| Director | Joby Harold |
|---|---|
| Genre | crime film, drama film, psychological thriller |
| Runtime | 84 min |
| Country | United States |
| Budget | $8.6 million |
| Box office | $32.7 million |
Young billionaire Clay Beresford, Jr. is in love with Samantha "Sam" Lockwood, his mother's personal assistant. Clay requires a heart transplant to be conducted by Dr. Jack Harper, Clay's heart surgeon and friend. Clay asks Dr. Harper to arrange his elopement with Sam and they marry privately at midnight, then Clay goes to the hospital for the operation.
Lilith catches Clay as he is leaving work, from her limousine. Inside, she introduces him to another heart surgeon, Dr. Jonathan Neyer. Lilith and Neyer point out his high-profile clients, including past POTUSes.
Sam continues to pressure Clay to officially inform Lilith of their year-long relationship and 6-month engagement. When they do, she tells him it is too soon. Lilith threatens to cut him off, but he leaves anyway. Shortly after a private midnight wedding, which Jack helps facilitate, Clay is admitted to the hospital for the operation.
Lilith shows up at the hospital with the surgeon she wants to perform the operation. He points out Jack has an expensive life due to multiple divorces, she mentions he has four malpractice lawsuits pending. Clay and Lilith step aside to discuss it quietly, where she tries to wield her authority, but he puts his foot down.
During surgery, Clay experiences anesthesia awareness, a rare condition where he remains conscious but paralyzed. While enduring the surgical pain, he tries to distract himself with positive memories of Sam. However, his memories float to less pleasant ones.
Meanwhile, in the waiting room, when a hospital employee hits on her, Sam shows him her wedding and engagement rings. Lilith sees, asking when they had the ceremony. After she is told it was just before the call for the transplant, she falls silent.
Clay overhears Jack and his surgical team colluding to murder him, first by moving him down the donation list, then by sabotaging the transplant with a poisoned donor heart. As a result, he has an out-of-body experience and can watch detached as the conspiracy plan against him is discussed in the OR. Their plan involves injecting the heart with Adriamycin, a chemotherapy drug that would cause the transplant to fail, allowing them to collect a large life insurance payout to cover Harper’s malpractice debts. As Clay observes, then replays memories, he realises that Sam is very involved.
Jack is the mastermind, who recruited everyone. Once Clay had been brought in for heart problems over a year ago, he brought in 'Sam' who invented a persona that soon captivated Clay. He might have used nurse Penny, but she got pregnant.
As expected, as Sam had ensured the heart was unviable, it failed to start. Jack goes with the unknowing anesthesiologist to inform Lilith. As she suspects foul play, she sacrifices herself by suicide, which allows her heart to be used in place of the sabotaged donor organ.
A new surgical team, led by Dr. Neyer, intervenes and prepare Lilith’s heart for transplant while the police arrest the conspirators. Meanwhile, Sam attempts to cover her involvement, but Harper, overwhelmed by guilt, preserves evidence implicating her in the conspiracy. Dr. Neyer announces that Clay has come back to life, as the new team stitch Clay's wound. Clay, in spirit, is still in the afterlife with Lilith and tries to take his own life to stay with his mother. Clay makes his new heart stop beating and the surgeons have to use the defibrillator in attempt to revive Clay. As Clay resists being revived, Lilith forces Clay (in the "afterlife-world") to revisit a scene from his childhood, when Lilith killed Clay's abusive father. This scene reveals the truth for Clay and connects his childhood flashbacks. After seeing this, Clay gives way to revival, and before the surgeons can shock his body again, Clay allows his new heart to begin beating. Clay opens his eyes when the surgeons remove the eye tapes while Harper ends his narrating with "He is awake."