TEXAS ORGAN SHARING ALLIANCE

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1975

Legal Domicile

Principal Officer

MARILOU DONLEY

Phone

2106147030

Tax Period

2024-01-01 to 2024-12-31

TEXAS ORGAN SHARING ALLIANCE, founded in 1975, is a mid-sized nonprofit that reported $40.8M in total revenue in fiscal year 2024. Revenue grew 14% year-over-year, indicating healthy expansion. Expenses of $38.0M left a modest 7% surplus.

Mission

PROMOTE AND IMPLEMENT ORGAN DONATION.

Program Service Accomplishments

Program 1

Expenses: $31,422,967 Revenue: $40,259,997

ORGAN TRANSPLANTATION: THIS INCLUDES THE DELIVERY OF INFORMATION, EDUCATION, RECOVERY, PRESERVATION, AND MOVEMENT OF ORGANS TO OTHER PROCUREMENT AGENCIES AND TRANSPLANT CENTERS. DURING 2024: A TOTAL OF 796 TRANSPLANTED ORGANS WERE RECOVERED FROM 255 DONORS WITHIN OUR FEDERALLY DESIGNATED SERVICE AREA, WHICH BENEFITED PATIENTS ON A NATIONAL ORGAN WAITING LIST IN 2024. THE ORGANIZATION WAS ABLE TO SAVE 725 HUMAN LIVES THROUGH THE POWER OF ORGAN DONATION PROGRAM. OTHER TISSUES WERE RECOVERED FOR TRANSPLANT AND RESEARCH.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2024)

Revenue Breakdown

Contributions & Grants $0

Program Service Revenue $40,259,997

Investment Income $523,520

Other Revenue $0

TOTAL REVENUE $40,783,517

Expense Breakdown

Grants Paid $0

Salaries & Benefits $18,455,092

Fundraising Expenses $0

Program Expenses $31,422,967

Other Expenses $19,572,497

TOTAL EXPENSES $38,027,589

Year-over-Year Comparison

	2024	2023	Change
Revenue	$40,783,517	$35,873,310	+0.1%
Expenses	$38,027,589	$32,551,896	+0.2%
Net Income	$2,755,928	$3,321,414	-0.2%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✗ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✗ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

220

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

✗ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✗ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$1,258,597

Total Directors

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
DOLLY L ELIZONDO	MEMBER	2.00	Director	$0	$0	$0
GLENN HALFF MD	MEMBER AT LARGE	2.00	Director	$0	$0	$0
BRUCE MITCHELL	CHAIR OF THE FINANCE COMMITTEE	2.00	Director	$0	$0	$0
JERRY MORRISEY PHD	FINANCE COMMITTEE	2.00	Director	$0	$0	$0
VINCE SPEEG MD	FINANCE COMMITTEE	2.00	Director	$0	$0	$0
MICHAEL HORTON PHARMD	VICE CHAIR	2.00	Officer Director	$0	$0	$0
LAWRENCE EISENBERG	BOARD CHAIR	2.00	Officer Director	$0	$0	$0
JOSEPH NESPRAL	PRESIDENT & CHIEF EXECUTIVE OFFICER	40.00	Officer	$380,279	$20,842	$401,121
MARILOU A DONLEY	SVP & CHIEF OPERATING OFFICER	40.00	Officer	$265,663	$25,176	$290,839
JESSICA TOOTLE-RUDD	VP & CHIEF PERFORMANCE OFFICER	40.00	Officer	$188,381	$20,542	$208,923
SARAH DWORACZYK	CHIEF CLINICAL OFFICER	40.00	Officer	$192,356	$13,108	$205,464
DR LUKE SHEN	TOSA MEDICAL DIRECTOR	40.00	Officer	$152,250	$0	$152,250
DR ROBERT WATSON	ORGAN RECOVERY SURGEON	40.00	Highest	$200,474	$21,806	$222,280
STACI LINDERMAN	ASSOCIATE CLINICAL DIRECTOR	40.00	Highest	$151,263	$17,740	$169,003
STEVEN MARSHALL	ORGAN UTILIZATION MANAGER	40.00	Highest	$130,691	$10,992	$141,683
MARLANA BERRY	COORDINATOR	40.00	Highest	$131,959	$9,197	$141,156
NIKOLE BROWN	COORDINATOR	40.00	Highest	$131,126	$9,197	$140,323

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$40,783,517	$38,027,589	$50,822,400	$2,755,928
2023	$35,873,310	$32,551,896	$45,686,335	$3,321,414
2022	$52,396,621	$47,878,148	$44,141,545	$4,518,473
2021	$48,463,915	$40,164,418	$40,062,123	$8,299,497
2020	$32,005,034	$29,923,943	$32,003,721	$2,081,091
2019	$32,051,277	$30,014,183	$26,000,091	$2,037,094
2018	$25,451,710	$23,234,545	$21,021,764	$2,217,165