As Robin Guenther, AIA, this session moderator, has asked: what if the delivery of health care created nothing but health? What would our facilities look like? These two case studies explore the design, construction, and approach to healthy, green buildings: hospital-based care by Lucile Packard Children’s Hospital at Stanford, Palo Alto, CA, and community-based ambulatory care by the new University Hospitals Rainbow Center for Women & Children in Cleveland, Ohio. Lucile Packard received LEED Platinum designation for their 521,000 sq ft acute care hospital addition in April 2018, a facility ten years in the making. Rainbow Babies is designing a new site in midtown Cleveland for University Hospital’s primary care pediatrics and women’s health practices; its program and design integrates care for social, environmental, and economic determinants of health as part of the clinical care model. Both projects are designed to be their system’s healthiest, greenest, and highest performing facilities yet. They each demonstrate leadership in green building by organizations focused on the health of our next generations.