Mr. Schaff directs finance while overseeing IT, health information management and the business office in a dual CFO and COO role. Under his leadership, claim denials dropped from more than 20% to under 5%, and billing speed and accuracy improved, strengthening cash flow and cash on hand. He implemented stronger internal controls that eliminated deficiencies and conducted contract reviews to maximize compensation. Mr. Schaff was also a key executive sponsor for a successful systemwide EHR implementation that standardized workflows and improved data integrity. His emphasis on measurable outcomes and accountability has improved operational discipline across departments. He also serves on the North Dakota Hospital Association Health Trust board of advisors.
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Becker's Recognition
Derek Schaffhas been named a Becker's honoree on the lists below.
2024 Winner

Executives
Rural Hospital CFOs to Know
Historically, rural areas have suffered a lack of access to quality healthcare. Members of rural communities may have to travel long distances, pay exorbitant costs, or face other barriers. Rural hospitals work hard to ease the burden on underserved communities, and CFOs are a crucial part of the equation.
CFORural & Critical Access
2025 Winner

