The Luke Commission

The information on this page was last updated 4/10/2024. If you see errors or omissions, please email: [email protected]


The Luke Commission serves the most isolated and underserved people of Eswatini with free, comprehensive, compassionate health care. At the fixed-site Miracle Campus in central Eswatini, the TLC team provides outpatient, inpatient, emergency, surgical, and specialty care. Across Eswatini, TLC delivers mobile health services through over 100 outreaches annually.

Contact information

Mailing address:
The Luke Commission
PO Box 1335
Sagle, ID 83860


Phone: 866-351-1254

Email: [email protected]

Organization details

EIN: 208635797

CEO/President: Harry and Echo VanderWal

Chairman: Frans Johannes Pienaar (Eswatini)/Jim McKee (US)

Board size: 12

Founder: Harry and Echo VanderWal

Ruling year: 2007

Tax deductible: Yes

Fiscal year end: 12/31

Member of ECFA: No

Member of ECFA since:


To end the isolation of underserved communities to quality healthcare.

For many Emaswati, lack of transport prevents access to health services. With 70% of the population residing in rural communities, many Emaswati are not able to afford or even to find transportation to urban health care facilities.

With outreaches across the Kingdom of Eswatini and an innovative transport sponsorship program to transport patients to the Miracle Campus, TLC ensures patients get the care they need. In addition to rural communities, other underserved communities reached by TLC include factories and peri-urban/semi-rural communities.

Mission statement

To deliver compassionate, comprehensive healthcare to the most isolated and underserved populations of southern Africa in collaboration with local communities, government, corporate, and non-profit partners.

Statement of faith

Donor confidence score

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Transparency grade


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Financial efficiency ratings

Sector: Foreign Missions

CategoryRatingOverall rankSector rank
Overall efficiency rating356 of 110444 of 143
Fund acquisition rating135 of 110520 of 143
Resource allocation rating183 of 110519 of 143
Asset utilization rating1003 of 1104131 of 143

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Balance sheet
Receivables, inventories, prepaids$9,020,655$6,352,713$3,847,529$3,614,321$3,264,206
Short-term investments$0$0$0$0$0
Other current assets$0$0$0$0$0
Total current assets$9,136,344$6,714,349$4,016,365$3,931,331$3,895,741
Long-term investments$0$0$0$0$0
Fixed assets$11,201,723$9,099,798$6,820,687$3,995,341$2,882,184
Other long-term assets$93,538$112,424$56,139$0$0
Total long-term assets$11,295,261$9,212,222$6,876,826$3,995,341$2,882,184
Total assets$20,431,605$15,926,571$10,893,191$7,926,672$6,777,925
Payables and accrued expenses$1,725,240$1,604,747$2,403,902$320,483$279,294
Other current liabilities$0$10,406$83,342$26,275$69,328
Total current liabilities$1,725,240$1,615,153$2,487,244$346,758$348,622
Due to (from) affiliates$0$0$0$0$0
Other long-term liabilities$0$0$0$0$0
Total long-term liabilities$959,270$1,380,164$262,684$0$0
Total liabilities$2,684,510$2,995,317$2,749,928$346,758$348,622
Net assets20222021202020192018
Without donor restrictions$17,357,848$12,570,728$8,143,263$7,579,914$6,429,303
With donor restrictions$389,247$360,526$0$0$0
Net assets$17,747,095$12,931,254$8,143,263$7,579,914$6,429,303
Revenues and expenses
Total contributions$19,203,350$20,643,916$8,370,068$7,913,433$6,516,275
Program service revenue$0$0$0$0$0
Membership dues$0$0$0$0$0
Investment income$2,113($7,001)$27,066$20,947($5,761)
Other revenue$148,755$108,451$131,228$102,494$151,380
Total other revenue$150,868$101,450$158,294$123,441$145,619
Total revenue$19,354,218$20,745,366$8,528,362$8,036,874$6,661,894
Program services$13,882,703$15,243,486$7,286,393$6,041,220$5,730,105
Management and general$701,177$661,245$503,102$619,622$386,639
Total expenses$14,850,823$16,147,557$7,957,236$6,919,002$6,246,908
Change in net assets20222021202020192018
Surplus (deficit)$4,503,395$4,597,809$571,126$1,117,872$414,986
Other changes in net assets$0$0$0$0$0
Total change in net assets$4,503,395$4,597,809$571,126$1,117,872$414,986


Echo VanderWal PCExec Dir/Chief Clinical Officer$84,000
Harry VanderWal MDExec Dir/Chief Medical Officer$84,000
Brian SchmelzenbachBoard Member/Dir of Staff Develop.$42,000

Compensation data as of: 12/31/2022

Response from ministry

No response has been provided by this ministry.

The information below was provided to MinistryWatch by the ministry itself. It was last updated 4/10/2024. To update the information below, please email: [email protected]


TLC was founded in 2005 at the height of the HIV/AIDS pandemic in Eswatini. In 2005, no treatment for HIV/AIDS existed. Harry & Echo VanderWal moved to Eswatini with their three-year-old triplets and one-year-old baby with the goal of providing compassionate, comprehensive healthcare to as many people as possible-especially those suffering complications of HIV/AIDS.

Staff for the first outreaches included Harry, Echo, their children, and a translator. Based in a rented house near Manzini, Eswatini, the TLC staff soon grew to 15. Leaving before dark and arriving home after dark, the staff conducted more and more outreaches every year, reaching increasing numbers of people.

In 2013, TLC acquired the land that is now the Miracle Campus. In the years following, the TLC team constructed over a dozen buildings on campus, turning the Miracle Campus into a self-contained hub for serving the Kingdom of Eswatini.

Today, with over 500 staff, the TLC staff is 98% Emaswati. Between on-campus and outreach efforts, hundreds of patients from across Eswatini are welcomed each day for compassionate, comprehensive care.

Program accomplishments