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Small Rural Hospital Improvement Grant Program

Program Information

Popular name

Small Rural Hospital Improvement Program Sub-tier

Program Number

93.301

Program 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.

Program expenditures, by FY (2023 - 2025)

This chart shows obligations for the program by fiscal year. All data for this chart was provided by the administering agency and sourced from SAM.gov, USASpending.gov, and Treasury.gov.

For more information on each of these data sources, please see the About the data page.

Additional program information

  1. 2020

    SHIP supported 1,664 small rural hospitals in meeting value-based payment and care goals through purchases of hardware, software and training. Hospitals utilized funding to participate in accountable care organizations and shared savings programs; and to purchase health information technology, equipment, training to comply with quality improvement activities, such as advancing patient care information, promoting interoperability, and payment bundling. The SHIP-COVID program provided one-time funding to support 1,790 hospitals in preventing, preparing for, and responding to the COVID-19 public health emergency. The funding supports small rural hospitals experiencing increased demands for clinical services and equipment, as well as short-term financial and workforce challenges in responding to the needs of patients seeking care at their facilities.

  2. 2021

    SHIP supported 1,664 small rural hospitals in meeting value-based payment and care goals through purchases of hardware, software and training. Hospitals utilized funding to participate in accountable care organizations and shared savings programs; and to purchase health information technology, equipment, training to comply with quality improvement activities, such as advancing patient care information, promoting interoperability, and payment bundling. The SHIP-COVID program provided one-time funding in FY 2020 to support 1,790 hospitals in preventing, preparing for, and responding to the COVID-19 public health emergency. The funding supported small rural hospitals experiencing increased demands for clinical services and equipment, as well as short-term financial and workforce challenges in responding to the needs of patients seeking care at their facilities.

  3. 2022

    SHIP supported 1,665 small rural hospitals in meeting value-based payment and care goals through purchases of hardware, software and training. Hospitals utilized funding to participate in accountable care organizations and shared savings programs; and to purchase health information technology, equipment, training to comply with quality improvement activities, such as advancing patient care information, promoting interoperability, and payment bundling.

  4. 2023

    SHIP supported 1,629 small rural hospitals in meeting value-based payment and care goals through purchases of hardware, software and training. Hospitals utilized funding to participate in accountable care organizations and shared savings programs; and to purchase health information technology, equipment, training to comply with quality improvement activities, such as advancing patient care information, promoting interoperability, and payment bundling.

Single Audit Applies (2 CFR Part 200 Subpart F):

For additional information on single audit requirements for this program, review the current Compliance Supplement.

OMB is working with the U.S. Government Accountability Office (GAO) and agency offices of inspectors general to include links to relevant oversight reports. This section will be updated once this information is made available.

This program is subject to the provisions of 45 CFR Part 92 for State, local and tribal governments and 45 CFR Part 74 for institutions of higher education, hospitals, other nonprofit organizations and commercial organizations, as applicable. HRSA awards are subject to the requirements of the HHS Grants Policy Statement (HHS GPS) that are applicable based on recipient type and purpose of award. The HHS GPS is available at http://www.hrsa.gov/grants.

  1. Section 1820(g) (3) (F) (ii) (I) of Social Security Act (42 U.S.C. 1395i-4 (g) (3), as amended by Section 3129 of the Patient Protection and Affordable Care Act (PPACA), P.L. 111-148.