Dr. Sarah Chen arrives in Millhaven to take over the small medical practice. She meets the key townspeople at Betty Mae's diner, where we learn the mill is struggling financially. Marcus Ashford gives Sarah a tour of the mill, showing both the town's pride and its economic desperation. Walter Ashford makes a cryptic comment about 'past mistakes coming home to roost' to Betty Mae. Episode ends when Sarah receives a threatening phone call from Atlanta, reminding us she's running from something serious.