This article provides an overview of the approach, programming, and methodology for the renovation of the Peekskill Area Health Center, an urban based non-profit community health center in the Hudson Valley. The impetus of the renovation is in response to changes in the health care environment and overcrowding of the existing facility. The model development, which is reflected in the physical renovation, employes key elements of the Planetree approach to patient-centered care. Consistent with the national Community Health Center philosophy, the project is dedicated to vitalizing an economically depressed area through construction opportunities and links with local commercial businesses.