When F.B.I. agent Emily Gayle's partner is brutally murdered, Emily forsakes her career at the bureau and returns home to the North Carolina mountains to care for her disabled father. Guilt ridden over leaving her partner alone to die, Emily takes a job as an end-of-life caregiver.

Deep in Appalachia, Jude Courtland is desperate for a fast buck to pay for his grandmother's chemotherapy. Together with his brother Crispin and cousin Devo, the trio takes to hijacking insulin delivery vans and selling the stolen drugs on the black market. When Emily is assigned to cancer patient Hazel Courtland, the line separating right and wrong begins to blur.

As the hijackings escalate and turn violent, Emily's intuition hones in on startling evidence she can no longer ignore. 

Struggling with the truth, Emily is torn between her conscience and her loyalty to a dying woman. With her own life in jeopardy, Emily's forced to take a side. Right or wrong, the consequences are deadly.