Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 976 - HOSPITAL CAPITAL INVESTMENTS › Subpart B - SAFETY NET HOSPITAL GRANTS AND COMMUNITY HOSPITAL GRANTS › Section 976.70 - Grant Application Requirements

Current through Register Vol. 48, No. 28, July 12, 2024
Grant applications shall contain the following:
a) General Information
1) Project Summary. The applicant shall
				provide a description of the project, including the project's needs and
				expected accomplishments. The summary shall also provide a description of the
				resources, both available and needed, for the project.
2) Project Narrative. The narrative shall
				state the need for the project, the expected impact on hospital operations, and
				the anticipated population to be served. The narrative shall also address any
				of the following (as applicable):
A) Projects
				to satisfyany building code, safety standard or life safety code;
B) Projects to maintain, improve, renovate,
				expand or construct buildings or structures;
C) Projects to improve, replace or acquire
				equipment;
D) Projects to maintain,
				establish or improve health information technology;
E) Projects to maintain or improve patient
				safety;
F) Projects to maintain or
				improve quality of care; or
G)
				Projects to maintain or improve access to care. (Section 2310-640(a) of the
				Act)
3) Project
				Objectives. The applicant shall document the measurable objectives that the
				project will accomplish. Once the objectives are identified, the applicant
				shall describe the implementation plan for the objectives and a timetable for
				achievement of the objectives.
4)
				Project Budget. The applicant shall list the total dollar amount needed for the
				project, including the amount to be provided by the hospital and other funding
				sources and the amount of funding requested through the grant. In the budget,
				the applicant shall identify all revenue sources and amounts and provide budget
				estimates, including capital expenditures for the duration of the project.
A) The project's budget could include, for
				example, the following costs:
i) Architectural
				and engineering;
ii) Construction
				or modernization;
iii)
				Contingencies;
iv) Debt financing
				(including the cost of leased assets);
v) Equipment;
vi) Preplanning;
vii) Site preparation.
B) The applicant shall also provide the
				sources of funds for the project. This could include, for example, the
				following:
i) Cash and equivalents. The
				applicant shall document that cash is held in reserve and will be used for the
				project.
ii) Debt financing.
				Documentation shall include a commitment letter from the applicant's financial
				institution attesting that financing is available.
iii) Government appropriations. The applicant
				shall furnish a copy of the statute or ordinance that documents that an
				appropriation was awarded.
iv)
				Other sources. The applicant shall document the amount and type of other funds
				(e.g., pledges, gifts and grants) available.
C) The cost of the project shall equal or
				exceed the amount of grant funding requested.
5) Budget Narrative. The applicant shall
				provide a description of all amounts included in the project's budget. This
				narrative shall describe the relationship between the funding request and the
				project's goals and objectives.