The First Circuit’s August 29, 2011 decision in Tuli v. Brigham & Women’s Hospital depicts the harsh financial consequences that may arise when a hospital fails to investigate and reign in a disruptive physician. The jury awards against the Hospital of $600,000 for retaliation and $1,000,000 for hostile work environment underscore the need for hospitals to promptly address and respond to complaints of disruptive behavior, including discriminatory or retaliatory conduct.