Small and Rural Hospital Relief Program (SRHRP)

Funding Available and Recent Awards#

$58 million in Small and Rural Grant Funds Currently Available#

Finalizing $3.3 million in approved grants as of February 2025.

Nine applications totaling more than $10 million are under review.

Don’t wait… Apply today!

Recent grant awards totaling $1.2 million

• George L Mee Memorial Hospital – $280,000: For complete initial materials testing and condition assessment project for Main Hospital.
• Kern Valley Healthcare District – $180,000: For complete materials testing and condition assessment for KVHD Main Hospital Building.
• Mad River Community Hospital – $625,000: For HCAI construction project for Non-Structural Performance (NPC)-3 compliance of the main hospital building.
• Oak Valley Hospital District – $65,000: For Material Testing and Condition Assessment Program (MTCAP) reports, NPC 4, 4D, and 5 Evaluations, Preliminary Structural Performance Category (SPC)-4D evaluation. 
• Plumas District Hospital – $25,000: For SPC 4D preliminary report.

Background#

The Small and Rural Hospital Relief Program (SRHRP) provides grants to qualified small, rural and Critical Access hospitals for the purpose of funding seismic safety compliance projects.  The Alfred E. Alquist Hospital Facilities Seismic Safety Act (Health and Safety Code (HSC) Section 129675) requires that hospitals be constructed to remain open and safely provide services to the public after an earthquake.  The SRHRP supports qualified small, rural and Critical Access hospitals by providing state grant funding and technical assistance to help meet safety standards and preserve access to general acute care for the communities they serve.  Ten percent of the funds from the California Electronic Cigarette Excise Tax will be allocated to the Department of Health Care Access and Information (HCAI) to operate the SRHRP (HSC Section 130075).

SRHRP encourages applicants where seismic safety impose significant financial burden that may result in closure of the facilities and the closure described above would substantially impact the accessibility to health care in the communities surrounding the hospital.  SRHRP would focus on Applicants who operate in Medically Underserved Areas and/or Medically Underserved Populations and/or Health Professional Shortage Areas as defined by Medical Service Study Areas.  The Applicants are expected to remain financially viable during and after the foreseeable future of the proposed seismic safety compliance related project.  Priority will be given to applicants who are able to demonstrate its ability to complete the proposed project with the SRHRP Grants and other available funds, loans, and grants. 

Program Information#

Eligible Hospitals#

Hospitals that meet any of the following criteria are eligible for the SRHRP:

• Small hospitals defined as having fewer than 50 licensed general acute care beds
• Rural hospitals defined as having a Rural or Frontier designation status in the Medical Service Study Area.
• Critical Access Hospitals are those possessing this designation from the Centers for Medicare and Medicaid Services

Grant funding will be awarded to eligible facilities based on cost-efficient project readiness, community need and financial status.

SRHRP Eligible Hospitals#

The table below lists the SRHRP eligible hospitals. A hospital may qualify based on various criteria, such as being classified as rural or small. Please note that all Critical Access Hospitals are considered rural and, therefore, are not listed separately.

Facility	County Code	MSSA Rural Frontier	Beds 50 or Less	HSC 1250 Rural
10006 – Orchard Hospital	04 – Butte	Yes	Small	Yes
10009 – Enloe Medical Center – Cohasset	04 – Butte		Small
10019 – Oroville Hospital	04 – Butte	Yes
10029 – Mark Twain Medical Center	05 – Calaveras	Yes	Small	Yes
10032 – Colusa Medical Center	06 – Colusa	Yes	Small	Yes
10109 – Barton Memorial Hospital	09 – El Dorado	Yes		Yes
10112 – Marshall Medical Center	09 – El Dorado	Yes		Yes
10122 – Coalinga Regional Medical Center	10 – Fresno	Yes	Small	Yes
10160 – Adventist Health Selma	10 – Fresno	Yes		Yes
10162 – Adventist Health Reedley	10 – Fresno	Yes	Small	Yes
10175 – Glenn Medical Center	11 – Glenn	Yes	Small	Yes
10180 – The General Hospital	12 – Humboldt	Yes	Small
10183 – Providence Redwood Memorial Hospital	12 – Humboldt	Yes	Small	Yes
10184 – Providence St. Joseph Hospital	12 – Humboldt	Yes
10186 – Jerold Phelps Community Hospital	12 – Humboldt	Yes	Small	Yes
10190 – El Centro Regional Medical Center	13 – Imperial	Yes
10192 – Pioneers Memorial Healthcare District	13 – Imperial	Yes
10200 – Northern Inyo Hospital	14 – Inyo	Yes	Small	Yes
10202 – Southern Inyo Hospital	14 – Inyo	Yes	Small	Yes
10210 – Kern Valley Healthcare District	15 – Kern	Yes	Small	Yes
10220 – Ridgecrest Regional Hospital	15 – Kern	Yes		Yes
10247 – Adventist Health Clearlake	17 – Lake	Yes	Small	Yes
10257 – Madera Community Hospital	20 – Madera	Yes
10287 – John C. Fremont Healthcare District	22 – Mariposa	Yes	Small	Yes
10301 – Adventist Health Mendocino Coast	23 – Mendocino	Yes	Small	Yes
10309 – Memorial Hospital Los Banos	24 – Merced	Yes	Small	Yes
10321 – Surprise Valley Community Hospital	25 – Modoc	Yes	Small	Yes
10338 – George L. Mee Memorial Hospital	27 – Monterey	Yes	Small	Yes
10366 – Adventist Health St. Helena	28 – Napa	Yes
10375 – Sierra Nevada Memorial Hospital	29 – Nevada	Yes		Yes
10377 – Tahoe Forest Hospital	29 – Nevada	Yes	Small	Yes
10512 – Plumas District Hospital	32 – Plumas	Yes	Small	Yes
10513 – Seneca District Hospital	32 – Plumas	Yes	Small	Yes
10514 – Eastern Plumas Hospital-Portola Campus	32 – Plumas	Yes	Small	Yes
10553 – Palo Verde Hospital	33 – Riverside	Yes	Small	Yes
10559 – San Gorgonio Memorial Hospital	33 – Riverside			Yes
10640 – Hazel Hawkins Memorial Hospital	35 – San Benito	Yes	Small	Yes
10681 – Mountains Community Hospital	36 – San Bernardino	Yes	Small	Yes
10684 – Colorado River Medical Center	36 – San Bernardino	Yes	Small	Yes
10695 – Providence St. Mary Medical Center	36 – San Bernardino			Yes
10707 – Victor Valley Global Medical Center	36 – San Bernardino			Yes
10766 – Marian Regional Medical Center, Arroyo Grande	40 – San Luis Obispo	Yes
10778 – Adventist Health Sierra Vista	40 – San Luis Obispo	Yes
10831 – Goleta Valley Cottage Hospital	42 – Santa Barbara		Small
10836 – Lompoc Valley Medical Center	42 – Santa Barbara	Yes		Yes
10848 – Santa Ynez Valley Cottage Hospital	42 – Santa Barbara	Yes	Small	Yes
11000 – Mayers Memorial Hospital	45 – Shasta	Yes	Small	Yes
11052 – Sonoma Specialty Hospital	49 – Sonoma	Yes		Yes
11054 – Providence Santa Rosa Memorial Hospital	49 – Sonoma		Small
11064 – Sonoma Valley Hospital	49 – Sonoma		Small
11121 – St. Elizabeth Community Hospital	52 – Tehama	Yes		Yes
11125 – Trinity Hospital	53 – Trinity	Yes	Small	Yes
11140 – Sierra View Medical Center	54 – Tulare	Yes
11145 – Adventist Health Tulare	54 – Tulare	Yes
11151 – Adventist Health Sonora	55 – Tuolumne	Yes	Small	Yes
11169 – Community Memorial Hospital – Ojai	56 – Ventura	Yes	Small	Yes
11175 – Ventura County Medical Center – Santa Paula Hospital	56 – Ventura	Yes	Small
11205 – Adventist Health And Rideout	58 – Yuba	Yes
11410 – Catalina Island Medical Center	19 – Los Angeles	Yes	Small	Yes
11874 – Monrovia Memorial Hospital	19 – Los Angeles		Small
11910 – Norwalk Community Hospital	19 – Los Angeles		Small
12024 – Docs Surgical Hospital	19 – Los Angeles		Small
12180 – West Covina Medical Center	19 – Los Angeles		Small
12784 – Sutter Coast Hospital	08 – Del Norte	Yes	Small	Yes
12823 – Healdsburg Hospital	49 – Sonoma	Yes	Small	Yes
12964 – French Hospital Medical Center	40 – San Luis Obispo	Yes
13030 – Kindred Hospital Riverside	33 – Riverside		Small
13035 – Bear Valley Community Hospital	36 – San Bernardino	Yes	Small	Yes
13087 – Mad River Community Hospital	12 – Humboldt	Yes
13110 – Oak Valley Hospital District	50 – Stanislaus	Yes	Small	Yes
13812 – Mercy Medical Center Mt. Shasta	47 – Siskiyou	Yes	Small	Yes
13901 – Sutter Maternity & Surgery Center of Santa Cruz	44 – Santa Cruz		Small
13999 – Adventist Health Twin Cities	40 – San Luis Obispo			Yes
14304 – Mammoth Hospital	26 – Mono	Yes	Small	Yes
14345 – Sutter Lakeside Hospital	17 – Lake	Yes	Small	Yes
14560 – Adventist Health Ukiah Valley	23 – Mendocino	Yes		Yes
14900 – Fairchild Medical Center	47 – Siskiyou	Yes	Small	Yes
15807 – NorthBay VacaValley Hospital	48 – Solano		Small
16116 – Clovis Community Medical Center	10 – Fresno	Yes
16244 – Los Robles Hospital & Medical Center – East Campus	56 – Ventura		Small
16464 – Enloe Rehabilitation Center	04 – Butte		Small
16679 – Patients’ Hospital of Redding	45 – Shasta		Small
16713 – Children’s Healthcare Organization of Northern California – Pediatric Hospital	43 – Santa Clara		Small
16878 – Fresno Surgical Hospital	10 – Fresno		Small
17358 – Adventist Health Specialty Bakersfield	15 – Kern		Small
17438 – Healthbridge Children’s Hospital-Orange	30 – Orange		Small
17487 – St. Louise Regional Hospital	43 – Santa Clara	Yes
17490 – Sutter Amador Hospital	03 – Amador	Yes		Yes
17662 – Cottage Rehabilitation Hospital	42 – Santa Barbara		Small
17669 – Thousand Oaks Surgical Hosp., A Campus Of Los Robles Hosp. & Medical Ctr.	56 – Ventura		Small
17672 – Novato Community Hospital	21 – Marin		Small
17724 – Sutter Surgical Hospital – North Valley	51 – Sutter	Yes	Small
17749 – Kaiser Foundation Hospital – Richmond Campus	07 – Contra Costa		Small
17940 – Banner Lassen Medical Center	18 – Lassen	Yes	Small	Yes
18161 – Loma Linda University Surgical Hospital	36 – San Bernardino		Small
18162 – Rehabilitation Hospital Of Southern California	33 – Riverside		Small
18163 – Adventist Health Sonora	55 – Tuolumne	Yes		Yes
18179 – Kaweah Health Medical Center D/P SNF	54 – Tulare		Small
18194 – Adventist Health Hanford	16 – Kings			Yes
18197 – Barstow Community Hospital	36 – San Bernardino	Yes	Small	Yes
18198 – Adventist Health Howard Memorial	23 – Mendocino	Yes	Small	Yes
18202 – Adventist Health Tehachapi Valley	15 – Kern	Yes	Small	Yes
18204 – Encompass Health Rehabilitation Hospital Of Modesto	50 – Stanislaus		Small

Seismic Compliance Plans#

Hospitals will need to submit a seismic compliance plan as outlined in the HCAI Policy Intent Notice #80. Apply through HCAI’s eServices Portal using SRHRP Eligibility Tool to confirm eligibility and receive technical assistance from OSHPD’s Seismic Compliance Unit.

Funding Amounts#

The funding amount is determined by the amount of excise taxes collected from the sale of electronic cigarettes. Current projections are $2-3 million annually will be available to distribute.

Funding Areas#

Grant awards can be applied towards initial seismic evaluations, design planning, or construction to meet seismic compliance.

Grant Applications Open#

Grant applications are being accepted in the second quarter of 2023.

Application Deadline#

Applications will be continuously accepted, and awards will be ranked by eligibility and project readiness, issued quarterly, based on available funding.

Application Tracking#

You can check the status of your application any time after submission by logging into HCAI Funding Portal.  As funding becomes available and awards are given, recipients will be sent an award letter detailing next steps.

Downloads and Links#

• SRHRP Grant Guide
• SRHRP Budget Details Template
• Exhibit G
• SRHRP Webinar Slides from 2.19.2025

Contacts#

For more information, please contact the Small and Rural Hospital Relief Program at srhrp@hcai.ca.gov or (916) 319-8800.