The United States Agency for International Development (USAID)-funded Georgia Health Systems Strengthening Project played a critical role in transforming Georgia’s health care system from the public to the private sector, leading to efficiency gains and better consumer satisfaction as a result of market forces. The project contributed to these efforts by strengthening insurers’ capacity to provide quality health insurance services, providers’ capacity to manage and deliver quality health care services, and government’s capacity to guide and monitor health reforms. Banyan Global, as a subcontractor to Abt Associates, built local capacity to support private-sector development, including increasing the capacity of the private insurance industry and enabling health care providers to manage within Georgia’s newly privatized health system. We worked with local hospitals to increase their capacity to manage and operate large health facilities based on best management and business practices. Banyan Global also worked to expand access to financing for newly privatized health care businesses, including structuring and supporting a health-sector Development Credit Authority (DCA) guarantee with local financial institutions. This work included training on environmental safety standards and the development of environmental safety plans for DCA borrower health facilities.