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No. 4,158 CHMB Solutions Escondido, CA

	Year	2008
	Industry	Health
	Founded	1995
	Growth	67.1%
	2004 Revenue	$4.8 million
	2007 Revenue	$8.0 million
	Employees	182

What it does:
California-based company offering business processing outsourcing services for small to mid-size health-care providers.

Why it's growing:
A strong middle management team has allowed CHMB to emerge as a cost-effective alternative in the highly fragmented market of mom-and-pop business process services for smaller independent California health care providers.

What's noteworthy:
About 80 percent of CHMB's staff are mothers and since implementing technology enabling employees to work from home, productivity has increased by 20 percent.