TEXAS ORGAN SHARING ALLIANCE

The organization provides organ donation and recovery services, working with donor families, hospital partners, and transplant programs to facilitate life-saving organ transplants. TOSA operates a Center for Life (CFL) facility at University Hospital in San Antonio, dedicated to the recovery of organ, eye, and tissue donations. For nursing professionals, TOSA offers specialized roles such as Organ Recovery Coordinator and In-House Donation Specialist, which involve evaluating potential organ donor referrals, maximizing medical management of donors, and coordinating all aspects of organ recovery in collaboration with clinical teams, physicians, and hospital staff. These are non-traditional nursing roles that require strong clinical assessment skills, critical thinking, and the ability to work in high-stakes, emotionally complex environments. The nature of organ procurement work involves on-call responsibilities and irregular hours, which is typical for the OPO industry. TOSA has been recognized as a Top Workplace in San Antonio multiple times, reflecting a generally positive organizational culture despite the demanding nature of the work.

TOSA's mission is 'Saving lives through the power of organ donation.' The organization's vision statement is 'An organ for every person on the waiting list.' Core values are summarized as 'LIVE TO SAVE.' Under the leadership of President & CEO Joseph Nespral, TOSA has implemented process improvements aimed at increasing organ donation and recovery rates, including expanded use of its Center for Life facility.