We have a mix of both IC/Employees. I think that the primary driving force behind the IC status was the fluxuation of transcription volumes that exists in all companies. So - if you match the production to the billing 1:1, then you can better calculate margins.
Now - there are two sides to this - if an MTSO wants to operate this way, they need to do it correctly - meaning - can't set schedules, force you to find vacation coverage, etc. - which means, you make your own hours, set your own line rates, etc.