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What keeps chief financial officers (CFOs) and CFOs-to-be up at night? According to a new survey, Finance Trends 2026: Navigating The Expanded Scope Of Finance, five key issues top their list of concerns.

Two of these priorities are typical financial concerns—the need for better management of day-to-day cash flow and for reducing current costs. But three top-of-mind concerns in the finance department are outside of the typical CFO purview—new external market factors (like tariffs and changing policy); the effect of new technology; and the need for diversification through new services.

In this uncertain health and human service landscape, CFOs and their fellow executive team members are shifting to new leadership and management practices with a focus on three areas.