Midsized firms are the foundation of the American economy. There are almost two hundred thousand companies today with revenues between $10 million and $1 billion—midsized, as defined by Ohio State University’s Fisher College of Business—and they account for about a third of U.S. GDP and a third of all U.S. jobs.1

This book is for the leaders of these companies, businesses that don’t get nearly the attention accorded their smaller and larger brethren even though they share equally severe headaches. Like all businesses, midsized companies struggle to innovate. They suffer defects in quality that turn off customers and lead to expensive recalls. They fumble when it comes to entering new markets. They make dangerous and profound strategic ...

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