Firstly, let us apologize for taking so long to reply...we realize it can be very stressful when applying third round, especially when you are feeling like you are coming up a little short in some areas. Indeed, you have an unfortunate combination of credentials, a mediocre GPA and a good, but below average for top schools GMAT. Generally, schools will forgive one or the other, but both will be more challenging--but not impossible to overcome. Out of curiosity, why the aversion to the evening program? Sounds like if you are about to launch not one but two companies, you may appreciate the flexibility of schedule that the evening programs would allow versus fulltime. I think you may be looking at b-school a little lightly if you think there will be disposable time to run companies. Also, the school of hard knocks can be just as valuable for entrepreneurs than the classroom itself, so you might re- shuffle your thoughts about the reality of school and running a business and decide that a part time program, particularly if you can get in a good school like USC, might be just the ticket. Beyond that, however, you may still have a shot at some top schools considering your age and experience. Because you have much more than the average applicant in work experience, if you can speak to what value that will add in the classroom and demonstrate progressive responsibility and leadership in your career, you can certainly overcome some of the academic concerns they may have about your GPA or scores. The longer you have been out of school, the more your career counts and the less school scores count to the AD com (in general). Maturity is a key component of selection, so emphasize how this element will help you stand out from the crowd and provide essential value to your classmates. The wild card here is your timing. Posting lower than average scores and GPa is generally not the best way to get in with a round three application. Round three is usually a search by the top schools for specific elements to round out their class structure, so if you happen to have something they are looking for, you are in luck. for example, if they have a lot of younger admits on the roster and need some more seasoned professionals, you have a better shot. Problem is, there is no way to know who needs what, so it's kind of a crap-shoot. Just apply where you think you fit in best and hope they need or want somehting you're offering. Since you have a rather unique career in health care, you might look to schools who cater to health care professionals. Duke comes to mind, and also since you are from the West Coast, your geographic diversity could also help at a school like Duke, who tends to get more East coast applicants. As always, let us know if you need help.