The Frist Foundation, originally called The HCA Foundation, was established in 1982 by Hospital Corporation of America. The Foundation became fully independent of the company in 1994. In 1997, the Foundation changed its name to The Frist Foundation to recognize the philanthropic influence of its founding directors, Dr. Thomas F. Frist, Jr., who remains a director, and Dr. Thomas F. Frist, Sr., who died in 1998. Its basic mission is to invest in nonprofit organizations in Metropolitan Nashville in ways that strengthen their ability to provide services. As a private foundation, much of the Foundation's work involves grantmaking. However, the Foundation also takes an active role in initiating special programs to enhance the community in a variety of other ways.