To become a CHT, board members must complete the following:

  • One year of board service.
  • Twenty-four hours of continuing education within the last three years by approved sources.
  • Pass the CHT exam with a score of 70 or higher.
  • Submit necessary forms, with verification from the CEO, to THT.

Board Service
Those applying for the CHT designation must complete at least 12 months of board service to be verified by the CEO. Verification by the CEO will be available once you receive the CHT form after the exam.

Continuing Education Requirements
To have continuing education hours counted you must submit a record of attendance to THT staff; this may include a CE certificate of completion (preferred), event agenda, event handouts, etc. THT may require additional supporting documentation to be submitted and/or completion of THT's CE completion form. 

Education hours can be taken from a variety of sources but approval is up to the discretion of THT staff. CE hours are accepted from professional organizations and associations such as the Texas Hospital Association, American Hospital Association, the Texas Organization of Rural & Community Hospitals, American College of Healthcare Executives, Healthcare Financial Management Association and other organization. CE may also be counted toward CHT hours if educators and professionals are brought on site to educate the board at the hospital. If a CE completion form is not available from the education provider you may complete this PDF form and send it into the THT office or complete this online form. All CE submitted is subject to approval from THT staff.

CHT Exam
The exam for the CHT designation is available only online. To sign up to take the exam, register through this site, submit the CHT application fee of ($100 for THT members and $150 for non-members) at the time of taking the exam, and pass the exam (three opportunities to pass).

CHT Application and Verification
Once you have completed and passed the exam you will be able to download and print the verification form for your CEO to sign. Please submit the verification form and any CE certificates of completion simultaneously.

This program has a term of three years with an option to renew after the third year. Education must either be completed through approved sources or completed in specific categories.

Mail copies of the certificate of completion, verification form and education proof of attendance to:

THT-Board Certification
1108 Lavaca, Suite 700
Austin, TX 78701


Email materials to Angela Johnson at ajohnson@tht.org.

     CHT Exam and Study Guide
     Renew Your CHT
     CHT Frequently Asked Questions
     CHT Overview