In this episode of Visionary Voices, we sit down with Jim Bilsky, Vice President of Enterprise IT Operations at Baptist Health Jacksonville, to explore what it really takes to scale IT in the midst of rapid organizational growth.

As Baptist Health continues to expand across Northeast Florida, including major facility investments and increased demand for advanced care, Jim shares a behind-the-scenes look at how IT plays a critical role in enabling that growth. From infrastructure planning and onboarding strategies to governance and decision-making frameworks, this conversation highlights how technology leaders can support expansion without disrupting operations.

We also dive into the balance between maintaining existing systems and adopting new tools, and what it means to “keep the ship moving” while evolving for the future. Jim offers practical insights on what has worked, lessons learned along the way, and how strong governance and clear priorities can drive success at scale.

If you're navigating growth, modernization, or IT transformation within your organization, this episode delivers real-world perspective from a leader doing it every day.