Hi OTR...I am a COTA currently working in IL for a contract company. I work locally in the Chicagoland suburbs and most of my assignments are 13 to 16 weeks in length. I would say there are more positives than negatives so far (1 year+)...full benefits for myself and my family, higher than average pay than regular staff therapists, and flexibility to choose my assignments in my area. Some negatives are having to work further from home if nothing closer is availble and kinda feeling like an outsider sometimes. But recent medicare changes that have eliminated group and concurrent therapy should open up more opportunities for therapy jobs as there will be more of a need. Hope that helps...I currently work for Jackson therapy partners and I like them. Another good company is Supplemental. Good luck!