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Billionaire Index

A daily ranking of the world's richest people

Last updated: November 11, 2026 · $11.70T tracked

Methodology

No. 53United States

Thomas Frist Jr & family

Hospitals · Nashville, Tennessee

Net worth

$40.3B

Today

−$273M−0.67%

Past month

+$2.9B+7.84%

As of Nov 11, 2026, 1:50 PM EST

Thomas Frist Jr., a former Air Force flight surgeon, founded Hospital Corp. of America with his father in 1968. He took it public for the third time in 2011 after two management buyouts and owns around 32% of the company with his family. HCA Healthcare owns and operates 190 hospitals and around 2,400 sites of care in 20 U.S. states and the U.K. Frist Jr. doesn't have an executive position at HCA, but his sons, Thomas Frist III and William Frist, are board members.

Net worth over time

+7.84%+$2.9B over the past month
$41B$39B$37B
Oct 12Nov 11

Principal holdings

2 positions
CompanyShareValue

HCA Holdings Inc.

NYSE: HCA

87.5%$35.3B

Private and other holdings

12.5%$5.0B

Also known for

  • Frist Jr.'s brother, Bill Frist, was the U.S. Senate majority leader from 2003 to 2007, while George W. Bush was president.
  • Through the Frist Foundation, Frist Jr. and his family played an integral role in creating Nashville's Frist Art Museum, where he serves as Director Emeritus.
“You always win when you surround yourself with good people.”