Kerry gets a tempting job offer in Miami. Budget cuts force Luka to eliminate an attending position. As word gets around the ER that Kerry will be let go, emotions run high, and Kerry fights back. Pressured by the staff, an angry Abby confronts Luka. Pratt's efforts at community service backfire when a patient dies from the side effects of medication received at the clinic. Later, Pratt learns the case will be investigated, leading him confess his role to Luka so as to protect Hope. Gates's home life intrudes on the ER, affecting Neela. Morris's missing credit card has Sam concerned about Alex's role in the loss.

Luka tries to extricate Pratt from a legal mess while Abby, confronted by a vengeful Ames, tries to reach him. Later, Luka finds himself in a tense confrontation with Ames, and Abby must act to protect her family. Neela and Gates rush and unconscious Meg to the hospital. A blaze destroys Sam's new home, and she has her suspicions about how the fire started.