An old friend resurfaces, and Christina is determined to help her despite the insurance company’s refusal to cover her treatment. Tom’s growing relationship with Erin rubs Christina the wrong way, just as tension and silence build at home between Christina and Camille.

Richmond Trinity is shut down and Christina along with Bobby Jackson, Kelly Epson, Ray Stein, and Tom Wakefield transfer to a new hospital on the verge of being closed itself. Christina is named director of nursing and clashes with the old director. Christina and Tom's feelings begin to develop. A woman dies due to lack of medical attention.

Christina pays a visit to the ethics committee when she opposes the hospital's refusal to treat a heroin-addicted patient. Elsewhere, a mother reveals a game-changing secret to her adopted son; and Camille forges a bond with hospital worker Marcus.

When he sustains critical injuries in a car crash, Tom fears that he may never be able to perform surgery again. Meanwhile, Candy returns from her tour of duty in Afghanistan. And a child must disclose a hard truth about his grandmother to save her life.

Christina has difficulty getting the only doctor at James River hospital to perform the surgery on a prisoner who killed a pastor. The doctor doesn't want do the surgery because of his religious beliefs. Tom hopes to get some good about his elbow soon.

Christina tries to prepare one mother for a total loss of her daughter at any time. Her daughter is in desperate need of a kidney transplant and has trouble finding matches because she is of mixed race. A little boy hoping for a meeting from his hero thanks to the make a wish foundation gets disappointed when a celebrity he is not familiar with decides to do a favor for his hero and she felt that the hospital and try to give the little boy a happy moment.

A language barrier hinders the treatment of a pregnant woman from Afghanistan who has taken a fall potentially injuring her baby. Tom prepares to undergo surgery. And Christina catches Camille in a compromising position.

Isabel, concerned for the safety of her son in foster care, kidnaps him and disappears. And it’s up to Christina and Detective Nick Renata (special guest star Marc Anthony) to find her. Tom gets back into surgery, while Bobbie and Steve try to help the family of the woman who injured him. Ray finds out the truth about Candy, and Kelly has a run-in with Malia and Judy. Sara Gilbert guest-stars.

A volatile situation with Camille prompts Christine to seek help from Det. Nick Renata (special guest star Marc Anthony). Erin clashes with Christina over Tom’s career path. Kelly tries to track down a grieving mother’s camera. And a figure from Steve’s past comes back to haunt him. Sara Gilbert guest-stars.

A construction accident threatens the hospital's commission inspection; Dr. Marshall gives Ray a hard time over his feelings regarding Candy; Bobbie and Steve reveal their pasts to each other.