Company: Billings Clinic - Logan Health

Location: Billings, MT / Kalispell, MT

Reporting Relationship: The System Vice President Construction and Real Estate Development will report to the Co-CEOs: Kevin Abel, CEO of Logan Health, and Clint Seger, MD, CEO of Billings Clinic.

Website: https://www.logan.org/

https://www.billingsclinic.com/ 

Organization Background

Billings Clinic and Logan Health are united as one non-profit, Montana based, independent health care system focused on keeping patients and families close to home and connecting care in communities throughout the region. The unified health system serves an area that includes Montana, northern Wyoming, and the western Dakotas and is governed by a board of community members and medical professionals. It encompasses 25 hospitals, which includes 16 regional partnerships with critical access hospitals and clinics. More than 9,000 employees, including 1,200 physicians and advanced practice providers practicing in 80 specialties, work together to provide patients and their families with a positive, proactive, patient-centered experience, through innovative and effective approaches to high quality, safe health care. Combined, Billings Clinic and Logan Health generate annual net revenues of $2 billion.

Billings Clinic and Logan Health have deep commitments to complex care, local access, innovation and health care education. By uniting the two organizations in September 2023, each of which have served Montana and the surrounding region for more than 100 years, Billings Clinic and Logan Health are better together. The one combined system is better positioned to adapt to the rapidly changing health care environment while maintaining a commitment to sustaining and growing services that meet the needs of Montana and Wyoming families.

Billings Clinic

Billings Clinic was designated as the first Magnet organization in Montana in 2006. Billings Clinic is also a member of the Mayo Clinic Care Network, which has provided clinical resources and direct access to Mayo Clinic specialists since 2013. As a regional leader in medical education, Billings Clinic offers Montana’s only medical residencies for Internal Medicine, Psychiatry, and Surgery (rural track), and a Rural Critical Care Fellowship. Last year, Billings Clinic’s cost of Community benefit totaled more than $67.3 million, including $20.2 million in financial assistance provided to more than 14,600 patients.

Billings Clinic’s services to meet our system mission of quality, compassionate care for all include:

• Level I Trauma Center provides emergency and critical care, with support from MedFlight advanced life support fixed-wing aircraft and helicopter air ambulance service to transport critically ill or injured patients from rural communities. Specialty MedFlight teams include trauma, neonatal (infant) and maternal (childbirth) care. Already the busiest trauma center in the region, Billings Clinic was designated as the region’s first Level I Trauma Center in a 500-mile radius in 2023.
• Primary Care is available at multiple locations, with NCQA-certified patient-centered medical homes where a team of health professionals work together to provide all of your health care needs in convenient locations.
• Clinic locations include Billings (Downtown, Heights and West), Bozeman, Miles City, and West Yellowstone, Montana; and Cody, Wyoming.
• Rural outreach includes 145 specialty care clinics per month at 23 different regional locations for residents of rural Montana, Wyoming and North Dakota.
• PatientConnect offers personal online access 24/7 to your medical records and to online bill payment.
• BillingsClinicConnect allows providers immediate access to shared patient information that facilitates improved patient care.
• Billings Clinic is home to Eastern Montana Telemedicine Network, a collaboration with regional health care facilities to provide health care and education through private video conferencing.
• Billings Clinic is dedicated to the pursuit of new medical knowledge with research that benefits current and future patients with diseases such as diabetes and cancer.
• Billings Clinic Cancer Center has an outstanding team of cancer specialists, and the only stem cell transplant program in the region. Cancer site-specific teams of physicians and patient care navigators work together in this Commission on Cancer Accredited Comprehensive Cancer Program.
• Billings Clinic’s John R. Burg MD Cardiac Center provides state of the art patient-centered care in all aspects of cardiology and cardiac surgery. This excellence in cardiac care has been recognized with multiple awards and recognitions including Platinum recognition for treatment of Chest Pain and Heart Attack.
• Billings Clinic Orthopedics & Sports Medicine has specialists in upper and lower extremities, pediatrics and trauma surgery. They are certified by the DNV and are awarded its Disease-Specific Care Certification for hip and knee replacement. They are also designated as a BlueDistinction Center for Knee and Hip Replacement by Blue Cross and Blue Shield of Montana.
• Women’s health services include specialists in obstetrics, gynecology, maternal-fetal medicine, reproductive medicine, fertility care, and urogynecology. Services also include a high-risk breast clinic.
• Children’s health care is provided by a comprehensive team of 20+ pediatricians and pediatric specialists in the specialties of cardiology, dermatology, diabetes, gastroenterology, hematology/oncology, hospital care, neonatology, neurology, ophthalmology, orthopedics, psychology, pulmonology, rehabilitation, and urology. The state-of-the-art Bob & Penni Nance Inpatient Pediatric Unit offers a safe, healing, high-tech environment for children who require pediatric in-hospital care for injury or illness and specialty medicine. Billings Clinic is a partner in the Children’s Hospital Colorado Care Alliance, giving families across our region access to some of the nation’s best care close to home.
• The only board-certified reproductive endocrinologists and In Vitro Fertilization Program in Montana, Wyoming and the western Dakotas are at Billings Clinic in Billings and Bozeman.
• The Billings Clinic Family Birth Center staff cares for approximately 1,000 newborns per year, offering private suites, family-centered single room maternity care, and a Level III Neonatal Intensive Care Unit (NICU).
• The Neurosciences Program includes an outstanding multidisciplinary team for neurology and neurosurgery, offers 24/7 interventional neurosurgery and has the Region’s only neurohospitalist program. Billings Clinic offers the highest level of stroke care available in the region and is certified by DNV as Montana and Wyoming’s first and only Comprehensive Stroke Center, the highest stroke certification level a health care organization can achieve.
•  Billings Clinic is the only location within a five-state region to offer Gamma Knife® radiosurgery for noninvasive treatment of brain tumors and other conditions.
• Surgical Services include cardiac, thoracic and vascular surgery, general surgery, gynecologic oncology, metabolic surgery, neurosurgery, OB/GYN, ophthalmology, orthopedics, otolaryngology head and neck surgery (ear, nose, throat), facial plastics and reconstructive surgery, podiatry, urology, and urogynecology. Billings Clinic offers minimally-invasive surgery, including robotic-assisted surgery with the da Vinci surgical system, and advanced surgical facilities including a hybrid operating room.
• Billings Clinic Surgery Center is an outpatient facility for same-day procedures and operations.
• The 44-bed inpatient unit at the Psychiatric Center is the only inpatient psychiatric care unit for youth and adults in Eastern Montana. Billings Clinic is a leader in clinical care and health care policy design for mental health services in the state of Montana, and offers the most comprehensive department of psychiatry in the state.
• Dermatology Center specialists offer comprehensive medical dermatology care for children and adults, and skin cancer detection and treatment services, including Mohs surgery.
• Billings Clinic Gastroenterology is recognized by the American Society for Gastrointestinal Endoscopy for promoting quality in endoscopy. Our gastroenterologists provide screening, diagnosis and treatment of digestive tract diseases.
• Through a multi-disciplinary approach, the Diabetes, Endocrinology & Metabolism Center team provides individualized care for endocrine system disorders, diabetes management, and medical and surgical weight loss.

VISION: Reimagine health care through connection, service and innovation.

Logan Health

Logan Health is a nonprofit, 590-bed health system located in the iconic Flathead Valley of northwest Montana. While the main medical campus is located in Flathead County, Logan Health draws from a total service area covering 13 counties, nearly 40,000 square miles and a population of more than 600,000. The health system consists of six hospitals, more than 68 provider clinics, a medical fitness center, skilled nursing facility and a host of other health care services, including the nation’s first rural air ambulance service (A.L.E.R.T.), which it has maintained for more than 45 years. More than 4,500 physicians, nurses, health care professionals and support staff work together to provide patients and their families with a positive, proactive, patient-centered experience. Founded in 1910, Logan Health has provided exceptional care for more than 100 years to the communities it serves. Throughout its history, the organization has continued to grow and evolve with the growth and changing needs of the communities it serves.

Mission: Quality, compassionate care for all.

Position Summary

• Leads the development and execution of long-range facility master plans across the health system.
• Collaborates with executive leadership, clinical operations, and finance teams to prioritize capital projects.
• Evaluates site acquisition, facility expansion, and leasing opportunities to support access and service delivery goals.
• Ensures key information is communicated and understood by all colleagues on a timely basis and colleague feedback is incorporated into decisions and standardized.
• Provides strategic vision, leadership, coordination, and administrative oversight for the future design and functionality of Billings Clinic – Logan Health facilities which will be aligned with short-term and long-term strategies and operational objectives of the organization.

• Directs all phases of the health system construction projects, including new hospitals/buildings, renovations, ambulatory care centers, and medical office buildings.
• Manages budgets, timelines, and quality control across all active projects, ensuring on-time and on-budget delivery.
• Ensures all construction activities meet healthcare-specific requirements, including infection control, safety standards, and patient-centric design.

• Oversees the acquisition, leasing, and disposition of properties to ensure efficient and cost-effective use of space.
• Manages lease negotiations and landlord/tenant relationships for clinical and other facilities.
• Monitors facility performance and develop strategies for cost savings, optimization, and sustainability.
• Manages a master calendar of projects integrating their financing with annual and long-term capital plans and overseeing the real estate and facilities portion of due diligence for potential capital and facilities projects.
• Oversees, negotiates, and supervises the administration of contracts such as: service contracts, and contracts for capital projects, leases, sales, and purchases of real estate as well as disposition of donated assets.
• Develops and manages operational facilities deferred maintenance capital program.

• Ensures compliance with healthcare construction standards and codes (e.g., DNV, CMS, NFPA, OSHA).Works closely with legal, risk, and compliance teams to navigate local zoning laws, permits, and regulatory reviews, as well as regulatory, environmental, community public hearings, and governmental issues to maintain compliance with all applicable laws and regulations.

• Leads and mentors a multidisciplinary team, including project managers, real estate professionals, facility planners, and construction personnel.
• Builds a culture of collaboration, innovation, and accountability within the department.
• Relentless focus on colleague and patient safety with a health system perspective. Provides open and honest feedback that results in enhanced performance outcomes.
• Engages with clinicians, department heads, and external partners to deliver facilities that meet clinical and operational goals.
• Participates in strategic planning, system goal setting, operations and business planning initiatives in collaboration with other senior leadership team members pertaining to construction and real estate development.
• Participates in Board Meetings as appropriate.

• Builds relationships with key customers (including senior administrative and medical staff leaders) from across the organization; gains an understanding of their particular needs for programmatic development, functionality, and design; promotes open communication with customers and vendors regarding needs, timetables, mutual responsibilities, and accountabilities.
• Develops collaborative relationships with internal and/or external strategic partners and/or other applicable parties.
• Proactively builds coalitions that removes barriers to solving problems. Negotiates win-win scenarios with outside vendors/partners.

• Minimum of ten (10) years of progressive and effective leadership experience in healthcare construction and/or healthcare facility real estate.
• Proven experience managing large-scale, complex healthcare construction and renovation projects.
• Experience managing multi-site real estate portfolios in a health system or hospital system environment.
• Strong knowledge of healthcare-specific building codes, regulatory standards, and patient safety guidelines. Experience with health care regulatory and licensure agencies and understanding of licensure related activities as it relates to the physical environment and its impact on clinical care and finance.
• A proven track record of leading consistent, successful financial and operational performance.
• Ability to use appropriate interpersonal styles to establish effective relationships with customers and internal partners; interact with others in a way that promotes openness and trust and gives them confidence in one's intentions. Anticipate and response to the needs of internal and external customers.
• Ability to provide feedback, instruction, and development guidance to help others excel in their current or future job responsibilities; can plan and support the development of individual skills and abilities.
• Identify and drive organizational and cultural changes needed to adapt strategically to changing market demands, technology, and internal initiatives; catalyze new approaches to improve results by transforming organizational culture, systems, or products/services.
• Effectively engages management level staff, employees, and stakeholders to build partnerships, achieve strategic initiatives, and attain organizational goals.
• Demonstrate a poised, credible, and confident demeanor that reassures others and commands respect; convey an image that is consistent with the organization's vision and values.
• Clearly and succinctly convey information and ideas to individuals and groups; communicate in a focused and compelling way that captures and holds others' attention.
• Ability to perform responsibilities with frequent interruptions and competing priorities.
• Excellent verbal and written communication skills including the ability to communicate effectively with various audiences. Excellent interpersonal skills.
• Frequent travel across Montana required.
• Experience with DNV standards specifically related to health care systems.
• Familiarity with project delivery models and construction technology platforms.
• LEED accreditation or experience with sustainability and energy-efficient design in healthcare.

• A Bachelor’s degree in Construction Management, Architecture, Engineering, Real Estate, or a related field required.
• Advanced degree is preferred.
• Certification in Project Management (PMP), Healthcare Facility Management (CHFM), or Real Estate (CCIM) is desirable.