Success Story · Biotech · Private Equity-Backed

Recapitalization Results

Company Overview

Industry

Healthcare Services · Physician Practice Management · Anesthesiology · Acute Care

Founded

1979

Engagement

Leadership Development · Physician Leadership · Organizational Transformation

A purpose-driven biotech, scaling at investor pace.

Florida Gulf-to-Bay Anesthesiology Associates, LLC (FGTBA) was a multi-state practice group based in Tampa, Florida, which performed a broad range of clinical and administrative services to hospitals and ambulatory surgery centers. FGTBA employed over 50 board certified anesthesiologists and over 100 certified registered nurse anesthetists (CRNA’s) who managed approximately 160,000 cases annually for eight hospitals and 11 ambulatory surgery centers (ASCs).

FGTBA has since been acquired by TeamHealth, one of the largest providers of outsourced physician staffing solutions for hospitals in the United States.

Introduction

Preparing leaders for accelerated growth.

In 2012, MTS Health Partners recapitalized Florida Gulf to Bay Holdings, LLC (FGTBA), creating a new mandate for aggressive growth and long-term value creation. While the investment provided new opportunities, it also introduced significant change and performance expectations that would require stronger leadership capabilities throughout the organization.

Recognizing that growth would depend on leaders who could effectively navigate change, align teams, and execute strategy, FGTBA partnered with FMG Leading to assess organizational readiness and strengthen leadership effectiveness across the business.

The objective was clear: build the leadership capacity necessary to support rapid expansion and maximize enterprise value.

Partnership

Developing leaders to drive transformation.

FMG Leading began by assessing organizational development needs and identifying opportunities to strengthen leadership capability across the company. A key focus was supporting newly appointed CEO Leonard Castiglione as he led the organization through a period of significant change and growth.

Through FMG Leading’s executive coaching process, Castiglione received ongoing guidance focused on building an aligned leadership team, clarifying the company’s vision and value proposition, and enhancing overall organizational leadership.

To further strengthen leadership effectiveness, FMG Leading conducted Executive 360° assessments for members of the executive team, helping leaders improve self-awareness, communication, and leadership impact. Team development sessions were also facilitated within critical business units to build trust, establish alignment, and reinforce shared mission and values.

Outcomes

Leadership alignment accelerated enterprise value.

With stronger leadership capabilities, improved organizational alignment, and greater clarity around strategy, Florida Gulf to Bay Anesthesiology positioned itself for extraordinary growth.

Over the course of just 18 months, the organization achieved rapid expansion, dramatically increasing both operational performance and enterprise value. The leadership foundation established during this period enabled the company to successfully execute its growth strategy and prepare for a significant equity transaction.

380%

COMPANY GROWTH

Achieved during FMG Leading’s 18-month engagement.

$50M → $240M

ENTERPRISE VALUE

Company value more than tripled during the transformation period.

18 Months

ACCELERATED TRANSFORMATION

Leadership development and organizational alignment delivered rapid results.

100%

EXECUTIVE TEAM DEVELOPMENT

Executive coaching and 360° assessments supported leadership growth across the senior team.

Ongoing Success

A foundation built for long-term success.

The leadership improvements and organizational alignment achieved during the engagement helped position Florida Gulf to Bay Anesthesiology for a successful acquisition by TeamHealth in late 2014.

The transaction represented a major milestone in the company’s growth journey and reflected the value created through focused leadership development, executive alignment, and strategic execution.

Following the acquisition, Leonard Castiglione continued his track record of successful healthcare leadership, applying many of the same principles to larger and more complex organizations. The impact of the engagement continues to demonstrate how leadership effectiveness can become a powerful driver of organizational growth and enterprise value creation.

2012

Growth Mandate Established

MTS Health Partners recapitalizes FGTBA and sets aggressive growth objectives.

18-Month

Transformation

Executive coaching, leadership development, and team alignment drive rapid growth and value creation.

2014

Acquired by TeamHealth

FGTBA completes a successful equity event after increasing company value from $50 million to $240 million.

In Their Words

"FMG Leading helped us plan and prepare for the most challenging phases of change, easing the stress on the organization."

Picture of Leonard Castiglione, CEO, OB Hospitalist Group

Leonard Castiglione, CEO, OB Hospitalist Group

Former CEO, FGTBA

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