Health Care

Jackson Health CEO earns high marks for job performance, but pay raise unlikely

Carlos Migoya on Jackson’s responsibility as stewards of public money

Carlos Migoya, president and CEO of Jackson Health System, says he’s a steward of public money, and that not everyone who applies for charity care really needs it.
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Carlos Migoya, president and CEO of Jackson Health System, says he’s a steward of public money, and that not everyone who applies for charity care really needs it.

The CEO of Jackson Health System — Miami-Dade County’s top-paid employee — earned stellar marks from bosses for his job performance on Friday.

But Carlos Migoya, who earned $1.05 million in 2016 as chief executive of the county’s public hospital system, is unlikely to get a pay raise when his employment contract comes up for renewal on May 30, said members of the Public Health Trust that oversees Jackson Health.

“My guess is he will remain underpaid,” said Mojdeh Khaghan, vice chair of the trust, who praised Migoya for leading the financial turnaround of Miami-Dade’s sprawling public hospital system, the largest in Florida, with a $1.6 billion annual budget and 11,000 employees.

He will remain underpaid.

Mojdeh Khaghan, vice chair, Public Health Trust of Miami-Dade

Trustees voted 5-0, with two members absent, to approve the annual evaluation of Migoya. They gave him the highest possible scores for leadership, people management and other performance metrics.

“That the comments are all so positive reflects the wonderful progress that has happened here,” said Irene Lipof, a Jackson trustee.

Migoya didn’t attend Friday’s meeting because he was traveling, a Jackson spokesman said. His two-year employment contract expires June 17, and Khaghan said she was “personally very much in favor of his staying on.”

Miami-Dade commissioners appointed Migoya chief executive of Jackson Health in May 2011, when the hospital system was near bankruptcy and public officials were considering selling it.

“There was a weak business culture and low morale,” said Khaghan, who was a Jackson trustee at the time. “He was able to steer the system ... and everything forward in a positive direction.”

In this November 2013 photo, Jackson Health System CEO Carlos Migoya celebrates with University of Miami’s then-President Donna Shalala (left) after Miami-Dade voters approved a referendum to upgrade the county’s public hospital system with $830 million in bonds payable through a property tax hike. CHARLES TRAINOR JR MIAMI HERALD STAFF

Under Migoya’s leadership, Jackson Health won approval from Miami-Dade voters in 2013 to spend $830 million in taxpayer funds for rebuilding and expansion. Khaghan also credited Migoya with helping to attract more private donations to Jackson, including a $10 million gift from the José Milton Foundation to build a new hospital in Doral.

Migoya’s initial employment contract in 2011 paid him an annual base salary of $590,000 plus benefits, compensation that an outside management consultant said was about 65 percent of the median salary for chief executives of comparable hospital systems in 2015.

Since hiring Migoya, Jackson trustees have twice approved two-year extensions, most recently in 2015, when Migoya got a raise to an annual salary of $730,000, with incentives that would pay him a $75,000 bonus plus 2 percent of any budget surpluses that exceeded $1 million — up to a maximum of 50 percent of his salary.

He earned $1.05 million a year in 2015 and in 2016, a Jackson spokesman said.

Migoya is negotiating a renewal of his employment contract. Jackson trustees are scheduled to vote on the contract May 30.

Daniel Chang: 305-376-2012, @dchangmiami