Sanford Health says Thomas Denny Sanford has died at the age of 90. The news was announced Saturday morning in an email to employees from Sanford Health CEO Bill Gassen, according to a report from KELOLAND in Sioux Falls.

Sanford was widely known as South Dakota’s best-known billionaire. His death marks the loss of a major public figure in the state, where his name has long been closely linked to Sanford Health.

The initial report said Sanford died on Saturday, though only limited details were immediately available. Even so, the announcement quickly became a significant development in South Dakota because of Sanford’s prominence in business and philanthropy.

With the news coming directly from Sanford Health leadership to staff, attention turned to the legacy of Thomas Denny Sanford and the impact his life had on the organization and the region.