, Chief of Staff
This cross-functional executive team ensures alignment between clinical operations, brand strategy, legal compliance, and technology infrastructure. The inclusion of a Chief Culture & Transformation Officer reflects the organization's emphasis on maintaining its faith-based identity during rapid expansion.
Regional and Market Leadership
AdventHealth operates facilities across nine states, and each market or region has a dedicated President/CEO who reports either directly to David Banks or to an intermediate regional executive. This regional leadership model was notably reinforced in January 2025 when the East Florida Division announced a transition from market leadership to a new regional structure with two distinct regions.
- East Florida Division - Region 1: Led by David Weis (President/CEO), covering east Volusia, Flagler, and St. Johns counties.
- East Florida Division - Region 2: Led by Lorenzo Brown (President/CEO), covering west Volusia, north Lake, and south Sumter counties.
- Southwest Region: Led by Trevor Wright (President & CEO), managing facilities in the southwestern operational zone.
- Daytona Beach Market: Led by David Sinclair (President/CEO).
- DeLand Market: Led by Khelsea Bauer (President | CEO) .
This market-specific leadership allows AdventHealth to respond quickly to local healthcare demands while adhering to corporate protocols.
Clinical and Physician Organizations
The Clinical Division is a critical pillar, led by Chief Clinical Officer Timothy Pursley, MD, who oversees physician well-being, engagement, and clinical operations across multi-state divisions. Within this division, there are dedicated Chief Wellness Officers for specific geographic areas:
| Role | Executive | Distribution | |
|---|---|---|---|
| Chief Wellness Officer | Amber Orman, MD | Florida Division | |
| Chief Wellness Officer | Vandna Jerath, MD, FACOG | Multi-State Division | |
| VP, Chief Medical Officer (Primary Care) | Robert Rodgers, MD | National Primary Care Network | |
| Chief Operating Officer - Clinical | Timothy Pursley, MD | AdventHealth Clinical |
The Physician Well-Being and Engagement team includes Executive Director DeAnna Santana, PhD, Corporate Director Kellie Queen, and Director of Culture and Wellness Stacy Ramkissoon-Udit, reflecting the organization's investment in clinician health.
Support Functions and Specialized Divisions
Beyond clinical and regional leadership, AdventHealth maintains specialized divisions for brand strategy, information technology, legal affairs, and human capital. Vickie White serves as SVP & Chief Brand & Consumer Officer, shaping the system's public image and consumer engagement. Duncan Grodack (EVP, CIO) and Brent Snyder (EVP & Chief Information Officer) jointly oversee technology infrastructure, a dual-leadership approach that underscores the critical role of digital health.
The Chief Culture & Transformation Officer, Olesea Azevedo, leads initiatives to preserve AdventHealth's Seventh-day Adventist heritage while adapting to modern healthcare demands. This role emerged prominently during the 2023-2025 transformation period when the system expanded into new markets.
Historical Context and Evolution
AdventHealth's principles for caring for the whole person started more than 150 years ago with the founders of the Seventh-day Adventist Church. The organization evolved from a collection of local Adventist hospitals into one of the largest healthcare providers in the United States, now employing thousands of compassionate professionals across nine states. The current hierarchical structure reflects this evolution: a central corporate office guiding strategy while empowering regional leaders to execute localized care models.
The 2025 East Florida restructuring demonstrated the system's agility, transitioning from a market-based to a region-based leadership model to better meet consumer needs. This change effective January 12, 2025, promoted two internal leaders (David Weis and Lorenzo Brown) to head the new regions, reinforcing the organization's commitment to internal talent development.
Why This Structure Matters for Patients and Employees
The decentralized hierarchy ensures that patients receive care tailored to local community needs while benefiting from system-wide resources like standardized electronic health records, shared specialty programs, and unified physician wellness initiatives. For employees, the structure provides clear career pathways: a nurse in AdventHealth Wesley Chapel can advance to regional leadership roles while understanding how their work fits into corporate strategy.
What surprised me most was the balance between autonomy and alignment: regional CEOs have authority to make operational decisions, yet every executive team member participates in the same strategic planning cycles and cultural transformation initiatives. This model allows AdventHealth to scale rapidly without diluting its mission, a rare feat in modern healthcare.
As AdventHealth continues expanding into new markets and launching innovative care delivery models, its organizational hierarchy remains a foundation for sustainable growth. The clear reporting lines, dedicated physician wellness infrastructure, and emphasis on culture transformation position the system to meet future healthcare challenges while staying true to its 150-year-old mission.
Expert answers to Adventhealth Organizational Hierarchy Who Actually Calls Shots queries
Who is the CEO of AdventHealth?
David Banks is the President and CEO of AdventHealth, having been appointed in 2021 and continuing to lead the organization as of 2026.
How many states does AdventHealth operate in?
AdventHealth operates facilities within nine states across the United States, with hospitals, clinics, and specialized care centers in each market.
What is the mission of AdventHealth?
The mission is to "Extend the Healing Ministry of Christ" by helping people feel whole through healing their bodies, strengthening their minds, and lifting their spirits.
How is AdventHealth's leadership structured regionally?
Each region or market has a dedicated President/CEO (e.g., David Weis for east Volusia/Flagler/St. Johns, Lorenzo Brown for west Volusia/north Lake/south Sumter) who reports to corporate leadership or an intermediate regional executive.
Who leads physician well-being at AdventHealth?
Timothy Pursley, MD serves as SVP and Chief Operating Officer - AdventHealth Clinical, leading the Physician Well-Being and Engagement division, supported by Executive Director DeAnna Santana, PhD.
What makes AdventHealth's organizational hierarchy unique?
It combines a faith-based mission with a highly decentralized regional leadership model, allowing local autonomy while maintaining system-wide alignment on clinical quality and brand identity.
When was the East Florida Division's leadership structure updated?
The transition from market leadership to regional leadership in the East Florida Division took effect on January 12, 2025, creating two distinct regions with promoted internal leaders.
Is AdventHealth a for-profit or non-profit organization?
AdventHealth is a faith-based, non-profit healthcare system headquartered in Altamonte Springs, Florida, with principles rooted in the Seventh-day Adventist Church.
