Enlarge / Vermont Senator Bernie Sanders speaks about Ralph De La Torre's spending habits during the US Senate Committee on Health, Education, Labor, & Pensions on September 12, 2024. (credit: Getty | Kayla Bartkowski)

The Senate voted unanimously on Wednesday to hold Ralph de la Torre—the wealthy CEO of a now-bankrupt Steward hospital chain—in contempt for failing to comply with a congressional subpoena.

With the vote, the case is referred to the Department of Justice for criminal prosecution for contempt of Congress, which would have de la Torre facing a fine of up to $100,000 and a prison sentence of up to 12 months if convicted.

The subpoena de la Torre rejected was a rare one issued in July by the Senate committee on Health, Education, Labor, and Pensions (HELP). The HELP committee, chaired by Bernie Sanders (I-Vt.), aimed to compel de la Torre to testify on allegations that while he and other executives reaped millions from the hospital system, individual facilities were put under such dire financial strain that health care workers were forced to practice "third-world medicine," and outsiders described Steward leadership as "healthcare terrorists."

Enlarge / The name placard for Dr. Ralph de la Torre, founder and chief executive officer of Steward Health Care System, in front of an empty seat during a Senate Health, Education, Labor, and Pensions Committee hearing in Washington, DC, on Thursday, September 12, 2024. (credit: Getty | Ting Shen)

The CEO of a failed hospital system who was paid hundreds of millions of dollars while patients were allegedly "killed and maimed" in his resource-starved and rotting facilities, was a no-show at a Senate hearing on Thursday—despite a bipartisan subpoena compelling him to appear.

Lawyers for Ralph de la Torre—the Harvard University-trained cardiac surgeon who took over the Steward Health Care System in 2020—told senators in a letter last week that he was unable to testify at the hearing. Despite previously agreeing to the hearing, de la Torre and his lawyers argued that a federal court order stemming from Steward's bankruptcy case, filed in May, prevented him from discussing anything amid reorganization and settlement efforts.

But that argument was found to be without merit by the Senate committee that issued the subpoena in July—the Senate Committee on Health, Education, Labor, and Pensions (HELP), chaired by Bernie Sanders (I-Vt.). In comments to the Associated Press Wednesday, Sanders said there were plenty of topics he could have safely discussed.

Enlarge / Hospital staff and community members held a protest in front of Carney Hospital in Boston on August 5 as Steward has announced it will close the hospital. "Ralph" refers to Steward's CEO, Ralph de la Torre, who owns a yacht. (credit: Getty | Suzanne Kreiter)

As the more than 30 hospitals in the Steward Health Care System scrounged for cash to cover supplies, shuttered pediatric and neonatal units, closed maternity wards, laid off hundreds of health care workers, and put patients in danger, the system paid out at least $250 million to its CEO and his companies, according to a report by The Wall Street Journal.

The newly revealed financial details bring yet more scrutiny to Steward CEO Ralph de la Torre, a Harvard University-trained cardiac surgeon who, in 2020, took over majority ownership of Steward from the private equity firm Cerberus. De la Torre and his companies were reportedly paid at least $250 million since that takeover. In May, Steward, which has hospitals in eight states, filed for Chapter 11 bankruptcy.

Critics—including members of the Senate Committee on Health, Education, Labor, and Pensions (HELP)—allege that de la Torre stripped the system's hospitals of assets, siphoned payments from them, and loaded them with debt, all while reaping huge payouts that made him obscenely wealthy.