Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Texas · Ranked 815 of 1033 by CEO pay.

Comanche County Medical Center Company

Larry Troxell, CEO. Fiscal year ending 2024-12.

$346,112
CEO total compensation
Form 990 Part VII, columns D+E+F
1.55%
of expenses spent on charity care
Schedule H Part I line 7a
37.4%
CEO pay as a share of all charity care
Larry Troxell’s pay of $346,112 equals 37.4 percent of the $924,475 the system spent on charity care in the same year.

§1The filing

Total revenue
$58,850,703
Total expenses
$59,742,207
Net assets
$14,247,518
Employees
420
Hospitals covered
1 facilities across 1 filing
Charity care, net
$924,475
Bad debt
$1,727,384
Medicare surplus (shortfall), as filed
($3,272,975)
CEO pay from the organization (Part VII col. D)
$272,725
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$73,387
CEO total compensation (D+E+F)
$346,112 to Larry Troxell

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Comanche County Medical Center Company, EIN 27-3993262, fiscal year ending 2024-12, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$2.1M Of which charity care to patients who could not pay (line 7a)$924,475 (45%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($1.7M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Comanche County Medical Center Company: CEO pay $346,112, charity care 1.55% of expenses