MedCam chief council, Mr. Lovell, continues to try and stage a take over the hospital. With Jolene on his side, he informs her that one more "accident" needs to occur to move things along. He thinks the best recourse is having a patient die under mysterious circumstances.
Meanwhile, Lainey's father's condition has worsened, prompting surgery as soon as possible. When insurance refuses to cover the procedure, Patrick, Leyla, Kelly, and Regina risk their jobs to perform a secret surgery. Unfortunately, Jolene also knows about the surgery and Roger becomes her next victim. Dr. Ford visits Lainey's father and she and Patrick assume they will be suspended for the unauthorized surgery. They are surprised when Dr. Ford admits that he arranged for them to have the operating room knowing full well what was going on. He says to the shocked doctors that MedCam is the enemy and they have to work together to get rid of them.
Patrick asked Robin to scrub in to the secret surgery, but she's too busy trying to gain custody of Stacey's baby. After making the decision to try and adopt her, Robin meets with a social worker and is granted temporary foster care over the child. After the surgery, she meets with Patrick to tell him that she signed the papers and they go their separate ways because he's not prepared to become a father. All things seem to be going well with baby Anna until a surprise visit from the alleged father disrupts Robin's plan. On the roof, Leyla consoles Patrick with a kiss.
When Stan can't understand why Toussaint doesn't want a better job with better pay, Epiphany goes off on him in front of hospital staff and outs Toussaint's past as the lead singer in the famous group "The Saints." Epiphany admits to Toussaint that she was one of his biggest fans and questions him about why he left the group. Toussaint gives her the standard line of "artistic differences."
Spinelli shows up at the hospital hoping to get back into the good graces of his angel of mercy Jolene. Regina kindly tells him to give Jolene some space and to stop trailing after her. Jason offers the same advice. While in patient Barrett's room, Jolene mentions that she'd love for Jason to ask her out. Patient Barrett warns her to stay away Jason. Jolene corners Jason in the supply room and asks him out, but he gently turns her down. Spinelli is disappointed to find this out, but is determined to win her heart by learning everything there is to know about bowling – the date she asked Jason out for.