Last Patient of the Night

Doc makes sure the office door is locked. He then sees that Dyyavola is still logged into his cryptocurrency account, so Doc transfers the remaining Bitcoin into Doc’s own account. The transfer requires Dyyavola’s thumbprint scan, so Doc hacks off Dyyavola’s thumb with the hammer and chisel, as he cannot drag Dyyavola’s corpse over due to its massive size.

Afterwards, Doc calls Tom with the phone on the desk and tells Tom what happened with Dyyavola, his death, and Doc’s theft of the Bitcoin. Jane jumps on the line, and Doc explains that he’s trapped in the warehouse next to the U. He requests the FBI and a SWAT team to extricate him. In the meantime, Doc finds a journal with names, money amounts, and dates going back to 2008, which Doc assumes is a log of all the people Dyyavola blackmailed.

Doc waits in the office as Tom describes SWAT’s takeover of the building. They arrive at the office door and say the correct code word, so Doc lets them in. They survey Doc, who looks pretty beat up, and the dead Dyyavola on the floor. Jane checks on Doc before he sits on a couch with Tom and waits for the arrival of the FBI agents.

Two FBI special agents arrive and interview Doc. Doc tells them everything that happened, starting with Jenny's first arriving in the ER, dead from the AVM. He explains his and Tom’s investigation of the U prior to his decision to break in himself. He also tells them about transferring the Bitcoin to his own account. One FBI agent aggressively tells Doc to transfer the money to the FBI, and Doc reminds her that he didn’t steal it, as he was honest about taking the currency and plans to give it to the bureau. He transfers the Bitcoin back to the FBI, as the blackmailing scheme falls under federal jurisdiction. The rest remains under the jurisdiction of the police, and Doc isn’t charged with any crimes. He’s evaluated by the paramedics and allowed to go home.

Tom drives Doc home, and they find Carl outside. Carl comments on Doc’s beat-up appearance, and Doc tells Carl that they won’t have to worry about the Ukrainians anymore, especially not Dyyavola, who Doc says is dead. Carl says he’ll still keep watch, and Doc is able to go home feeling safe.

The FBI special agents find an agent who speaks Ukrainian to translate the journal ledge of Dyyavola’s blackmail. They find that the Ukrainians extorted $97 million over eight years, but that money was in Bitcoin, so when Bitcoin exploded, the money multiplied into $1.2 billion. They can see the missing Bitcoin that Jenny stole, but they can also see the over $600 million that Doc transferred to them. Both agents think their superiors will keep the surplus money and use it for something. Their team is still searching for Jenny’s password to her account to recover the other half of the Bitcoin, but it may be impossible given how secure the account is; without Jenny’s password, accessing the account may be impossible.

The six remaining Ukrainians are arrested for human, drug, and gun trafficking, as well as other crimes, as the police fully process the U and its adjoining warehouse. The women forced to work in the U are given counseling, rehabilitation, help moving somewhere new, job training, and money from a victims’ compensation fund.

The remaining mystery is Dyyavola’s real identity. His fingerprints yield no information. Lenny and Jane discuss Dyyavola. He was a billionaire, perhaps the first fully unknown billionaire. He stayed under the radar by not buying expensive things and instead hoarding his wealth in Bitcoin. They also assume that his other employees didn’t know how much money he had; otherwise, they would’ve killed him for it. None of the employees know who Dyyavola really is, so it may remain an unsolved mystery. Skinny Jeans gets a new, simpler case about a shooting at a drug dispute.

Doc makes the headlines for a single day before a naked man with a bow and arrow shuts down a major freeway, which takes media precedence. Doc returns to work in the ER and later invites Skinny Jeans and Tom out for dinner at a pizza restaurant to thank them for their help. Skinny Jeans fills in Doc on the continuing elements of the case. The Feds are returning the blackmail money to the people who were extorted, and they still cannot find out who Dyyavola is. Efforts continue to find Jenny’s Bitcoin password and recover the other half of Dyyavola’s fortune, but it remains challenging. Tom tells everyone that Banshee is recovering well, but he is retired from duty due to his injuries.

Doc finally begins to look over the ER billing documentation from the past three years. The numbers are hard to focus on, so he takes a break to go to IHOP. He tells Gladys and Little D the true, long story about everything that happened with Jenny and the Ukrainians. Gladys says that Jenny would’ve written down her Bitcoin account password somewhere, as it was so important to her. Doc promises to keep looking for it.

Doc manages to get through the hospital’s financial reports. After a patient’s visit, a numeric code that corresponds with their diagnosis determines how much the insurance company pays for the visit is assigned to each patient’s chart. The billing department occasionally changes the codes in the charts if there’s been a mistake, which in the two previous years occurred 4.3% of the time. However, starting nine months ago, the changes in charts went up to 38%, and almost all the changes increased the charges to insurance companies, the majority of changes adding more tests and services on to the visit. Doc thinks that either they failed to add on the tests they were performing in years past, have been doing more tests, or someone is adding fraudulent tests and procedures to patients’ charts.

Medical billing fraud is a nightmare, as it can result in litigation, refusal by insurance companies to continue to do business with the hospital responsible, and even criminal charges for those responsible. Doc finds that two specific people who work in billing are responsible for all the upcharges. They arrived from the same hospital in Louisiana that Lou previously worked at and claimed to have increased in profitability.

Doc calls the BT and asks him to look into Lou’s financials in exchange for $500 in Bitcoin. Doc goes to bed, and by the next morning, the BT has sent him a full financial background on Lou. Lou has much more money and many more assets than he should have on a hospital VP salary, including several luxury cars, a second house, and a 42-foot-long boat called “the Louey Lou.” Doc wants to expose him for skimming off money from the hospital.

Doc returns to IHOP. Gladys encourages him to keep searching for Jenny’s tattoo and to think hard about it. Doc remembers Jenny’s tattoo, the sorceress casting a spell with a bunch of letters and numbers. Doc realizes that must be the password as he looks at a photo on his phone of Jenny’s arm.

Doc goes over to Tom’s house and tells him he’s solved Jenny’s password. He tries to log into the account using Jenny’s tattoo as the password, but the password is incorrect. Tom tells him to reverse the letters and numbers and try that, and it works. Doc transfers 9,999 of the Bitcoin into his own account before promising to call the Feds the next day.

Meanwhile, an FBI agent on duty watches nearly $600 million leave Jenny’s account. He alerts the other FBI agents, who are nervous to report the loss to their superior officer.

Doc wakes up on Tom’s couch, exhausted from their celebration the night before. Tom tells Doc to report the money to the FBI before they both get in trouble. As he drives back to his house, Doc gets a call from one of the FBI special agents asking about the money. Doc reveals that he has it, and the agent chastises him for waiting all night to alert the FBI and demands that he come to the FBI HQ immediately.

Doc arrives at the FBI office. He meets with the special agents and explains how he accessed Jenny’s account, showing them the photo of Jenny’s tattoo. Doc agrees to give the Bitcoin back to the FBI, but he wants a favor, and the bureau agrees.

Doc returns to the ER and helps a little girl get a bead out of her nostril for free. He meets up with Jean and Deb, who are both happy to see him alive and well. Doc regales the ER staff with the story of his encounter with the Ukrainians, and Tom stops by with the now-healthy and retired Banshee.

Doc gets confirmation from the FBI that their plan is ready to go. Doc goes to the marina and finds the Louey Lou. Doc sees Lou aboard, so he boards the boat, too. Lou is angry to see him, especially when Doc notices a woman who is not Lou’s wife sunbathing topless on deck. Doc turns around to allow the woman to put her top on and go below deck.

When she’s gone, Doc confronts Lou about his financial crimes. Doc states that Lou committed billing fraud at his first hospital in Louisiana in hopes of gaining a quick promotion, but in Houston, he realized he could get promoted and steal money off the top. Lou acknowledges this is true, but he warns Doc that he’s implicated Doc and created an offshore account in Doc’s name that stores some of the money. Lou offers Doc that money and even some time to use the Louey Lou if Doc goes along with his scheme.

However, the FBI boards the boat, and Doc reveals that he’s been wearing a wire to get Lou’s confession. The FBI arrests Lou and tells him that they’re seizing his assets, due to the financial nature of his crime.

A week later, Doc attends another meeting with the FBI. The special agents ask for his attorney, but Doc wants to see what they’re focused on before he involves a lawyer. The agents describe how they liquidated the Bitcoin into cash, and after fees, they are left with over $1 billion. $300 million is going to repay the people who were the blackmailing victims, leaving $815 million in surplus. Federal law states that a civilian can receive up to 10% of surplus funds as a reward, making Doc eligible for $81.5 million, tax-free. Since he was the whistleblower on Lou’s fraud as well, he’s also eligible for another nine million. The FBI draws up the contract for Doc, and he becomes a very rich man.

Doc spends time with his lawyers discussing options and setting up trusts. He then meets with Tom, Gladys, and Little D at IHOP. He tells them about the reward money and gives them each a share, as they helped him solve the case. He keeps $40 million for himself and places $16 million in a foundation to help the women tormented by Dyyavola.

Doc returns to the ER and tells Deb and Jean it’s time for him to move on from Houston. He also tells them that they are each in charge of a trust with half of the nine million dollars of reward money from Lou’s fraud case. Deb’s trust is to help providers, and Jean’s trust is to help staff.

Doc pays for Jenny’s funeral and gives a touching eulogy in which he announces the Jenny Smithton Foundation, a nonprofit organization dedicated to helping women like Jenny obtain housing, education, legal help, and protection.

After Doc’s final ER shift, the staff throws him a going-away party. Tom attends with his new police dog puppy, Shade. Tom gifts Banshee to Doc, as Tom cannot keep an old police dog living with a police dog in training. Doc is touched, as he loves Banshee. He announces that he and Banshee are moving to Montana, where there are lots of single women and no Ukrainian mob bosses.