Small Rural Hospital Improvement Grant Program
Active
- Assistance listing
- 93.301
- Agency
-
Health Resources and Services Administration
Department of Health and Human Services
- Grant awards
- 250 $571,488,565 in federal obligations
Program facts
- Also known as
- Small Rural Hospital Improvement Program Sub-tier
- Assistance types
-
- Project Grant
- Cooperative Agreement
- Block Grant
- Treasury account
-
- 75-0350-0-1-550
- More information
Program details come from SAM.gov Assistance Listings. Updated . Grant award figures come from USAspending.gov.
About this program
The Department of Health and Human Services Health Resources and Services Administration funds small rural hospital operational and quality improvement grants under CFDA 93.301, with the most recent award issued January 1, 2022.
The program supports purchases of hardware, software, and training to help eligible small rural hospitals—defined as non-federal, short-term general acute care facilities with 49 beds or fewer located in rural areas—meet value-based payment and care goals. Funded activities include participation in delivery system reforms such as Medicare Shared Savings Programs or Accountable Care Organizations, purchases of health information technology to advance patient care information and promote interoperability, and training to comply with quality improvement and payment bundling requirements. The program offers up to 5-year project periods, with non-competitive renewal available subject to satisfactory performance and fund availability.
Over 250 total awards spanning from 2002 through 2022 have obligated $571.5 million in federal funding. Assistance is structured predominantly as Project Grants (99 percent), with minimal Block Grant and Cooperative Agreement activity. A major funding surge occurred in 2020 with 46 awards, largely driven by Coronavirus State Hospital Improvement Program allocations; activity has been sparse since, with only one award in 2022. The State Office of Rural Health in each state serves as the official award recipient and fiscal intermediary for hospitals within its state; eligible hospitals in territories without a SORH and tribally operated hospitals under P.L. 93-638 may apply individually.
Representative recent awards include Project Grant H3H45476 for $8.4 million (January 2022) under the core SHIP program, and multiple Coronavirus State Hospital Improvement Program awards from April 2020 ranging from approximately $84 thousand to $11.1 million. The most recent posted opportunity was HRSA-23-033 in June 2022 with a due date of November 8, 2022, soliciting applications from eligible small rural hospitals for value-based care implementation and health information technology investments.
Objective and description
- Objective
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.
- Description
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.
Eligibility
- Applicant eligibility
The State Office of Rural Health (SORH) will be the official award recipient acting as fiscal intermediary for all eligible hospitals within its state. Each SORH will be charged with organizing the distribution of funds to eligible hospitals. Eligible hospitals within the territories that do not have access to a SORH apply to the SHIP program individually. Tribally operated hospitals under Titles I and V of P.L. 93-638 are eligible to apply.
- Beneficiary eligibility
Small rural hospitals must meet the following eligibility requirements in order to be eligible for SHIP funds: 1) "eligible small rural hospital" is defined as a non-federal, short-term general acute care hospital that: (i) is located in a rural area as defined in 42 U.S.C. 1395ww(d) and (ii) has 49 available beds or fewer, as reported on the hospital's most recently filed Medicare Cost Report; 2) "rural area" is defined as either: (1) located outside of a Metropolitan Statistical Area (MSA); (2) located within a rural census tract of a MSA, as determined under the Goldsmith Modification or the Rural Urban Commuting Areas (RUCAs) or (3) is being treated as if being located in a rural area pursuant to 42 U.S.C. 1395ww(d)(8)(E); and, 3) Eligible small rural hospitals may be for-profit or not-for-profit, including faith-based. Hospitals in U.S. territories as well as tribally operated hospitals under Titles I and V of P.L. 93-638 are eligible to the extent that such hospitals meet the above criteria.
- Uses of assistance
All funds awarded are to be expended solely for carrying out the approved projects.
- Use restrictions
All funds awarded are to be expended solely for carrying out the approved projects.
- Length and time phasing of assistance
Awards are made annually and payment is made through the DHHS Payment Management System. (PMS)
How to apply
- Criteria for selecting proposals
Applicants will be evaluated based on: (1) extent to which applicant is responsive to the requirements and purposes of this program; and (2) extent to which application describes need, strategies, and investment to address those needs.
- Award procedure
Notification is made in writing by a Notice of Award (NOA).
- Time to approval or disapproval
Up to six months.
- Renewals
Other. Small Rural Hospital Improvement Program awards may be made for up to 5-year project periods. Subject to availability of funds, after initial awards, projects may be renewed non-competitively contingent upon submission and approval of an application, availability of appropriated funds, and awardee's satisfactory performance.
Grant opportunities
| Opportunity | Status | Posted | Applications due |
|---|---|---|---|
| Small Rural Hospital Improvement Program (SHIP) | Closed | ||
| Small Rural Hospital Improvement Program (SHIP) | Closed | ||
| Small Rural Hospital Improvement Grant Program (SHIP) | Closed |
Grant awards
Latest 10 of 250 listed here. See the rest on GovTribe.
Top recipients by federal obligations
| Rank | Recipient | Federal obligations | Share |
|---|---|---|---|
| 1 | Texas Department Of Agriculture | $39,884,426 | 7% |
| 2 | Kansas Department Of Health & Environment | $28,345,865 | 5% |
| 3 | Iowa Department Of Public Health | $24,668,420 | 4% |
| 4 | Minnesota Department Of Health | $24,569,854 | 4% |
| 5 | University Of Wisconsin System | $21,839,702 | 4% |
| 6 | Department Of Public Health Illinois | $19,626,159 | 3% |
| 7 | The University Of Kentucky Research Foundation | $18,596,293 | 3% |
| 8 | Oklahoma State University | $18,512,403 | 3% |
| 9 | Nebraska Department Of Health & Human Services | $18,476,837 | 3% |
| 10 | Department Of Community Health Georgia | $17,802,488 | 3% |
10 of 59 recipients listed here. See the rest on GovTribe.
Federal obligations by fiscal year
| Fiscal year | Federal obligations |
|---|---|
| FY2026 | $26,985,851 |
| FY2025 | $32,361,430 |
| FY2024 | $31,876,964 |
| FY2023 | $32,428,698 |
| FY2022 | $43,127,380 |
| FY2021 | $19,846,162 |
| FY2020 | $167,708,904 |
| FY2019 | $18,209,477 |
| FY2018 | $15,631,528 |
| FY2017 | $13,839,657 |
| FY2016 | $14,213,142 |
| FY2015 | $14,367,710 |
| FY2014 | $15,405,860 |
| FY2013 | $13,661,910 |
| FY2012 | $16,227,400 |
| FY2011 | $17,863,715 |
| FY2010 | $17,972,245 |
| FY2009 | $17,529,531 |
| FY2008 | $12,626,388 |
| FY2007 | $2,984,471 |
| FY2006 | $14,490,612 |
| FY2005 | $9,340 |
| FY2004 | $135,520 |
| FY2003 | $14,718,464 |
Show all 24
Quick answers
What is Assistance Listing 93.301?
Assistance Listing 93.301 is Small Rural Hospital Improvement Grant Program, a federal grant program run by Health Resources and Services Administration (Department of Health and Human Services).
What is the CFDA number for Small Rural Hospital Improvement Grant Program?
Its CFDA number is 93.301: Assistance Listing numbers were called CFDA numbers before 2018.
How much funding has Assistance Listing 93.301 awarded?
250 grant awards under 93.301 have obligated $571,488,565 in federal funds to 59 recipients.
Who receives the most funding from 93.301?
The recipients obligated the most under Small Rural Hospital Improvement Grant Program are Texas Department Of Agriculture ($39,884,426), Kansas Department Of Health & Environment ($28,345,865) and Iowa Department Of Public Health ($24,668,420).
How much did 93.301 obligate in fiscal year 2025?
Grants under 93.301 obligated $32,361,430 in federal funds in fiscal year 2025.
Are there open grant opportunities under 93.301?
No opportunity listed under 93.301 is open now. The latest, Small Rural Hospital Improvement Program (SHIP), was posted on June 3, 2022.
On GovTribe
See this program's full record
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