After Annie sets up Sandy on a date, the two decide to spare each other's feelings and not reveal that the date went horribly. Meanwhile, Jack blames Paco for killing a patient, whom he himself thinks that he killed.
Jack and Paco's secret hiding place is discovered when they have to save a construction worker. Meanwhile, Luke reluctantly tends to a disgruntled nun and Hank tries to worm his way back into Gina's bed.
Whiny patient Casey MacAfee is revealed to be a spy from the corporation that bought the hospital -- and she quickly is promoted to hospital administrator. Meanwhile, Gina announces to her coworkers that she's pregnant, Hank proposes to her, and Jack begins lusting after Casey.
When it's discovered that the new gowns Casey ordered are flammable, Jack takes the fall. Meanwhile, Hank tries to re-propose to Gina, and Annie finds herself unable to confront Casey, who keeps politely brushing her off.