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Serving Over 20,000 US Medical Transcriptionists

I read that Transcend was the third largest

Posted By: MT company in the US on 2009-01-07
In Reply to: I would not say that Keystrokes treats their employees well... - LOL

How could Keystrokes be that big? From what I heard Keystrokes is still midsize. I would say there are plenty larger than them. Also Transcend has several divisions, which I do not believe is similar to Keystrokes at all.

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As in largest - largest number of MT's -- what is the order of the

Is the Q still the largest ? Is Spheris next ? 

Does anyone have a feel on this subject of late?

Read the Transcend forum

and see what they did to a great group of people.  This company is going down the tubes fast.  I don't want to work for a company like this any more, and I'm spending the day sending out resumes. 

I removed MDI-Transcend post. ALL READ - SM

I removed the MDI-Transcend post because the original poster as well as replies contained language and names.  Do not post employee names.  Do not use foul language or reference it at all.  Just leave it out.


Who are the largest? Top Ten? nm
Q is largest with Spheris second.
Q has over 7000 MTs/MEs/QA. Spheris has around 3800 to 4000.

Largest Nationals?
What would you say the top 5 largest national companies are?  Thanks!!
Administrator...I have text set for largest, but

...have to keep the settings in control panel as is for my job.  The text is awfully small.  Would there be any other way to enlarge it, or do I have to make-do?  

I love the site and the changes, too, just find it rather small.  Unfortunately, on my end, I can not change any other settings, and the +/- does not work for me, either. 

Yes - it's the 2nd largest national, begins with S. :) NM
I seriously doubt they are the 3rd largest. Maybe on another planet?

We know pretty much who the largest companies are. I think the best benefits I have seen have been with TransHealth.  They are reasonable and they have really good healthcare insurance as well as dental and vision.  Most companies just do not care about the benefits for their people. 

3rd largest DOMESTIC employer
Besides MedQ and Spheris, who else has 750 domestic MTs?  And to answer your question before you ask; yes, CyMed really does have that many.  I work in the corporate office and they've been stuffing envelopes for employee Christmas cards and gifts all week.  (Finally getting them out the door on Monday.)
I know that MQ and Spheris are the two largest companies. Who are the next ones in the top 10? nm


The largest number of complaints (sm)
about companies that I see on this board are for two reasons: 1) Companies that routinely overhire and make everyone fight for adequate work but still insist on line/hour quotas being met; and 2) Companies that don't communicate well -- recruiters that are more focused on selling their particular service than listening to make certain there will be a good fit between service and MTs and supervisors who are quick to send emails to criticize an MT but are frustratingly unavailable when the work volume is low or when MTs have problems that need addressed.
SPi acquires Cymed - becomes 3rd largest Co.
The talk doing the rounds is almost official. At least one senior executive had confirmed the deal. Further details awaited.
Sorry, but not according to one of the largest financial insitutions in this country.
They totally disagree with what you say. I have talked to them in depth
silly wabbit, take a look at the CEOs of the largest
The MT industry IS male- dominated. The ICs and small mom-and-pop MTSOs may still be predominately women, but when the higher echelon of the larger companies are in fact males...well, you just don't come off sounding like you have it all together. Additionally, most of those male-dominated large MTSOs have sunk huge amounts of money in offshore facilities/employees. Our government has made it lucrative NOT to do business in the US.

About this work stoppage thing and organization efforts you advocate, you must not be well read in MT circles on the 'net. There have been some serious people making serious efforts to organize the MT industry and time and time, these efforts fail. The biggest reason for this failure are anonymous message boards like these (no offense to the board owner/administrators) because people don't want to put their name behind what they say, don't want stand up for what they say. There are too many people who simply want to keep their jobs. I DO believe that if the US MTs collectively stopped working for a week, services WILL find alternatives and there will be loss of jobs. Remember the air traffic controllers? Best example I can offer.

I could go on but I got weary from reading your post as I have seen it time and time again, and unless you personally are willing to stand up and organize it, why are you stirring the pot?

Milton's Red Stapler
Wow, Will that then make Spheris the largest company?
My husband works for one of the largest corporations in the U.S. (not MT). sm
They are paid on the 1st and 15th and his will not post until Monday. They were told that it depends on the clearing house in their region, that their bank sends it any day, even if a Sunday, but if that middleman, so to speak, is closed, it will not go until the next day. Same with holidays.
India has one of the largest growing economies in
What are top 5 companies size-wise? MQ still largest? nm
Sorry, but I used to work at one of the largest financial institutions in this country.
Thank you very much. Unless you have proof in your hand that the deposit was supposed to go in on a certain date, DO NOT go writing checks and spending money without that proof because stuff happens.
You mentioned smaller companies, but MQ is the largest, so do you think thousands will be let go?
Diskriter - Working for the largest hospital system in FL.
The benefits look fabulous! Strict schedule? Good PTO?

I think the 2 largest companies that do not offshore are Webmedx and Keystrokes. sm
Webmedx is in the $25m range with 750 employees and Keystrokes in the $20m range with 600 employees.

I am not sure about SoftScript or Transtech but I do not think they are bigger than those two.

I know that both have goals to be in the same size range as Spheris. I worked for Spheris in management for a while before coming to my senses and both companies were discussed frequently.

I just hope that MQ or Accusis does not buy either of them. The rumor is that neither will even think of selling but $$$ talks and MQ still seems to have plenty even after losing the lawsuits AND after having a negative income for several years. Not sure how or why, but their pockets are deep, as are those at Accusis.

Allscripts - Just found out that one of the divisions for one of my largest accounts has started
to use Allscripts instead of dictating with my service. I believe it's just a matter of time before the rest of the divisions follow suit....this can't be good!
I read all read all the threads in the "companies" section
of another board, MT Chat, and Googled each one that got positive reviews. If they had a website and a way to apply online, I did so. And that was how I got hired at TRS. They were not advertising at the time. By sheer coincidence I applied to Transcend just before I applied to TRS, and they were not interested in what I had to offer at the time. And now they've got me anyway, since they bought TRS. Interesting how things work out sometimes.

Companies with negative reviews, or company queries that got only a terse I sent you a PM reply, I passed over.
Transcend bought MDI, so if Transcend sends work offshore, so does MDI. nm
We heard Transcend is buying Keystrokes next. I'm not working for Transcend. No Way !
If MDI-FL is owned by Transcend and Transcend admittingly offshores, sm
then doesn't that make MDI a company that offshores? That's like saying that one branch of a company offshores but another does not, so they are excluded from the offshore label. If MDI-FL is part of Transcend and Transcend offshores, that means that they do.
RE: If MDI-FL is owned by Transcend and Transcend admittingly offshores, sm
Your hypothesis is incorrect. MDI is a wholly independent subsidary of Transcend, therefore, they were not a part of the experiment to offshore to evaluate cost/benefit ratio that Transcend only tried for 90 days (I believe the evaluation process is not still ongoing).
I read your post. What do you want me to re-read?
and it seems those are your posts, too, so things just didn't add up and seemed inconsistent. If a place dropped me down to p.r.n. at 7 cpl or whatever and I already had another job where I could get 1000-1500 lines, I wouldn't give the first place a second thought so just couldn't figure out why anyone else would.
It is not Transcend. Transcend has not had control of
the accounts long enough to make any changes to anything. Maybe your account just slowed down like a lot of others did over the last few weeks. Everything will run status quo for a few months before any major changes are implemented. And give Transcend a chance. It is a good place to work and you will finally have some benefits that you will enjoy.
To Before You Read This
Girl... you are absolutely right on target and now even after I read your comments, I never knew OSi outsourced. That to me is a SLAP in the face. And you are right about the promotions. I have applied for different jobs and told they were already taken. when they have a job available, they KNOW ahead of time who they are going to hire. and you are right about the "welcoming thing, saying welcome so and so, when we didn't know there was a job available Now that I know they ship work overseas, I am totally OUTTA here. And you are right again, you are NOT paid extra fo holidays, weekends, or shift differentials.
OSI........LOL....... read on.....

OSi will promise you the world if they want you bad enough.  Then once they get you, the promises are null and void.  I see where they are finally following through on their annual raises that they promised years ago that no one ever got....and FINALLY, a holiday incentive?  Wow, they must really be desperate.......I worked for OSi for many years, gave them my all and got nothing in return except heartache in the end.........do what you want, but just be looking over your shoulder every inch of the way and get EVERYTHING in writing! 

Don't believe everything you read. sm
Most are staying with MQ.
Did you read where it said
39 hour 7 day work week?? Does this mean we are being forced to work weekends? I only browsed through mine.
Don't believe all you read....
I had never even heard of MTStars when I was looking for my first at-home MT job.  I would have never accepted the position I currently hold.  Every time someone tries to encourage others to apply at "my company" the negative banter that follows only does more harm than good.  Just wanted all to know you can't believe even half of what you read on here.  Mostly just ex-employees of wonderful companies that couldn't quite make the cut. 
Sorry, that should read SM above
I can't read it.

In fact, I can't read any posts regarding Transcend.  First time I heard of Yahoo even having a message board about them.  If you can still access it, could you please copy and paste it and email it to me?  I'm very interested in this, concerning the constant turnover & turmoil with that company.  Thanks. 

I cant read it either. NM
Read above! Read below. Just read!
Please read....

This topic has come up before and this concerns me as well.  I saved a post I did on this board a while back.  It's edited a little but the message is the same.  Here it is. 

I've worked in many pathology departments, referral labs, and the like. And I'm here to tell you that there isn't a single pathologist that I have met that is willing to go with VR let alone outsource their dictation. NOTHING will convince me otherwise. As for radiology, I am seeing too much of it being outsourced to ever believe it will go totally VR. Besides, VR is an absolute joke! Y'know that old phrase? Garbage in/Garbage out? Well, there are many docs who have already found out that's just how VR works. Just TRY, and I mean just TRY and take out the human element out of the picture (meaning the transcriptionist) and you will have reports coming back that are even worse than what is coming back from India!!!!! A question here....a very serious one......don't you think that if VR was more effective in transcribing reports that all the companies outsourcing overseas would go with VR before they did that? Something to think about. I've been around since 1990 in this field and they have been saying that VR was going to replace transcriptionists back then. Well, here we are 15 years later and quite frankly, VR hasn't even made it past first base yet. The doctors, the naysayers if you will, the big companies, etc. will be trying to find anyway they can to save money, cut costs and so on and the bottom line is, it will NEVER HAPPEN. The Transcriptionist is here to stay. There is absolutely no way you can take the human element out of this picture and have the absolute best quality reports/charts/medical information system on the planet....PERIOD.

Read MSG
Thank you for noticing!! Yes I made typos.. there are LOTS of MTs that make typos on here. As long as Im not doing it on my accounts I don't really care. I DO make this much on ONE account. I charge 12 cpl GROSS. I do have one Transcriptionist who make about 15000/year, so yes deduct this off the 60,000. This is also PRETAX. I really should not have to explain myself. I knew I would get some posts like the ones I got. I will laugh all the way to the bank with my nice FAT checks, while these negative people struggle at their low paying jobs. :)

Happy New Year!!
You do not know how to read do you?
Who said I still worked there?? I specifically said the entire year I worked there. As in PAST TENSE!!!
read above on DRC
read all the notations
Read this:
second paragraph

And also on the main board at the very top read the sticky post embracing offshoring...
did you read it
Hmmm... and what fact did the other person have except to say she would stand by the owner....!!! And someone already working at a company of course what are they going to say? But everyone will find out for themselves. These are just differences of opinions! Simply that. If you don't agree move on. No big deal. And honestly that person is a cheerleader. Goodness sake.
I still have not read what the lie was. What was the lie?
I think the MTs should know what that was.
then don't read about it..everyone has a right
to an opinion.
as said above, if you don't like it, don't read it.
It is something to read because....
People for some reason did not know how truly open SPi is on their website about their feelings toward US MTs.    People were questioning that on this site last week.    In case they didn't know...I wanted them to be able to read it for themselves.    
Did you read right?

The pricing I read was 17 cpl for gross lines under 2500 lines per month.  Most of my accounts do well over 10,000 lines per month which is only 13.5 cpl and that is very fair for  large company.  I charge 12.5 cpl but I pick up and deliver and print.  And at that price it is hard to pay someone 10 cpl to type as you only get 3.5 to (I get 2.5) cover all of your expenses.   Unless I read it wrong and if I did then please slap my wrist.  Those 4 to 5 cents per line that a MTSO makes has to cover a lot of things and if you have a QA person on top of that then you make very little per line.   That is why I stay so small as the more you grow and the more IC's you have the more headaches of coverage, quality and other things.   Anyway just had to say what I read was 17 cpl for anything below 2500 lines per month.