Mid-America Transplant

Nonprofit profile at a glance

EIN
237426306
IRS 990 coverage
2010–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
St Louis, MO, USA
Phone
3147358200
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Organ and Tissue Banks

Official website

Reported finances

Revenue
$108,143,652
Expenses
$102,625,870
Assets
$133,538,293
Liabilities
$22,599,158

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

25 people listed

Executive titles in this filing

  • KEVIN LEE (PRESIDENT/CEO)
  • LINDA MARTIN (VICE PRESIDENT, TISSUE AND SUPPORT SERVICES)
  • LINDSEY SPEIR (VICE PRESIDENT, ORGAN OPERATIONS)

Highest reported compensation

  • GARY MARKLIN (CHIEF MEDICAL OFFICER): $545,106 total reported compensation
  • KEVIN LEE (PRESIDENT/CEO): $535,495 total reported compensation
  • LINDA MARTIN (VICE PRESIDENT, TISSUE AND SUPPORT SERVICES): $379,588 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Our mission is to save lives through excellence in organ and tissue donation.

What it reported doing in 2024

Mid-america transplant is inspired by the generosity of donors and the courage of transplant patients and strives to make more lifesaving transplants a reality for over 100,000 individuals awaiting transplantation throughout the country. Referrals are assessed by mid-america transplant at our partner hospitals for potential organ and tissue donation. In 2024, through these referrals, 317 generous organ donors allowed mid-america transplant to coordinate 891 lifesaving organ transplants. In addition to organ donation, tissue donation is a core component of the organization's mission to save lives. Mid-america transplant coordinates the recovery of tissue, which helps people in need of corneal transplants to restore sight, as well as skin and bone donations to repair injuries. In 2024, 2,632 tissue donors provided healing for thousands of people through generous gifts of skin, bone, vein, heart valve, and cornea donations. Additionally, onsite laboratory services allow mid-america transplant to conduct infectious disease testing more efficiently and maximize the placement of safe organs and tissues. The mid-america transplant building houses a critical care unit where donor management occurs along with three fully equipped operating rooms. Aiding the clinical process is the hospital services (hs) staff, which interacts with the area hospitals to provide support and education about the clinical aspects of donation and transplantation. These personnel develop relationships with over 120 hospitals and numerous physicians and nurses. Professional education services provided by the hs staff ensure a positive presence in the healthcare community. Mid-america transplant also serves as a resource for hope and healing. Its coordinators from the family support services and donor services departments compassionately work with families at the time of their loved one's death, offering education, information and support during their decision-making process. Following the donation, the aftercare program serves as a source of information, providing tools to help families with their grief journey and offering supportive services, including providing bereavement support materials and workshops, support through remembrance ceremonies and community events, and facilitating communications between families of donors and recipients. Mid-america transplant supports and provides supplies for donor registry drives upon request. The information summarizes critical topics and identifies mid-america transplant's role as a procurement organization and assists with spreading awareness of organ and tissue donation to the general public, encouraging the community to enroll on the national donor registry. Mid-america transplant maintains a volunteer program, training individuals who have been personally impacted by donation to serve as ambassadors to the cause by engaging them in opportunities to share their personal story and put a "face" to organ and tissue donation.

Operating model

Revenue model
Earned-program. 99% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and most voting board members are independent. The filing reports few safeguards for money sent abroad and the filing does not identify recipients for some grant dollars.

Rating breakdown

  • Financial Efficiency: 74
  • Transparency & Controls: 65
  • Accountability: 100
  • Sustainability: 55
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 81.1%; rating input score 81
  • Program expense ratio: 85.8%; rating input score 86
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
  • Pay-setting controls: 4 of 6 controls in place; rating input score 67
    • Compensation committee: Pass
    • Independent consultant: Pass
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Pass
    • Board or committee approval: Pass
  • Foreign activity oversight: Scored; rating input score 0
  • Grant itemization coverage: 57.5%; rating input score 58; 11th percentile among comparable filings
  • Major donor itemization: Limited
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 100%; rating input score 100; 77th 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: 5.1%; rating input score 57; 57th percentile among comparable filings
  • Total-asset coverage ratio: 1.3; rating input score 48; 48th percentile among comparable filings
  • Liabilities to assets ratio: 0.17; rating input score 73; 73rd percentile among comparable filings
  • Officer compensation ratio: 2.6%; rating input score 44; 44th percentile among comparable filings

Growth

  • Program expense growth: 9.6% per year; rating input score 100; 73rd percentile among comparable filings
  • Revenue growth: 7.6% per year; rating input score 100; 64th percentile among comparable filings
  • Asset growth: 3.5% per year; rating input score 100; 24th percentile among comparable filings

Details

  • What they do: Mission, programs, and operating context captured from the official website.
  • Where the money goes: 81.1% of revenue deployed · 85.8% of spending went to programs
  • Governance: 17 of 17 board members independent · 9 of 9 filing controls reported
  • Programs: 1 filed program accomplishment · $88.1M in reported program spending
  • Leadership: top reported pay $545K · 25 people listed · 4 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $6.3M reported
  • Consistency: 36 of 37 current checks pass · 1 finding to review
  • Schedules: 9 filed schedules · includes foreign activity, grants, executive pay, and related organizations
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 18 filed money-flow records
  • Related organizations: 4 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.
  • Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • Review — Transparency & Controls: Grant itemization coverage scored 58/100.
  • Review — Sustainability: Operating margin scored 57/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 48/100.
  • Moderate — Sustainability: Officer compensation ratio scored 44/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.