Steward is focused on providing value to its patient populations and takes a holistic view of health care giving special attention to the patient’s total care experience as well as the total medical expense of care rendered.

The organisation’s value-based contracts contain important at-risk incentives that require success in measures of quality and patient experience, supporting our bold approach. By providing exceptional and coordinated care at all points along the care continuum, Steward addresses all care settings to ensure a consistent, holistic approach to quality care.


Steward provides opportunities to benefit from several operational and clinical organisational advantages. Operationally, the vertical integration of the entire system reduces duplication and waste, and the horizontal integration provides multiple entry points across a broader geography, increasing efficiency through scale and improved procurement.

From a clinical standpoint, vertical integration improves coordination of care delivery between settings, resulting in better patient experiences and outcomes, higher quality of care, and local care delivery. Furthermore, horizontal integration expands access points across a broader geography, resulting in improved convenience and affordability for patients and businesses in local communities, increased scale for development of clinical best practices, and regionalized tertiary and quaternary services to improve in-network access to highly coordinated specialty care.

Steward Health Care International’s preferred collaboration pathway is the Public Private Partnership (PPP) model. Using this model, partners work together toward a common goal, they have shared responsibilities and they leverage their respective strengths to achieve the agreed objectives.

As one of the largest physician-led, privately-held health care operators in the United States, we saw the opportunity of partnering with the Maltese government as an excellent chance for us to extend our delivery model internationally. Malta maintains a long-standing reputation as a health care provider, formerly referred to as the Nurse of the Mediterranean, is a Member of the European Union, and is stable both economically and politically, so there was really no place better to launch our European ambitions.