Health Care

Health company sues CEO over ‘greed.’ How the sale of Miami hospitals is involved

Steward Health sold all 31 of its U.S. hospitals, including its five South Florida hospitals, after filing for bankruptcy protections.
Steward Health sold all 31 of its U.S. hospitals, including its five South Florida hospitals, after filing for bankruptcy protections. Miami Herald staff

A health company that gave up its five South Florida hospitals to thin debt while in Chapter 11 bankruptcy is now suing its founder and former CEO and other executives.

Steward Health Care System is accusing former CEO Dr. Ralph de La Torre and other Steward executives and directors of making business deals that personally benefited them but hurt the company, its hospitals and its patients.

Steward attorneys say “their greed and bad faith misconduct,” which included de La Torre allegedly using money meant for Steward’s operations to buy a $30 million superyacht, a private Texas ranch and other luxury items, “ultimately led to Steward’s collapse” and its bankruptcy last year.

The nearly 70-page lawsuit, filed this week in Texas bankruptcy court, names de la Torre, other Steward executives and board members, and several Steward-related companies, as well as Tenet Healthcare, a company that sold the Miami-area hospitals to Steward.

In a statement to the Miami Herald, a spokesperson for de la Torre denied the accusations.

“Dr. de la Torre disputes the allegations of wrongdoing and will vigorously defend himself against them,” spokesperson Rebecca Kral said.

A photo of Dr. Ralph de la Torre, former CEO of Steward Health Care, that ran in the Miami Herald in 2011.
A photo of Dr. Ralph de la Torre, former CEO of Steward Health Care, that ran in the Miami Herald in 2011. Herald Archives

Attorneys for Steward are asking the court to declare some transactions made between April 2020 and November 2022 as fraudulent and force de la Torre and others to pay back Steward.

One of the disputed transactions is Steward’s $1.1 billion purchase of five Miami-area hospitals from Tenet Healthcare in 2021: Palmetto General Hospital in Hialeah, Coral Gables Hospital, Hialeah Hospital, North Shore Medical Center in North Miami-Dade and Florida Medical Center in Lauderdale Lakes.

The lawsuit says Steward overpaid for the hospitals, which were initially valued at $895 million, and did not have enough money at the time for the purchase.

The purchase of the South Florida hospitals was “disastrous” for Steward and was fueled by “de la Torre’s personal desire to build a hospital empire in the Miami area, rather than on any independent financial analysis,” the lawsuit alleges.

Steward’s attorneys are now asking the judge to declare the 2021 sale “fraudulent” because Steward “did not receive reasonably equivalent value in exchange for making such payment and had unreasonably small capital in relation to its business both before and after making such payment.”

“Not only did [Steward Health Care] overpay, but de la Torre pushed the deal through before Steward could complete the closely-related sale of five Steward hospitals in Utah,” which it needed to buy the Miami hospitals, the suit states.

That Utah hospital deal with HCA Healthcare never went through after the Federal Trade Commission sued to block the sale, alleging violations of federal antitrust laws. The Utah hospitals were eventually sold a few years later to another health company for millions less. But because Steward had to pay Tenet for the Miami hospitals before the Utah hospital sales closed, “Steward was never able to invest in appropriately integrating the Miami Hospitals” and Steward’s “insolvency deepened even further,” according to the lawsuit.

Steward Health was once considered to be the largest physician-owned hospital network in the country, with 31 hospitals. But de la Torre’s medical empire has crumbled.

Steward sold its physician group, shuttered some hospitals and sold others, including three Florida Space Coast hospitals, as part of the bankruptcy process. One of the Florida hospitals Steward sold to Orlando Health has since closed.

Some of Steward’s other hospitals, including the ones in Miami-Dade and Broward counties, were given to landlord Medical Properties Trust, which helped finance the Tenet deal and owns the land the Miami-area hospitals sit on. Steward made the deal in court last year to get out of its lease with the landlord and to keep hospitals open.

The South Florida hospitals, which languished under Steward’s ownership and struggled with supply shortages, unit closures, and payments to employees and vendors, are now operated by Healthcare Systems of America.

De la Torre resigned as Steward’s CEO last year shortly after a congressional committee pursued civil enforcement and criminal charges against him for refusing to testify under subpoena about the alleged mishandling of the health system’s hospitals across the country. He’s filed a lawsuit to have the court rule the subpoena as invalid and unenforceable.

Steward Health is also under a federal investigation for possible corruption related to business dealings involving state-run hospitals it managed in Malta, an island in Southern Europe. Steward has said it is cooperating with the investigation, the Herald previously reported.

This story was originally published July 18, 2025 at 3:03 PM.

Michelle Marchante
Miami Herald
Michelle Marchante covers the pulse of healthcare in South Florida and also the City of Coral Gables. Before that, she covered the COVID-19 pandemic, hurricanes, crime, education, entertainment and other topics in South Florida for the Herald as a breaking news reporter. She recently won first place in the health reporting category in the 2025 Sunshine State Awards for her coverage of Steward Health’s bankruptcy. An investigative series about the abrupt closure of a Miami heart transplant program led Michelle and her colleagues to be recognized as finalists in two 2024 Florida Sunshine State Award categories. She also won second place in the 73rd annual Green Eyeshade Awards for her consumer-focused healthcare stories and was part of the team of reporters who won a 2022 Pulitzer Prize for the Miami Herald’s breaking news coverage of the Surfside building collapse. Michelle graduated with honors from Florida International University and was a 2025 National Press Foundation Covering Workplace Mental Health fellow and a 2020-2021 Poynter-Koch Media & Journalism fellow.  Support my work with a digital subscription
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