First National Bank Brings Local Expertise and Financial Solutions to SDAHO Members
SDAHO is pleased to welcome The First National Bank in Sioux Falls as a new Associate Premium Member and introduce members to the financial expertise, resources and personalized service the organization brings to South Dakota’s healthcare community.
Started in 1885, First National Bank is the oldest bank founded in Sioux Falls. Today, the organization has more than 275 employees and 12 full-service branches serving communities throughout South Dakota, with customer relationships extending across much of the country. During its more than 140-year history, the bank has remained focused on a simple mission: “We Build Successful Relationships.”
For healthcare organizations navigating an increasingly complex financial environment, those relationships can be particularly valuable.
Protecting Healthcare Organizations from Financial Risk
Among the most pressing financial concerns facing organizations today, First National Bank sees fraud prevention as the highest priority. Services such as Positive Pay can help protect healthcare organizations from altered, counterfeit and unauthorized checks, as well as fraudulent ACH transactions.
The bank pairs those tools with direct access to Treasury Management professionals who can assist with implementation, answer questions and help organizations evaluate safeguards designed to mitigate losses, reduce risk and strengthen internal controls.
Healthcare organizations can also access ACH & Wire Manager, which allows businesses to originate, schedule and manage payments while establishing controls such as dual approvals, individual user permissions and customizable access levels.
For patient payments, First National Bank offers a HIPAA-compliant merchant processing platform designed to support both payment security and patient experience. As a Clover partner, the bank also provides local assistance with implementation, training, reporting and ongoing service.
Together, these resources can help hospitals, clinics, long-term care facilities and other providers streamline financial operations, manage cash flow and strengthen payment security.
Planning for the Future
First National Bank’s work with healthcare organizations extends beyond day-to-day banking. Its team regularly conducts reviews with healthcare clients to evaluate account structures, authorized signers, payment processes and internal risk controls. These conversations can uncover opportunities to improve efficiency, strengthen fraud prevention and ensure financial practices continue to align with an organization’s needs.
The bank also assists privately owned healthcare organizations with ownership and succession transitions, including the transfer of practices from one generation of practitioners to the next. Through financial guidance, lending expertise and long-term planning, the team can help both current and incoming owners navigate the financial and operational considerations involved in these transitions.
Financial Guidance for Healthcare Professionals
First National Bank also offers resources for the individuals who lead and work within healthcare organizations.
Through the bank’s wealth management division, First National Wealth Management, physicians, executives and employees can receive personalized guidance in areas including retirement planning, investment management, education funding, charitable giving and wealth transfer strategies. These services can be brought together into a comprehensive financial plan based on an individual’s goals, family circumstances and priorities, with the team working alongside legal or tax advisors when specialized expertise is needed.
A Relationship-Based Approach
Rather than taking a one-size-fits-all approach, its bankers work to understand an organization’s goals, challenges and business cycles before identifying potential solutions. The bank’s business banking team brings more than 215 years of combined experience across industries, including medical and dental practices and small businesses.
That relationship-focused approach is also reflected in the bank’s commitment to the communities it serves. Employees contribute thousands of volunteer hours each year, while the bank provides financial support to numerous community organizations. Its annual United Way campaign generates more than $300,000 through employee contributions and the bank’s dollar-for-dollar match. In 2026, First National Bank also partnered with the Federal Home Loan Bank of Des Moines through the Member Impact Fund to donate $700,000 to 12 local organizations.
For SDAHO members, First National Bank offers more than traditional banking services. From fraud prevention and treasury management to patient payment solutions, succession planning and personal wealth advisory services, its team provides resources designed to help healthcare organizations — and the professionals who serve them — plan confidently for what comes next.
- To learn more about First National Bank at fnbsf.com
- To learn more about SDAHO’s Associate Membership program, click here.
SDAHO is pleased to recognize First National Bank in Sioux Falls as an Associate Premium Member and looks forward to connecting our members with the expertise and resources their team has to offer.



