It's a dark and stormy night as four Seattle Grace docs discuss the notion of buying the hospital. Callie is most gung ho about the idea. Meredith is leaning that way, too. Derek thinks they should probably stay the course. Cristina is MIA during the meeting because she's busy having sex with Owen. Arizona is dead set against throwing all of their money into this venture. She feels Derek wants to save the day because he feels guilty about his decision to sue.
Derek Shepherd has a big head. Literally! Giant photos of him are plastered all over the hospital. He's the face of Seattle Grace. Owen appreciates that he put himself out there like that. It has him feeling like he's not alone in his efforts to save the hospital. Derek does want to save Seattle Grace, but in a different way. He has his financial adviser, Stan, lays out how they can take control of the business. He just needs a copy of the hospital's financial statements. Oh, and Owen can't know anything about their plan.
A grateful father breaks down in tears when Bailey tells him there's hope for his young kid with cancer. They can do a genome mapping procedure that would avoid the need for surgery. All that's needed now is approval from the hospital advisory board. That's not going to happen. Owen puts the kibosh on the procedure because it'll never get approved. This has Bailey recommending her patient find another hospital—one that cares. She doesn't believe in Seattle Grace anymore. She wants to quit.