In my conversations with healthcare leaders, we often speak about “transformational moments”—those pivotal experiences that fundamentally shift our perspective and practice. Twenty-five years ago, MEDI Leadership was born from such a moment.
The Genesis of a Vision
I still vividly recall the story that ignited our mission. A healthcare CEO named Don Hutton was vacationing with a friend who excused himself for an hour to speak with his coach. Don’s immediate reaction spoke volumes about our industry’s mindset at the time: “Oh, I’m sorry. Are you in trouble?”—he asked with genuine concern.
His friend’s response was illuminating: “Why would you think that? Coaches are expensive; why would an organization invest in coaching for low-performers?”
That exchange revealed a stark contrast between healthcare and other industries. In technology and financial organizations where I had coached—Microsoft, Intel, Mastercard, PwC—hearing someone was being coached typically prompted congratulatory reactions like: “I hear you’re being coached. That must mean you’re on the fast track. How can I get into that?”
Meanwhile in healthcare, the response was more often: “I’m here for you, man. Let’s get you out of this as fast as we can.”
Don recognized an opportunity to help transform how our industry viewed leadership development. We brought together his healthcare expertise with our coaching methodology, and MEDI Leadership was born with a clear mission: to help healthcare leaders reimagine coaching as a strategic investment rather than a remedial tool.
The ROI of Leadership Coaching
The skeptic in me—perhaps the CPA in me—always wanted hard data on return on investment for coaching. In 2001, a study by the Manchester Review provided that evidence: Most participants reported an ROI between $100,000 and $1 million, averaging approximately a 6X return on their executive coaching investment.
In 2007, we sponsored our own study that mirrored these findings. When leadership development is approached as an investment rather than a repair job, the returns are extraordinary.
Evolving with the Industry
Around 2007, we recognized that future healthcare leaders would increasingly include physicians in organizational leadership roles. We intentionally shifted our focus to serve both traditional administrative leaders and physician leaders in equal measure.
This transition taught us how to help physician leaders navigate a unique challenge: letting go of certain approaches that made them successful clinicians but might impede their effectiveness as organizational leaders. We developed expertise in helping them bridge the clinical and administrative worlds: a balancing act that remains crucial today.
Training vs. Coaching
One consistent observation is how often healthcare leaders still confuse training with coaching. Training alone rarely changes behavior; it checks a box but doesn’t typically create lasting transformation.
Given the extraordinary pressures facing healthcare leaders, sustainable change requires sustained support. Adults learn through repeated application, reflection, adjustment, and integration. MEDI’s approach focuses on this sustained partnership that transforms theory into daily practice.
One client described MEDI Leadership as “exceptional at taking theory and translating it into muscle memory, so it becomes how I behave every day. And it works.” That’s our brand promise: the transformation of knowledge into behavior through partnership. That commitment will remain our hallmark for the next 25 years.
Looking Forward
As we celebrate this milestone, I’m filled with gratitude for the thousands of healthcare leaders who’ve trusted us with their development journeys. The industry has evolved dramatically over 25 years, but the need for exceptional leadership has only intensified.
The challenges facing healthcare today—from workforce sustainability to technological transformation to health equity—require leaders who can navigate complexity with wisdom, courage, and compassion. MEDI Leadership’s commitment to developing such leaders remains unwavering.
Here’s to the next 25 years of partnering with those who make healthcare work when we need it most.


