Our Story

Meet Jacob, a remarkable 17-year-old from Central Illinois, whose spirit shines as brightly as the stars in his beloved Star Wars galaxy! Jacob is a master of board games and video games, a connoisseur of popcorn, and a fantastic jokester who can always bring a smile to your face. But beneath his cheerful demeanor, Jacob has been on an incredible journey, battling a congenital heart defect since birth.

Jacob’s heart journey began at just seven days old with his first open-heart surgery. Since then, he’s faced a total of eight surgeries, each one a testament to his incredible strength and positive outlook, rooted in his unwavering faith. He’s a true fighter, always emerging from every hardship stronger than before, trusting in God’s promise from Jeremiah 29:11: “For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future.” This powerful verse isn’t just a favorite; it’s Jacob’s chosen confirmation verse, a guiding light in his life.

In June 2023, just weeks after graduating from 8th grade, Jacob faced a significant setback when he suffered a cardiac arrest during a routine procedure, followed by a second arrest just two days later. He worked tirelessly to heal, eventually returning home. He was sent to St. Louis Children’s Hospital for evaluation. In September 2024, he required surgery for his pacemaker. But by April 2025, he ended up in the ER with a fractured pacemaker lead and sent to St. Louis Children’s for emergency surgery. During his recovery, he was evaluated for a dual heart and liver transplant due to his complex heart defect and post-Fontan liver disease (caused by the high pressure to his liver from his unique heart anatomy).

At the end of April 2025, Jacob was officially listed for a heart and liver transplant! He’s currently waiting patiently at home for that life-changing call, trusting in God’s perfect timing. Jacob dreams of getting back on the golf course, keeping up with his brother and sister, and embracing life with renewed energy after transplant. Despite all the challenges, he has maintained his incredible positivity, kindness, and wonderful sense of humor, a true testament to his resilient spirit and the grace of God.

Jacob has faced more in his 17 years than most people do in a lifetime. As Jacob and his family trust in God’s plan, they have asked COTA for assistance. Funds are being raised for COTA for Jacob’s Hope to assist with transplant related expenses. Your generosity, whether through a donation to COTA or by sharing his story, will help Jacob have a healthy future where he can finally live his life to the fullest, a life blessed by you and by God’s healing touch.

The Children’s Organ Transplant Association (COTA) helps children and young adults who need a life-saving transplant by providing fundraising assistance and family support. COTA is the nation’s only fundraising organization solely dedicated to raising life-saving dollars in honor of transplant-needy children and young adults. 100% of each contribution made to COTA in honor of our patients helps meet transplant-related expenses. COTA’s services are free to our families, and gifts to COTA are tax deductible to the fullest extent of the law.

Jacob Smith

Peoria, IL

Transplant Type: Heart & Liver

Transplant Status: Transplanted

Goal: $75,000.00

Raised: $100,016 of $75,000 goal

Raised by 165 contributors

Recent Contributions

Marlene Baker

May 05, 2026

Marlene Baker

May 01, 2026

St. John's Lutheran Church

April 30, 2026

Good Shepherd Lutheran School

April 20, 2026

Marlene Baker

April 01, 2026

View All »

Updates

Jake’s 9-Month Update Round 2

Posted

To say we are blessed is an understatement. Over the past 10 days, we have received so much good news and our hearts are overflowing. Friday, Jake traveled... Continue Reading »

A big win on World Organ Donation Day!

Posted

update: Jakes prelim biopsy results are negative for rejection! Praise the Lord for answered prayers!! Jake is back home tonight after a successful cath. The transplant team was... Continue Reading »

Summer of freedom comes to a close

Posted

After a beautiful St Louis free summer, it's time again. The littles started back at school today and Jake has his 9-month cath and biopsy tomorrow. These procedures... Continue Reading »

Back to the Driving Range

Posted

Today was a day 3 years in the making. For the first time, Jake stepped back up to the tee at the driving range! Even better, Ben and... Continue Reading »

Milestones, Answered Prayers & Graduation

Posted

This week was a major milestone in Jake's recovery as he officially graduated from cardiac rehab! He was able to double the distance he walked during his walk... Continue Reading »

18 years of milestones

Posted

Recently, Jacob celebrated his 18th birthday! Watching him reach this milestone is hard to put into words. To be completely honest, there were times when we weren’t sure... Continue Reading »

12 weeks of freedom

Posted

We are so excited to share Jacob’s recent 6-month biopsy results show no active rejection. His medical team is pleased with his results and are making no changes.... Continue Reading »

A Milestone Week

Posted

This Thursday, Jacob is undergoing his 11th cath since transplant but this one is a little different. This is his 6-month post-transplant cath, a significant milestone in his... Continue Reading »

Pediatric Transplant Week: Celebrating the Heroes Behind his Journey

Posted

Jake with gifts from his PT team at bradley Pediatric Transplant Week is a time to reflect on the road Jake's traveled and the incredible people who have... Continue Reading »

Our Story

Meet Jacob, a remarkable 17-year-old from Central Illinois, whose spirit shines as brightly as the stars in his beloved Star Wars galaxy! Jacob is a master of board games and video games, a connoisseur of popcorn, and a fantastic jokester who can always bring a smile to your face. But beneath his cheerful demeanor, Jacob has been on an incredible journey, battling a congenital heart defect since birth. Jacob’s heart...

Continue Reading »

Jacob Smith

Peoria, IL

Transplant Type: Heart & Liver

Transplant Status: Transplanted

Goal: $75,000.00

Raised: $100,016 of $75,000 goal

Raised by 165 contributors

Updates

Jake’s 9-Month Update Round 2

Posted

To say we are blessed is an understatement. Over the past 10 days, we have received so much good news and our hearts are overflowing. Friday, Jake traveled... Continue Reading »

A big win on World Organ Donation Day!

Posted

update: Jakes prelim biopsy results are negative for rejection! Praise the Lord for answered prayers!! Jake is back home tonight after a successful cath. The transplant team was... Continue Reading »

Summer of freedom comes to a close

Posted

After a beautiful St Louis free summer, it's time again. The littles started back at school today and Jake has his 9-month cath and biopsy tomorrow. These procedures... Continue Reading »

Back to the Driving Range

Posted

Today was a day 3 years in the making. For the first time, Jake stepped back up to the tee at the driving range! Even better, Ben and... Continue Reading »

Milestones, Answered Prayers & Graduation

Posted

This week was a major milestone in Jake's recovery as he officially graduated from cardiac rehab! He was able to double the distance he walked during his walk... Continue Reading »

18 years of milestones

Posted

Recently, Jacob celebrated his 18th birthday! Watching him reach this milestone is hard to put into words. To be completely honest, there were times when we weren’t sure... Continue Reading »

12 weeks of freedom

Posted

We are so excited to share Jacob’s recent 6-month biopsy results show no active rejection. His medical team is pleased with his results and are making no changes.... Continue Reading »

A Milestone Week

Posted

This Thursday, Jacob is undergoing his 11th cath since transplant but this one is a little different. This is his 6-month post-transplant cath, a significant milestone in his... Continue Reading »

Pediatric Transplant Week: Celebrating the Heroes Behind his Journey

Posted

Jake with gifts from his PT team at bradley Pediatric Transplant Week is a time to reflect on the road Jake's traveled and the incredible people who have... Continue Reading »