37. thomaS fRiSt JR. & family
$11.9 billion Self-made Score: & Source: hosPitals age: 80 reSidence: nashville PhilanthroPy score: The HCA Healthcare cofounder supports the Frist Art Museum in Nashville with annual contributions of about $5 million. Over the past 5 years the Frist Foundation, set up by Frist and his father, has given more than $50 million in grants to nonprofits in the Nashville area and across the country. Although Frist hasn’t held an executive position at HCA since 2001, he continues to benefit from the company’s expanding network of 179 hospitals, up from 170 at the beginning of 2017. He owns nearly 20% of the hospital operator, and his sons Thomas III and William are board members.