What exactly happens in a Complicated Kindness?

I know this sounds stupid (ha ha, get used to it:P) but i just finished A Complicated Kindness by Miriam Toews for the 3rd time, and I still don't exactly get what happened. It's one of my favorite books ever, and I pretty much love the character Nomi. xD But i just don't exactly get it, could someone summarize for me? thanks:)
 
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