---
title: "Steward Health Care — Steward in Malta: preliminary criminal proceedings and civil awards"
language: en
canonical: https://dossiertwist.com/dossiers/steward-health-care/malta-proceedings/
as_of: 2026-10-14
keywords: ["Steward Health Care","Cerberus","Medical Properties Trust","Ralph de la Torre","hospital bankruptcy","hospital transactions","CareMax","TRACO","Malta"]
---

# Steward Health Care — Steward in Malta: preliminary criminal proceedings and civil awards

**Question.** What did the Maltese proceedings establish, and what did the defendants dispute?

**Answer.** The record describes a prima facie company referral, charges against Ernst and a not-guilty plea, an admissibility dispute, and separate utility and cleaning judgments. It does not establish a final criminal conviction.

## Preliminary criminal proceedings and separate civil awards

- Analysis: The Malta record moves from recommended charges in 2024 to later proceedings. Reporting in March 2026 says the court found sufficient prima facie evidence for the Steward Healthcare Malta company to face trial over the hospital concession. A separate account describes criminal charges against Armin Ernst and a €20 million freezing order. Reporting also alleges consultancy payments of about €7.6 million to Accutor in 2018–2020 and later payments to Canberra International. [s-d106] [s-d128] [s-d157] [s-d182] [s-d194] [s-d208] [s-d209] [s-d239]
  - Qualification: A prima facie referral, a freezing order and an allegation of a political support fund are not convictions. The exact company subject to each proceeding matters. The 2024 account explicitly says the US Steward company was not recommended for charges and that de la Torre had not then been formally charged. A competing claim that he was “wanted” is not adopted as an established procedural status.
  - Response: Ernst pleaded not guilty. Steward denied giving financial favors to Maltese officials and described Accutor as a consultant engaged to regularize the concession. Shaukat Ali denied having been an owner despite an internal-email allegation of a silent interest. The defense challenged use of the Harbinson Forensics report without cross-examination. The court rejected that admissibility objection at the prima facie stage because the report formed part of the inquiry record; that was not a final merits determination.
  - Outcome: A January 2026 account describes separate civil utility and cleaning judgments against Steward Malta Management: more than €283,000 and €841,000 respectively. The separate awards total more than €1.124 million. The concession’s annulment did not, according to that account, extinguish obligations for services already supplied. No final criminal verdict is established here.

## The limits of the executive’s own biography

- Analysis: Ernst’s own retained biography describes an international health-care executive and pulmonologist with several chief-executive roles across multiple regions. [s-d243]
  - Qualification: This is a self-description without a complete dated mandate list. The biography does not itself identify Steward or the Malta concession and cannot establish the nature or outcome of the separate proceedings.

## Sources

- [s-d106] Media source · s-d106
- [s-d128] Media source · s-d128
- [s-d157] Media source · s-d157
- [s-d182] Other source · s-d182
- [s-d194] Media source · s-d194
- [s-d208] Media source · s-d208
- [s-d209] Media source · s-d209
- [s-d239] Media source · s-d239
- [s-d243] Other source · s-d243