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

By Nichole 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."

Want to be an Entrepreneur Leadership Network contributor? Apply now to join.

Business Ideas

70 Small Business Ideas to Start in 2025

We put together a list of the best, most profitable small business ideas for entrepreneurs to pursue in 2025.

Business News

This Apple Offering Is Causing the Company to Lose Over $1 Billion a Year

Apple can afford the loss — the company's Services division brought in $26.3 billion overall for Apple for the three months ending in January.

Buying / Investing in Business

How One Company Is Transforming the $900B Beverage Industry

AMASS Brands redefines premium beverages, earning investments from Derek Jeter, Adam Levine, and others with nationwide presence at major retailers like Whole Foods.

Money & Finance

People Have a 'Very Big Misconception' About How to Save Money on Taxes. Skipping This Step Could Cost You Thousands of Dollars.

You might have heard about a limit that doesn't exist — and it could be hurting your bank account.

Side Hustle

This Mom's Side Hustle Selling a $600 Children's Toy Became a Business Making Over $1 Million a Year: 'There Is a Lot to Love'

Shari Raymond, a mother of three, was looking for a specific toy — and was "shocked" when she couldn't find it.

Science & Technology

Recent Trends in Generative AI — and How Business Professionals Can Navigate and Capitalize on Them

Here's what you need to know about the rapid rise of generative AI.