At The Sanctuary in Kiawah Island, S.C., in September 2012, HealthLeaders Media’s second annual CFO Exchange gathered 30 financial leaders from hospitals and health systems across the nation—ranging from several very large systems to a small community hospital, and including not-for-profit, faith-based, and for-profit organizations and academic medical centers—for intensive discussions of their foremost concerns. In small roundtable sessions moderated by HealthLeaders editors, the financial officers shared experiences and perspectives with one another, offering solutions in many cases and on other topics expressing uncertainty and frustration. Here are highlights of the discussions.