April 18, 2026

A Sweeping Plan To Reinvent Kauai’s Oldest Hospital Is ‘Getting Close To The Vision’ 0 The projected $400 million project on the 34-acre property would upgrade the medical facility while creating a civic hub around schools, pubic safety and affordable housing.

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Samuel Mahelona Memorial Hospital was built in 1917 to isolate and treat people diagnosed with tuberculosis. Once admitted, patients were not permitted to leave.

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Set on a green bluff overlooking the Kapaa coast, the hospital had its own dairy, hog farm and wood shop — self-sufficiency measures to contain the spread of contagious disease.

After a cure for tuberculosis became widely available in the 1950s, the hospital was rebuilt and repurposed as a long-term care and mental health facility.

Now Kauai’s oldest operating hospital is on the verge of its third reinvention. By spring, hospital officials aim to finalize a far-reaching plan to close some of the many gaps in the island’s health care system, especially for kupuna and people with mental illness.

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