“Consultant Sher, formerly the longtime CEO of a midsized company, worries about the state of the American midsized firms. As the founder of CEO to CEO, Inc., he works with business leaders to help medium-sized companies grow and expand. This primer is aimed at the leaders of midsized companies, which make up a significant portion of the American economy; there are nearly 200,000 companies with revenues between $10 million and $1 billion, some privately or family-held, and some publicly funded. Problems specific to midsized companies are not always visible or widely discussed in M.B.A. courses or the media, he argues. These companies struggle with low tolerance for risk, few ways to develop talent, less strategic thinking, and less seasoned talent. ...

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