After her first night of homelessness, Kate wakes up on the office couch to learn that there's a new case headed her way, courtesy of Justin. Though smarting from his admission of infidelity, she agrees to take the case and work out an agreement between FBI agents escorting a mysterious VIP patient and the local hospital where the man is to undergo a procedure.
The FBI is hesitant to offer details, but with a little digging Kate discovers the truth about Patient X: he's a prisoner who has agreed to provide valuable testimony in exchange for a new liver. The problem is, that liver was already promised to another much sicker woman-and this could be her last hope. To give her a fighting chance, Kate and Justin will have to team up to take on a tough opponent: the FBI.
Meanwhile, another battle brews at Reed & Reed headquarters. Ben's arrival means new power struggles, as Leo is forced to lay down the law about who exactly he works for and Lauren and Ben wrestle over who gets to make the decisions at the newly-minted firm of Reed & Reed & Grogan.