Since 2006, we have worked extensively within the highest risk communities to coordinate services for the underserved. It is through this experience providing services to over 200,000 patients that we experienced firsthand how difficult it is to connect the dots across care settings and needs. With this perspective, we offer an out-of-the-box solution that integrates medical, behavioral and social determinants to ensure comprehensive care. Furthermore, our solutions can be customized to specific needs and seamlessly connected with external solutions via API.