This keynote session from Oracle Health Summit 2024 brings together a panel of future-focused thinkers from health system leadership, robotics, community-focused care, the internet of things, and home delivery models to discuss their approach to building (literally!) health systems that can succeed now and well into the future. Many health system leaders will contemplate significant investments in new construction and major renovations in their work. These investments present a pivotal opportunity to create more personalized health experiences for their communities while incorporating cutting edge technology innovations for clinical care delivery. This discussion is focused on how health systems can explore the value propositions of new construction for their clinical workforce and their patients, positioning them for success well into a rapidly developing future.