Just out of curiosity, I've just dug out some ILS 05 plates for Florence which were valid when I retired in 2006. The MSA in the approach sector is 4,300 ft, in the go around sector to the east it is 7,500 ft. To the west and north west it is 8,400 ft. The touch down elevation for runway 05 is 123 ft so it really is a bit hilly round there!