We studied how care moves through a population — and saw exactly where it breaks.
In 2019, our founding team — data scientists and engineers — set out to map something the health system had never really measured: how care actually moves through a community. One pattern kept surfacing. A patient would see a counselor, a psychiatrist, a housing navigator, and a PCP, and none of them knew the others existed. Referrals vanished into fax machines. Assessments were duplicated. People disappeared between systems.
The finding wasn't about the providers. It was the shape of the system: care delivered in vertical silos, each organization its own stack walled off from the next. The structure itself was doing the harm — costing people both their health and their access to it — and you couldn't fix that from inside any one silo.
So we asked a different question: what if every provider who serves a person — clinical and community — could see the same record? And instead of building another vertical tool, we borrowed the one structure that already connects people across every boundary: the social network. Give a provider a shared record, let them invite the next person a patient needs, and care spreads virally — one connection at a time, until the whole team shares it. We built that from scratch: consent-driven, HIPAA-compliant, free to start.
By 2020, the first multi-provider care episodes went live. By 2021, social agencies and housing navigators shared the record with clinicians. By 2023, school counselors connected to community providers through the first HIPAA-FERPA bridge. And in 2025, when the federal government launched the CMS Innovation in Behavioral Health Model to incentivize exactly this — we'd been running it for five years.