In 2015, the Government awarded a concession to Vitals Global Healthcare for the redevelopment, management, and operation of the Gozo General Hospital, Karin Grech Rehabilitation Hospital, and St Luke’s Hospital. After Vitals failed to meet its obligations and secure the necessary financing, the concession was transferred to Steward Health Care in early 2018. Steward likewise did not deliver the promised redevelopment works. In 2023, the Maltese courts annulled the concession