Each transplant center maintains its own waitlist, operates independently, and accumulates waiting lists at different rates over time. Newer programs typically build smaller waiting lists and may move patients more quickly, while long-established centers often carry larger backlogs that result in longer median waits. Consequently, patients listed at different hospitals in the same state can experience very different timelines to transplant.

Memorial Regional Hospital, established in 2018, has shorter transplant wait times than many other programs in Florida, reflecting a smaller accumulated waiting list and higher recent transplant activity. In contrast, Cleveland Clinic Weston Hospital historically carries a larger waiting list, which is associated with longer median wait times despite serving patients from the same donor region. The two hospitals are located within 20 miles of each other.