This case is part of the Giving Voice to Values (GVV) curriculum. To see other material in the GVV curriculum, please visit http://store.darden.virginia.edu/giving-voice-to-values. Denise Foley, senior vice president and COO of a nonprofit hospital, faces a professional crisis and must decide if she is willing to stand up to the CEO when the personal and professional stakes are high. The case works well in organizational behavior, leadership, career management, and ethics courses, as well as in stand-alone workshops.