Outgoing Jackson Health CEO on testy University of Miami relationship

For five years, Marvin O'Quinn has headed one of South Florida's biggest institutions, Jackson Health System, a billion-dollar enterprise with three main hospitals and 12 primary care centers. He took over Jackson when the public system had just suffered an $85 million loss. Thanks to county support and a half-penny sales tax, he has kept the budget pretty well balanced. At the end of December, he's stepping down to take a job as chief operating officer with a West Coast hospital system with more than 40 hospitals. In this Q&A with the Miami Herald, O'Quinn discusses difficult times, past and present, and his sometimes testy relationship with the University of Miami.