In October 2015, more than 40 public health leaders and national experts in food retail, agriculture, distribution and marketing convened in Philadelphia for Healthy Food in Small Stores: Distribution Opportunities to Improve Community Health. This national conference tackled challenges and best practices for distributing healthy food to small stores across the United States. Co-hosted by The Food Trust and the Robert Wood Johnson Foundation, this meeting sought to build connections among experts and identify ways to overcome distribution challenges in ways that are profitable for businesses and provide better access to healthy food in stores. This report outlines the key findings, discussion themes, and other highlights from the conference.