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Texas · Nonprofit

Comanche County Medical Center Company

Comanche County Medical Center Company (Texas) receives grants from 4 organizations whose IRS filings report $742,449 to it, the largest being COMANCHE CO HEALTHCARE FOUNDATION INC ($560,025). 4 of them have funded it in more than one year.

Revenue FY2024
$59M
Funders on record
4
Grants received
$742k
Net assets
$14M
4/4 repeat funderspeak grant-dependency 1%
01What it does

What Comanche County Medical Center Company does

Mission

Comanche county medical center will be the recognized provider of excellent and compassionate health care for the customers we serve, while striving to promote community wellness and health.

As stated on its FY2024 Form 990.

Programs

  1. General and acute hospital services. Objectives are to provide excellent medical care, heal the sick, and reduce hospital readmission. Our main service lines: inpatient hospital care, observation stays, swing bed, and hospice. During the year 2024, we served 347 inpatients, 1,409 observations, 62 swing bed patients, and 14 hospice patients.

    $28,088,060 spentof which $580,750 as grants$37,520,472 earned by the program
    61% of program spending
  2. Nonprofit pharmacies and pharmacy services. Accomplishments include a total of 133,526 prescriptions for all four rural retail pharmacies. Our objectives are to increase access to pharmacy services in the rural area. We provided free delivery of prescriptions and helped patients find financial assistance for high-priced medications. We offered many immunizations in the pharmacies without an appointment.

    $9,179,036 spent$12,229,869 earned by the program
    20% of program spending
  3. Rural health clinics. Accomplishments include a total of 56,312 visits for all four clinics. Clinic objectives are to deliver excellent primary care and improve access to care in our rural service area. We extended services through created and implemented a mobile health clinic to serve our most rural residents; offered chronic care management services; delivered telehealth services to the patients.

    $9,094,150 spent$8,614,127 earned by the program
    20% of program spending

The 3 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $46,361,246.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($24M) Expenses 100 ($24M) Net assets 100 ($5.5M)2018 Revenue 110 ($26M) Expenses 106 ($25M) Net assets 121 ($6.7M)2019 Revenue 126 ($30M) Expenses 124 ($30M) Net assets 133 ($7.3M)2020 Revenue 162 ($39M) Expenses 151 ($36M) Net assets 188 ($10M)2021 Revenue 179 ($43M) Expenses 179 ($43M) Net assets 195 ($11M)2022 Revenue 195 ($47M) Expenses 191 ($45M) Net assets 220 ($12M)2023 Revenue 223 ($53M) Expenses 212 ($50M) Net assets 275 ($15M)2024 Revenue 245 ($59M) Expenses 251 ($60M) Net assets 259 ($14M)
'17'18'19'20'21'22'23'24
Revenue (245)Expenses (251)Net assets (259)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $12M to $21M (+82%).

$8.5M
$9.5M
$12M
$21M
$18M
$16M
$20M
$21M
'17'18'19'20'21'22'23'24
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 0% · 2018 1% · 2019 1% · 2020 11% · 2021 7% · 2022 7% · 2023 0%. Grants only. Government contracts and fees sit inside program revenue.

0% of Comanche County Medical Center Company’s revenue is contributions — about as donation-reliant as the typical peer (7% for the typical peer).

This organization
Typical peer · 4,743 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 1 of the last 8 reported years ran a deficit.

$189k
’17
$1.2M
’18
$656k
’19
$3.1M
’20
$350k
’21
$1.4M
’22
$3.0M
’23
−$892k
’24
0.6
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Larry Troxell

CEO

As listed on its FY2024 Form 990.

The chief executive listed changed between the FY2017 and FY2018 filings.

2017201820192020202120222024
Listed14161514121414
Joined·+5+5+1+4+3·
No longer listed·36261·
03Who funds it

Who funds it, year by year

2020 → 2023: the base broadened from 2 funders to 3 funders, grant income rose $20k → $146k.

2 of 4 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 5% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of Comanche County Medical Center Company’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

Comanche County Medical Center Company leans on a few funders — its largest provides 75% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund Comanche County Medical Center Company.

75%
largest funder
100%
top three
~2
effective funders

Largest funder’s share by year: 2020 100% · 2021 100% · 2022 100% · 2023 77% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

100% of Comanche County Medical Center Company's grant income comes from Texas funders.

TX

In-state vs out-of-state, by year

’22
’23
Texas out of state home

Funder states come from each funder’s own filing. $37k arriving through sponsors registered in 2 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

Comanche County Medical Center Company has grown faster than three-quarters of the 4,580 health nonprofits its size.

Operating margin−2% · below the median
Months of reserve0.6mo · below the median
Revenue growth (annualized)14% · top quartile

this organization peer median middle 50% of peers· 4,580 health nonprofits $10M–$100M, FY2024

Organizations like Comanche County Medical Center Company

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Texas

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

78% of spending goes to programs.

Program 78%Management 22%Fundraising 0%

Governance

6
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 2 related entities

  • Comanche County Healthcare Foundation · exempt
  • Texas Outpatient & Infusion Center · exempt

Screen this organization

A dated, signed PDF of the compliance screen for Comanche County Medical Center Company: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds Comanche County Medical Center Company?
Comanche County Medical Center Company (Texas) receives grants from 4 organizations whose IRS filings report $742,449 to it, the largest being COMANCHE CO HEALTHCARE FOUNDATION INC ($560,025). 4 of them have funded it in more than one year.
How many funders does Comanche County Medical Center Company have?
IRS filings report 4 organizations giving $742,449 in grants to Comanche County Medical Center Company, 4 of which have funded it in more than one year.
Who is the largest funder of Comanche County Medical Center Company?
COMANCHE CO HEALTHCARE FOUNDATION INC is the largest funder on record, with $560,025 in grants. The full list of funders is on this page.
How can an organization like Comanche County Medical Center Company find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Texas. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 4 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing