Chelsea Murray, CHFP
Chelsea Murray, CHFP, is a Partner at The Bonadio Group and a strategic advisor to healthcare organizations navigating complex Medicaid and Medicare reimbursement environments. She serves a broad range of providers (both for-profit and non-profit) - including skilled nursing facilities, adult care facilities, independent living providers, ambulatory health centers and home care agencies.
Her work includes Medicaid and Medicare cost reporting, NYS operating and capital rate analysis, financial feasibility studies, CON applications, OMIG audit defense, regulatory interpretation, and expert witness support. Chelsea also leads the strategic direction of Bonadio’s Senior Services Advisory & Consulting practice, driving service innovation, thought leadership, and industry education.
At the state level, she collaborates with legislators, DOH officials, and provider coalitions to advance Medicaid reimbursement reforms and long‑term care funding priorities. Chelsea is widely recognized for her ability to interpret complex regulations, anticipate financial impacts, and communicate insights in practical and accessible ways. Chelsea is recognized for her dedication to translating financial data into actionable strategies that enhance operational efficiency and support confident decision-making across the healthcare industry.
Prior to joining Bonadio, she spent eight years at EFPR Group LLP in financial statement audit and healthcare consulting roles, gaining deep experience in accounting and regulatory compliance.
A graduate of Alfred University with a Bachelor of Science in Accounting, Chelsea is a Certified Healthcare Financial Professional (CHFP) through the Healthcare Financial Management Association. Beyond her professional work, she serves on the Board (Vice Chair) and Finance Committee of Big Brothers Big Sisters of Greater Rochester.
• Certified Healthcare Financial Professional (CHFP)
• Alfred University - B.S.
• Rochester Business Journal Forty Under 40
• HBA Fellowship Program - Graduate
• Bonadio Future Leaders Academy - Graduate
• Healthcare Financial Management Association (HFMA)
• Big Brothers Big Sisters of Greater Rochester - Board Vice Chair / Executive Committee / Finance Committee
• Big Brothers Big Sisters of Greater Rochester - Big Sister
What do you attribute your success to?
I attribute my success to a deep commitment to service, particularly to vulnerable and under‑resourced populations like seniors and children. My career has centered on helping senior‑service providers navigate complex financial and regulatory systems so they can focus on delivering care. Over time, that work expanded into statewide advocacy, expert support on policy issues, and helping shape reimbursement models that directly impact the future of long‑term care.
The continuity of working with many clients through firm mergers & acquisitions has been a privilege, allowing me to build enduring relationships grounded in trust and shared mission. Being recognized as a Forty Under 40 honoree affirmed the impact of this work, but the true reward is seeing providers, and the people they serve, benefit from clarity, stability, and support.
Public accounting has been the through‑line of my career, offering the structure, access, and influence needed to make meaningful change for the communities I care about.
What’s the best career advice you’ve ever received?
The best career advice I received came from my accounting professor, Sharon Davidson, who pushed me to broaden my perspective and believe in possibilities beyond what I could see. She modeled what it meant to lead confidently, thoughtfully, and authentically—traits I continue to carry into my leadership, advocacy, and mentorship roles.
What advice would you give to young women entering your industry?
My advice to young women entering the public accounting interest is stay open to the unexpected directions this profession can take you. Public accounting is so much more than audits and tax returns - it can become a platform for advocacy, policy influence, community service, and meaningful client partnership. Be curious, articulate your interests, and seek mentors who will champion you. Your career will evolve as you do, and that’s a strength, not a detour.
What are the biggest challenges or opportunities in your field right now?
One of the biggest challenges in healthcare - especially in the senior‑services sector - is the widening gap between the cost of care and the reimbursement systems providers rely on. Medicaid funding continues to lag behind actual operating expenses, and providers are being asked to meet increasingly complex regulatory, financial, and workforce requirements with limited resources. At the same time, audits and compliance pressures are intensifying, particularly in New York State, where regulatory scrutiny and policy shifts can create significant uncertainty for organizations already operating on thin margins.
But within those challenges are meaningful opportunities. Providers are becoming more open to strategic planning, financial modeling, and proactive reimbursement analysis as a way to stabilize their operations. There is also a growing recognition - among legislators, regulators, and industry groups - of the need for long‑term care funding reform. This creates space for advocacy, collaboration, and data‑driven policy work that can meaningfully influence future reimbursement models.
Another major opportunity comes from the increased demand for clarity. Organizations want partners who can translate complex financial and regulatory information into practical strategies. Being able to guide providers through audits, capital and operating rate changes, CON processes, and long‑term financial planning puts our field in a position to help shape sustainable solutions, not just for individual clients, but for the sector as a whole.
Overall, the moment we’re in is challenging, but it’s also one where thoughtful, informed guidance can have a real impact on the stability and future of senior‑services providers.
What values are most important to you in your work and personal life?
Compassion, service, and mentorship are the values that anchor both my personal and professional life. I care deeply about supporting vulnerable populations, especially seniors, and ensuring they receive the care they deserve. Likewise, mentorship has become central to my path, whether through Big Brothers Big Sisters or developing future leaders within my team. These values guide how I show up for clients, colleagues, and my community.