At Oceanside Wellness, friendships are tested and secrets revealed when Addison discovers that Naomi is concealing the practice's financial problems. Meanwhile, Violet wonders what secret Cooper is keeping from her, while Cooper himself has to decide whether or not to reveal a medical secret to a patient.
Addison and Sam form a hostile takeover in order to bring the practice out of bankruptcy, as all the doctors look for additional clients and new income streams. Meanwhile, Violet's friendship with Cooper is on the brink of extinction and a married couple fight for an unethical fertility treatment at Oceanside Wellness.
Charlotte tries to woo Addison to St. Ambrose Hospital with promises of surgeries, as Addison and Kevin's relationship heats up. Meanwhile Sam questions his ability to save Oceanside Wellness from financial ruin, Pete's firefighter patient suffers an unusual form of post-traumatic stress disorder, and Violet is threatened by a patient's son.
An office election pits Sam and Naomi against each other to lead the practice, and ends with surprising results, while Addison treats a young Afghan girl who wants to hide her past, and Cooper's objectionable personal life catches up with his professional one.
In trying to fix the financial troubles at Oceanside Wellness, Addison puts the practice in peril. Meanwhile, a good friend of Violet's places her in the terrible position of breaking the law to help her, and Maya hopes that her parents, Sam and Naomi, are rekindling their relationship for good.
Addison treats two pregnant women who unknowingly share the same husband. Meanwhile, a visit from an Alzheimer's patient and her loving husband forces Sam and Naomi to look at their own relationship, Violet confronts Charlotte about her relationship with Cooper, and Dell reveals a very special woman in his life to his surprised co-workers.
Addison receives a surprise visit from her brother and fellow surgeon, Archer, and his presence not only causes trouble for her, but for Naomi and Sam as well. Meanwhile, Meg returns to try to make it work with Pete, and a patient accused of a malicious crime stirs up anger and emotions, for both Violet and Dell.