If the delivery of healthcare and the creation of architecture share the common goal of improving the quality of life, then the role of healthcare architecture has never been more important. To enhance their relevance to an increasingly diverse population, and to embrace long-term strategies for best practice, hospitals can no longer afford to operate as isolated, single-use facilities with tenuous connections to the surrounding community and the public they serve. As designers and healthcare providers, we must recognize our duty of care and move to the creation of sustainable, cross-functional hospitals that have a larger civic relevance beyond simply serving the sick. At the beginning of the 21st century, the hospital as a machine for healing is becoming obsolete, while the multi-use Healthcare Village has come of age.