If there are no compatible recipients in Indiana, how is it decided where the organ goes?

We access a computerized list of all patients waiting for a transplant and the list will direct us. The manager of that list is the United Network for Organ Sharing. In the U.S. we place organs locally, then regionally, then nationally. Because of time constraints and the viability of the organ, we make every effort to offer organs to centers closest to Indiana or the organ procurement center where it was procured. As an example, an organ may go to Chicago or Cincinnati next, and so on. We would not offer it to, let's say, California, because that is too far and it takes too long to fly an organ out that distance. Each organ has time limitations for viability. Therefore, time is of the essence in placement.