St Anslem's Hospital has an excellent reputation. It is owned by the Archdiocese and administered by the Poor Sisters of Charity. However, the continuing changes in hospital care caused the hospital to care more about money than patient care. The hospital's deficits as a result of the Sisters' charity caused the medical staff to demand lay management and an attempt by some to steal the hospital. A power struggle develops that causes great anger and eventually the murder of a bank executive and hospital board member.