{"id":194,"date":"2026-05-08T15:01:48","date_gmt":"2026-05-08T15:01:48","guid":{"rendered":"https:\/\/floridamovingchronicle.com\/?p=194"},"modified":"2026-05-08T15:01:48","modified_gmt":"2026-05-08T15:01:48","slug":"a-new-miami-hospital-ceo-will-make-1-32-million-how-does-that-compare-to-others","status":"publish","type":"post","link":"https:\/\/floridamovingchronicle.com\/?p=194","title":{"rendered":"A new Miami hospital CEO will make $1.32 million. How does that compare to others?"},"content":{"rendered":"
<\/p>\n

David Zambrana is one step closer to his first official day as CEO of Miami-Dade\u2019s public hospital system.<\/p>\n

Read more Doral police chief officially named as head of Miami Police Department<\/a><\/p>\n

<\/p>\n

The Public Health Trust, the governing body of Jackson Health System, last month unanimously approved a three-year, $1.32 million CEO contract for the 55-year-old Zambrana as he prepares to lead one of the largest public health systems in the nation.<\/p>\n

<\/p>\n

Zambrana, who is currently Jackson\u2019s president and chief operating officer, will take over the reins June 1 from mentor Carlos Migoya, who is retiring as CEO after nearly 15 years of leading the taxpayer-funded hospital system. The 75-year-old Migoya will remain in an advisory role for Zambrana, whom he\u2019s described as the \u201cmost prepared leader\u201d in Jackson\u2019s history.<\/p>\n

<\/p>\n

The CEO role comes with a 15% base salary increase, a big pay raise for Zambrana, who currently makes a base salary of $1.14 million, not counting bonuses and other benefits. As CEO, Zambrana will have a base salary of $1.32 million but can expect to earn about $1.42 million in his first year, including benefits but excluding any performance bonuses tied to the health system\u2019s goals and financial performance, according to the contract obtained by the Miami Herald through a public record request.<\/p>\n

<\/p>\n

It\u2019s less than what Migoya and other South Florida health executives make, but still more than mayors, city managers, police chiefs and school superintendents. Migoya currently makes a base salary of $1.44 million a year, with a total compensation of at least $1.78 million.<\/p>\n

<\/p>\n

The pay raise follows the recommendations made to the Public Health Trust by Gallagher, an independent firm Jackson hired to compare CEO pay levels across health systems similar in size and complexity to Jackson. The paycheck, like for all Jackson employees, is accounted for in the hospital system\u2019s operating budget, which comes from patient revenue, taxes and philanthropy.<\/p>\n

<\/p>\n

Gallagher said a base salary of $1.32 million \u201cwould be considered a competitive salary level for a brand-new CEO.\u201d It\u2019s about 4% below the median of public health systems and 20% below the \u201cblended market median,\u201d which includes a mixture of academic, public and not-for-profit health systems, according to Gallagher.<\/p>\n

<\/p>\n

As Miami-Dade\u2019s safety-net hospital system, Jackson provides care to everyone, even if they can\u2019t pay and don\u2019t have health insurance. The health system has seven hospitals, two nursing homes, a renowned transplant center, and several urgent cares, doctors\u2019 offices and clinics across Miami-Dade, with more than 14,900 full-time employees. It serves as a teaching hospital through a partnership with the University of Miami Miller School of Medicine and recently opened one of the largest emergency rooms in the nation.<\/p>\n

<\/p>\n

The seven-member Public Health Trust board opted to skip a national search for one of the highest-paid jobs in the county and unanimously appointed Zambrana as Jackson\u2019s future CEO earlier this year, praising him for his years of work and dedication.<\/p>\n

<\/p>\n

Amadeo Lopez-Castro III, chair of the Public Health Trust, told the Miami Herald after last week\u2019s vote that while he believes Zambrana is the right person for the job, he felt it was important to conduct a CEO pay study, for the good of the hospital, the county and Zambrana.<\/p>\n

<\/p>\n

\u201cIt\u2019s very difficult to compare our public hospital to any other hospital,\u201d Lopez-Castro said, noting that the hiring of Jackson\u2019s CEO is \u201cthe most important decision that our board takes on.\u201d<\/p>\n

<\/p>\n

How does the new CEO\u2019s salary compare to other South Florida hospital executives?<\/h2>\n

<\/p>\n

Data shows that while Jackson\u2019s CEO base pay is similar to other South Florida hospital CEOs, Zambrana\u2019s total compensation \u2014 salary combined with benefits that will bring him to at least $1.42 million \u2014 is generally less than other hospital leaders.<\/p>\n

<\/p>\n

That\u2019s not unusual. Nonprofit hospitals and private for-profit hospital systems typically pay their top executives more than taxpayer-funded public hospital systems like Jackson. Tax documents give an idea of how much money they make.<\/p>\n

<\/p>\n

Zambrana\u2019s base salary and total compensation is less than that of Shane Strum, who oversees Broward\u2019s two public hospital systems and is the only other public hospital CEO in South Florida. Strum, who was given a 3% merit increase in October, now makes a base salary of $1.64 million as the CEO of Broward Health. His total compensation last year \u2014 made up of base salary, performance incentives and other compensation \u2014 was about $2.43 million, according to the hospital\u2019s general counsel\u2019s office. He receives an annual salary of a dollar from Memorial.<\/p>\n

Read more Cyberattack blocks South Florida students from homework and testing tool<\/a><\/p>\n

<\/p>\n

Both make less than other South Florida executives who run not-for-profit health systems, including Baptist Health South Florida, Mount Sinai Medical Center in Miami Beach and the University of Miami Health System.<\/p>\n

<\/p>\n

Albert \u201cBo\u201d Boulenger, the president and CEO of Baptist Health South Florida, for example, received a total compensation of about $4.19 million for the 2023 fiscal year, which ran from October 2023 through September 2024, according to the most recently filed tax documents with the IRS. Baptist is the largest not-for-profit hospital system in the region and is the teaching hospital of Florida International University.<\/p>\n

<\/p>\n

The Herald wasn\u2019t able to verify how much Dr. Dipen Parekh makes as CEO of the private University of Miami Health System, a position the surgeon has held since last summer. But he likely makes much more than Zambrana based on how much his total compensation was as UHealth\u2019s chief operating officer in the most recent tax filings available with the IRS for the 2023 fiscal year, which ran from May 2023 through May 2024. At the time, Parekh\u2019s total compensation for COO was about $4.05 million, slightly less than the $4.28 million Joseph Echevarria, the current president of the University of Miami, brought in when he was serving as both UM\u2019s president and UHealth CEO.<\/p>\n

<\/p>\n

What\u2019s in Zambrana\u2019s contract?<\/h2>\n

<\/p>\n

Zambrana\u2019s three-year contract runs from June 1, 2026, through May 31, 2029, with the option to renew it for two additional years.<\/p>\n

<\/p>\n

His base annual salary will be $1.32 million, about $120,000 less than Migoya\u2019s current salary.<\/p>\n

<\/p>\n

In June 2027, he\u2019ll receive an annual merit adjustment of 5%, bringing his base salary to about $1.38 million, with the possibility of earning an additional 2.5% if The Public Health Trust gives him at least an average evaluation rating of 3.5 or above out of 4, according to the contract. That could put his base salary at $1.42 million.<\/p>\n

<\/p>\n

He\u2019ll also be eligible for an annual performance bonus up to 50% of his base salary if Jackson exceeds $1 million in profits, excluding capital contributions and donations, in the audited financial statements for the applicable fiscal year, according to his contract. He\u2019ll earn even more if Jackson\u2019s profits were to exceed $10 million, in which case he would be eligible for an additional $50,000.<\/p>\n

<\/p>\n

The health system says its net income \u2014 total profit after expenses, taxes and other deductions \u2014 varies year over year, ranging \u201cfrom $7.9M to $41.4M last year \u2014 reflecting the volatility inherent in operating Jackson, which is subject to funding fluctuations, Medicaid policy changes, and extraordinary capital demands.\u201d<\/p>\n

<\/p>\n

Gallagher, the firm that did the salary analysis, alluded to the differences between Migoya and Zambrana in its report. Migoya was a retired banker who had no prior healthcare experience and was hired to turn the financially struggling Jackson around. Zambrana, on the other hand, is a health executive who began his career more than 30 years ago as a nurse at Jackson and was prepared by Migoya to be his successor.<\/p>\n

<\/p>\n

The job<\/h2>\n

<\/p>\n

Zambrana will be taking over a health system that generates about $3.1 billion in operating expenses at a time when Jackson is preparing for the fallout of possible property tax cuts. Jackson, like other health systems across the country, is facing financial pressures from higher costs and lower reimbursement rates while also grappling with physician and nurse shortages, a rise in healthcare-related cybersecurity threats and higher demand for care in an aging Miami-Dade population.<\/p>\n

<\/p>\n

Zambrana said finding ways to improve patient care is on his mind.<\/p>\n

<\/p>\n

\u201cI\u2019ve been firsthand involved in the growth, in the improvements, in the expansion of services we\u2019ve had to date, so you can count on me to continue that work and be clear about our mission to this community,\u201d Zambrana said.<\/p>\n

<\/p>\n

The soon-to-be CEO said he wants to focus on continuing to improve outcomes and the patient experience across the health system. He also wants to zero in on Jackson\u2019s outpatient services, bringing care closer to home, a strategy Jackson and other health systems are using to get more patients while also improving access to care in underserved areas.<\/p>\n

Read more Broward hospital to replace 24\/7 Care Center with new emergency room<\/a><\/p>\n

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The Public Health Trust that governs Jackson Health System in Miami approved David Zambrana\u2019s new CEO contract and salary ahead of Carlos Migoya\u2019s retirement.<\/p>\n","protected":false},"author":1,"featured_media":193,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[],"class_list":["post-194","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-care"],"yoast_head":"\nA new Miami hospital CEO will make $1.32 million. 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