For Q3 2015, nearly two-thirds of middle market companies report improved company performance versus one year ago. Since leveling off in the first quarter of 2015, the percentage of middle market firms growing their workforces has remained relatively stable. Fewer than half of middle market leaders say they are somewhat to very confident in the global state of affairs, down from 58% last quarter. For the third straight quarter, staffing issues—including recruiting, assimilating, and retaining quality professionals—are the leading internal challenges for middle market executives.