The Luke Commission

The information in this column was provided to MinistryWatch by the ministry itself. It was last updated 4/20/2021. To update the information in this column, please email:


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


Organization details

EIN: 208635797

CEO/President: Harry and Echo VanderWal

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

Board size: 13

Founder: Harry and Echo VanderWal

Year founded: 2007

Tax deductible: Yes

Fiscal year end: 12/31

Member of ECFA: Yes

Member of ECFA since: 2014


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

Transparency grade


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Financial efficiency ratings

Sector: Health & Well-Being

CategoryRatingOverall rankSector rank
Overall efficiency rating193 of 8444 of 11
Fund acquisition rating112 of 8442 of 11
Resource allocation rating104 of 8442 of 11
Asset utilization rating632 of 84411 of 11

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Balance sheet
Receivables, inventories, prepaids$3,264,206$3,423,297$2,058,700$1,538,067$2,129,117
Short-term investments$0$0$0$0$0
Other current assets$0$0$0$0$0
Total current assets$3,895,741$4,025,304$2,431,183$2,062,999$2,511,130
Long-term investments$0$0$0$0$0
Fixed assets$2,882,184$2,518,838$2,407,811$2,016,542$1,740,920
Other long-term assets$0$0$157,000$131,288$0
Total long-term assets$2,882,184$2,518,838$2,564,811$2,147,830$1,740,920
Total assets$6,777,925$6,544,142$4,995,994$4,210,829$4,252,050
Payables and accrued expenses$279,294$248,514$315,221$324,088$290,027
Other current liabilities$69,328$280,037$306,232$666,829$413,739
Total current liabilities$348,622$528,551$621,453$990,917$703,766
Due to (from) affiliates$0$0$0$0$0
Other long-term liabilities$0$0$0$0$0
Total long-term liabilities$0$0$0$0$0
Total liabilities$348,622$528,551$621,453$990,917$703,766
Net assets20182017201620152014
Temporarily restricted$0$0$0$0$0
Permanently restricted$0$0$0$0$0
Net assets$6,429,303$6,015,591$4,374,541$3,219,912$3,548,284
Revenues and expenses
Total contributions$6,516,275$6,206,119$6,127,483$3,388,803$4,320,946
Program service revenue$0$0$0$0$0
Membership dues$0$0$0$0$0
Investment income($5,761)$0$697($3,750)$47
Other revenue$151,380$175,194$92,160$577$20,907
Total other revenue$145,619$175,194$92,857($3,173)$20,954
Total revenue$6,661,894$6,381,313$6,220,340$3,385,630$4,341,900
Program services$5,730,105$4,339,316$4,621,833$3,353,469$2,668,527
Management and general$386,639$309,673$306,736$277,341$234,135
Total expenses$6,246,908$4,778,736$5,038,554$3,722,501$2,995,079
Change in net assets20182017201620152014
Surplus (deficit)$414,986$1,602,577$1,181,786($336,871)$1,346,821
Other changes in net assets$0$0$0$0$0
Total change in net assets$414,986$1,602,577$1,181,786($336,871)$1,346,821


Echo VanderWal PCExec Dir/Chief Clinical Officer$99,000
Harry VanderWal MDExec Dir/Chief Medical Officer$99,000

Compensation data as of: 12/31/2018

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 4/20/2021. To update the information below, please email:


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

2.8 million free services provided in 14 years

1,244,810 health education to rural citizens

4,935 wheelchairs/adaptive equipment

3,422,828 medication packets

19,228 HIV/TB therapies initiation/follow-ups

154,854 patients tested / counseled for HIV

779,546 TOMS shoes for children

480,000 (lbs) fresh vegetables to patients/staff

6,995 cervical center screening / procedures

129,173 youth vision screening

799,894 scripture books / Bibles

1,566 cataract / eye surgeries

17,462 surgical procedures

116,238 eyeglasses