Small Rural Hospital Improvement Grant Program
Department Of Health And Human Services, Health Resources And Services Administration
The Small Rural Hospital Improvement Program supports eligible small rural hospitals in meeting value-based payment and care goals for their respective organizations through purchases of hardware, software, and training.
Jargon-free version
Helps small rural hospitals buy necessary equipment and training to improve patient care. Supports their efforts to meet healthcare payment goals.
Quick Facts
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What Is This Program?
What Benefits Are Offered?
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📋What Are the Application Steps & Timeline?
- 📝Steps to Apply
- Register with HRSA's Electronic Handbooks (EHBs)
- Submit all documentation in response to the conditions of award via EHBs
- Receive a new Notice of Award (NoA) once conditions are lifted
- Begin project activities and draw down funds
- 🌐Application Portal
- https://ehrsa.gov
- 📤Submission Method
- online
- 📅Key Dates
- 60 days of the NoASubmission of project timeline60 days of the NoASubmission of property documentation60 days of the NoASubmission of landlord letter of consent120 days of the NoASubmission of Notice of Federal Interest60 days of the NoASubmission of budget revisions60 days of the NoASubmission of schematic drawings120 days of the NoASubmission of environmental/historical preservation documentation
- 🔄Intake Type
- fixed-deadline
📄What Documents Are Required?
- ✅Required Documents
- SF-424 (Application for Federal Assistance)
- SF-424A (Budget Information - Non-Construction)
- SF-424B (Assurances)
- Project Narrative
- Budget Narrative
- indirect cost rate agreement
- IRB approval letter
- environmental review
- 📐Format Requirements
- PDF only, max 10MB
- 📥Templates Available
- ✉️Supporting Letters
- Signed cover letter with details about balance, new budget period and an explanation of why the request.
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💰What Expenses Are Eligible?
- 🧾Eligible Expenses
- Construction costs
- Modernization costs
- Minor alteration/renovation costs
- Design/planning related costs
- Loose, moveable equipment
- Clinical equipment
- Mobile vans
- 🚫Ineligible Expenses
- Contingency costs above 5% of certain lines
- Costs not described in the approved budget
- 📏Expense Caps
- Administrative and Legal Expenses capped at 10% of total allowable project costs; Miscellaneous Costs capped at 10%; Contingencies limited to 5%.
- 💳Payment Model
- reimbursement
- ⏪Retroactive Expenses Eligible
- No
🤝Is Matching Funding Required?
- 🔀Matching Required
- Yes
- 📊Matching Ratio
- 25% minimum
- 🏦Eligible Matching Sources
- cash
- in-kind
- 📚Stacking Rules
- Allowed
- 🛡️Proof of Matching Required
- Budget Justification/Narrative
📊What Are the Reporting Requirements?
- 🗓️Reporting Frequency
- semi-annual
- 📑Reporting Requirements
- Semi-Annual Progress Report (SAPR)
- Federal Financial Report (FFR) - SF-425
- SF-428 Tangible Personal Property Report
- Ad Hoc Submissions
- Integrity & Performance Reporting (if Applicable)
- Final Reporting Requirements
- 🔍Audit Requirements
- OMB Uniform Guidance Single Audit if the recipient expends $750,000 or more in federal awards
- 📢Branding Requirements
- Acknowledgment of federal funding required
- 🗄️Record Retention Period
- 3 years post-final-report
How Do I Apply?
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FAQFrequently Asked Questions
Visit the program page for detailed eligibility requirements.
This program offers funding up to $135,000,000 (minimum $14).
This program accepts applications on a rolling basis.
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