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After MQ and Spheris, who are the next 3 largest MTSOs? - What MTSOs have 200+ MTs? nm


Posted: Feb 01, 2010

nm

Transcend, Webmedx, Keystrokes from what I can tell. sm - Long-Time MT

[ In Reply To ..]
I work for a hospital full time, and we recently put on a bid to outsource some of our work. Those 5 were the largest but there is a big gap between each of them in terms of size.

Transcend, Webmedx, Keystrokes from what I can tell. sm - Long-Time MT - LP

[ In Reply To ..]
Precyse came in second in Klas behind Webmedx, so it is safe to say they are a large MTSO.

I don't think many companies send in their info to be ranked. - It has nothing to do with size.

[ In Reply To ..]
I worked for a large company that was #1 in KLAS the past few years. It is all a big marketing project. Very few companies send in their information because they call every one of their customers and ask for a 30-minute interview.

You need to have over 20 accounts to be able to be on the list.

In 2008, less than 20 companies sent in their information, and I heard that the number went down more in 2009.

I do not know how many MT's Precyse has, but the others listed all have more than 500. Does anyone know how many each of the bigger services has and if any were missing off the lists given?

Now my curiosity is up too.

The largest MTSOs and how they rank on the KLAS - Janie

[ In Reply To ..]

For inquiring minds!!!


This same question comes up about once every six months.  Last time, I got curious and started researching.  The biggest problem was that there is not one place to find the information.  Sometimes I think the HR Departments at some of these companies do not even know exactly how many employees they have.  People come and go every day.  They get laid off and hired in groups, depending on whether the MTSO gains or loses clients, and then there are the buy-outs and mergers.


I finally came up with some numbers, but have no clue how accurate or current the information is.  It looks some the data-collecting companies used several methods to obtain the information, since some numbers are in large ranges (like someone was asked to check off boxes on a generic questionnaire) and other numbers are exact.  Some information was probably taken from the Company’s SEC Filings, while other information was probably obtained from a press releases and interviews (no way to know who filled out the questionnaires and whether they had access to accurate information) and nowhere does it give any dates. 


Because of the large ranges ($10 to 50 million in revenue, 1000-5000 employees, etc), some of the MTSOs had to be lumped together, as I am sure some are at the high end, while others are at the low end.  There is simply not enough information to try to refine the order any more accuraely.  Not to mention the large conglomerates with tentacles in other areas, like Focus (A Subsidiary of Nuance) and Fast Chart (Div. of Applied Medical Services).  There is no way to know if the numbers are for the Transcription division only, or if they include other parts of the parent company as well.


The top 4, however, are pretty much accurate as far as rank because they brag about their standing every chance they get.  “We are the largest – we are the second largest – we are the third largest – we are the fourth largest - medical transcription service provider.”  Easy to Google them.  LOL  Exact numbers, on the other hand, are anyone’s guess. 


With parts of MedQuist and Spheris now merged with CBay, there is no way to know how that affected employees, or which name will ultimately be used when they all get lumped in together.


So take the following information as an estimation of probably inaccurate information to begin with.  If anyone has contradictory (accurate) information, please do post your figures so we all have a better idea of where these MTSOs stand. 


I tried to find information on the top 15 MTSO that KLAS published, and then added a few of the MTSOs who recently had job opening ads. 


I added another category just for laughs.  The site I was looking at had a page for “suits.” -- lists of the names of the Owner, CEO, CFO, VPs, Managers, Directors, IT hot-shots, etc.  When the “suits” outnumbered the listed number of total employees, I knew they were way off.  Although, I am sure the “suits” take home 90% of the revenue, so the revenue number was probably closer to actual. 


In case these lines do not hold their positions after I send the post, here is the order:


Number – Name of MTSO – Estimated number of employees – Estimated Annual Revenue – KLAS Ranking






























































































































 



MTSO



# Employees



Annual Revenue



KLAS


Rank



 



01



MedQuist



8,196



$340 – 353 million



#09



with 109 self-identified “suits”



02



Spheris



1,000 - 5,000



$100 – 250 million



#15



with 57 self-identified “suits”



03



Transcend



2,100



$ 38 – 50 million



#05



with 36 self-identified “suits”



04



Webmedx



800



$ 20 – 50 million



#01



with 32 self-identified “suits”



05



Focus



700



$ 10 – 50 million



#10



with 10 self-identified “suits”



06



MD-IT



250 - 1,000



$ 10 – 50 million



----



 



07



ProScript







----



 



08



CBay



100 - 250



$ 10 – 50 million



#11



 



09



Diskriter







----



 



10



Keystrokes







----



 



11



SPi







#14



 



12



ATSI







----



 



13



Encompass





$ 10 – 20 million



#03



 



14



Heartland



25 – 100





#07



 



      The following employee numbers just simply did not make sense, considering the number of “suits” listed, so I am not going to try to arrange them in order.  They all seem to be about the same size.






























































































15



Precyse



????



$ 1 – 10 million



#02



 



16



TransTech







#04



 



17



DTS America







#06



 



18



Acusis







#08



 



19



Superior Global







#12



 



20



Sten-Tel







#13



 



21



DSG







----



 



22



Fast Chart







----



 



23



FutureNet







----



 



24



P.R.N. Medical (Ohio)







----



 



25



SoftScript







----



 



 


          To no surprise, 13 of the 15 KLAS “Top 15” off-shore to India and the Philippines, including 3 of the top 4 largest MTSOs.  It will be interesting to see in six months or a year down the road if the big MTSOs get bigger and gobble up the smaller ones and/or if the smaller MTSO who do NOT off-shore can stay in business without going overseas. 


 The fun has just begun.  

I can fill in the Keystrokes information and can correct some others. sm - Keystrokes MT

[ In Reply To ..]
I also have been curious about this and did some research and made some calls to fellow MTs at other companies that I know.

I am a lead at Keystrokes and called and asked 2 people. Both gave the same answer, which was where I thought they were. The website says that they have been an Inc 500 company for the past few years, so the information is public as well.

There are just over 600 employees and revenues are at $25 million.

I think that Keystrokes and Webmedx are the largest companies that do not send work offshore.

Keystrokes did not participate in KLAS but will this year.

Transcend is at $85 million.
Webmedx is at $40 million.
MD-IT is at $15 million.

Can anyone else fill in some blanks?


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