Alterations and Renovations (A&R)
Updated January 2023
Changes, additions, or demolition to hospital facilities (internal and external) are an unallowable expense. This includes alterations and renovations that may improve a SHIP category area such as patient safety.
Some unallowable expenses include but are not limited to:
Removing Walls | Adding Walls | Doorway additions/removals |
Firebreaks | Carpet Replacement | Counter Replacement |
Tile Replacement | Window Additions/Replacement | Restroom Upgrades/Fixes |
Fixture Installation | Hardwired Internet Installation | Footage Increases/Decreases |
Sidewalk Installation/Repair | Sidewalk Upgrades | Parking Lot Maintenance |
Landscaping | Accessibility Additions/Changes | Drainage |
Covered Walkways | Directional Signage | Roofing Upgrades/Fixes |
HVAC Upgrades/Fixes | Sprinkler Systems |