Dealing with the repercussions from prom night, Ryan must make a deal with Volchok (recurring guest star CAM GIGANDET). Meanwhile, although Sandy is named Man of the Year by a magazine, the district attorney continues to investigate his unique involvement with the new hospital. After she receives a call for help from Kaitlin (recurring guest star WILLA HOLLAND), Marissa visits her little sister at boarding school. Ryan's bloodied hands force Theresa (recurring guest star NAVI RAWAT) to make a difficult decision. And Seth's actions ignite even more trouble in Newport.