Camille serves Aaron with divorce papers; Phillip benches Arthur from further surgery when Arthur's resting tremor begins to endanger patients; Aaron removes a brain tumor from an elderly patient; Jeffrey and Aaron separate conjoined twins.

An old friend of Austin's asks for help in getting pregnant. A cancer patient needs marijuana for her well being. Shutt's friend returns from Italy without his wife.

The hospital prepares for the Doctor of the Year party, and several old friends drop by. Watters goes into a virus-induced coma and gets some words of wisdom from Alan Birch. Camille Shutt returns for the party and Aaron discovers he still has feeling for her. Dr. Nyland returns to the hospital and reveals that he has really changed his life. Geiger also visits the hospital.

A heart becomes available for transplant, but there are two patients waiting and Drs. Geiger and Watters must choose which patient will receive the heart. Jeffrey tries to place Alicia into an exclusive kindergarten. Aaron tries to hold a welcoming party for the new doctors.

The hospital is purchased by an HMO, and immediately suffers budget cuts. During an operation that Miller is filming for a documentary, the heart stops beating on both the patient and her unborn child.