As large employment and economic drivers, hospitals are powerful community anchors. However, the idea of a health-oriented development challenges hospitals to expand their purpose from being inwardly focused on health repair to an integrated wellness partner that supports a broader idea of community health. Through new partnerships, land use, and public realm design, a model is emerging that enables growth and development of a district and its greater region. This session will explore strategies for new and evolving communities to apply the framework of “social determinants of health” to develop heathier communities at a variety of scales. Project examples will be shared from Coeur d’Alene, Idaho to Chicago, Illinois, to Dunedin, New Zealand.