Chase Kim

As the hospital spirals closer to financial ruin, Owen must make some tough decisions, which includes foregoing an expensive surgery that could save the life of a child. Meanwhile, Alex and Jo work together to save the life of an infant, and April asks Jackson for dating advice.

The Wisteria Lane residents have a holiday block party; Gabrielle has a new love interest.

An anonymous source provides advanced details on an important story; the staff cuts its anniversary party short.

The kids receive their college acceptance and rejection letters, forcing them to make some life-altering decisions. Ryan and Sadie (recurring guest star NIKKI REED) try to decide what do after high school, and their decision concerns Sandy and Kirsten. Taylor (recurring guest star AUTUMN REESER) throws a college sweatshirt party at Harbor High School, and Marissa and Summer patch up their friendship. Meanwhile, the drama surrounding Sandy's job intensifies and starts to affect the Cohen household.

Sadie (recurring guest star NIKKI REED) and Ryan go on a road trip to find one of Johnny's relatives. Although Ryan returns to his old "Chino" ways, the trip brings him and Sadie closer. Could this mean the end of Ryan and Marissa's relationship? Meanwhile, Marissa is implicated in Johnny's death, and Seth and Summer discover Julie and Dr. Roberts' (recurring guest star MICHAEL NOURI) secret. Musician TOM VEK performs.