For the second month in a row, Jackson Health System lost $9 million in November ? losses that executives blamed on Jackson's inability to reach agreements with its two biggest partners, the labor unions and the University of Miami. "You look at the two big pieces and we're still in the netherworld," said board member Michael Bileca at the Jackson board's monthly committee day on Thursday. Administrators have been negotiating with the unions and UM's medical school for months and have yet to reach agreements.