Despite its many accomplishments and well-earned, top-tier hospital/patient care prestige, it is something that VCU Health did not do that has received attention lately. Earlier this year, VCU Health ended its participation in a development known as the Clay Street Project at the site of the old public safety building in downtown Richmond. Originally approved by the VCU Health Board of Directors in 2021, the project was fatally impacted — in the wake of the pandemic — by a nationwide collapse of demand for office space, soaring inflation, and dramatic interest rate increases. We and our colleagues on the Board of Visitors support the decision — one that came with costs but was clearly right for the long-term trajectory of the health system.