As value-based payment models motivate providers to deliver more care beyond their four walls, control over the patient care environment becomes simultaneously more important and more difficult. Allium Health, Inc. helps providers deliver better care more efficiently and with lower risk by providing a comprehensive view of the environmental, behavioral and social determinants that impact each patient’s health. We quantitatively assess the degree to which non-clinical factors are likely to impact important health outcomes for individual patients, and we provide actionable insight about how and where to intervene to achieve the most impact.