In Valley Health System, LLC v. Murray, a patient died while in a hospital, allegedly due in part to medication mismanagement by hospital staff. The complaint alleged the hospital was intentionally understaffed, but the evidence at trial established the hospital was fully staffed. At trial, the plaintiff instead argued the medication management policy put profits over safety. The jury found for the plaintiff and awarded more than $48 million, including $32.42 million in punitive damages. The district court refused to apply Nevada’s medical malpractice cap on noneconomic compensatory damages because the jury concluded the hospital owed and breached a fiduciary duty that was outside the scope of professional negligence.