One of the first organizations to adopt integrated team-based care, Clinica Family Health played a pioneering role in developing care practices and associated facility design in this field. The session will describe the evolution of their community health centers by identifying key transformative moments in care delivery and explaining how those were implemented in the physical clinics, as well as how each new clinic design afforded an opportunity to innovate care practices. Presenters will share projections about future trends based on results from the newest 2018 facility, and how clinic processes and design have pivoted in response to the COVID19 pandemic.