Bank executive and former Miami City Manager Carlos Migoya has been offered the job of president and CEO of Miami's Jackson Health, one of the largest public health systems in the country at 1,765 beds.
Jackson Health offers CEO job to banker
Jackson's governing body, the Public Health Trust, voted Wednesday night to offer Migoya the job, bypassing two other finalists who had direct hospital experience. The other finalists were Myles Lash, president of Provenance Health Partners in Washington, and Dr. Ram Raju, chief operating officer and executive vice president at the New York City Health and Hospitals Corp.
Migoya has been a bank executive in the Miami area for decades, though in 2010 he worked for 10 months as manager of the financially struggling city of Miami. His resume says he “balanced $115 million deficit budget” though budget cuts, including negotiations with labor unions.
Tax-supported Jackson Health also is in a precarious financial position. The system posted combined losses of more than $330 million in fiscal 2009 and 2010, but a financial turnaround has been complicated by a costly labor pool, sloppy financial record keeping, and a conflicted public governance structure that splits oversight between the Public Health Trust and the Miami-Dade Board of County Commissioners.
Under outgoing President and CEO Eneida Roldan, who is set to leave in July, the system has been investigated by county auditors, a district attorney's grand jury, and the Securities and Exchange Commission. Migoya must negotiate an employment contract with the health trust, including a start date, which has been informally pegged at June 1.
Last month, Jackson missed a key deadline to begin negotiating the framework for a potential $1.1 billion acquisition of the system by for-profit Steward Health Care System in Boston. On Thursday, a spokesman for Steward said the company is still interested in restarting negotiations, but no one from Miami-Dade County has reached out to them.
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