Presented in this report, the primary goal of the Design for Health Summit was to bring together leading health care facility decision makers, discuss the arguments for and evidence supporting "healthy design," and brainstorm initiatives and implementation strategies to achieve healthier hospitals — healthier for patients, healthier for staff, healthier for the environment and community, and healthier for hospital financial security. Included in this report are Summit recommendations for individual hospital policies, collective actions and initiatives, and strategies for higher performance architectural and engineering systems (17 October 2005).