T. Denny Sanford Has Passed Away at 90, Cause Of Death, South Dakota’s Richest Man
On Saturday morning, Sanford Health announced the passing of T. Denny Sanford, a renowned businessman and philanthropist, who died at the age of 90. His death marks the end of an era characterized by extraordinary contributions to healthcare, education, and community development. Sanford, a billionaire banker and the founder of First PREMIER Bank, left behind a legacy that profoundly impacted South Dakota and beyond.

T. Denny Sanford’s most notable achievement was his role as the primary benefactor of Sanford Health. His generous donations, totaling nearly $2 billion, revolutionized healthcare services, especially in rural areas. Among his most significant contributions was a $400 million gift in 2007 aimed at rebranding and expanding Sanford Health, making it one of the leading healthcare systems in the region. Additionally, his $350 million donation in 2022 helped launch innovative rural virtual care initiatives, ensuring underserved communities gained access to quality medical services.
Beyond healthcare, Sanford’s influence extended into the realm of business. He served as chairman and CEO of United National Corporation, which operated First PREMIER Bank and PREMIER Bankcard. These institutions were pioneers in the subprime credit card industry, and under his leadership, they grew into major financial players. His business acumen and strategic vision helped fuel economic growth and provided financial services to thousands.
Sanford’s impact also resonated through his community-oriented philanthropy. He supported the development of the Sanford Underground Research Facility in South Dakota, a world-class center for scientific research that has attracted scientists and researchers globally. His donations also bolstered STEM education at Dakota State University and contributed to the redevelopment of downtown Sioux Falls, fostering economic vitality and community pride.
His philanthropic efforts earned him the title of South Dakota’s most prolific benefactor. His generosity touched countless lives, shaping the future of healthcare, education, and local infrastructure. However, his final years were not without controversy. In 2023, Sanford’s name was linked to a child pornography investigation, which he denied involvement in. Additionally, his health declined in recent years, leading to a quieter public profile.
T. Denny Sanford’s legacy is one of remarkable philanthropy and business leadership. His contributions have left an indelible mark on South Dakota and the broader community, fostering advancements in healthcare, science, and education. As the state mourns his loss, his life’s work continues to inspire future generations to give back and strive for positive change.