Penny's personal feelings for Hugh spill over into the workplace, with embarrassing results. Charlie and Matt struggle to deal with an unwanted house guest. A high-profile cardiac patient causes problems for Ken and Hugh.

Matt and Charlie's marriage is tested when they disagree over Ivy's future. Hugh's plan to leave Whyhope is delayed when he is accused of malpractice. Ajax and Meryl devise a bizarre plan to save the farm from bankruptcy.