Hale Makua Health Services

What Hale Makua Health Services does

Hale Makua Health Services is a Hawaii-based nonprofit organization founded in 1946 that operates a continuum of healthcare services for Maui's frail elderly and disabled population. The organization runs two campuses in Kahului and Wailuku, providing five core service lines: Adult Day Health (daily enrichment and socialization), Care Homes (residential living with personal care assistance), Home Health (Medicare-certified skilled nursing and therapy in patients' homes), Long-Term Care (24/7 residential nursing including dementia care), and Rehab (outpatient physical, occupational, and speech therapy). Its care delivery model is built on the Eden Alternative philosophy — formalized through its proprietary Luana Program (implementing Ten Eden Principles) — emphasizing person-centered care in human habitats with plants, companion animals, and intergenerational contact; it was the first organization in Hawaii to join the Eden Registry in 2009.

The organization is Medicare and Medicaid certified and accepts HMSA, Kaiser Permanente, VA, and most private insurance. Access flows through physician referrals, hospital discharges, and direct inquiries. Beyond reimbursement revenue, the organization supplements operations through an active fundraising apparatus including the Kokua for Kupuna annual luau and an annual golf tournament, supported by long-tenured donors such as Sue D. Cooley (over $4.6M lifetime gifts) and the O.L. Moore Foundation. Operational scale includes serving 421,000 meals annually, helping 537 people through rehab, 459 patients through Home Health, and 292 individuals in Long-Term Care. The organization provides $2.6M in healthcare and support services to those who cannot afford it, with nearly 90% of nursing home residents below poverty income levels and Medicaid reimbursement not fully covering care costs.

In January 2026, the organization announced new CarePlex and workforce housing initiatives to expand services and address staffing constraints, signaling its principal growth vector. It maintains a Board of Directors, has 51-100 employees, and operates with a 24/7 clinical model across skilled nursing, intermediate care, and adult day health services. The organization is governed as a 501(c)(3) entity under Tax ID 99-0080460 with no parent company.

Name

Hale Makua Health Services

Legal name

Hale Makua Health Services

Website

https://halemakua.org

Company type

Private

Founded year

1946

Operating status

Operating

Headcount range

51–100 employees

Short description

Hale Makua Health Services is a Hawaii nonprofit, founded in 1946, that operates a continuum of elder and disabled care services — long-term care, home health, rehab, adult day health, and care homes — across two Maui campuses, relying primarily on Medicare and Medicaid reimbursement supplemented by donations.

Ownership category

akta.pro rank

Product category

Skilled Nursing and Elder Care Services

NAICS

Nursing and Residential Care Facilities (623), Continuing Care Retirement Communities and Assisted Living Facilities for the Elderly (62331), Assisted Living Facilities for the Elderly (623312), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050), Services-Social Services (8300)

akta.pro primary industry

Long-Term Care Nursing Homes (Custodial LTC) (HLADADAB)

akta.pro secondary industries

Chronic Care & Complex Care Management (HSABAIAD), Hospital-at-Home / Acute Care at Home Programs (HLAFAEAH), Faith-Based / Nonprofit Assisted Living Providers (HLADABAH), Continuing Care at Home (CCaH) / Virtual CCRC Programs (HLADAEAH)

Keywords

• Skilled nursing care
• Long-term care services
• Home health services
• Rehabilitation therapy
• Adult day health

Headquarters

HQ city

Kahului

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure

Revenue model

1. Medicare/Medicaid Reimbursement: Skilled nursing, therapy, and home health services billed to Medicare Part B (covers 80% of outpatient therapy charges) and Medicaid. Organization accepts Medicare, Medicaid, HMSA, Kaiser Permanente, VA, and most private insurance including HMOs.
2. Private Pay: Private pay option available for individuals without insurance coverage or those preferring to pay out-of-pocket for care services.
3. Donations and Fundraising: Annual fundraising events including Kokua for Kupuna, golf tournaments, and donor contributions support uncompensated care for low-income residents.
4. Insurance Billing: Services covered by various insurance plans including HMSA, Quest Plans, Workers Compensation, and mainland insurances when prior authorization is obtained.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

Hale Makua Health Services operates a continuum of healthcare services for Maui's frail elderly and disabled population, providing skilled nursing, long-term residential care, home health, outpatient rehabilitation (physical, occupational, speech therapy), adult day health, and respite care across facilities in Kahului and Wailuku, Hawaii.

Product overview

Hale Makua Health Services operates as a continuum of healthcare services for Maui's elderly and disabled population. The organization offers five core service lines: Adult Day Health (daily enrichment and socialization programs), Care Homes (residential living with personal care assistance), Home Health (skilled nursing and therapy in patients' homes), Long-Term Care (24/7 residential nursing care), and Rehab (physical, occupational, and speech therapy services). Additionally, Respite Care provides temporary relief for caregivers. All services are coordinated to support independent living while ensuring compassionate, personalized care across the care spectrum.

Differentiator

Problem solved

Functional benefit

Brands

• Adult Day Health: Daily enrichment program promoting socialization and exercise for individuals who can thrive independently with support
• Care Homes
• Home Health
• Long-Term Care
• Rehab

Products and services

• Adult Day Health Day program providing daily enrichment, social activities, and exercise for individuals who can thrive independently with support from care partners, promoting socialization and community connection.
• Care Homes Residential living facilities providing minimal to moderate assistance with personal care needs for adults needing support, including respite care services for caregivers needing temporary relief.
• Home Health Medicare-certified skilled nursing and therapy services delivered in patients' own homes for home-bound individuals of all ages recovering from injury or illness. Includes skilled nursing, physical therapy, occupational therapy, speech therapy, disease management, infusion therapy, terminal care, and home health aide services.
• Long-Term Care Around-the-clock nursing care in residential homes with experienced, licensed staff providing personalized care, dementia and Alzheimer's special care, and support with daily living activities. Medicare and Medicaid certified.
• Rehab Outpatient rehabilitation services offering physical, occupational, and speech therapies designed to help clients recover function from injury or illness and return to independent living. Medicare Part B may cover 80% of charges with physician-ordered treatment plan.
• Respite Care Temporary care service for individuals needing assistance with daily activities or nursing care, providing a safe environment for periods of 3 to 30 days to give caregivers a break.

Quantifiable outcome

• $2.6 million in uncompensated healthcare services provided annually to those who couldn't afford care
• +3 more outcomes

Named customers6 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

13 partnerships are on record, tiered major and core.

• CarePlex InitiativemajorStrategic or Co-development Partner · 15 January 2026New CarePlex and workforce housing initiatives announced for Maui to expand services.
• VizientmajorGTM or Marketing Partner · 24 July 2021Major sponsor of 75th Anniversary Golf Tournament supporting uncompensated care.
• First Hawaiian BankmajorGTM or Marketing Partner · 24 July 2021Tournament sponsor supporting 75th Anniversary Golf Tournament.
• Maui Health SystemmajorGTM or Marketing Partner · 24 July 2021Tournament sponsor; accepts patients needing post-acute care services.
• MDX HawaiimajorGTM or Marketing Partner · 24 July 2021Tournament sponsor for 75th Anniversary event.
• HealthCARES HuicoreStrategic or Co-development Partner · 10 September 2020Collaboration with local organizations to create job opportunities, expand food delivery outreach, and connect community members during pandemic.
• Atlas Insurance AgencycoreGTM or Marketing Partner · 9 September 2017Title Sponsor of Kokua for Kupuna annual fundraiser, demonstrating commitment to supporting Maui's kupuna and healthcare services.
• Ohana Pacific HealthcoreGTM or Marketing Partner · 9 September 2017Presented 75th Anniversary Golf Tournament; provides ongoing support for fundraising events and healthcare initiatives on Maui.
• Carlsmith BallmajorGTM or Marketing Partner · 9 September 2017Major sponsor of Kokua for Kupuna annual fundraiser supporting Hale Makua's mission.
• First Hawaiian BankmajorGTM or Marketing Partner · 9 September 2017Major sponsor of annual fundraiser and golf tournament events.
• HMSAmajorGTM or Marketing Partner · 9 September 2017Major sponsor of Kokua for Kupuna fundraiser; accepted as insurance provider for services.
• Kaiser PermanentemajorGTM or Marketing Partner · 9 September 2017Major sponsor; accepted as insurance provider for care services.
• Maui Jim / Walter HestermajorGTM or Marketing Partner · 9 September 2017Event honoree and supporter; helped exceed $10,000 Fund-A-Need matching challenge.

Scale indicators9 records

Recent moves6 records

Expansion highlights4 records

Direct peers

• Bayada Home Health Care: National nonprofit home health and hospice provider; directly comparable to Hale Makua's Medicare-certified Home Health line in service mix and skilled nursing/therapy delivery.
• Ohana Pacific Health: Maui-based nonprofit operator of skilled nursing, assisted living, and home health services; directly comparable given overlapping service lines and co-fundraising relationship with Hale Makua.
• Arcadia Family of Companies: Hawaii nonprofit operator of senior living, skilled nursing, and home health services; comparable in mission, nonprofit structure, and continuum-of-care delivery model.

Broad incumbents

• Genesis Healthcare: One of the largest U.S. skilled nursing and post-acute care operators; comparable in skilled nursing, long-term care, and rehabilitation services at scale.
• Maui Health System: Largest hospital and post-acute care system on Maui; an existing partner that funnels post-acute referrals to Hale Makua, and competes for some skilled nursing and rehab volume in the same geography.
• Brookdale Senior Living: Largest U.S. senior living operator with assisted living, memory care, and home health offerings; comparable in elder-focused residential care and continuum-of-care strategy.
• Catholic Charities Hawaii: Hawaii's largest nonprofit social services provider, offering elder care, case management, and community-based support; comparable in targeting frail elderly populations with similar funding model.
• Amedisys: Large national home health and hospice operator; overlapping home health and post-acute services with comparable payer mix (Medicare/Medicaid).

Regional players

• HMSA (Hawaii Medical Service Association): Hawaii's largest health insurer and a long-time partner/payer of Hale Makua; comparable through payer-provider relationships and deep integration with Maui's elder care ecosystem.
• Kaiser Permanente Hawaii: Integrated payer-provider serving Hawaii residents; comparable as a payer partner and as an integrated care model that influences post-acute referral patterns.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/halemakua
• Facebookfacebook.com/halemakua
• LinkedInlinkedin.com/company/hale-makua-health-services
• Instagraminstagram.com/halemakua/?hl=en

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Hale Makua Health Services