Sacred Heart is a private hospital, as most hospitals in America are, which means budgetary problems often arise. It aims to offer the best care possible to the people who need it, but people are commonly unable to pay for the bills or are uninsured, so the help they need is not always the help they get. The hospital has some state-of-the-art facilities, but some areas of the building are in disrepair. The running of the hospital is influenced by the chief of medicine and by a Board of Directors. Dr. Kelso was formerly the chief of medicine but has since retired and Dr. Cox took over.It offers emergency services, clinical help, and other medical processes. It has a large staff of surgical and medical doctors, and offers a great educational setting for medical students and interns.

The staff of Sacred Heart Hospital are dedicated to the patients, and always try their best. Sometimes they work so hard their job takes over their lives. There is a strict hierarchy of power at Sacred Heart, but decisions are often challenged. The hospital employs some very experienced doctors down to interns, all who have the opportunity to learn from each other.

Dr Kelso retired and Dr Cox took over Chief of Medicine, and the hospital is running the same. J.D. and Kim desided just to be friends, while trying to be good parents to Sam. Elliot still doesnt know what she wants, After breaking the engagement with Keith, He moves on. Turk and Carla are planning Izzy's Birthday Party, Izzy turns 1 years old. Dr Cox and Jordan are still disfunctional as usual , Jack turns 3 and Jennifer Dyaln is now 5 months old. Janitor still follows J.D. everywhere and Janitor and Lady are also engaged.