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Things end on a positive note for Kate. Her and Toby happily celebrate Jack's first birthday after experiencing a tough year navigating his special needs. They visit the NICU to post a family photo on the Wall of Fame. While leaving the hospital, the couple decides they're ready to give Jack a sibling and make plans to adopt a baby. Things seem to eventually work out — a glimpse into the future shows a grown up Jack celebrating the birth of his first baby, with a visit from someone we presume is his sister.