#21 Midwest Diagnostic Management LLCThey didn't choose huge success; success chose them. So how did they deal with it?

ByNichole L. Torres

Opinions expressed by Entrepreneur contributors are their own.

#21 Midwest Diagnostic Management LLC

Huge growth wasn't exactly in Kevin Tremblay's initialbusiness plan. When he founded Midwest Diagnostic Management LLC(MDM) in June 2000, he says, "we had dreams of one day gettingto 20 employees and just having a nice lifestyle." Today, hehas 89 employees.

At only four months, the business was recognized by patients,providers and insurance companies, and Tremblay realized how vitalhis service was. He networks independently owned medical diagnosticradiology centers (to provide tests such as MRIs and CT scans) andstreamlines the PPO referral process for doctors, patients andinsurers. Early on, the company built a reputation for goodcustomer service and received so many inquiries that Tremblay, 38,had to come up with a plan. "We said, 'We've got acouple of choices: We either dig in and go after it or choose notto.'"

Tremblay and his crew chose to go forward at full steam. Growingfrom $1.6 million in sales during MDM's first fiscal year to aprojected $34 million in 2004, Tremblay used careful hiringpractices to staff for the massive growth. "We kept addingwonderfully talented people, and we spent extra time making sure wewere recruiting and maybe paying a little bit more for the rightpeople," he says. Tremblay contracts with the diagnosticcompanies with equally meticulous attention. "If it takes acouple [extra] days before you fill that role, you [still] need tospend the time and make sure you know who you're workingwith."

Good hiring practices are even more important now that Tremblayjuggles three businesses. He started Advanced Ancillary ServicesLLC (AAS) in June 2002 and Diagnostic PET Network LLC (DPN) inMarch 2003 to round out his client offerings. AAS outsourcescost-saving services for employers and insurance companies, whileDPN has created a network of PET diagnostic centers (for earlycancer detection).

Looking to the future, Tremblay is striving for sales of $50million for all three companies. He likens his entrepreneurialjourney to a child learning how to crawl, then walk, then run."We're watching all those details-we're watching ourvendors, our bottom line, our sales growth, and we're in a nicerun right now."

Wavy Line

Editor's Pick

Business Solutions

Learn to Program an AI Chatbot for Your Business in This $30 Course

Get back-to-school savings on this AI coding course.

Money & Finance

Want to Become a Millionaire? Follow Warren Buffett's 4 Rules.

企业家是不能过度指狗万官方望太多a company exit for their eventual 'win.' Do this instead.

Business Ideas

55 Small Business Ideas to Start in 2023

We put together a list of the best, most profitable small business ideas for entrepreneurs to pursue in 2023.

Data & Recovery

Get 1TB of Cloud Storage for Life for $119.97 With This Back-to-School Sale

This 1TB Cloud Storage Solution Is Only $119.97 for Back to School

Growing a Business

We're Now Finding Out The Damaging Results of The Mandated Return to Office — And It's Worse Than We Thought.

Companies knew the mandated return to the office would cause some attrition, however, they were not prepared for the serious problems that would present.

Business News

Netflix is Hiring an AI-Focused Role—and the Starting Salary is up to $900,000

The streaming giant is looking for a leader in its machine learning department.