Iowa Donor Network

What it reported doing in 2025

Hospital development, public education, and donor family services: idn is committed to meeting all hospitals' educational and compliance needs regarding donation. This includes: training in the identification, referral and management of organ donors, sensitivity and timing for approaching potential donor families with the option of donation and reporting on organ and tissue donor potential and outcomes to hospital administration for use, as necessary, with their own compliance and accreditation reporting.every hospital, medical examiner's office, dmv office, and ems program in Iowa has an assigned idn representative whose job it is to make sure that personnel know how and when to contact idn for donation assistance. Idn staff work with hospitals and assigned agencies to develop protocols or policies and procedures related to referral for organ and tissue donation. Other duties include: meeting with hospital/ agency leadership and personnel to engage support for organ and tissue donation, follow-up after each organ referral and follow-up with staff after each organ or tissue recovery. Idn has a department with trained staff dedicated to providing donor family care services at the time of crisis and for a period of up to 24 months following donation if so desired by the donor next-of-kin. Iowa donor network provided grief support to 1,604 Iowa families throughout 2025 who have lost a loved one and made the generous decision to donate.idn's public education focus is to increase donation awareness and acceptance. With data from the Iowa donor registry, this effort is focused on regions of the state (counties) with lower-than-average donor registrations. Idn conducted numerous public education presentations. Activities and promotions are organized and conducted by idn's outreach staff, with the help of volunteers and contracted advertising and pr agencies. Public education includes: presentations to civic groups, work-places, driver's education and special events. As of december 31, 2025 Iowa had 1.6 million residents signed up to the Iowa donor registry. The registry captures the authorization of anyone in the state making the decision to be a donor. Idn provides resources to volunteer organizations and support groups throughout Iowa: these groups are composed of people waiting for transplant, donor family members, recipients and other concerned individuals. Idn is associated with several professional organizations at the national level, including the north american transplant coordinators organization, the association of organ procurement organizations, the american society for multicultural health and transplant professionals, the american board of transplant coordination, the american association of tissue banks and the united network for organ sharing. In cooperation with the guidelines set forth by these professional associations and governing bodies, along with the transplant centers across the country, donated organs are allocated equitably to transplant patients according to national distribution policies.

Financial Efficiency

• Mission deployment rate: 85.5%; rating input score 86
• Program expense ratio: 83.1%; rating input score 83
• Fundraising efficiency: $0.41 raised per $1 spent on fundraising; rating input score 1; 1st percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 64th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Missing
  • Independent consultant: Pass
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -1.9%; rating input score 15; 15th percentile among comparable filings
• Total-asset coverage ratio: 0.69; rating input score 18; 18th percentile among comparable filings
• Liabilities to assets ratio: 0.19; rating input score 53; 53rd percentile among comparable filings
• Officer compensation ratio: 5.8%; rating input score 51; 51st percentile among comparable filings

Growth

• Program expense growth: 6.8% per year; rating input score 100; 51st percentile among comparable filings
• Revenue growth: 6.6% per year; rating input score 100; 54th percentile among comparable filings
• Asset growth: 6.4% per year; rating input score 100; 46th percentile among comparable filings