What CPCA 2025 Revealed About the Future of Community Health Facilities

Legacy Construction attended the California Primary Care Association (CPCA) 2025 Conference in San Diego last month, joining community health leaders from across the state. Beyond the sessions themselves, the candid conversations happening between sessions offered valuable perspectives on the challenges and opportunities shaping tomorrow’s FQHCs. 

Here are the biggest takeaways shaping how we think about facility development and the road ahead:

1. Data Is Driving Capital Decisions More Than Ever

With funding and eligibility facing legislative pressure, health centers are being asked to justify every investment. Data has moved from a planning tool to a strategic requirement.

What this means:

FQHCs must quantify community need before building. At Legacy, our approach already aligns with this shift, ensuring facilities are designed based on verified demand and long-term sustainability.

2. Financing Is the Biggest Barrier to Growth

Across conversations with organizations like Peach Tree, Camarena, United Health Centers, WellSpace, Marin Community Clinic, and Castle Family Health Centers, one message was consistent: financing challenges are slowing down essential projects.

What this means:

Health centers are looking for flexible options. Our Build-to-Suit (BTS) lease model continues to resonate as a way to move projects forward even when traditional funding pathways are uncertain.

3. The Future Is a More Complete Medical Home

Many organizations are actively expanding beyond primary care to integrate specialty services, behavioral health, and wraparound support.

What this means:

Facilities need to be more adaptable and capable of supporting multiple service lines under one roof. The “clinic of the future” is a comprehensive hub, not a single-focus site.

4. Policy Uncertainty Is Reshaping Long-Term Planning

The discussions around Prop 50 and other sources of federal funding underscored a new level of caution. Organizations are preparing for changes that could significantly affect revenue and operations.

What this means:

Projects are being evaluated with greater scrutiny. There’s a heightened need for development partners who understand the landscape and can help organizations build with stability in mind.

Why This Matters for Legacy

CPCA confirmed that the industry is experiencing one of its most transformative moments. FQHCs are navigating uncertainty but also looking ahead with creativity and resilience.
Our takeaway is simple: the future of community health facilities demands data-backed strategy, flexibility, and strong partnerships. And Legacy is committed to being the partner that helps organizations build smarter, not just bigger.