Intermountain Health Care, Irresponsible with Physician Compensation

Fist_Full_Of_Money_clip_art_hightA few years ago, I wrote about how my wife was over payed by her employer Intermountain Healthcare over a period of two years to the sum of a six figure amount. TLDR, we agreed to pay the money back, and we have been doing it it over the last four years. The monthly amount was equivalent to what some people pay for a mortgage payment each month. Thankfully, they were willing to waive about 1/3 of the amount for reasons we never understood, but we were grateful for.

During this time, we learned of several other physicians who had also been overpayed by IHC and were now repaying it. IHC also decided to hire an outside company to audit their payroll as apparently they have no ability to make sure they are doing it correctly in house. Earlier this month, we finally made the last payment on our debt. We expected to have a smooth closing to the deal, but more incompetence than I could have imagined followed.

Twice a year, Wendy gets a bonus based on the patients that she has seen. Each year, we agreeded to let IHC take money out of her bonus for the repayment. Earlier this month, she had her second bonus of the year which would pay the balance of what we owed to IHC. To our surprise, we got a notification from mint.com (where we keep track of our finances) that we had gotten a ~$65,000 deposit into our checking account. This was no where near what was supposed to happen. I doubt anyone at IHC gets a $65,000 paycheck for one pay period. Instead of taking more money out of her paycheck for the final payment (it usually shows up as a positive accounts receivable deduction on the pay stub ) they put in a large negative deduction to the accounts receivable ( negative deduction adds to your paycheck for those of you keeping score at home). There was no explanation as to where the amount came from other than someone randomly pressing numbers on a keyboard. Wendy immediately texted her supervisor about the error because we didn’t want to have to go through another dispute about pay.

Wendy corresponded with a payroll person at IHC. It was decided that we would write them a check for the ~$65,000 that got deposited in our account, and they would issue us another check for the correct amount that she was supposed to receive for that pay period. This new amount was calculated to include the deduction for the amount we owed for the last payment. The number that they gave us, unsurprisingly, did not match what the records I had been keeping showed. Wendy emailed her contact what we felt the right number was who then went back to recalculate our payment. He then gave her another number which still did not match my records, but it was in our favor so we decided not to protest it.

The agreed upon amount was taken out of the check they sent us as a replacement for the ~$65,000 payment from earlier, and a new deposit was issued to our checking account. According to this agreed upon amount, our debt was now payed in full. They agreed to send us a letter stating that we had paid our debt to them in full. When the next pay period rolled around, another deduction was taken out of that paycheck which was the same deduction from the previous paycheck. At this point, they were taking money out of her paycheck, that they weren’t supposed to be taking out anymore. Another paycheck was issued to correct this.

You would think, that once a mistake was pointed out earlier this month in her paycheck in closing out our debt to them, someone would have been making sure that all the numbers were going to be correct and that everything was going to be done right. Nope, nothing resembling that happened. It is as if they didn’t even care about what was going on. They did not care. As my father-in-law so correctly described it, someone was asleep at the switch. Even people in management who were CC’d in the emails my wife was corresponding with for all these corrections never once stepped in to make sure things got taken care of correctly. For an organization whose purpose is caring for others, I believe the non patient care employees let their true colors shine throughout this whole ordeal about what kind of people they are.

This is a multi-million dollar nonprofit cooperation. Intermountain Healthcare is the largest healthcare provider in the state of Utah. There are lots of employees and logistics and money to keep track of. Keeping track of money for an organization this size is nothing new. There is zero excuse for not being able to have an accounting department that makes sure employees are paid correctly, especially when it has been pointed out to them multiple times that they are not doing it correctly. Even something as simple as a flagging system for when someone gets a really high paycheck, such as $65,000.

There are only two explanations for what has happened. Someone important must have a brother in law running the payroll department. He’s untouchable, therefor no effort is put into doing the job correctly. The only other explanation I can come up with is that the payroll department is actually a cage full of monkeys throwing poo on the walls. I took some accounting when I was working on my MBA, which I never finished. Even I can see that things are being running poorly. I can’t imagine what it is the people running this organization are thinking when they are making decisions for this organization.

As a nonprofit, Intermountain Healthcare does do fundraising for their Primary Children’s Hospital. Don’t get me wrong, kids need to be able to get good medical care. I have two of my own I want to be taken care of. A philanthropist should have second thoughts about giving money to this organization if they had any idea at how poorly they keep track of the money that they do have.

This paycheck problem is disturbing to us. I wrote about in the earlier post about how her paycheck is calculated. Its pretty complex and we do not have a way to check if what they are calculating is correct. Since mistakes were made with simple calculations for repaying her debt, I shudder to think at what is being done incorrectly when calculating her paycheck.

This whole fiasco has not been all bad. We’ve learned to live with less money, which is good. I think many people get too tied up in their money. We believe God used this to teach us to not rely on our money. After all, He got us through this.

My lesson to anyone reading this, don’t trust that your employer is going to pay you correctly. Keep your own records and be prepared to defend what you think is right.

Cubs 2015

I would have liked to have seen the Cubs win the World Series this year. Their getting blanked by the NY Mets 4-0 in the NLCS looked bad. I am not bummed nor disappointed. I’m a Cubs fan, the “Next year” mentality has become a natural feeling to me. Here is what their record has been the last few years:

  • 2012: 61 – 101
  • 2013: 66 – 96
  • 2014: 73 – 89
  • 2015: 97 – 65

At the beginning of the season, my expectations were that I wanted the Cubs to have a winning record. Not only did they have a winning record, but they also had the 3rd best record in baseball in 2015. On top of that, they beat the team with the second best record in baseball (Pittsburgh Pirates) and the best record in baseball (St Louis Cardinals) to get to the NLCS. Things didn’t go so for well for the Cubs after that, but over a whole season, the Cubs did a really good job. What is even better is that the majority of their players are young and very talented. This means that they will only get better and they will continue to be competitive for the next several years. Yes my friends, its finally good to be a Cubs fan, and I’m excited about next year. Go Cubs go!

What the FBI Says About Firearm Caused Deaths in the United States

Shootings have been getting a lot of attention over the last few years. This year the number of nationally reported shootings seems to be more than I can remember in the past. I have no proof of that, but its how I perceive it. Meanwhile, politicians try to tell us what is wrong and what should be done to fix it. Main stream media has also been making a big deal of shootings and telling us what should be done about it. The message I’m getting from the people making the most noise is that there are more shootings and we should do something about allowing people to have or get guns. Assault rifles and high capacity magazine are often demonized as well. Seeing as how I don’t trust a politician and the F.U.D. spreading US news media has long since lost any idea of objective news reporting, I decided to look up some information about people being killed in the United States. All of my data has come from the FBI’s website: https://www.fbi.gov/stats-services/crimestats

I gathered data from that site to the best of my abilities. I used the data to create a Google Docs spreadsheet which I used to create some charts to help visualize the information. This data is free to anyone who takes the time to look at it. If errors were made in my data entry, please make me aware of it and I will correct it. I believe a lot of the data speaks for itself. I’m not a statistician, but I think some of the simple things that I learned from looking at the data are correct.

The first chart shows the rate of the number of violent crimes committed in the USA per year. It clearly shows a trend of declining violent crimes.

Annual firearm caused murders per 100K US Population
Annual number of violent crimes in the USA

This next chart shows the annual number of murders caused by all firearms. From what this shows, there were more firearm caused murders in the early 1990’s than there have been in the last few years. If you ever hear someone telling you that there are more people being killed by guns now, this data shows otherwise.

annual firearm caused murders
Annual firearm caused murders

After looking at that, it got me to thinking. The rate of number of murders per year is not a completely meaningful trend. I felt that population was a relevant statistic for how many people are being killed by firearms. So I took the US population data found on the FBI website and used that to show how relevant the number of murders per year were compared with population growth. My thinking was if the population rate were changing, this could affect the murder rate. To make the numbers more relevant I took the population and divided it by 100,000 people so we could see how many people per 100,00 were being killed. According to the data, despite a population increase, there is a firearm murder rate decrease. This says that while nearly 6 in 100,000 Americans were being killed with firearms in 1992, in 2014 that had dropped to about 2.5 in 100,000 Americans being killed with firearms. This makes a case that people getting shot and killed with guns is happening less often than it used to. Are things getting better?

firearm murders per 100k population
Firearm murders per 100,000 US population

Now that I can see that people getting killed with firearms is not getting worse, I thought it would be interesting to see by what method people are getting killed. The pie chart below breaks out the type of weapon used to kill people. Clearly, murders by use of handguns are the most frequent. Surprisingly, evil assault rifles is at the bottom of the list which is below knives, personal weapons (fists, arms, legs, feet), blunt objects (such as baseball bats), and shotguns.

percent of murders by type
Cause of murders by percent 1992-2014

I hope this allows you to see some of the data that is out there so you can decide what the urgency might be about people being killed by firearms.

I believe we are just getting the usual F.U.D. (fear, uncertainty, and doubt) from politicians and news outlets. Bad people using guns to kill people is not something that is getting worse. Clearly, assault rifles with high capacity magazines are not the most urgent item in need of legislation. Statistics show that violent crime is becoming less common. I believe that the main cause for concern is the devaluing of human life among people. I don’t know how you put a statistic to that, and I certainly don’t know how you legislate morality. Just because a talking head on TV, radio, or your favorite website claim one thing, does not always mean it is the truth.

Parking Ticket pt 2

Went to Draper City Court today for my parking ticket that was issued to my license plate while my car was parked in my garage in Sandy Utah. I told the judge I was not guilty and now I have a trial date for November. The city prosecutor will issue a subpoena for the officer who wrote the ticket. This is for a $40 parking ticket that someone entered into the system incorrectly. My only defense is my word. Here is your daily dose of freedom.