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Jackson reports roughly $40 million surplus, highlights children's hospital rankings and expansion plans

Public Health Trust Board of Trustees · October 29, 2025

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Summary

Jackson Health System reported an approximate $40 million surplus for fiscal year 2025, cited improvements in operational metrics and highlighted Holtz Children's Hospital rankings and planned pediatric facility expansions across Miami‑Dade County.

Carlos Migoya, a Jackson Health System executive, told the Public Health Trust Board of Trustees on Oct. 29 that Jackson Health System ended fiscal year 2025 "with approximately $40,000,000 in excess of revenues over expenses," marking continued financial improvement.

Migoya said three key volume indicators — inpatient admissions, emergency room visits and surgical cases — outperformed the prior year while staffing levels remained essentially unchanged and the system reduced overtime and average length of stay. "These measures are especially notable because they came at the same time that we've been laser focused on consistent improvement in our quality indicators and patient experience survey results," he said.

He also highlighted recent pediatric rankings published in the U.S. News & World Report 2025–26 edition. "Holtz was ranked seventh in Florida and sixteenth in the Southeast, with 3 specialties ranked among the top 50 programs nationwide," Migoya said, citing diabetes and endocrinology at 21st, gastroenterology and GI surgery at 41 and nephrology at 41.

Migoya described near‑term facility plans tied to ongoing capital work at Jackson Memorial Medical Center. He said Phase 1 of the new Jackson Memorial emergency department is scheduled to open next spring and that the system intends to begin Phase 2 work on a comprehensive overhaul and expansion of the pediatric emergency department at Holtz Children's Hospital afterward. He also said new outpatient pediatric facilities are planned at Jackson South and Jackson West.

Board members and staff framed the developments as part of a broader effort to expand access and sustain quality. "We are more committed than ever to continue growing our pediatric presence in South Florida," Migoya said.

The board did not take a separate vote on the financial report during the meeting; the presentation was given as part of the chair’s reports and committee briefings.