The company has no plans to cancel its Lanai service, but it needs taxpayer-funded support as a work-around to raising ticket prices.
Land prices and zoning laws make replicating the Lanai Cat Sanctuary a heavy lift for a local nonprofit.
Unions representing employees say the company shut down without giving them their final paychecks.
But Mokulele Airlines' new parent company says interisland travelers will start to see improvements in service much sooner than that.
The public can weigh in next month on whether state regulators should approve the proposed 37% increase.
Efforts are underway to improve the resources available, but there are currently few options for people in need of significant care.
Lanai and Molokai residents often must fly to Honolulu weeks before their baby's due date to be close to an urban medical center when they go into labor.
The airline has come under pressure to offer more reliable service to Molokai and Lanai.
The privately owned ferry service is a critical mode of transportation for the island's 3,000 residents.
Hospital officials are very concerned that the problem is only getting worse.