In 1990, Na Pu´uwai was awarded a grant and established the Na Pu´uwai Native Hawaiian Health Care System.

Under the federal Native Hawaiian Health Care Act of 1988, Na Pu´uwai accepted the responsibility to spearhead the planning for a Native Hawaiian Health Care System for the Island of Molokai and Lanai.

Na Pu´uwai has developed a healthcare system for Molokai and Lanai that offers the following services:

• Dental Education for Elementary School children
  
• Cancer Awareness Education and Prevention
  
• Promotion of the traditional Hawaiian Diet/Healing Practices
  
• Healthy Nutrition Educational Classes
  
• HIV/AIDS Education and Prevention
  
• Asthma Education and Management
  
• Fit for Life
  
• Women's Health Education, Breast/Cervical Screening Clinics
  
• Tobacco and Smoking Awareness
  
• Diabetes Education and Prevention
  
• Cardiovascular Risk Disease Education, Cardiovascular Risk Clinic Screening (CRC)
  
• CPR Education and Training Center
  
• Hearing and Screening for Elementary School Children
  
• Podiatry Evaluation and Education
  
• Rural/Health Outreach Grant Program