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No. 3,515 OSi Jupiter, FL

	Year	2008
	Industry	Health
	Founded	1999
	Growth	93.2%
	2004 Revenue	$10.4 million
	2007 Revenue	$20.0 million
	Employees	600
	Website	www.ositranscription.com

What it does:
OSi provides medical transcription services to hospitals and large clinics nationwide.

Why it's growing:
Referrals have spurred growth, as have performance-based workload increases from current clients. In fact, 85 percent of the company's revenues are from clients who have been with the company at least four years.

What's noteworthy:
Each client is assigned one of the five owner-managers as a primary contact, giving them "a direct line to someone who can get things fixed," says CEO Andrew Renfroe.