Health Infrastructure Renewal Fund (HIRF)

Hospitals are responsible for planning infrastructure renewal activities to ensure that their facilities are in a good state of repair. Recognizing the need for the renewal of health care infrastructure, the Ministry of Health and Long-Term Care (“the ministry”) created the Health Infrastructure Renewal Fund (HIRF) program. This program is intended to supplement a hospital’s existing renewal program and to help address renewal needs on a priority basis.

The HIRF is aligned with the results of the ministry’s Facility Condition Assessment Program (FCAP). As a result, annual HIRF allocations are determined using an evidence-based process. However, LHINs will have the opportunity to endorse urgent/emergent hospital infrastructure needs for an Exceptional Circumstance Project (ECP) Grant, which may result in the ministry providing additional funding to a hospital whether or not the hospital received a HIRF allocation that funding year. The ECP Grant process is described later in this document.

Hospitals must use the HIRF allocation provided in the 2019-20 funding year towards eligible HIRF projects during the 2019-20 fiscal year. Hospitals must expense the full grant and are not permitted to carry unspent funds or deficits forward to subsequent funding years.

In November 2019, hospitals are required to self-report their funding progress, and the ministry will assess provincial underspending and overspending. After confirming underspending with Hospitals, the ministry may reallocate unspent funds to hospitals with overspending based on the Surplus Funds Requests received. The Surplus Funds Request process is described later in this document. Please note that the maximum funding a hospital may receive in any given funding year is $10M. Any unspent funds at Project Settlement will be recovered in accordance with the terms of the HIRF Agreement. Significant or recurring underspending of HIRF funds may result in ministry review of future year funding.



Questions and Concerns

The South East LHIN looks forward to working with you to implement this HIRF initiative. If you have any questions or concerns regarding the HIRF program please contact Deb Goulden at