Dr. Blake's clown brother comes to visit and borrows money from Dr. Blake to pay off his gambling debts, while telling him it's for an operation. A mascot from a local theme park starts suspiciously, repeatedly bringing in children with broken arms for treatment. The hospital is turned into a youth hostel, and Sy gets conned by an attractive young foreign girl.

The staff work the night shift under the guidance of Velam Geza.

Blake asks Glenn to coach him through a new romantic relationship. Chief and Cat prank call Sy. Guest stars include Lindsay Sloane, James Adomian, Paul Scheer, Nick Offerman, Jordan Peele and Brian Huskey.

In the seventh season premiere, the doctors find new jobs at a crosstown hospital after being fired by Blake, who turns to a life of crime with his brother, Sir Tinklebutton.