At the headquarters of Boston's Eastern Quality Health, the wealthy and powerful CEO is brutally murdered. She's not the first to die --- nor the last. A serial killer is on the loose and the victims have one thing in common: all are high-profile executives in the managed care industry.

Dr. Will Grant is outraged by a system that cares more about money than about patients --- and he intends to do something about it. But his determination has attracted a dangerous zealot who will stop at nothing to make Will his ally. On the case is rookie detective Patty Moriarity. To save her faltering career --- and countless lives --- she will have to risk trusting Will, knowing he may be the killer she's hunting.