They may not be well-known, but these firms are extremely well-run, often topping the MBB in Quality of Life and Work categories. This year, ClearView Health scored the highest, improving its previous year's average by overa half point. ghSMART continued its long climb, edged out of the top spot by .08 of a point. Putnam Associates, a proverbial favorite to break into the overall Top 5, tumbled to 4th.