As a hospital CFO or chief financial officer, your responsibilities are to oversee and manage the costs and budget of a hospital or larger hospital systems. Your duties include reviewing financial reports, assessing funding streams, determining how and in which departments you can improve efficiency while maintaining low costs. Hospital CFOs also negotiate with vendors, workers, and insurance companies over billing and compensation. You also spend time collaborating with the CEO and working closely with the board of directors and shareholders to outline and report on the financial condition of the hospital.