The sisters meet a new sibling, restaurant owner Nate, who helps them secure one of the most exclusive reservations in New York. Unfortunately, the dinner doesn't go as planned and Julia is forced to apologize to Roxy and Edie for her missteps. Meanwhile, Edie and Tim discuss starting a family, but Edie is conflicted on where she stands, Dr. Bechley begins his volunteer work at a hospital, where he uncovers another Bechley baby and Roxy invests her time in training her gymnastics protégé, Izzy, while tensions with her parents rise.
Season 1 Episode 4 of Almost Family was watched by 1,580,000 viewers, resulting in a 0.50 rating in the 18-49 demographic.
Only child Julia Bechley finds her life turned upside down when her father reveals that, over the course of his prize-winning career as a pioneering fertility doctor, he used his own sperm to conceive upward of 100 children. Reeling from this explosive revelation, Julia discovers two new sisters - her former best friend, Edie Palmer, and an ex-Olympic athlete, Roxy Doyle. As these three young women begin to embrace their new reality, Julia must figure out what life is like without her father by her side; Edie comes to grips with her burgeoning sexuality as her marriage falters; and Roxy faces adulthood out of the spotlight. Against all odds, the three women will attempt to form an nontraditional bond as sisters, even as they must welcome a tidal wave of new siblings into their rapidly expanding family.