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Grants / Department of Health and Human Services / Health Resources and Services Administration

HRSA-23-033: Small Rural Hospital Improvement Program (SHIP)

Closed Closed November 8, 2022 Opportunity HRSA-23-033

This grant is closed. Who won this program's grants before is below, and similar open grants are at the end of the page. It is in our archive of Health Resources and Services Administration notices from 2022.

Health Resources and Services Administration offered grants to the applicants described in the notice. It expected to make about 46 awards worth $20.7 million in total. Applications closed on November 8, 2022.

From the official notice on Grants.gov, last changed August 10, 2022. Checked November 7, 2026.

Key dates

PostedAugust 10, 2022
DeadlineNovember 8, 2022

Who can apply

This opportunity was open to the applicants described in the notice.

Eligible applicants include states that are current SHIP recipients, as well as states and territories with hospitals that meet eligibility requirements that have not been previously funded. The SORH will be the official award recipient acting as fiscal intermediary for all eligible hospitals within its state. Each SORH submits an application to HRSA on behalf of the eligible hospital applicants in its state. The SORH receives the federal funds, verifies hospital eligibility utilizing the Rural Health Grants Analyzer (https://data.hrsa.gov/tools/rural-health), makes awards to eligible hospitals, and ensures appropriate use of funds. At the end of the budget period, each SORH submits a financial report documenting reporting expenditure activity to HRSA. Eligible small rural hospitals are non-federal, short-term general acute care facilities that are located in a rural area of the U.S. and the territories, including faith-based hospitals. For the purpose of this program: 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. 1395(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. Individual hospitals can find the SORH contact in their state at: https://nosorh.org/nosorh-members/nosorh-members-browse-by-state/. Eligible hospitals within the territories that do not have access to a SORH must apply to the SHIP program individually and should contact the SHIP Program Coordinator. See Section VII for a complete list of agency contacts.

Is this a realistic fit?

What the grant funds

This notice announces the opportunity to apply for funding under the Small Rural Hospital Improvement Program (SHIP). This 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. SHIP also assists such hospitals in participating in delivery system reforms such as to become or join a Medicare Shared Savings Program or Accountable Care Organizations (ACOs), participate in other shared saving programs, and purchase health information technology (hardware/software), equipment, and/or training to comply with quality improvement activities such as advancing patient care information, promoting interoperability, and payment bundling.

Category: Health.

Who has won Small Rural Hospital Improvement Grant Program grants before

From fiscal 2021 to 2025, Small Rural Hospital Improvement Grant Program (93.301) awarded $98.5 million across 46 grant awards, an average of $2.1 million per award.

Largest recipients, fiscal 2021 to 2025
RecipientStateAwardsAmount
Texas Department of AgricultureTexas1$7.8 million
Kansas Department of Health & EnvironmentKansas1$5.6 million
Iowa Department of Public HealthIowa1$5.0 million
Nebraska Department of Health & Human ServicesNebraska1$4.1 million
University of Wisconsin SystemWisconsin1$4.1 million

Top states: Texas ($7.8 million), Kansas ($5.6 million), Iowa ($5.0 million), Nebraska ($4.1 million), Wisconsin ($4.1 million).

Applying now

This notice no longer takes applications. Agencies often post the same opportunity again under a new number, so check the program's notices on Grants.gov and the similar open grants below.

The notice on Grants.gov keeps its full text and attachments, which is useful for planning a resubmission.

Questions people ask

Is HRSA-23-033 still open?

No. It closed on November 8, 2022.

Who can apply for Small Rural Hospital Improvement Program (SHIP)?

Health Resources and Services Administration accepted applications from the applicants described in the notice. The notice adds further conditions, so read its eligibility section.

What is the deadline for Small Rural Hospital Improvement Program (SHIP)?

Closed November 8, 2022. Applications are no longer accepted; the program's newer notices are on this page when there are any.

How much funding is available?

About $20.7 million in total across about 46 awards.

Who has won Small Rural Hospital Improvement Grant Program grants before?

The largest recipients over five fiscal years were Texas Department of Agriculture, Kansas Department of Health & Environment, Iowa Department of Public Health. The program made 46 awards worth $98.5 million in that time.

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