a) Narrative Description

1. 1) An explanation describing how the proposed expenses are eligible expenses;
2. 2) A full description of the proposed project, including supporting information for equipment replacement and facility renovation;
3. 3) Documentation of the estimated total cost of the proposed project and itemization of all components of the project included in the estimated costs and sources of cost estimates; and
4. 4) The projected completion date for the project, including allocation of time for all regulatory inspections, if required to confirm applicable code compliance.

The applicant shall provide:

b) Justification of Need for the Project

1. 1) The conditions being upgraded. For equipment being replaced, include age, condition, repair and maintenance records, and/or regulatory citations. For facility projects, include statements of age and condition and any regulatory citations;
2. 2) How the proposed project will contribute to the provision of health care for the community;
3. 3) How the proposed project will improve the provision of health care by the applicant facility;
4. 4) How the proposed project will improve the quality and provision of the basic services provided; and
5. 5) Any additional relevant information.

The applicant shall describe:

c) Background of the Applicant

HFPB will consider the background of the applicant, including: the legal identity of the applicant, licensee, and building owner; community and patients served; and adverse actions.