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Record of Proceedings

Miami-Dade BCC Special Meeting & Joint Public Health Trust - March 18, 2025

Board of County CommissionersTuesday, March 18, 2025
BodyMiami Dade County, Florida
SessionBoard of County Commissioners
DateTuesday, March 18, 2025
StatusFILED
Video Record

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Transcript — Verbatim
0:00

A Tracy Brown, Mother Tracy Brown for this particular award.

0:04

Because in 2007, April 13th, uh Tracy Brown's son was killed at the age of 23.

0:12

Yep.

0:12

Go ahead and do we have any cards for reasonable opportunity?

0:14

I have nothing in front of me.

0:16

Thank you.

0:16

Unless uh the team has not uh Mr.

0:19

McGoy, how much time are you gonna need?

0:21

For the audit will be very brief unless anyone has any questions, I like brief presentation, max ten minutes.

0:26

All right.

0:27

Go ahead, you're recognized.

0:28

Thank you, Mr.

0:29

Chair.

0:29

Uh uh, Mr.

0:31

Vice Chair, uh, Madam Mayor, Commissioners.

0:33

Uh, we're here today with uh our chief financial officer Mark Knight to present to you the audit uh for the public health trust that was completed at September 30th of uh 24.

0:43

Uh it's an unqualified uh opinion uh with no exception, so I'll pass it on to Mark to give you a brief presentation.

0:51

Good morning.

0:52

Uh each of you were provided with an electronic copy of the fiscal year 24 external audit completed by KPMG.

0:58

This is our 12th consecutive name and address, please.

1:02

Name and title.

1:02

Uh Mark Knight, Chief Financial Officer of Jackson Health System.

1:06

Each of you were provided with an electronic copy last month of the external audit completed by KPMG with no uh deficiencies or um weaknesses noted.

1:16

This is the 12th consecutive year of profitability or excess revenues for the system, and uh we are pleased to present that for your acceptance.

1:24

All right, with that, colleagues, is there a motion to approve the audit?

1:30

It's been moved by Commissioner Bastien, seconded by Commissioner Regalado.

1:36

Um discussion on the out on the uh budget on the audit, seeing none.

1:42

All in favor signify by saying aye.

1:44

All opposed, nay.

1:47

All right, madam attorney, is there any further business or is it in order to adjourn the special meeting and reconvene our BCC meeting?

1:52

It's it's appropriate to adjourn and reconvene.

1:54

All right, show us adjourned.

1:57

All right, let's go ahead and uh take item 6B1.

2:02

Yes, 6B1's the annual joint meeting of the public health trust and the board.

2:07

Mr.

2:08

Magoya, you are once again recognized.

2:12

This time I'd like to ask our our chair of the public health trust, Madeo Lopez Castro uh to start off the presentation.

2:18

Mr.

2:18

Chairman, you're recognized.

2:20

Good morning.

2:21

My name is Amadeo Lopez Castro.

2:24

I am the uh chairman of the public health trust.

2:28

Behind me are members over your public health trust, who I'm just here to be the voice of this morning.

2:35

Um it is my privilege to serve on this board and to address this chamber today.

2:41

Good morning, Mr.

2:42

Chairman Rodriguez, Vice Chairman McGee, Mayor La Cava, this Gamma Gami.

2:51

Uh Magami.

2:52

Gaia Magani.

2:53

We only call him Dr.

2:54

G, so um I apologize, Dr.

2:56

G.

2:57

And Carol Biggs, to name just a few.

3:01

I also want to commend the PhD colleagues sitting here behind me and the ones that were unable to attend today, each of whom devote their time, their energy, their expertise to ensure accountability and transparency are at our maintained at the highest levels.

3:20

Thank you all.

3:22

I am proud and honored to serve alongside.

3:27

To you, our distinguished Board of County Commissioners.

3:31

Thank you for believing in Jackson.

3:33

And it is a noble vice chairman McGee, Madam Mayor and Commissioners.

3:39

It's not just a pleasure but an honor to be here with you today to discuss uh uh today's items.

3:46

Each year, this meeting is an opportunity for us to reflect on the remarkable journey we've had over the past year, which we are now and where we are headed as an organization.

Discussion Breakdown — Share of Meeting
Healthcare█████████████████████████████████████████████52%
Procedural█████████████████████████29%
Budget Equity Analysis██████████12%
Homelessness██████7%
Summary of Proceedings

Miami-Dade BCC Special Meeting & Joint Public Health Trust - March 18, 2025

The Miami-Dade Board of County Commissioners held a special meeting on March 18, 2025, to receive the Public Health Trust's annual external audit and then reconvened for the annual joint meeting with the Public Health Trust. The audit received unanimous approval, and the Trust presented a forward-looking vision for Jackson Health System.

Special Item: Public Health Trust Annual External Audit

  • Mark Knight, CFO of Jackson Health System, presented the Fiscal Year 2023-2024 external audit conducted by KPMG. The audit received an unqualified opinion with no deficiencies or weaknesses. This marks the 12th consecutive year of profitability/excess revenues for the system.
  • Commissioner Bastien moved to approve the audit, seconded by Commissioner Regalado. The motion passed unanimously (all ayes, no nays).

Annual Joint Meeting with the Public Health Trust

  • Amadeo Lopez Castro, Chairman of the Public Health Trust, addressed the Commission. He highlighted Jackson Health System's transformation from rescue and recovery to a stable, future-focused organization.
  • A video presentation outlined major initiatives:
    • Opening of a new emergency room at Jackson Memorial Hospital in spring 2026, expanding from 70 to 208 patient rooms, becoming one of the largest and most advanced in the nation.
    • Enhanced ambulatory and outpatient services, including expanded pediatric specialty care at Jackson South and Jackson West campuses.
    • Population health partnerships addressing food insecurity, homelessness, and transportation, aiming to reduce ER visits and hospital readmissions.
    • Approval of a $700 million revenue bond to refinance debt and fund responsible growth, with approximately $350 million allocated to the described projects.

Key Outcomes

  • Audit Approval: The Public Health Trust annual external audit for FY 2023-2024 was unanimously approved by the Board of County Commissioners.
  • No Public Comments: No cards were submitted for the reasonable opportunity period.

Meeting Transcript

A Tracy Brown, Mother Tracy Brown for this particular award. Because in 2007, April 13th, uh Tracy Brown's son was killed at the age of 23. Yep. Go ahead and do we have any cards for reasonable opportunity? I have nothing in front of me. Thank you. Unless uh the team has not uh Mr. McGoy, how much time are you gonna need? For the audit will be very brief unless anyone has any questions, I like brief presentation, max ten minutes. All right. Go ahead, you're recognized. Thank you, Mr. Chair. Uh uh, Mr. Vice Chair, uh, Madam Mayor, Commissioners. Uh, we're here today with uh our chief financial officer Mark Knight to present to you the audit uh for the public health trust that was completed at September 30th of uh 24. Uh it's an unqualified uh opinion uh with no exception, so I'll pass it on to Mark to give you a brief presentation. Good morning. Uh each of you were provided with an electronic copy of the fiscal year 24 external audit completed by KPMG. This is our 12th consecutive name and address, please. Name and title. Uh Mark Knight, Chief Financial Officer of Jackson Health System. Each of you were provided with an electronic copy last month of the external audit completed by KPMG with no uh deficiencies or um weaknesses noted. This is the 12th consecutive year of profitability or excess revenues for the system, and uh we are pleased to present that for your acceptance. All right, with that, colleagues, is there a motion to approve the audit? It's been moved by Commissioner Bastien, seconded by Commissioner Regalado. Um discussion on the out on the uh budget on the audit, seeing none. All in favor signify by saying aye. All opposed, nay. All right, madam attorney, is there any further business or is it in order to adjourn the special meeting and reconvene our BCC meeting? It's it's appropriate to adjourn and reconvene. All right, show us adjourned. All right, let's go ahead and uh take item 6B1. Yes, 6B1's the annual joint meeting of the public health trust and the board. Mr. Magoya, you are once again recognized. This time I'd like to ask our our chair of the public health trust, Madeo Lopez Castro uh to start off the presentation. Mr. Chairman, you're recognized. Good morning. My name is Amadeo Lopez Castro. I am the uh chairman of the public health trust. Behind me are members over your public health trust, who I'm just here to be the voice of this morning. Um it is my privilege to serve on this board and to address this chamber today. Good morning, Mr. Chairman Rodriguez, Vice Chairman McGee, Mayor La Cava, this Gamma Gami. Uh Magami. Gaia Magani. We only call him Dr. G, so um I apologize, Dr.

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