This report documents the impacts three years after random assignment for the Pathways to Healthcare program, operated by Pima Community College and Pima County One Stop in Tucson, Arizona. The program aimed to help low-income, low-skilled adults access and complete occupational training that could lead to increased employment and higher earnings. This research was undertaken to evaluate whether Pathways to Healthcare was successful in providing training to low-income, low-skilled adults and whether the program's efforts led to impacts on credentials, earnings, healthcare employment, and other life outcomes. This report sought to answer the following research questions: (1) Three years after random assignment, what were the effects of Pathways to Healthcare on educational outcomes?; (2) Three years after random assignment, what were the effects of Pathways to Healthcare on entry into career-track employment and higher earnings?; and (3) Three years after random assignment, what were the effects of Pathways to Healthcare on individual and family well-being, including income and other life outcomes?