Health Infrastructure Renewal Fund

Hospitals are responsible for ensuring that their facilities are in a good state of repair by managing their capital assets and planning renewal activities.

The Ministry of Health and Long-Term Care (the ministry) established the Health Infrastructure Renewal Fund (HIRF) in 1999 to assist hospitals in renewing their hospital facilities. The HIRF program was reformed in 2004 to streamline minor (less than $1 million) infrastructure renewal project approvals and to distribute infrastructure renewal funds annually to public hospitals. The HIRF grant is to be used to supplement a hospital's renewal needs on a priority basis. The program changed in 2007 to reflect the ministry's new stewardship role, and the establishment of Local Health Integration Networks (LHINs). LHINs advise on the HIRF allocation to hospitals and review and recommend HIRF projects in accordance with ministry guidelines.

Key Changes


In 2011-12, the HIRF was redesigned to incorporate the findings of the Facility Condition Assessment Program (FCAP) in order to help prioritize HIRF projects. 


  • All allocations are evidence-based fully aligning HIRF with the results of the Facility Condition Assessment Program (FCAP);
  • As a result of alignment with FCAP, there is no longer a minimum HIRF amount for each LHIN;
  • There is an exceptional circumstances process built into the 2013/14 program.


For the 2014-15 HIRF, the Ministry of Health and Long-Term Care has implemented changes that will:
  • Direct financial resources to a broader group of hospitals and facilities with critical infrastructure projects; 
  • Streamline and simplify the HIRF project approval process for hospitals, LHINs and the ministry; and 
  • Provide hospitals with greater certainty about their HIRF funding levels to allow adequate time to plan and complete eligible projects, including projects spanning over multiple fiscal years.


  • Projects in buildings/sites less than 5 years of age are not eligible for HIRF.

Relevant Documents