While discussions about the social determinants of health are featuring more prominently in the nation’s current health policy conversation, many organizations, like the Camden Coalition, have been working for years to understand and address this intersection. In the spirit of reflection and continuous learning, we thought it was time to share the story of the Camden Coalition’s 15-plus years developing a care model that is centered around both health and social complexity. In this piece, we describe the phases of our model as we addressed challenges and tested new solutions. We hope it encourages others to start, continue, persist, or expand this work.