Big Miami-Dade hospital system nears insolvency March 10, 2010 at 1:53 PM CST - Updated June 19 at 7:10 PM MIAMI (AP) - The major hospital network Miami relies on for trauma care is close to insolvency and could be cut off by suppliers. Executives for Jackson Health System surprised its governing board Tuesday by saying the nonprofit is near or already in a "death spiral" as it runs low on cash. Chief Operating Officer David Small says any day he could hear from a surgeon without enough supplies to operate. The hospital system is the only Level 1 trauma center set up to provide emergency care around the clock in Miami-Dade, which is Florida's most populous county and the 8th largest in the nation. The hospital system needs a $67 million advance from the county to avoid coming within a day and a half of operating cash by April 5. ___ Information from: The Miami Herald, http://www.herald.com Copyright 2010 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.