Health impact assessment (HIA) is a process whereby the health impacts of a proposed policy or program are systematically evaluated and summarized to inform decision-making. In late 2009, the City of Pagedale, MO began a two year, $45-million revitalization project along Page Avenue, a major thoroughfare through the city.  The revitalization project included building a grocery store, commercial and mixed-income residential redevelopment, utilization of vacant lots, and streetscape design. The revitalization plan addressed economic and service disparities, but health priorities such as youth physical activity, healthy eating, and neighborhood environmental influences were not initially considered.  The purpose of this research project was to conduct an HIA of the revitalization project in order to ensure that health outcomes were included in the decision-making process. Specific recommendations to address key health impacts identified were given to local policy-makers and stakeholders.