Small Rural Hospital Improvement Grant Program (93.301)
Small Rural Hospital Improvement Grant Program (Assistance Listing 93.301) is run by the Health Resources and Services Administration, part of the Department of Health and Human Services. It awarded $98.5 million in 46 grants from fiscal 2021 to 2025, about $2.1 million per award on average. No funding opportunity is open on Grants.gov right now.
The typical award was $2.1 million. Half of the 46 awards fell between $954,327 and $2.9 million, and they ranged from $196,917 to $7.8 million.
- Awarded, FY 2021 to 2025$98.5 million
- Grant awards46
- Typical award$2.1 million
- Awarded in FY 2025$20.7 million
- Size rank819 of 1,823
- Type of assistanceProject grants
Key findings
- Annual funding was roughly flat, $19.8 million in fiscal 2021 and $20.7 million in fiscal 2025.
- It is the 819th largest of 1,823 federal grant programs by five-year awards.
- The 20 largest recipients received 73% of the money.
- Awards went to recipients in 45 states and territories.
What the program funds
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.
Open opportunities
No opportunity under this program is open or forecast on Grants.gov right now. Programs often post once a year, so the funding history below shows what to expect.
Rules from the program listing
Who can apply
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.
What the money can and cannot pay for
All funds awarded are to be expended solely for carrying out the approved projects.
Matching requirements
This program has no statutory formula. Matching requirements are not applicable to this assistance listing. MOE requirements are not applicable to this assistance listing.
Award range and average, in the agency's words
Small Rural Hospital Improvement Program Range = $41,496 to $1,576,848. $489,833 (average award amount).
Funding history and past recipients
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.
Who usually wins
| Recipient type | Awards | Amount | Share |
|---|---|---|---|
| Other | 46 | $103 million | 100% |
By state
33 states have a page for this program: those that received at least $1 million or 10 awards.
| State | Awards | Amount |
|---|---|---|
| Texas | 1 | $7.8 million |
| Kansas | 1 | $5.6 million |
| Iowa | 1 | $5.0 million |
| Nebraska | 1 | $4.1 million |
| Wisconsin | 1 | $4.1 million |
| Minnesota | 1 | $4.0 million |
| Illinois | 1 | $3.8 million |
| Michigan | 1 | $3.7 million |
| Georgia | 1 | $3.6 million |
| Oklahoma | 1 | $3.2 million |
| Kentucky | 1 | $2.9 million |
| Montana | 1 | $2.8 million |
| Washington | 1 | $2.8 million |
| California | 1 | $2.7 million |
| South Dakota | 1 | $2.7 million |
| Alabama | 1 | $2.6 million |
| Indiana | 1 | $2.5 million |
| Mississippi | 1 | $2.5 million |
| Louisiana | 1 | $2.4 million |
| North Dakota | 1 | $2.4 million |
| Colorado | 1 | $2.2 million |
| Missouri | 1 | $2.2 million |
| Ohio | 1 | $2.1 million |
| Idaho | 1 | $1.7 million |
| Oregon | 1 | $1.6 million |
| Pennsylvania | 1 | $1.6 million |
| Arkansas | 1 | $1.6 million |
| North Carolina | 1 | $1.5 million |
| New York | 1 | $1.4 million |
| West Virginia | 1 | $1.3 million |
| Virginia | 1 | $1.3 million |
| Maine | 1 | $1.3 million |
| Wyoming | 1 | $1.1 million |
| Alaska | 1 | $916,525 |
| South Carolina | 1 | $891,631 |
| Nevada | 1 | $858,775 |
| New Hampshire | 1 | $792,992 |
| Arizona | 1 | $770,446 |
| New Mexico | 1 | $739,070 |
| Hawaii | 1 | $607,912 |
| Vermont | 1 | $573,575 |
| Massachusetts | 1 | $399,112 |
| Utah | 1 | $333,942 |
| Maryland | 1 | $196,917 |
| Florida | 1 | $180,360 |