Most of Nevada (Las Vegas / southern and central Nevada); also awarded the Southern Florida DSA effective 2026 (OPTN Region 5 base)
CMS performance & status
CMS 2023 OPO Interim Annual Public Aggregated Performance Report, Table 5b (Donation and Transplant Rates, 2021): both donation and transplant rate upper limits at/above top 25% cutoff; CY2021 tier column = 1.
This OPO is graded Tier 1 (2023 (CY2021 assessment)) under the CMS Conditions for Coverage outcome measures. Tier 1 is the top-performing band, automatically recertified.
Nevada Donor Network selected to take over South Florida service area after Life Alliance decertification
Nevada Donor Network
Following the move to decertify Life Alliance Organ Recovery Agency, CMS selected Nevada Donor Network through a competitive process to assume organ procurement services for the Southern Florida Donation Service Area, a region of roughly 7 million people across six counties of South Florida and the Commonwealth of the Bahamas. AOPO issued a statement on the transition dated January 8, 2026; Nevada Donor Network has held CMS 'Tier 1' (top-tier) performance status, and Life Alliance was to continue providing services under CMS oversight through the transition.
Every item is institution-level public record, source-linked; no patient, donor, or family is named. A Tier or finding here repeats the government's own assessment of an organization holding a public monopoly. Back to OrganWatch.