Thank you so much for your informative reply. Just prior to receiving your email, I sent an email to the office manager whom I deal with on a regular basis. I explained to her that the reason the hospital was getting such a lower rate, if indeed they were, was because they were probably using a company who farmed out the work and it was probably being done by a hourly worker overseas. I also went into great depth about all the “perk” services that I perform for them at no charge because the doctor was such a good client and the that the rate I charged was well in line with transcription prices in the area, the same explanation that I gave the “bookkeeper” when I spoke with him initially. She advised me that she was going to speak with him. She immediately called me back and apologized up and down for his call and proceeded to give me an explanation. Apparently, this “bookkeeper” is, in actuality, a CFO of the corporation that is taking over the doctors office, hospital, etc. and during the takeover stage, they have to account for and explain every penny they spend. He was …