As Robin Guenther, AIA, has asked: what if the delivery of health care created nothing but health? What would our facilities look like, and how would our model of care be different than it is today? This case study and educational session will explore the design, construction, and approach to community-based care by the new University Hospitals Rainbow Center for Women & Children. The design of the new center began in 2016 with completion scheduled for 2018. It will serve as the new site for University Hospital’s primary care pediatrics and women’s health practices, and it is designed for the integration of care for social, environmental, and economic determinants of health into the clinical care model. The facility itself was designed through an integrative process to be the system’s healthiest, greenest, and highest performing facility yet.