TX: Southern · TX

Texas Organ Sharing Alliance

Texas Organ Sharing Alliance, serving TX, is failing to meet CMS performance standards and is designated at-risk by CMS and is under congressional investigation. It ranks #50 out of 57 OPOs nationally.


National Rank
#50/57
Donors Recovered
188
CMS Tier
3

Recovery Performance

In 2023, Texas Organ Sharing Alliance recovered 188 donors, while an estimated 291 preventable deaths occurred in its service area due to unrecovered organs.

Donation Rate
Pending SRTR
Conversion Rate
Pending SRTR
Transplantation Rate
Pending SRTR
Shadow Deaths
291

Equity & Demographics

Recovery rates and eligible death counts vary by demographic group, raising questions about equitable service across communities.

DemographicEligible DeathsRecovery RateRank
Non-Hispanic White79510.3%#40/57
Non-Hispanic Black13214.4%#7/57
Hispanic9998.6%#42/57
Asian263.9%#24/57

Leadership & Governance

Chief Executive Officer
Joseph Nespral
Reported Compensation
Board Independence Disclosed
No

Accountability

Congressional Investigation

U.S. Senate — This organization has been flagged in Senate oversight proceedings.

Financial Overview

Revenue
$35,873,310
Expenses
$32,551,896
OAC per Organ