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Chapter 7 - The Trial of Derek Vance

While Saint Jude’s flourished under its new ethical charter, the legal reckoning for its former COO played out in the federal courts downtown.

By early summer, the financial audits initiated by Martha Vance’s legal team had exposed a massive web of embezzlement, kickbacks, and insurance fraud orchestrated by Derek Vance over his five-year tenure.

Inside Courtroom 302 of the Dirksen Federal Building, Derek sat at the defense table wearing an ill-fitting gray suit, his face hollow, his arrogant demeanor completely shattered.

Sitting in the front row of the spectator gallery, wearing an elegant navy blazer and holding a leather executive portfolio, sat Emily Carter.

Judge Marcus Vance—no relation to the defendant—looked down over his wire-rimmed glasses with cold, judicial severity.

"Derek Vance," the judge said, his voice echoing off the marble walls. "You weaponized an institution dedicated to human healing for your own personal enrichment. You treated the sick as commodities and your subordinates as disposable tools."

He struck his gavel once with a sharp, definitive crack.

"You are hereby sentenced to eight years at the Federal Correctional Institution at Oxford, without the possibility of parole, and full financial restitution in the amount of four point two million dollars. Court is adjourned."

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As the federal marshals led a weeping, broken Derek Vance out through the side doors, he caught a glimpse of Emily sitting quietly in the gallery. He stopped for a split second, his eyes wide with bitter, impotent fury, before the heavy oak doors clicked shut between them.

Emily didn't gloat. She didn't smile. She simply felt a quiet, profound sense of closure, knowing that the floor had finally been swept clean.

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