Camden-on-Gauley Medical Center, Inc., dba Camden Family Health (CFH) is requesting $5 million for the completion of a new building at 412 Main Street in Summersville, WV (Nicholas County). Camden Family Health plans to transition all administrative functions to this proposed building, along with the health center's optical and x-ray services. The reason for the building is two-fold. First the organization has grown over the past few years to serve over fifty West Virginia ZIP Codes and over 10,000 patients. The current physical plant is insufficient for CFH's needs, especially with continued growth on the horizon. As the health center plans to expand its behavioral health program, specifically to combat the increasing need for substance use disorder treatment in rural West Virginia, the clinical space has become a hinderance for the organization and is currently over capacity. Second, constructing the new building to hold administrative, optical, and x-ray services will allow existing administrative and clinical space to open up for the increasing demand for primary care and behavioral health services within the community. Based on past and current needs assessments and organizational experience with rural West Virginians, additional service delivery sites are the most practical and valuable way to provide sorely needed medical services to patients. The construction of a new building and the transfer of services will provide increased access and convenience to patients, as the existing space that houses administrative services is in proximity to patients served. Ultimately, it is a better use of space as the organization strives to provide accessible and affordable health care to medically underserved residents in Central West Virginia.