70+
ReCity member network size
From food pantries to workforce programs, from health equity coalitions to re-entry support. Six SDOH domains, one convening body.
Source · ReCity Network
ReCity Network TogetherNow IBM Consulting
A Durham, North Carolina partnership
Program-rich. — Outcomes-poor. Ready to connect.
Durham has 70+ community organizations doing the work on food, housing, employment, health, re-entry, and the things that make a city a home. What's missing is the connective tissue between them — so that referrals close, outcomes get measured, and investment matches what gets delivered.
Durham, in numbers
A growing city with the programs — and the gaps.
~70%
Monroe County closed-loop referral completion
What TogetherNow achieves running the same Connect360 platform — against an industry baseline of roughly 3 to 5%.
Source · TogetherNow Monroe County deployment
[n]%
Durham population growth, last decade
Durham's growth is real, but it's outpacing the coordination capacity of the programs meant to serve it. Opportunity widens; so do the gaps.
⚠ Source needed · US Census or NC OSBM
Why this, why now
Durham doesn't need more programs. Durham needs connected programs.
A resident in Durham today can walk into five organizations and tell their story five times. A caseworker can send referrals and never find out whether the person they referred actually received help. A funder can write a grant and measure only what the grantee reports — not what happened to the people the grant was meant to reach.
This isn't a failure of effort. Durham is one of the most philanthropically invested and program-rich mid-size cities in the South. The failure is structural: the programs aren't connected to each other, to the people they serve, or to the outcomes they're trying to produce.
A Community Information Exchange is the infrastructure that closes that gap. Referrals route through the network. Outcomes get documented. A person's story travels once, with their consent, across the providers who can help. And funders can finally see what actually worked.
Not referral sent. Service delivered and outcome documented.
The platform
What Connect360 is — in 60 seconds.
IBM Consulting's Connect360 is a Community Information Exchange platform purpose-built for government agencies, community networks, and coordinated care — the opposite end of the market from platforms designed primarily for hospitals and health plans. It sits above existing systems (EHRs, case management, 211 platforms) and connects them, rather than replacing them.
01 Closed-loop referrals Every referral tracked from creation through delivery to documented outcome.
02 Person-centered record One unified view across providers, under the person's consent control.
03 Configurable workflows Each community governs its own intake, outcomes, and data sharing.
04 Outcomes & analytics Population-level insight grounded in FHIR-standard data, exportable to HSDS.
The partnership
Three partners. Non-substitutable roles.
Each of ReCity, TogetherNow, and IBM Consulting brings something the other two cannot. Remove any one and the partnership doesn't work — which is why none of us is trying to do this alone.
ReCity Network Community trust anchor
Durham-based nonprofit convening 70+ organizations working on the social
determinants of health. Holds the relationships, the governance seat, and the community mandate.
Without ReCity, this is software being pushed onto a community.
How Durham leads TogetherNow Implementation expert
The team behind Monroe County's CIE — achieving
~70% closed-loop referral completion against a 3–5% industry baseline. Brings
the operating model, the provider onboarding playbook, and the outcome-measurement discipline
that make a CIE actually work.
See Monroe in depth IBM Consulting Platform & scale
Builder of Connect360 — the FHIR-native CIE platform powering this deployment.
Brings the enterprise security posture, the federal compliance pathway, and the roadmap that
carries the pilot toward regional and statewide scale when the community is ready.
Explore Connect360 Monroe County · Connect360 + TogetherNow
~70%
vs. 3–5% industry baseline
Closed-loop referral completion, sustained at scale.
The proof
Monroe County already does this. And it goes beyond SDOH.
TogetherNow operates a CIE on Connect360 with ~70% of referrals reaching a documented outcome — not "referral sent," not "warm handoff attempted," but a resident served and a provider documenting what happened. That's more than an order of magnitude above what most coordination efforts achieve.
The same mechanics apply beyond classic SDOH. Re-entry coordination across housing, IDs, behavioral health, and workforce. Workforce transitions tying job training to transportation, childcare, and basic needs. The platform is the same; the service chain is richer. Durham needs exactly this.
The Durham network
70+ Durham organizations. One coordinated network.
ReCity convenes a cross-section of the community working across six focus areas. These are the programs. What the partnership adds is the connective tissue between them.
Community 40+ Economic Stability 30+ Health 25+ Education 20+ Built Environment 8 Environment 6
StepUp Durham Workforce Development
Restorative Transitions Re-entry · Housing
LATIN19 Community · Health
Bike Durham Environment · Health
Maxx Potential Education · Apprenticeships
Alternative Career Pathways Education
The Village Durham Community
Bridges Pointe Community · Health
Featured above: a cross-section of signed ReCity member organizations. The full network spans every SDOH domain Durham cares about.
See the full Durham network The argument, in full
Durham deserves coordinated infrastructure — and the evidence says it works.
The full Point of View lays out the Durham thesis, the Monroe County evidence, and the partnership framework — with enough depth for funders, agency leaders, and legislators to take the next step. It's written to be circulated, not just read.
Point of View · 2026
A coordinated network for a growing Durham.