CHFD case studies

CHFD · Put your knowledge to work in context.

The Certified in Healthcare Financial Discipline (CHFD) is a professional credential for finance staff, analysts, controllers, and managers who work inside healthcare provider organizations and need to demonstrate command of the financial mechanics specific to that sector. It is aimed at people who already understand general accounting or finance and now want to prove they can apply it where payer contracts, clinical costing, and regulatory reporting change the rules. The CHFD case studies are 5 cases and about 5,237 words.

Charity Care, Implicit Price Concessions, and a Conditional Foundation Grant at a Nonprofit Hospital

Ridgeway Regional Health (RRH) is a 300-bed nonprofit hospital with a June 30 fiscal year. Its draft statements show gross patient service revenue of 412.0 million, contractual allowances of 198.0 million, and a separate line titled Provision for Bad Debts - Charity Care of 14.2 million inside operating expenses.

1,093 words, about 5 min 2

Is the Employed Primary Care Clinic Really Losing $950,000? Relevant Costing and Allocation at an Independent Hospital

Northfield Community Hospital is a 240-bed independent nonprofit that owns a four-physician employed primary care clinic, Westside Family Practice, 1.5 miles from campus. FY2024 results: 12,000 visits, net revenue of 175 per visit ( 2.10 million); direct costs of 1.70 million (provider compensation 760,000, clinical staff 620,000, supplies and other variable costs 180,000, direct occupancy 140,000).

985 words, about 5 min 3

Reading a Favorable Joint-Replacement Variance and Reforecasting After the Site-of-Service Shift

Valley Orthopedic Institute is the total joint replacement (TJR) service line of a 500-bed system. Q1 FY2025 was budgeted at 400 cases, 14,500 average net revenue per case, 8,200 variable cost per case, and 1,900,000 of fixed cost.

996 words, about 5 min 4

Denials, Days in AR, and a Coding Pattern That Looks Like a False Claims Act Problem

Cornerstone Medical Center is a 310-bed hospital with 520 million of net patient revenue. It closed the fiscal year at 58.4 days in accounts receivable against a 44-day target, a denial rate of 11.8% (6.2% two years earlier), and 4.1 million of denials written off in the fourth quarter alone.

1,118 words, about 6 min 5

A $6.8 Million ASC Joint Venture with Physicians: NPV, Cannibalization, and Structure

Lakeshore Health (three hospitals, 1.4 billion net revenue, 501(c)(3), WACC 8.5%) is deciding whether to build a 6.8 million ambulatory surgery center in a fast-growing suburb. The system would own 60%; eight surgeons would hold the remaining 40% through a single LLC, contributing 2.72 million at closing.

1,045 words, about 5 min