If the cases had gone to trial, Johns Hopkins officials would have had to answer specific questions, such as, 1) what did they know about Dr. Levy and when did they know it? 2) Did they have reports complaining about Dr. Levy's conduct, and what became of those reports? 3) How many other doctors or nurses knew or had suspicions about Dr. Levy? Did they complain? Were those complaints ignored? 4) Why did the hospital not have quality control procedures in place that would have discovered Dr. Levy's violations of standard medical practice years earlier?