CHFA case studies

CHFA · Put your knowledge to work in context.

The Certified Healthcare Financial Analyst (CHFA) is a professional credential for finance staff who work inside or alongside healthcare provider organisations - hospitals, health systems, physician groups and payer-adjacent employers. It signals that the holder can read provider financial statements, build and defend a budget, explain cost behaviour in a clinical service line, and connect reimbursement mechanics to the numbers on the page. The CHFA case studies are 5 cases and about 4,953 words.

CT Scanner Lease, a Conditional Pledge, and a Payer Refund in the Same Close Week

Riverside Community Hospital is a 210-bed not-for-profit with an FY2025 operating margin of 1.8%, 71 days cash on hand, and 46.0 million of outstanding revenue bonds. The bond indenture requires days cash of at least 65 and debt service coverage of at least 1.30; the hospital is at 1.34.

1,257 words, about 6 min 2

Total Joint Capacity, Contribution per OR Hour, and a Saturday Medicaid Block

Lakeside Orthopedic Center is a six-room hospital outpatient surgery department. Its fixed operating cost pool for OR staffing, depreciation, utilities, and sterile processing is 2,880,000 per year, and practical capacity is six rooms times eight scheduled hours times 250 days, or 12,000 OR hours.

961 words, about 5 min 3

MRI Replacement: Buy, Bond-Fund, or Lease Inside a Debt Covenant Ceiling

Northgate Health is a 320-bed stand-alone hospital and the sole issuer on 46.0 million of outstanding tax-exempt revenue bonds. Net assets are 32.0 million.

691 words, about 3 min 4

Denial Rate Doubles After an EHR Go-Live and a Prior-Authorization Expansion

Valley Regional Medical Center is a 220-bed hospital with 412 million of gross patient service revenue and 198 million net. Nine months ago it converted its EHR and simultaneously implemented a Medicare Advantage contract that expanded prior-authorization requirements.

986 words, about 5 min 5

A Lucrative Cardiology Recruit and a Controller With Wire Authority

Cedar Valley Health is a 280-bed, two-hospital system with 640 million of net revenue and an active audit committee. Two matters arrive in the same month.

1,058 words, about 5 min