The Endnote takes place in 1970, when Ruth and her daughter Peggy travel to Kalaupapa. They arrive for Rachel's funeral. Rachel had decided to spend her final days at Kalaupapa. Hokea, the painter, meets Ruth and Peggy, shows them the settlement, and tells them fond stories of Rachel.
Hokea has all of Rachel's belongings, and many of them consist of items she purchased all over the world. Rachel traveled extensively in her last twenty years.
At Rachel's funeral, Ruth and Peggy speak in Hawaiian, much the same way Haleola did at Pono's funeral and Rachel did at Haleola's funeral.
The Author's Note provides an explanation of how much of the novel was taken from history. It also provides the names of books for further reading and expresses the author's gratitude to those that help with the writing and research for Moloka'i.