Jason Cashman has reached the goal he spent the last twenty years seeking, but instead of feeling content, he feels empty. When he meets Alexandra Lopez, a ten-year-old America-loving girl facing deportation, he is inspired by his old friend, Murray McBride, to give her five wishes before she must leave.

They set out to check off as many wishes as possible, but when Jason's transplanted heart begins to fail, he must choose between his obligations to the past and his hope for a future.