Judy Faulkner, 72, is the CEO and founder of Epic Systems, building the Wisconsin IT company from the ground up since 1979.
More than 35 years later, she is still running the show, with her firm storing medical information of more than half of America.
Epic Systems works with the Mayo Clinic and Johns Hopkins, as well as a vast number of other healthcare providers.
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Diane Hendricks, 69, co-founded ABC Supply with her husband, Kenneth, in 1982, despite having nothing more than a high school education.
The company grew rapidly and fought off the recession a few years ago as it continued to build shareholder confidence.
She now runs the firm after her husband's death, and turns up to the office every day. The 62-year-old TV personality was once deemed the most powerful woman in America and her wealth continued to grow this year.