In 2010, he worked for 10 months as manager of the financially struggling city of Miami, where he “balanced a $115 million deficit budget” through budget cuts, including negotiations with labor unions, his resume says.
Jackson’s governing body, the Public Health Trust, voted April 13 to offer Migoya the job, bypassing two other finalists who had direct hospital experience. The other finalists were Myles Lash, president of consultancy Provenance Health Partners in Washington, D.C., and Dr. Ram Raju, chief operating officer and executive vice president at the New York City Health and Hospital Corp.
When Roldan steps down in June, she will have served two years on the job after replacing Marvin O’Quinn in 2009.
Since then, the system has been investigated by county auditors, a district attorney’s grand jury, and the Securities and Exchange Commission. After less than two years on the job, Roldan opted not to try to renew her employment contract following heated disputes with members of Jackson’s complex governance structure amid the system’s faltering financial position and the ongoing investigations.
Jackson has found itself under heavy public scrutiny in recent years as its finances hovered on the brink of collapse. Roldan herself warned of financial insolvency as recently as last year, while seeking job cuts and a government bailout. The system is supported partly by tax revenue, though any increase in collections would have to be approved by the Miami-Dade County Board of County Commissioners.
The system posted combined losses of more than $330 million in fiscal years 2009 and 2010, but investigators and Jackson officials have said a financial turnaround has been complicated by a costly labor pool, sloppy financial record-keeping, and a public governance structure that splits oversight between the Public Health Trust and the Miami-Dade County board.
Dr. Mark Rogers resigned from the Public Health Trust board last month out of frustration with the organization, saying in his March 29 resignation letter that simply changing CEOs will not create the change needed by the hospital and its board.
“My analysis is that Jackson is in mortal danger and requires swift and insightful change,” Rogers wrote. “No new CEO can change Jackson. A whole new team with fresh insight and high standards developed elsewhere is required.”
Officials with Steward Health Care System, Boston, which last month withdrew their offer for a $1.1 billion transaction to take ownership of Jackson, have said the Miami hospital system will run out of available cash to make payroll by July (Feb. 28, p. 8).
Last week, 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.