West Virginia, 1869. Three years ago, Dr. Daniel Kavanagh settled down in the quaint town of Mount Laurel and established a medical practice there. The single doctor has been nursing an unrequited crush on Serena Norman, the local schoolteacher.
Just down the road lies the coal mining town of Owenduffy, considered by most in Mount Laurel to be a backwoods hamlet. When the mine company's doctor abandons his post, Daniel agrees to visit one day a week, much to the consternation of his fellow residents, including his secret love, Serena.
Addie Rose, the daughter of an Owenduffy coal miner, has a gift for caring for others. When a receptionist position in Daniel's office suddenly becomes available, what windows of opportunity will God open for Addie Rose - just a job, a possible career as a nurse, or maybe something more?