Case Study: The Ville Wellness Campus - Where Housing Meets Health

Troy Nash • March 18, 2026

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Where Housing Meets Health

Project Snapshot

The Premise

Affordable housing is an essential social determinant of health. That is not a slogan. It is the operating principle behind everything we build at The Nash Group, and the Ville Wellness Campus is the fullest expression of that principle.

The idea is straightforward: if where you live shapes who you become, then the place where you live should also be the place where you can access the care you need to stay healthy. Housing and health care should not exist on separate maps. They should share the same address.

The Ville Neighborhood

The Ville is a historically significant neighborhood in North St. Louis. Like many urban neighborhoods across the country, it has experienced decades of disinvestment. The residents of The Ville deserve better than what disinvestment has delivered. They deserve quality housing. They deserve access to health care. They deserve a community that is designed around their well being, not around the convenience of systems that have historically overlooked them.

That is what the Ville Wellness Campus is designed to provide.

The Partnership

No project of this scale happens alone. The Ville Wellness Campus is a partnership between The Nash Group and CareSTL Health, led by CEO Angela Clabon. It also includes Vecino Group, the City of St. Louis, the Missouri Foundation for Health, and Washington University. Each partner brings a different capability to the project, and the result is something none of us could have built independently.

CareSTL Health is a Federally Qualified Health Center. Their mission is to provide comprehensive health care to underserved communities. By co-locating their health center with 120 affordable housing units, we created a model where residents can access primary care, behavioral health services, physical therapy, pharmacy services, and community programming without leaving their neighborhood.

The Numbers

The Ville Wellness Campus represents a $75 million total investment. It includes 120 affordable housing units in the Alumnus Gardens I and II developments, a 45,000 square foot health center, and community facilities. The project is creating 53 jobs. It is under construction and completing in 2026.

Those numbers tell one story. The story behind the numbers is more important. One hundred twenty families will have stable, affordable housing. Those same families will have a comprehensive health center in their community. Behavioral health, physical therapy, a pharmacy, and a community center will be within walking distance of their front door. The project addresses the social determinants of health not in theory, but in concrete, steel, and operating agreements.

The Brown University Recognition

In 2025, Brown University School of Public Health awarded me the Public Health Impact Award for advancing public health by integrating affordable housing and health care through the Ville Wellness Campus. The award recognized that the project includes 120 affordable housing units and a comprehensive health clinic, that it addresses social determinants of health, and that it promotes holistic, community centered care. It also recognized that the project has improved health outcomes, influenced policy, and become a model for reducing health inequities in underserved neighborhoods.

I earned my Master of Public Health from Brown. The recognition from my alma mater carries particular meaning because it validates the approach that my MPH studies helped me develop: the conviction that housing and health are inseparable, and that addressing one without the other is an incomplete solution.

Why This Model Matters

The traditional approach to affordable housing treats housing as an end in itself. Build the units. Fill the units. Maintain the units. That approach has produced millions of affordable housing units through LIHTC and other programs, and it has done enormous good. But it leaves something on the table.

Residents in affordable housing are disproportionately likely to face health challenges: chronic conditions, behavioral health needs, limited access to preventive care. If the development does not address those needs, residents cycle between housing instability and health crises. Stable housing reduces emergency room visits. Access to primary care reduces hospitalizations. Behavioral health services reduce the crises that lead to evictions. The Ville Wellness Campus addresses the full cycle.

I learned this firsthand. I grew up in Section 8 public housing in Kansas City. My mother raised six children by herself, on welfare. If your home life is unstable, everything in your life is going to be unstable. That is what I experienced as a child, and it is what my MPH studies at Brown confirmed with data. Housing stability is a health intervention. The Ville Wellness Campus is designed around that fact.

The Campus Components

The campus is designed as an integrated community, not a collection of separate buildings that happen to share a site. The components include:

120 Affordable Housing Units in the Alumnus Gardens I and II developments, serving families who need quality, dignified housing.

Federally Qualified Health Center operated by CareSTL Health, providing comprehensive primary care to the community.

Behavioral Health Services addressing the mental health needs that are inseparable from housing stability.

Physical Therapy providing rehabilitation and wellness services on site.

Pharmacy ensuring that residents have access to medications without traveling across the city.

Community Center creating gathering space for programming, education, and connection.

The Replication Question

People ask whether the Ville Wellness Campus model can be replicated. The answer is yes, but it requires three things that most developments do not have: a health care partner with the mission and capacity to operate a comprehensive clinic, a financing structure that supports both the housing and the health center components, and a development team that understands both affordable housing and public health.

The Nash Group brings that understanding. My eight degrees include a Master of Public Health from Brown, a Juris Doctor, an MBA in Finance, and a Master of Urban Planning from USC. That combination exists specifically because the problems I am trying to solve do not fit inside a single discipline. The Ville Wellness Campus is proof of that principle.

This is not a theoretical model. It is 120 families. It is 45,000 square feet of health care. It is 53 jobs. It is a $75 million investment in a neighborhood that the rest of the world had written off. And it is completing in 2026.

Dr. Troy Nash is CEO and Co-Founder of The Nash Group, LLC. He received the 2025 Public Health Impact Award from Brown University School of Public Health for his work on the Ville Wellness Campus. He serves as a Professor in the Executive MBA Program and Director of the Lewis White Real Estate Center at the UMKC Henry W. Bloch School of Management.

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By Troy Nash March 19, 2026
I grew up in public housing. Section 8. Kansas City, Missouri. That is not a metaphor or a brand story. That is where I slept at night. My mother raised us without much, but she raised us with an understanding that where you start does not determine where you finish. I took that seriously. Maybe more seriously than she intended, because by the time I was done, I had collected nine academic degrees, traveled to more than 50 countries, served on the Kansas City Council, been appointed to the Missouri Housing Development Commission by the governor, joined the boards of a bank, a university, and a national development company, and built a real estate advisory firm that operates across multiple states. Savoy Magazine named me among the Most Influential Black Executives in Corporate America in 2020 and again in 2022. Ingram's Magazine put me on their list of 50 Missourians You Should Know in 2015. I am telling you this not to impress you but to establish a fact: the trajectory from public housing to national recognition is documented. It is not a claim. It is a record. The Arc Nine degrees sounds excessive until you understand the logic. Each degree opened a door that the previous one could not. A bachelor's degree got me into law school. Law school gave me the tools to understand policy. A master's in public administration taught me how government actually works from the inside. An MBA taught me how capital flows. A doctorate gave me the credibility to teach at a university. Every credential was a strategic investment in the next phase of the work. People ask me why I kept going back to school. The answer is simple: every time I reached the next level of my career, I discovered that I needed knowledge I did not yet have. When I entered government, I needed to understand public administration. When I started doing development deals, I needed to understand finance. When I wanted to teach at a university, I needed the terminal degree. Education was never the goal. It was always the tool. The Kansas City Council taught me how cities make decisions. Chairing the Planning, Zoning, and Economic Development Committee showed me the full machinery of urban development: the politics, the financing, the community dynamics, and the trade-offs that nobody talks about publicly. Every major development project in Kansas City crossed my desk. Every zoning change. Every tax abatement. Every TIF district. I saw how the system worked from the inside, and that education was more valuable than any degree. The Missouri Housing Commission taught me how states allocate Low Income Housing Tax Credits. As a commissioner appointed by Governor Jay Nixon, I sat on the other side of the table from the developers who submitted applications. I evaluated their proposals. I participated in discussions about which projects deserved limited state resources. That experience is available from almost nobody in the private sector, because almost nobody in the private sector has served as a housing commissioner. Traveling to 50 countries was not tourism. It was education. I studied housing systems in Europe, urban planning models in Asia, community development approaches in Africa and Latin America. In Cuba, I studied a healthcare delivery model that puts a doctor in every neighborhood, and I brought that concept back to Kansas City, where it eventually influenced our approach to co-locating healthcare with affordable housing. Every country taught me something. Every lesson informed the work. Why I Built The Nash Group After years in government and education, I understood something that most people in this field do not: the gap between policy and execution is where communities get hurt. Policies exist. Funding exists. Tax credits exist. But the people who can actually structure a deal, navigate the politics, manage the construction, and deliver housing that serves the community are rare. There are plenty of policy experts who cannot execute. There are plenty of builders who do not understand policy. There are plenty of consultants who have never served in government. The Nash Group exists because I have done all three, and I built a firm that brings all three capabilities to every project. We do not just advise. We develop. We do not just develop. We teach. The Lewis White Real Estate Center at UMKC, where I serve as director, trains the next generation of real estate professionals using the same principles that built the firm. That is not a side project. It is core to the mission, because the problems we work on will outlast any individual career. What This Story Means For You If you are a prospective client evaluating whether to work with us, here is what my story tells you: I have been on every side of this table. I have been the resident who needed housing. I have been the elected official who voted on housing policy. I have been the commissioner who allocated tax credits. I have been the developer who built the housing. And I have been the professor who teaches others how to do it. That is not a typical resume in this industry. Most people know one side. I know all of them. And that knowledge shows up in every project we touch, because we understand not just what needs to be built but why it matters and who it serves. When we sit across the table from a housing finance agency, we understand their perspective because I have been a commissioner. When we engage with a city council on an entitlement approval, we understand the political dynamics because I chaired the committee that made those decisions. When we structure a capital stack, we understand the investor's requirements because I have an MBA and have closed these deals myself. When we engage with community residents, we understand their concerns because I grew up in public housing and I have lived in the conditions that bad housing creates. The kid from Section 8 did not forget where he came from. He turned it into a career that has generated hundreds of millions of dollars in community investment across multiple cities. That is the power of refusing to accept your starting point as your endpoint. Thirty years. Nine degrees. Fifty countries. And it all started in public housing in Kansas City. ================================================================= THEME 2: AFFORDABLE HOUSING DEVELOPMENT =================================================================
By Troy Nash March 19, 2026
People always want to know how I got here. They see the degrees, the developments, the board seats, and they assume there was some master plan. There was not. What there was, at the very beginning, was a kitchen table and a set of circumstances that demanded I do something about them. In 1995, I was 25 years old, a law student at the University of Missouri-Kansas City, living with my wife Sherrie in a house on Charlotte Street near Brookside. My three older brothers — Harvey, Daryl, and Todd — were smart men with no credentials and no clear path forward. They had the ability but not the access. Nobody had shown them how to navigate the system that separates people who can from people who do. I decided that if nobody else was going to do it, I would. Every Saturday at 10 a.m., we held a formal meeting at my house. I sat at that kitchen table and worked with all three of my brothers. We went through the material together. We talked about what college actually was, what it required, and what it could open up. The brothers all wore ties. They rose when they spoke, observed parliamentary procedure, and referred to one another by formal titles. It was not some grand philanthropic project. This was family. These were my brothers, and they were too talented to stay where they were. There is a particular kind of frustration that comes from watching people you love operate below their potential. Not because they are lazy or incapable, but because nobody ever sat them down and said: here is how this works. Here is what you need to do. Here is the path. My brothers had spent their entire lives in a system that was not designed to show them that path. The schools they attended were underfunded. The neighborhoods they grew up in were disinvested. The message they received from every institutional interaction was that people like them did not go to college. I rejected that message. And then I spent months proving it wrong, one brother at a time. One by one, each of them enrolled in college. The conversations were not always easy. When you are an adult who has been out of school for years, the idea of going back feels impossible. You feel too old. You feel too far behind. You feel like the opportunity has passed. My job was to break through that feeling and replace it with evidence: here is the application. Here is the financial aid form. Here is the course catalog. You can do this. I will help you. My mother watched her sons transform their lives, and then she did the same thing. At 55 years old, my mother earned her GED. She looked at what her boys were doing and decided she was not going to be left behind. That is the most powerful thing I have ever witnessed in my life. A woman who had spent decades raising children in public housing, who had every reason to believe that her own educational moment had passed, looked at her sons and said: if they can do it, so can I. She was right. Why This Matters I tell this story not because it makes for a good profile piece, although it does. I tell it because it explains everything that came after. Every development I have built, every policy I have fought for, every classroom I have taught in comes from the same impulse that put me at that kitchen table: if the people around you have the ability but not the access, you create the access. This was not about charity. It was about refusing to accept that my family's circumstances were permanent. The housing projects where I grew up taught me that systems create conditions, and conditions shape lives. But they also taught me that individuals can break those conditions if somebody shows up with a plan and the willingness to execute it. My brothers did not need saving. They needed a bridge. That is the same thing I have spent the last 30 years building for communities across this country. Different scale, same principle. The parallel to affordable housing development is direct. When we build housing in an underserved neighborhood, we are not rescuing the community. We are providing infrastructure that allows the talent and determination that already exists in that community to flourish. The families who move into our developments are not charity cases. They are people who need a bridge between where they are and where they want to be. Quality, affordable housing is that bridge. The same is true of the policy work. When I sat on the Kansas City Council and fought for investment in East Side neighborhoods, I was not arguing that those neighborhoods were helpless. I was arguing that they deserved the same public infrastructure that the rest of the city took for granted. The people were capable. The systems had failed them. The Lesson When people evaluate The Nash Group, they are evaluating whether we actually care about the communities we serve. I understand that skepticism because I have seen plenty of developers who treat affordable housing as a transaction. Build the units, collect the credits, move on. That is not us. Our commitment to community transformation predates the company. It predates my career. It started at a kitchen table in Kansas City with a 25 year old kid who refused to watch his brothers get left behind. My mother earning her GED at 55 proved something I have believed ever since: it is never too late, and nobody is beyond reach. That conviction shows up in every project we take on. When we build housing in a neighborhood that has been disinvested for decades, we do not just build units. We build the infrastructure that lets people reach for something better. The Kansas City Star covered this story in 1995, back when I was just getting started. They saw a young man helping his family. What I see, looking back, is the foundational act that defined everything. If you can change your family, you can change a block. If you can change a block, you can change a neighborhood. If you can change a neighborhood, you can change a city. That is not a slogan. That is a 30 year track record. And it started with three brothers, a kitchen table, and a refusal to accept that where you start is where you finish.
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