Things are changing for everyone in this series finale episode. Nancy is moving to a third-world country to help out with the crises there, but Clint struggles with the decision to ask Nancy to marry him or move back to Montana to help out his friends with a new clinic. Raul gets heart-breaking news that he has diabetes, and Tippy is overjoyed to find out that she is pregnant and promises to name the baby Clint if it's a boy, and Nancy if it's a girl.