Largest Nationals?
Posted By: Kimberly on 2007-08-03
In Reply to:
What would you say the top 5 largest national companies are? Thanks!!
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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?
I find that those with experience with any nationals or many nationals
usually are invaluable if they have many years of experience. The more nationals they have worked for, they have been exposed to many dictators and that is a plus! I say send on the resumes if that is the case. I also find that many hospital employees whether it be for 1 year or 10 or more usually are limited in style issues, but not a major disaster.
Who are the largest? Top Ten? nm
nm
Q is largest with Spheris second.
Q has over 7000 MTs/MEs/QA. Spheris has around 3800 to 4000.
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
x
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
zzzzzzzzzz
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.
I read that Transcend was the third largest
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.
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?
nm
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
xxx
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?
x
Diskriter - Working for the largest hospital system in FL.
The benefits look fabulous! Strict schedule? Good PTO?
Thx!
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.
Thoughts?
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!
Nationals
A lot of people mention how they won't work for nationals and the smaller companies are so much better in their pay and treatment of employees - can anybody name some examples of smaller companies who are better? There are so many out there, a few examples would help. Thanks.
No I don't do nationals.
I have over 15 years of experience on-site and was asked by physicians to work for them from my home office. I have only tried one national, and I did not like the platform. It was VR. I'm a free spirit, I guess. I'm an independent contractor, keyword being independent. I guess once you are your own boss, you pretty much get set in your ways. I don't know. I make great money though, and to me, there is nothing unrealistic about my paychecks. They seem very real to me. They cash at the bank in a realistic fashion. I use the real money that comes from the real physicians that I work for and I transcribe for real patients and I do a REAL good job or else I wouldn't have my real good paycheck. Everything seems pretty realistic to me. 
ONE OF THE BEST NATIONALS!!
Transcend is an excellent company to work for, I have not had a bad experience with anyone there.
50 nationals?
Wowser. You must have a hard time remembering your reasons for resigning. My goodness. That is a large number of companies.
11 cpl--Nationals exist!!
Check with MDI in Gaithersburg, MD. If you are absolutely top-notch, they will pay you 11 cpl and you work 2 weekend days per month. You have until 11 PM to complete your lines (at least 1000 for full time and that may have changed) each day, after that, it is a "new day." You certainly can work from 11:01 to 7:00 AM but you don't have to. They are lovely people to work for. Pay is always on time--direct deposit. You would be a statutory employee.
I IC for two nationals, neither of which care that I sm
work for another--nothing to the contrary is stated in the contract. Thank you, though, for having the integrity to ask.
I work for 2 nationals and one knows
that I work for the other. I asked them when they were hiring me if it would be a conflict of interest and they said no. Only my team leader at my main job knows I work for the second job. The only problem I have is some days I get their programs mixed up. I'm constantly hitting control S to spellcheck and send the chart when it's F7 at the other job.
Really? It's the same as most nationals offer. sm
Considering I'm just a 3-1/2-year MT I thought it was good pay. 
Maybe I'm letting myself go too cheap?
Most nationals are going to have a lot of ESLs. sm
I was told by one MTSO owner that they needed American MTs to do that kind of stuff overseas because they couldn't ship that stuff out and expect any kind of quality in return. So as long as there are crappy ESL dictators, they will need American MTs.
I think it is funny that even their own people can't transcribe that stuff.
There are several big nationals in Florida with
hundreds of MTs. There is not just one company in FL with hundreds of MTs
Yep. Which is exactly why I'm giving up on nationals.
nm
been with 2 large nationals; will never do that again.
Much better with the smaller companies.
Nationals pay by the line, if you are an IC there is no OT - sm
You want more money, you work more basically. I don't know of any companie that pay hourly, it is all by the line, and incentive pay can up your salary. Some companies are better than others in terms of dictators and it is hit and miss until you find a good fit for yourself and your goals.
I prefer nationals. SM
I have worked years in hospital settings. It does have its advantages. Here's what I see the pros/cons are:
Inhouse Pros:
-- When you are done for the day, you're done!
-- You are not faced with family/friend disruption (see cons, too)
-- Company provides everything
-- Socializing is easy
-- Provides a change of environment
-- You have immediate access to assistance on all levels
-- HR and Payroll are usually in the same bldg and you can go down directly to them
-- Mgmt is readily available
-- You can usually view the entire workload and see how it is being distributed or balanced and have more input
-- Workload is limited to your employer's work only
Cons:
-- If you get too close to coworkers, they become intrustive on your work
-- If you don't share coworkers' perspectives, you can be given quite a cold shoulder treatment
-- You have to conform to a dress code usually
-- You have to leave the house in bad weather, park - sometimes walk a ways or even pay fo parking, etc.
-- Usually much more structured work and break times that are not too flexible
-- Usually paid hourly..sometimes with incentive plans. If you are really fast, probably not a good setup for you.
Love Nationals:
-- Work from home
-- Co provides equipment
-- Plenty of work and varieties of work
-- Paid on production -- great producers do very well
-- No worries about coworkers and social settings (getting along with annoying workers, etc.)
Yeah, those nationals are going away... NOT. SM
Hospitals and clinics outsource because they get sick of MTs saying Oh I won't work those days or that shift or something else. There are some good nationals and some bad nationals; don't lump 'em all into one.
Raiss with nationals
Anybody ever get a raise with a national company?.....seems like .08 cents forever
Nationals/Companies
I see a lot of griping/complaining/bashing regarding various companies on this board and quite frankly in 30 years of doing this, I have worked for most of them. I read complaints about ESL docs etc and quite frankly, I blame it on our educational system. When I was in school, I learned how to spell phonetically, therefore if a word had an f sound to it, I was taught that MAYBE that word could be spelled beginning with ph.
I didn't go to school to learn MT, I learned it on the job in a hospital with dictation tanks and an IBM Selectric typewriter. Right now, corporate America is going through a hard time, but yet I see MTs on here griping about the fact that they didn't get anything for Thanksgiving/Christmas/MTWeek -- well got news -- even corporate America isn't doing that any more and if they are, the companies are few and far between.
I get soooooooo tired of seeing posts to the effect of well, I only want to work M-F or what is acute care? GEEZ -- give me a break!!!! There are many companies, i.e., Sprint, Verizon, and others who offer 24/7 tech support/customer service, but I sure the heck don't hear them complaining. We are a nation now where MASSIVE corportate layoffs are going on and we are headed for a recession/depression. I would suggest that you quit complaining and posting negativity and be thankful that you have a job, no matter what.
Off the soapbox for now
I have worked for 6 nationals
one who could not keep enough MTs to carry the workload - forcing them to call EVERY SINGLE DAY I WAS OFF. I stopped answering the phone and found greener pastures where I may get called very occasionally but not EVERY off day.
Sick of nationals
Do not rule out larger private practices. I worked acute care for 13 years and then was outsourced. Then I spent 1 1/2 years messing around with Nationals and then found a position with a large orthopedic practice, 50+ docs. Very good benefits and I do work from home, though working from home was not an issue for me. With experience, these jobs are out there but you have to be willing to jump on them when they come up. Good luck.
Most nationals don't hire IC
Global Solution will not hire ICs. They called me to talk about a job but when I said I would not go employee that was the end of the conversation. I have turned down a few good jobs because one, they wanted me to be an employee or two, they wanted me to be an IC but treat me like an employee. It has sucked out there.
What nationals use Dictaphone ExText?
nm
Do you think nationals have licenses in all 50 states? Not. nm
I want to do a comparison now that everything seems to be changing at MQ and the other nationals. sm
what is the starting line count rate for acute care at some of the big nationals? or the range? How about for radiology or pathology? Do most have incentive programs and what do they consist of? If we could put it all together, we would eliminate a lot of posts and maybe have a reference for those of us looking so that we do not waste time, energy and the possibility of being lied to.
Here is what I know:
ETranz - 0.10 per line but my checks keep bouncing when I finally get paid very late. No incentive. No direct deposit.
Transolutions - 0.08 per line. They supply the equipment and computer (or did 2 years ago). Their system is a dinosaur. I always got paid on time.
I work for 2 nationals, and I think as long as you are an IC sm
no one really has a right to tell you that you cannot work for as many people as you want. However, as someone pointed out, most companies nowadays have you sign a contract with a no-solicitation clause, stating that you cannot solicit work from any of the accounts you have worked on for them for 1-2 years.
Still, I do not broadcast to either company that I am working for someone else. I simply let each company know the days I am available to work for them.
Hope this helps. Try not to let the nasty/negative posts get to you. There are always those in every group who take more joy from tearing someone down than listening and possibly lending a helping hand. Fortunately, they are NOT in the majority.
Good luck!
I've tried many, many nationals. Amphion is the only one
that I truly like. I think if you go to their website or check the Job Seekers board, there will be a rundown of their available benefits. They've given me everything I have asked for. I never run out of work. They don't pound me with ESLs all day long either.
Sick of Pompous Nationals
How can they sleep at night offshoring their work to make a buck knowing that the MTs who are hanging in there with them cannot pay their bills or feed their kids.
I hope they all fail.
Insurance deductables at nationals
If you work for a national, what is your deductable per year for insurance?
Seems like nationals are always hiring though, so I guess it
Most don't play that way though!
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