Chandler Chicco Companies kept the top spot in 2009's healthcare league table. The agency managed to achieve an impressive 31 per cent growth, opening up a gap of more than £3m over nearest ­rival Edelman. Edelman retained second place in the table and saw a five per cent increase in fee income compared with the previous year. The agency secured new business with Wyeth and Novo Nordisk and grew business with existing clients Pfizer and Merck Serono. New entrant FD Sante stole third place in the league and is hot on Edelman's heels with a healthcare fee income of more than £6m. Although Financial Dynamics claims to be restricted by the 2002 Sarbanes Oxley Act and does not provide figures for the overall Top 150, this year it has taken the decision to provide its figures in full for inc­lusion in the healthcare table.