Billionaire Profile
T
Global Rank
#46

Image: Wheeler, Richard Anson, b. 1817 | Public domain | via Wikimedia Commons

Thomas Frist Jr & family

CEO, Hospitals
UNITED STATES
Real-Time Net Worth
$41.123B
Estimated based on Hospitals stock value as of March 6, 2026
-0.79% (24h)
Age
87
Source
Hospitals
Industry
Healthcare
Citizenship
UNITED STATES

Biography

Thomas Frist Jr. is an American billionaire physician and businessman, best known as the co-founder of HCA Healthcare, the largest for-profit hospital chain in the United States. Born in Nashville, Tennessee, in 1938, Frist earned his medical degree from Washington University in St. Louis and served as a flight surgeon in the U.S. Air Force before co-founding HCA with his father in 1968. He is the wealthiest person in Tennessee, with a net worth derived primarily from the healthcare industry. Frist's career includes key leadership roles at HCA, steering the company through significant growth. He is also recognized for his extensive philanthropy through the Frist Foundation, supporting numerous causes including education and the arts.

Fact Checked
Verified by Editorial Team
Live Data
Updated 3/6/2026

Wealth Over Time

In-Depth Profile

Early Life

Thomas Fearn Frist Jr. was born on August 12, 1938, in Nashville, Tennessee. He is the son of Dr. Thomas F. Frist Sr., a prominent internal medicine specialist, and Dorothy Cate Frist. Frist grew up in Belle Meade, a suburb of Nashville. He graduated from Vanderbilt University and received an M.D. from Washington University School of Medicine. He served as a flight surgeon in the United States Air Force.

Rise to Success

In 1968, Thomas Frist Jr. co-founded the Hospital Corporation of America (HCA) with his father, Thomas F. Frist Sr., and Jack C. Massey. He held leadership roles at HCA, including President, CEO, and Chairman. Under his leadership, HCA expanded to become the largest for-profit hospital chain in the United States. Frist took the company public for the third time in 2011 after two management buyouts.

Key Business Strategies

Frist's key business strategy involved centralizing hospital management to improve efficiency and patient care. He emphasized standardized care and administrative efficiency, which set a precedent in the healthcare industry. HCA's growth was driven by acquiring and managing hospitals across the nation. In 2006, HCA was taken private in a leveraged buyout.

Philanthropy

Thomas Frist Jr. is actively involved in philanthropy through the Frist Foundation. He has served on the board of directors for various organizations, including the United Way, and was instrumental in creating the Frist Center for the Visual Arts in Nashville. He also established the Alexis de Tocqueville Society for donors of the United Way.

Career Milestones

1968

Co-founded Hospital Corporation of America (HCA)

Founded HCA with his father and Jack C. Massey, revolutionizing the healthcare industry.

1977

Became President of HCA

Took on the role of president, contributing to HCA's growth.

1987

Became Chairman, President, and CEO of HCA

Assumed leadership roles, steering the company's expansion.

2011

HCA went public for the third time

Took HCA public again after two management buyouts.

Philanthropy & Social Impact

Education and Arts

Frist Foundation

Undisclosed

Supports various charitable causes, especially in education and the arts.

Arts

Frist Center for the Visual Arts

Undisclosed

Provided lead gift for establishment; serves as Chairman Emeritus.

Community Service

United Way Alexis de Tocqueville Society

Undisclosed

Co-founder; supports United Way with significant donations.

Business Philosophy & Leadership

Notable Quotes

"You always win when you surround yourself with good people."

Leadership Principles

Integrity and Honesty

Emphasizes doing everything with integrity and unwavering honesty.

Hard Work and Perseverance

Stresses the importance of working hard and going the extra mile.

Humility

Advocates accepting success with humility and giving credit to others.

Respect for Individuals

Highlights the importance of respecting the dignity of every individual.