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Serving Over 20,000 US Medical Transcriptionists

40k here as employee, but ship sunk

Posted By: lk on 2008-09-26
In Reply to: 40k a year - MxS IC

I just jumped ship from a large national after my account converted to SR. I had made 41K the previous year, and that with very little overtime. I knew that with the conversion to SR my income would drop drastically, so I left for another company. It will take me a bit to build back up to the 40K+ level, but I know I will. The name of the game for me is expanders!


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Why are you asking? I am about to jump ship here too
A post today was taken off twice for no reason really. They blanked out places just because I was asking about what company now did so and so work. I worked for the hospital before and wanted to hook up again. They are being overboard on these matters.
Tell that to the cruise ship industry.
dd
I didn't have to pay to ship the computer.
I had no problems with the people I worked with. The work was easy, and I always had very high QA scores. I left because the work kept running out and they don't pay much at all, although hardly anyone does. If you get an offer, look at the benefits before you decide. Personally, I'm done with nationals, but Amphion is probably not any worse than the rest of them.
Unionization WILL NOT ship jobs

If American MTs were to unionize today..jobs would not magically clear up and go overseas.  Why??  Because if Cbay, MedQ and other large MTSO do not need the threat of a union to ship jobs overseas...if they had the manpower set up (as they are busily trying to do....training the little Indian people as quick as they can to decipher american medical language...most likely very poorly)....then these jobs would be gone now...  We do not have jobs because we are not unionized.  we havwe jobs because at this point in time..India, Philippines and any other third world country they can set up their server is not able to handle all of US transcription. 


If we were able to form a union....the first order of business would be severely limit the amount of transcriptinon that goes overseas...as well as provide informed consent to the docs, hospitals, and clinics that their dictation is going overseas...  Also..I would demand to see examples of transcription provided by these third world countries.  I would also demand ASR is paid NO LESS than 20% of an MT Line rate and I would ensure cost of living raises just like every other industry.  I also would dismantle the worthless AAMT as their only purpose is to sell exhibit space to MTSO.  They have historically servied the MTSO...NOT the individual transcriptionist...


Transcription... sinking ship?
Is it just me or does it seem like every hospital everywhere is outsourcing their transcription???  Has anybody in the transcription field changed careers or have thought about changing careers???  I am thinking about going to college for x-ray tech if my hospital gets outsourced.  I was going to go to another hospital, but I am scared of being outsourced yet once again.  Can I get you guys thoughts on this???  Is anybody else feeling down and out about this field for a career???  I hate I am having these dreary thoughts, but it is just disheartening to me to see how this is affecting alot of people.
Staying on board a sinking ship
I worked at a different company in an unrelated field where all the employees were required (not requested) to take a 15% pay cut and receive stock options in return.  I left.  Others chose to stay with the company and told me I was crazy to leave; I would "never" earn as much money elsewhere.  I thought they were crazy to stay and said so.  The older employees said they had to stay or lose their pension.  Well, the company went under anyway, the stock was (of course) worthless, and the pension fund had long since been looted by the major shareholders.  Staying on board a sinking ship of a job may be more comfortable but not in your overall best economic interests.
Staying on board a sinking ship..maybe
I forgot to add that if you are making top pay at that company and the 1 cent per line pay cut is still better than you would earn elsewhere, it may well be in your best interests to stay on board that ship patching and bailing (grin) but still being mindful that the ship may go under suddenly.
Might also be a good idea to ship the equipment
n/m
That's hilarious, hiring bonus. Everyone jumping ship?
nm
Jan, it has been great exchanging information with you - thanks and I hope your ship comes in soon
nm
Cruised Mediterrean in 60 passage cruise ship
South of France, great food, great wine, wonderful shopping, ancient ruins, Michaleangelo, so much more. Well worth 10 grand.
Excuse me but federal taxes are paid as employee by employee
The ONLY difference in IC is you pay the ENTIRE amount of the SS which is the 15.25%, as an employee you only pay 7.75%.  And you can easily make up that difference in deductions.  As an employee you just have someone else manage your withholdings and as an IC you do it yourself.  I have much more usable income being an IC and not an employee and I am strict about putting aside what I need to.  But everyone always says you have to pay your own taxes, well your employer does not PAY them for you -- except 7.75% of SS, they merely withhold it for you.  As an IC you are the employer. 
My sister makes Clipper Ship Chocolate Chip Cookies!
Milk chocolate chips, sometimes toasted pecans, and varies between Grand Marnier or sometimes Amaretto in them!

Oooooooooo!!!! Large cookies, and fresh baked with a glass of super cold milk!

Now my mouth is watering! LOL
You an IC, statutory employee or employee?
That designation, and/or forcing the IRS to designate you, can make a diff. Are you a corporation? Partnership? You need WAY more help than we can give you.
If you are employee, unless suit against your employee
otherwise the posts on here as far as I can see telling it like it is. I think a lot of the posts are so young they just don’t have a clue as to what it means to be an employee. You do as your employee wants (I am talking reason now, not stupidity as far as sexual advances, etc) or else you find another company that fits your personality better. You do not confront, you do not tell your employee no, that is their job, not yours. This is such a simple thing for people who have been in the work force for any period of time.
IC or Employee?

I read an article on the web regarding how companies are abusing the independent contractor status to keep from paying benefits, WC, social security, etc.  In my situation, I have been with the same company for three years and I do not get shift differential, weekend differential, or overtime.  I work 7 days a week, totally directed by the company, hours set by the company, etc.  If I had been an employee, which I believe I have been all along, I would be owed thousands of dollars in overtime.  Where do YOU fall?  Below is the IRS quick look at where you stand.


http://www.ftmn.com/Employee.html


An employee
I cant say who but it is an employee.
You are an employee. I am not. Again, you are an employee because SM

you need "employee stuff" but I am not an employee because I don't need employee stuff. I just need work.


Why do *I* have to adhere to a schedule? I don't. And my MTSO loves me to death because I just make her look good.


You need to go to an all-employee company or a company where you are the boss so you can stop this from happening. The MTSO just wants the work out of there. You want it to all be suspended until you sit down to work, and that is just not going to happen, nor should it.


No, FT employee
Looking for another job this very minute. I think this is way over the line.
As an employee ---

If I actually work 40 hours a week, my gross is about $730, which I think is good when I also have all taxes cut (Federal match), PTO, STD, LTD, healthy, dental, vision, internet reimbursement, quarterly and yearly incentives in addition to base pay.  Never run out of work.  Benefits add about 30% more to base pay, so it seems to be a wash with the ICs who have commented.


I left a job recently where I worked 5 hours a day and grossed $750/week with all taxes cut, 2 paid weeks vacation a year, free health insurance.  I left because they were getting interns to work for free and forcing out their higher paid and longer term employees.  Had to use vacation pay when there was not work or not get paid at all.


I like the pay/hours at the former job but I like the current stability that I have now better.


Employee
This is the exact reason our company will never use an IC. We utilize employee status transcriptionists
This is what I do. I am an employee
but my company is in FL where they don't have state tax.   I don't need any $$ taken out for federal, but I have extra $$ taken from DH check for state taxes.  2005 was the first full year we did it and this year we are getting back $450 state, when we've paid in the past, plus a penalty for not having enough taxes taken out.   You could also change dependents if appropriate.  
IC vs employee
Can someone explain to me the difference between 8 cpl as an employee and 8 cpl as an IC?  I know you have to pay your own taxes as an IC but what I mean is what does 8 cpl translate into once you pay self-employment tax.  How much less are you making as an IC at 8cpl than if you were an employee at 8 cpl is what I am trying to ask.  Thanks.
IC vs employee
If you are an employee, the employer pays half of the Social Security tax. If you are an IC, you have to pay the full amount yourself. HOWEVER, you can then take a deduction on your taxes for that second half. I haven't figured my taxes yet, so I don't know if it is a deduction or a tax credit (which is better), but at least it does help so you don't end up paying the entire amount. As an employee you also don't have all the deductions that ICs get, so that makes a difference in the bottom line, too.
Are you IC or employee?
If you are an IC, you can take off whenever you want (with appropriate notice of course). If you are employee, do you have vacation/PTO time? Do they not let you use it when you want?
Are you an IC or employee? - nm
nm
Employee (sm)
I work for MedQuist.
anyone go from IC to employee and like it better?
I was offered a job and I'm now weighing the options.  I have always been an IC and have been offered employee status with another company.  The pay is 1/2 cent cheaper than what I make now as an IC.  The hours are still flexible and they do offer good benefits, PTO, vacation, etc... Has anyone gone from IC to employee or tried both and would like to comment? Thanks!
IC or employee

In my 22 year MT career I've found that doing a bit of both works best for me.  Since I'm a single parent I really need the insurance benefits, and with regards to taxes, my accountant told me it's best to keep your W2 job because the taxes you pay there helps to pay your self-employment taxes.  I do 20 hours W2 and the other half IC.


ms


 


 


 


IC to employee...sm please

I would like to hear from any of you that have gone from an IC to an employee, on howyou handled the changes.  I am thinking about giving up my IC position (which is my own account with a hospital) to look for a full time position with a national company. As an employee, do you really have to sit in front of the computer 8 to 12 hours for your shift?  What happens if there is nothing to transcribe?  Do you have to stay put and wait? 


I have only transcribed as a hospital employee (paid by the hour) and then came home for the same hospital as an IC (paid by the minute of dictation) when my youngest had health problems.  I have always had enough work with occasional slow weeks at the same time every year.  I have done some IC work with a few smaller MTSO.  The hospital is going through a lot of changes and I do not feel that my position is stable.  I was offered a position with a national a little over a year ago but raised my rates at the hospital instead.  (Although after I raised my rates, they looked into using a service and found I was way cheaper to use).  But I have recently figured my line counts with this hospital (Never bothered before because I got paid per minute) and figured I only got paid between 8-9 cpl with the same rate on weekends and nights.  I was offered that plus benefits with other companies. 


Should I try to find a good company and adjust to the changes in my schedule?  (sorry so long)


Not An Employee
I'm confused too. I also worked for just one company as an IC before becoming an employee. If I wasn't an IC, I certainly wasn't an employee at the time. I had no benefits, taxes weren't taken out, etc.
Employee vs IC
Hi Guyz,
Could anyone tell me what is difference b/w working as home based employee as compared to IC. As I myself is IC right now, worked for FTP and online based working environment and find no pressure from employer like phone, chat etc. but work. So is employee status is same in that aspect or is it same as working in company where you got fear that your boss is looking at you all the time. thx!
are you an employee or
self-employed contractor? Do you get benefits, vacation pay, do you work from home?
Not That I'm An Employee No
When I was an IC I always worried when I didn't have a lot of work. Now that I'm an employee and know that I'll get paid for 40 hours and know I'll always get the same amount I'm less stressed. On the other hand, I type for 4 doctors and 1 N.P., and at one point I had upwards of 100 reports in the system that had to be finished. It's been a little slower these past few weeks, though.
I could not as an employee.
My tax preparer said that it was because I did not have enough deductions to itemize as an employee.
Are your IC or employee? sm
If you are an IC, you dictate when you invoice and when payment is due. If you are employee, you really have no say in the matter.


8-1/2 cpl as employee = what as IC
I'm just considering the tax ramifications.  They have worthless insurance (reimburses doctors at the rate they get paid by Medicare and you know how doctors don't want to see Medicare patients) so I'm going to get my own insurance and add it to the line count, but not considering PTO, etc. (which they don't have) Their owner (never done MT) pulled out his calculator and said 8.5 as an employee equals 9 as an IC.  That doesn't sound right, does it?
Tax ? for those who are both IC and Employee

I work full-time as an employee, but did some work on the side for my brother-in-law.  I have a 1099 from him.  When I file taxes, do I just file a 1040 with a schedule C-EZ (it was only $1000) for the IC work?  Or do I need to file another form to figure out how much in taxes I need to pay?


Thank you for any help you can give me!


Chickadee


Are you employee or an IC?
While I don't personally think you should have to give them up at all, technically I think if you are an employee, everything you create as an employee may actually belong to the employer. I'd still fight it though, especially if you didn't sign any agreement to that effect.
Are you an IC or an employee? nm
d
Employee or IC??
If IC - just raise your rates.  If employee are you hourly or cpl?  Talk to him and see what he says. 
Are you an IC or employee

See below for what it says about being an I/C and therefore a "business" just like the MTSO.  I always  pay my IC's before myself and I am lucky that my docs pay so well and fast -- usually 48 hours receipt of invoice but did have some many years ago where they did not and it is hard to keep everything balanced.  Many times if the general contractor does not get paid neither do the subs on a house construction.


This was IC. Even if employee, though,-sm
it still seems strange to ask for a full-body photo. Why not just a copy of state ID or something if it is merely for ID purposes? Since it was apparently an IC position, however, I don't get the reasoning behind it. If employee, yes, I could see them wanting to be sure it was a separate room or perhaps see what equipment the person already had. Even so, it seems odd, IMO.

As an MTSO who hires ICs, I can't think of one good reason to ask for a full-body photo, or even a picture of the home office, for that matter. I have the IC sign a HIPAA form, and it's up to the IC from that point on to ensure that HIPAA requirements are met. That is good enough for me, and it's been good enough for all of my clients, as well. I've certainly never had any physician ask for pictures of my home office. To each his/her own, I guess, but I'd be taken aback by the request, too.
IC to Employee
I switched from IC to employee status a year ago. I'm actually making more money now and have great benefits and I don't have to work holidays or weekends. I do work 40 hours a week, but I work 6 hours during the day and the last 2 at night.
I am willing to put an employee job

Just as we are expected to use Google in our work, a prospective employer can google that is how I feel. 


I do not, however, put full names of my personal accounts.  I simply list the specialty, city and state.  I do not want someone targeting my clients to offer a lower rate or soliciting them to try and take my clients.  I would be careful especially if you are an IC.  Call me paranoid, but I think there could be companies out there just trying to get names of clients so they can contact them for themselves to gain work.


Well then EMPLOYEE it is....
If they don't want me to work whenever I want to work, then they'll employee me and pay me benefits with paid time off.    Ahhh, I love being an IC.  I laugh all of the way to the bank.
I do believe that would be employee not IC.
An IC should not have to commit to 500 lines.  So, you're telling me that on the flip side, you always have 500 lines for that IC?  Also, the hours being set between 9 a and 5 p is CONTROL!!!!!!!!!!!!!!!!  That's fraud and you should be paying your employee's taxes.
No, she said she is an employee of
the company in her original post.
That is an EMPLOYEE not IC
It does not matter what your contract says one way or the other. If you are on a shift and have to call off like an employee, then you are an employee. To me, shift work = employee and it turns out the IRS generally agrees with that consensus. No one at the company I contract for has ever asked me what hours I work. I stick to the daily production level that I set for myself. That is it. My hours are only the same because it works for me. Control is key here.
$40,000 as an employee
working at a clinic for 4 doctors and one nurse practitioner. I also get yearly raises so the potential to make more.
IC vs. employee

The only thing I'd worry about if switching from employee to IC is the health insurance.  I have a lot of medical concerns and would probably end up paying a huge amount for insurance; that is, if they would even cover me with my pre-existing conditions.  At least as an employee, I'm covered for everything medical.