Horizon Health Partners is a regional healthcare services organization with more than 250 employees across multiple locations. Under the leadership of CEO Michael Carter, the company experienced rapid growth over several years, expanding both its workforce and service offerings.

While growth created new opportunities, it also introduced leadership challenges that threatened organizational alignment, communication, and employee engagement. Seeking support to strengthen leadership effectiveness and prepare the organization for continued expansion, Michael partnered with Alex York and Pro Agile.

Meet the Leader

As CEO, Michael was known for his strong vision and commitment to innovation. However, as the organization grew, he found himself spending more time resolving internal challenges than focusing on long-term strategy.

His leadership team consisted of 12 directors responsible for operations, finance, human resources, clinical services, and business development. While highly capable, the group lacked a unified leadership approach and struggled to collaborate effectively across departments.

The Challenge

As Horizon Health Partners expanded, communication gaps began emerging between leadership teams. Departmental priorities often competed with one another, decision-making slowed, and employees reported confusion around organizational goals.

Internal surveys revealed declining engagement scores and growing frustration among managers. Team members felt disconnected from leadership decisions, while leaders themselves expressed concerns about accountability, collaboration, and organizational culture.

Michael recognized that continued growth would require more than operational improvements—it would require stronger leadership alignment and a healthier organizational culture.

The Pro Agile Approach

Michael engaged Alex York and Pro Agile to assess the organization's leadership effectiveness and identify opportunities for improvement.

Alex conducted executive interviews, leadership assessments, and facilitated strategy sessions with senior leaders. The process revealed several key areas requiring attention, including communication practices, leadership accountability, decision-making processes, and strategic alignment.

Together, Pro Agile and Horizon Health Partners developed a customized leadership development and organizational alignment strategy designed specifically for the company's goals and culture.

Solutions Implemented

The engagement included:

• Executive coaching for CEO Michael Carter
• Leadership development workshops for senior leaders
• Strategic planning and alignment sessions
• Leadership communication frameworks
• Accountability and performance structures
• Team collaboration initiatives
• Ongoing leadership facilitation and support

Through regular coaching sessions, Michael strengthened his leadership approach while creating greater ownership and accountability across his executive team.

The Results

Within twelve months, Horizon Health Partners experienced significant improvements across multiple areas of the organization.

Leadership teams became more aligned around strategic priorities and decision-making processes improved considerably. Communication between departments increased, resulting in stronger collaboration and fewer operational bottlenecks.

Employee engagement scores improved, leadership confidence increased, and managers reported greater clarity regarding organizational goals and expectations.

Key Outcomes

• 35% improvement in employee engagement scores
• Stronger executive team collaboration
• Improved leadership accountability
• Faster strategic decision-making
• Increased manager confidence and effectiveness
• Higher employee retention rates
• Greater organizational alignment

Leadership Reflection

"Working with Alex York and Pro Agile helped transform how our leadership team works together. We developed stronger communication, clearer accountability, and a shared vision for growth. The impact has been felt throughout every level of our organization."

— Michael Carter, CEO, Horizon Health Partners