When Miami-based Jackson Health System recently announced the hiring of PricewaterhouseCoopers as a new consultant, its governing board and the County Commission demanded details. The overseers were suspicious because the financially desperate Jackson has a reputation for spending millions on outside services, sometimes without board approval, the Miami Herald reports. The PricewaterhouseCoopers contract was approved by the Public Health Trust, but in other instances Jackson executives sneaked in outside services by starting them out at under $100,000, the threshold for needing board approval, reports the Herald.