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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. The dean of a publicly funded hospital has to respond to complaints about the services provided by the cafeteria within the campus run by the Medical Superintendent’s son. The dean must balance needs between the many stakeholders’ needs while navigating nepotism, social castes, and the varying forms of power and influence within the hospital. Deals with issues of nepotism, social castes, power and influence, balancing stakeholder needs, individual and organizational reputations, and conflicting loyalties. Works well in organizational behavior, human resources, leadership, communications, ethics, and health industry management courses, as well as in stand-alone workshops.