The Ville Wellness Campus: Where Housing Meets Health

Troy Nash • March 18, 2026

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Press Coverage: Project documentation; St. Louis development records

Here is a fact that most people in real estate do not think about enough: housing instability is a public health crisis. When a family cannot afford a stable place to live, everything else falls apart. Children miss school. Adults miss work. Medical appointments get canceled because the priority is figuring out where to sleep next month. Chronic stress from housing insecurity leads to hypertension, depression, and a cascade of health outcomes that cost the healthcare system billions of dollars a year.

The Ville Wellness Campus was designed around a simple idea: if housing instability causes health problems, then the most effective health intervention is stable, affordable housing. And if you are going to build that housing, why not put a health center right next to it?

The Project

The Ville Wellness Campus integrates 120 affordable housing units with a 45,000 square foot health center in St. Louis, Missouri. It sits in The Ville, a historically significant African American neighborhood on the city's north side.

The Ville is one of those neighborhoods that tells the story of Black America in a single zip code. It was once a thriving center of African American culture, business, and community life in St. Louis. Sumner High School, the first high school for Black students west of the Mississippi, is in The Ville. The neighborhood produced athletes, musicians, educators, and leaders who shaped the city and the nation.

But like so many historically Black neighborhoods, The Ville experienced systematic disinvestment over decades. Population declined. Businesses closed. The housing stock deteriorated. And the health outcomes of residents reflected the neglect: higher rates of chronic disease, lower life expectancy, and limited access to medical care.

The numbers tell a story that should shame any country as wealthy as the United States. Life expectancy in neighborhoods like The Ville can be 15 to 20 years shorter than in affluent communities just a few miles away. Infant mortality rates mirror those of developing nations. Diabetes, hypertension, and heart disease are epidemic. And the primary driver of all of these outcomes is not genetics or personal behavior. It is the environment: housing quality, food access, healthcare availability, and the chronic stress of economic insecurity.

The Approach

The Ville Wellness Campus addresses this reality head on. Instead of building housing in one location and hoping residents can find a doctor somewhere in the city, we co-located healthcare and housing on the same campus. Residents walk out their door and into a 45,000 square foot health center that provides primary care, behavioral health services, and preventive care.

This is not a novel concept in theory. Healthcare professionals have been talking about social determinants of health for years. Everyone agrees that housing affects health. But very few people actually build projects that integrate the two. The gap between what the research says and what gets built is enormous. The Ville Wellness Campus closes that gap.

Structuring a project like this is significantly more complex than a standard affordable housing development. You are not just assembling a housing capital stack. You are also designing and financing a health facility. You are coordinating with healthcare providers who have their own operational requirements. You are navigating two sets of regulatory frameworks — housing and healthcare — that do not always speak the same language.

The healthcare providers need specific building specifications: exam rooms of particular sizes, waiting areas with specific configurations, technology infrastructure that supports electronic health records. The housing component needs to meet LIHTC compliance requirements, fair housing standards, and local building codes. Making both work in a single campus requires a development team that understands both sectors and can manage the complexity of simultaneous design, financing, and construction.

We managed that complexity because we understand both sides. We know how housing finance works, and we know why healthcare access matters. The Ville Wellness Campus is what happens when a development team thinks about the whole person, not just the unit count.

The connection to my trip to Cuba years earlier is direct. When I led a delegation to study Cuba's healthcare system, I was struck by their model of community-based primary care — putting a doctor in every neighborhood rather than expecting patients to travel to centralized hospitals. That principle, that proximity to healthcare matters as much as the healthcare itself, is embedded in the Ville Wellness Campus design.

The Impact

One hundred and twenty families in The Ville now have stable, affordable housing with healthcare services steps from their front door. That means a mother with diabetes can see her doctor without taking two buses. It means a child with asthma can get preventive care before ending up in the emergency room. It means an elderly resident managing chronic conditions can maintain their health without choosing between rent and medication.

The economic impact extends beyond the residents. A 45,000 square foot health center creates jobs in a neighborhood that desperately needs them. It brings healthcare professionals into the community daily. It signals to other investors and developers that The Ville is a place worth investing in.

What This Demonstrates

The Ville Wellness Campus demonstrates that The Nash Group thinks about development differently than most firms. We do not build units. We build communities. The difference is that a community requires more than housing. It requires services, employment, healthcare, education, and connectivity.

Most developers would look at The Ville and see a challenging market with limited upside. We looked at The Ville and saw 120 families who deserved better housing and a neighborhood that deserved a health center. Then we figured out how to finance and build both.

That approach — starting with community need and working backward to a financial structure that makes it possible — is what defines our work. The Ville Wellness Campus is the clearest example of that philosophy in action.

The model is now being studied and replicated in other cities. That is the highest compliment a development project can receive: other people look at what you built and decide to build something like it in their own community. We built it first, in a neighborhood that needed it most.

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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. 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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. 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