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Purpose

The aim of this paper is to determine the degree to which a leader of a nonprofit organization changed over time after a near death experience.

Design/methodology/approach

This follow‐up case study uses interviews with a leader and other key actors in a nonprofit organization as well as participant and non‐participant observation over a ten‐year period.

Findings

The paper finds that while a leader may change behavior after a near death experience that change is not fully sustained over time.

Practical implications

This paper offers leaders who face similar challenges as a result of a near death experience with recommendations for making personal and organizational changes.

Originality/value

This paper will be of value to leaders who have had near death experiences and return to the workplace.

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