CHFP case studies

CHFP · Put your knowledge to work in context.

The Certified Healthcare Financial Professional (CHFP) is the flagship certification offered by the Healthcare Financial Management Association (HFMA). It signals that a holder has knowledge and expertise across four pillars: business acumen, collaboration, financial strategy, and understanding future trends. The CHFP case studies are 5 cases and about 5,230 words.

Cost-Based Reimbursement, Infusion Capacity, and a 340B Proposal at a Critical Access Hospital

Valley Ridge is a 25-bed critical access hospital whose Medicare outpatient services are paid at 101% of reasonable cost. Its infusion center has six chairs and completed 3,200 visits last year at an average drug-and-supply cost of 1,340 and variable nursing cost of 180 per visit.

1,029 words, about 5 min 2

Distributing a Shared Savings Pool in a Clinically Integrated Network with Independent Physicians

Northshore Health Partners is a clinically integrated network of 220 primary care and specialty physicians: 96 employed by the two-hospital system and 124 independent. A commercial payer has just settled year one of a shared savings contract covering 9,000 attributed lives.

1,035 words, about 5 min 3

Capital Rationing Under a Bond Covenant: MRI, EHR, and a Surgeon-Led ASC Joint Venture

Riverton Health is a three-hospital, 480-bed system with 640M net revenue, 38.0M EBITDA, 96 days cash on hand, and annual debt service of 14.6M - 2.60x coverage against a 2.20x bond covenant. The board has approved 45M of FY2026 capital spending, but 24M is already committed to routine replacement and IT maintenance, leaving 21M of discretionary funds.

1,009 words, about 5 min 4

Full-Risk Capitation, Medicare Advantage Rate Compression, and Mandatory Episode Payments

Cedar Valley Health is a 210-bed community hospital with 310M net revenue and 6.2M of operating income. Medicare Advantage now covers 52% of its Medicare patients, up from 38% three years ago.

1,043 words, about 5 min 5

Diagnosing a $2.9M Cardiology Subsidy: Compensation, Productivity, or Referral Leakage

Lakeview Cardiology has 14 physicians and has been employed by the three-hospital system for three years. Last year the group produced 118,000 wRVUs, collected 7.0M in professional revenue, and incurred 9.9M in operating expense, including 9.2M in physician compensation - 78 per wRVU against a market median near 62.

1,114 words, about 6 min