Challenges

Maui County faces intersecting challenges in healthcare access, workforce shortages, and housing affordability. With an aging population, a 41% physician shortage (the highest in the state), and limited access to long-term care and specialty services, health outcomes and care accessibility are under threat. At the same time, healthcare and education sectors report hundreds of vacancies, and housing costs continue to displace workers and families.

The Pathways to Prosperity project (which are three projects coming together) proposes the development of a new community-centered hub in Kahului to address these interconnected needs. The projects include (1) the CarePlex project which involves a 56-bed state-of-the-art rehabilitation facility, a new ambulatory surgical center, clinic and diagnostic spaces, (2) developing 100 affordable workforce housing units targeting healthcare and educational workers, and (3) expanding existing career development programs.  These intertwined projects are focused on creating sustainable, long-term solutions. Together as one, these projects aim to improve health outcomes, retain local talent, and support economic revitalization.

Approaches

CarePlex Development – Construct a 56-bed Rehabilitation Center with outpatient specialty services, diagnostics, and surgical suites. Includes space for medical clinics, diagnostics, and social services to increase access to medical care and reduce hospital overcrowding.

Workforce Housing – Build 100 affordable rental units for healthcare and education workers. Rents will be capped at 30% of gross income. Prioritizes families displaced by the 2023 wildfires.

Workforce Development – Expand existing “Earn and Learn” programs for CNA-to-LPN and teacher pathways, while also establishing a new pathway for LPN-to-ADN. Partner with the University of Hawaiʻi Maui College (UHMC), the Hawaiʻi State Department of Education (DOE), and the Healthcare Association of Hawaii (HAH)  to offer educational and employment support.

Team Members

Project Lead: Wes Lo (CEO, Hale Makua Health Services and Ohana Pacific Health)

Other Participants: County of Maui, Mark Mugiishi (CEO - HMSA), UHMC, DOE, MEO, HAH, Kaiser, Alaka‘i Development, MEDB, HHFDC

Alignment with West Maui Community Plan (WMCP)

  • Long-Term Recovery Plan: Housing and Healthcare Infrastructure, Kūpuna Care, Economic Revitalization of Kahului
  • Community Development Block Grant - Disaster Recovery: Workforce Housing, Public Health Facilities, Economic Development

Objectives

  1. Improve access to long-term healthcare services and reduce hospital overcrowding.
  2. Address workforce shortages in healthcare and education through career development programs.
  3. Provide affordable housing for local workers, enabling them to stay on island.
  4. Revitalize the Kahului community with a hub centered on wellness, intergenerational living, and workforce support.

Tasks and Timelines

  • June 2025 – January 2026 – Secure funding commitments and finalize CarePlex design.  Begin CarePlex permitting process.
  • Late 2025 – Begin entitlement and design phase for Workforce Housing.
  • 2027-2029 – CarePlex and Workforce Housing construction.
  • 2026 – Expand healthcare and education workforce development pathways.
  • 2029 – Complete CarePlex and Workforce Housing construction.

Project Budget

  • Rehabilitation Center – $76 million
  • Additional Medical Services Expansion – $55 million
  • Workforce Housing – $65 million
  • Workforce Development – Program Development & Implementation: $320,000 & Full Program Operations: $440,000

Funding Sources

  • Confirmed: $5.5M cash on hand, $3.0M federal earmark, $0.8M state GIA, $5.0M philanthropy.
  • Potential: CDBG-DR, HUD, USDA, EDA, Low Income Housing Tax Credits, New Market Tax Credits, HHFDC DURF financing, philanthropy, employer subsidies, traditional debt, public-private partnerships (HMSA).

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