At the hospital, Mere arrives at Susan's room to find chaos. She is septic, and they need to rush her into surgery now, and when Thatcher asks what's going on Richard explains that she's had extremely rare complications. Thatcher can't seem to absorb the news that fast and points out that he hasn't signed a consent form, but they wheel Susan out as they tell him she needs surgery now (which I guess means they don't need a consent form, or this time the patient is a legal adult and doesn't need it or... whatever, it's not very well explained), and Mere has to tell him to stay back as they take her into the operating room.
At the L.A. hospital, the motley crew of doctors are all at Grace's bedside as she holds her baby. They tell her they need to know what her decision is about who will raise the child. Grace comments that she knows how badly Nina wants this, but Francie assures her that it's about what Grace wants. Francie's still in the great red dress, so either it's now the middle of the night that they all traipsed over there, drunk, or it's the next day and Francie needs to invest in some extra outfits so she doesn't have to repeat. They tell Grace they know the paternity, but she doesn't want to know, and only keeps admiring the baby. Despite having said ten seconds ago that they need to know her decision, Addison tells her they don't need to know her decision immediately, but Grace tells them she knows what she wants to do.
Cut to the doctors all waiting in the hallway and watching all of the various potential parents gathered around the baby in the nursery. Grace gave the baby to Nina, on the condition that they will all be a part of her life. They note the baby now has three dads and two moms, which I think seems rife with dramatic problems or comedic results best portrayed on television, one or the other. Francie sadly says that they look like a family, and Taye takes her arm while Addie watches the exchange.