Marin tries to help Patrick and Buzz build their relationship, but things go haywire when Celia reveals they are actually related to one another. Marin and Annie need to unwind and go to a beauty salon. Sara begins to feel nervous about taking her EMS exam as she thinks about the future. Marin and Jack head out in search of friends who have been trapped by an avalanche caused by minor earthquake tremors.

Marin meets Cash, an attractive loner, who is the local handyman, when she can't get her construction crew to do what she wants on her cabin. Buzz's attempts to be supportive are thwarted when he learns George's secret. Meanwhile, Marin is torn as she tries to decide if she should attend Lynn's baby shower, and Jane tries to establish her New York business in Elmo so she can spend time with Sam.

After Lynn's departure, the everyone assumes Marin and Jack will be reunited. Annie and Patrick are having problems planning their wedding, as Celia wonders about the future of her relationship with Dick after she learns he is younger than she is. Meanwhile, Mai's cousin, Lucy, pays a visit to Elmo. But when it's time for her to return to China, Mai wants her to stay. When George offers to marry her, he doesn't realize it could prevent someone else from taking his chance.

In this conclusion of a two-part story, dangerous and unforeseen events threaten Patrick and Annie's wedding. Marin invites Jack to be her date, and Jane flies in for the wedding only to see Sam with another woman.

Cash brings a shocking secret with him as he returns to Elmo, and Sara and Eric work together to rebuild his church. Buzz tries to help Patrick regain his memory, but his efforts result in disastrous consequences. Sam learns more about Jane's personality after she throws away one of his favorite shirts.

Upon Marin and Jack's return from New York , they discover Cash is in the hospital and needs a kidney transplant. Terri still feels guilty for Patrick's being struck by lightning because of the bobby pin he put in his hair at the wedding. Patrick continues to be upset with Celia for putting him in jail, and Celia is having issues with Dick's smothering ways. Meanwhile, Ben's sexy, young, new hockey player, Ivan, arrives in Elmo and is immediately enamored with Annie.

Morgan Fairchild guest-stars as herself when she arrives in Elmo to sing the national anthem at the opening game for Ben's hockey team, and then decides she wants to buy the rights to Marin's life to be made into a movie. Meanwhile, a kidney donor for Cash is found and Sara discovers Eric's band has a fan club.