CHFM Practice Test 2026 — Free CHFM Exam Prep Questions
The CHFM exam is for experienced hospital facility directors, engineers and plant managers who run healthcare buildings. Our practice questions follow the AHA Certification Center content outline, with scenario items on NFPA 101 and NFPA 99 compliance, emergency power, infection control during construction, maintenance programs, budgets and department administration.
The plant must keep one boiler operator on duty 24 hours a day, 7 days a week. Each full-time operator is paid for 2,080 hours a year, including 200 hours of paid time off. How many FTEs are needed to cover the post?
CHFM format, scoring & key facts
Computer-based, administered by PSI at a PSI test center or by live remote proctoring; laptop or paper-and-pencil at some conference administrations. One question appears per screen, and you can bookmark questions and return to them within the 2-hour limit. A silent, nonprogrammable calculator is permitted; reference materials are not.
| Questions | 110 multiple choice (100 scored, 10 unscored pretest), four options each |
|---|---|
| Time | 2 hours |
| Content outline | Five areas: Compliance, Healthcare Project Management, Maintenance and Operations, Finance Management and Administration |
| Delivery | PSI test centers or live remote proctoring |
| Calculator | Silent, nonprogrammable calculator permitted; no reference materials |
| Scoring | Pass/fail on raw score; passing score set by the Angoff method |
| Eligibility | Bachelor's + 3 years, associate + 5 years, or high school diploma + 7 years of associated engineering experience, with at least 3 years in a healthcare setting and 3–5 years of healthcare management experience |
| Fee | $275 ASHE/AHA members, $425 nonmembers |
| Renewal | Every 3 years with 45 contact hours, or by retesting |
Facts last verified Nov 3, 2026. Source: www.aha.org/career-resources/certification-center/chfm. Always confirm details with AHA-CC before your exam.
When can you take the CHFM?
Apply and pay through the AHA Certification Portal, then schedule with PSI. You must test within 90 days of your Authorization to Test. Test centers run by appointment Monday through Saturday except listed holidays.
Plan backwards from your exam date
What the CHFM covers
Every PrepBanq CHFM test mirrors the official domain weights.
Domain distribution
% of the exam| Content domain | Weight | ≈ Questions on exam | Our practice questions |
|---|---|---|---|
ComplianceCodes, standards and agencies (NFPA 99 and 101, ADA, EPA, OSHA, CMS, FGI, ASHRAE, the AHJ), code-required testing and documentation, permits and licenses, fire safety, emergency management, SPCC, abatement and water management (33 items). | 33% | ~33 | 50 questions → |
Healthcare Project ManagementPre-construction risk assessments with ICRA and ILSM, delivery methods, contracts, drawings and submittals, bids, schedules, closeout, master planning and new versus existing construction under NFPA 101 (18 items). | 18% | ~18 | 27 questions → |
Maintenance and OperationsUtility and maintenance management programs, building systems (HVAC, steam, medical gas, electrical, emergency power, fire protection, water, elevators, pneumatic tube), energy benchmarking and utility shutdowns (27 items). | 27% | ~27 | 40 questions → |
Finance ManagementOperations, construction, capital and utility budgets, bid evaluation, and documenting energy savings and payback (10 items). | 10% | ~10 | 15 questions → |
AdministrationPolicies, capital improvement planning, labor distribution, expenditures, staff training and human resources, project prioritization, safety program oversight and insurance (12 items). | 12% | ~12 | 18 questions → |
How to register for the CHFM
Retake policy
There is no limit on the number of attempts. Each retake needs a new application and the full exam fee.
Score release
At a computer administration the score report is given on-screen and by email. AHA says passing results are typically issued two to four weeks after the testing date.
Credential renewal
Certification is valid for 3 years. Renew with 45 contact hours of eligible continuing education plus the renewal fee ($135 members, $225 nonmembers), or by passing the exam again.
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CHFM FAQ
How many questions are on the CHFM?
The CHFM has 110 questions (100 of them scored) and you have 2 hours to finish. Question types: Multiple choice with four options (A–D) and one best answer. 100 questions are scored and 10 are unscored pretest questions mixed throughout the exam. Questions are job-related and test recall, application and analysis; some require calculations..
How long is the CHFM exam?
Testing time for the CHFM is 2 hours.
What is the passing score for the CHFM?
CHFM passing standard: Pass/fail based on your raw score (the number of the 100 scored questions answered correctly). The passing score was set with the Angoff method, and exam forms are equated. Score range: Pass/fail; the score report also shows raw scores for each content area.
How much does the CHFM cost?
The CHFM registration fee is $275 for members of ASHE or another AHA personal membership group; $425 for nonmembers. Each retake requires a new application and the full fee.. Check the official site for current fees before you register.
What is on the CHFM?
The CHFM covers Compliance (about 33%), Healthcare Project Management (about 18%), Maintenance and Operations (about 27%), Finance Management (about 10%), Administration (about 12%).
Who administers the CHFM?
The Certified Healthcare Facility Manager (CHFM) Exam is administered by AHA-CC. Delivery: Computer-based, administered by PSI at a PSI test center or by live remote proctoring; laptop or paper-and-pencil at some conference administrations. One question appears per screen, and you can bookmark questions and return to them within the 2-hour limit. A silent, nonprogrammable calculator is permitted; reference materials are not..
Can you retake the CHFM?
There is no limit on the number of attempts. Each retake needs a new application and the full exam fee.
Is there a free CHFM practice test?
Yes. PrepBanq has 15 free CHFM practice tests with 150 exam-style questions in the real CHFM formats, and every answer is explained. No credit card is needed.
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