2025-11-14T16:00:37+00:00 2024-12-31 332621854 CRI Capin Crouse Advisors LLC 345 Massachusetts Ave Suite 300 Indianapolis IN 46204 990 2024-01-01 208635797 The Luke Commission LUKE 2082639311 PO Box 1335 Sagle ID 83860 Echo Vanderwal Executive Director 2082639311 2025-11-14 true true Sara Tibbott P01486965 5055022746 2025-11-14 2024 2025-03-06 01:10:19Z Echo Vanderwal PO Box 1335 Sagle ID 83860 26783839 false X www.lukecommission.org X 2007 ID 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 through a fixed-site hospital and mobile outreaches. 7 5 16 100 0 20787127 21869167 0 0 2122 2907736 116720 126057 20905969 24902960 0 0 0 0 3903906 3940422 0 0 291675 17151302 18481662 21055208 22422084 -149239 2480876 20193697 20929660 2495724 775434 17697973 20154226 (See on Schedule O) false false 20649585 126057 MEDICAL CARE & TREATMENT 161,510 Medical Patients Treated 408,429 Medication Packets Dispensed 320,036 Blood Pressure Readings 35,282 Blood Sugar Tested 7,235 X-rays Obtained 69 Orthopedic Surgeries Performed 1,242 Other Surgeries/Procedures Completed 5,736 Immunizations Given (non-COVID) 6,451 Cervical Cancer Screenings 596 Procedures to remove pre-/cancerous cervical cells 5,792 Inpatient ICU Nights 795 Snakebite Inpatient Nights 1,849 Babies Born/Delivered HIV/AIDS/TB CARE & SERVICES 54,926 Patients Tested & Counseled for HIV 483,367 Laboratory Services Rendered 150,431 TB Screenings Completed 24,431 HIV ARV Adherence Counseling Sessions Delivered 332,364 Condoms (Male and Female) Distributed 196 Long Acting Removable Contraceptives (LARCs) Placed 669 Initiated on Anti-Retroviral Treatment (ART) 220 TB+ Cases Started on TB Treatment 1,901 GeneXpert Tests Performed 1,633 HIV+ youth support club participants 22,737 Inpatient Nights at Miracle Campus DISABILITY, OPTICAL, & SPIRITUAL CARE & SERVICES 5,604 Eye Glasses Fitted 878 Wheelchairs/Adaptive Equipment Fitted 944 Cataracts Found 577 Cataracts Removed 729 Other Eye Surgeries Performed 1,766 Youth Vision Screenings 52 3-month life skills training participants 20649585 true true false false false false false false false false true false false false false false false true false true true false false false false false false false false false false false false false false true false false true true true false false false false true false false false false true X 9 0 true 16 true false true WZ false false false false false false false false false false X 7 5 false false false false false false false true true false false false true true true true true true true true false false CO ID NC OH OK X Echo Vanderwal 2082639311 PO Box 1335 Sagle ID 83860 Echo VanderWal PC Executive Director 70.0 X X 84000 0 0 Jim McKee Board Chair/President 3.0 X X 0 0 0 Kenton Hill Vice President 3.0 X X 0 0 0 Trudy Leen Treasurer 3.0 X X 0 0 0 Brian Schmelzenbach Board Member/Dir of Staff Develop. 70.0 X 48000 0 0 Craig Arnold Board Member 3.0 X 0 0 0 Craig Minor Board Member 3.0 X 0 0 0 Lawrence DeBoer Chief Financial Officer 70.0 X 25563 0 0 157563 0 0 0 false false false 0 6602844 15266323 13314007 21869167 0 0 0 0 0 286839 286839 0 0 4501776 1880879 0 2620897 2620897 2620897 126057 126057 0 0 126057 24902960 126057 0 2907736 0 0 157563 133929 15756 7878 42000 35700 4200 2100 3252969 2765024 325297 162648 443628 377084 44363 22181 44262 37623 4426 2213 2924 2924 115853 115853 250807 228234 15048 7525 179762 100987 58263 20512 1594160 823464 752397 18299 219027 197171 17487 4369 184660 178480 5288 892 31431 18859 3143 9429 101877 93237 5810 2830 1114679 1025505 66880 22294 60524 55223 3728 1573 Medical services 14284062 14280383 3679 Equipment 127604 102543 22509 2552 Maintenance 118471 111219 6031 1221 Food 62172 55732 4989 1451 33649 29188 2753 1708 22422084 20649585 1480824 291675 312849 157426 14146 116214 43715 4446 0 4023813 0 0 105398 152684 8022466 7473205 11300 11090 14419819 5429037 11683823 8990782 0 0 0 0 20193697 20929660 1806395 247683 0 0 689329 527751 0 0 2495724 775434 X 17556386 20154226 141587 0 17697973 20154226 20193697 20929660 X 2480876 -24623 X false true true false X 8370068 20643916 19203350 20787127 21869167 90873628 0 0 8370068 20643916 19203350 20787127 21869167 90873628 22601828 68271800 20466 537 2113 780 286839 310735 0 131228 108451 148755 116720 126057 631211 91815574 0 0.74358 0.74950 X Schedule A, Part II, Line 10 Other Income DESCRIPTION - MISC INCOME, COLUMN A - 131228.0, COLUMN B - 108451.0, COLUMN C - 148755.0, COLUMN D - 116720.0, COLUMN E - 126057.0, COLUMN F - 631211.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 533356 533356 8729054 1822113 6906941 2805492 1501438 1304054 2351917 2105486 246431 8990782 24902960 0 0 24902960 0 0 24902960 22422084 0 0 22422084 0 0 22422084 Sub-Saharan Africa 1 459 Program Services Provide medical care to those in need 20649585 1 459 0 0 1 459 20649585 0 20649585 false false false false false false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements SUB-SAHARAN AFRICA-Accrual Luvelo Solutions LLC Greater than 35% controlled entity of the Executive Director and family member purchase of internally developed software X 4000000 4023813 false true true 4023813 Luvelo Solutions LLC Greater than 35% controlled entity of the Executive Director and family member 1259422 Subscription and support fees false Harry VanderWal Family member of Echo VanderWal, Executive Director 42000 Compensation false X 617071 Market value 221 12499600 Market value X Equipment 4 197336 Market value 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions The number of contributions represent the number of contributions received, not the number of items donated. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is prepared by an independent CPA firm. The Form 990 is then reviewed in detail and approved by the Executive Director and board before it is filed with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy Officers and board members sign annual conflict of interest statements. The board and Executive Director monitor all transactions for potential conflicts of interest. If a potential conflict is identified, the person with a conflict recuses his or herself from the decision making process and the independent board members vote whether or not to proceed with the transaction if it is in the best interest of the organization. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Executive Director compensation was approved by the independent members of the board. Comparability data was used during the process. The approval process was documented in the board minutes. Form 990, Part VI, Line 15b Process to establish compensation of other employees The CFO's compensation was establised and approved through the organization's internal management and as part of the budgeting process. Comparabilty data was used and this process was documented. Form 990, Part VI, Line 19 Required documents available to the public The organization makes its governing documents, conflict of interest policy, and financial statements available upon request. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Accomodation - Total Revenue: 111764, Related or Exempt Function Revenue: 111764, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Misc revenue - Total Revenue: 14293, Related or Exempt Function Revenue: 14293, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Loss on foreign currency translation - -24623; Total - -24623; Form 990, Part III, Line 1, Description of Organization Mission (Continued): The Luke Commission (TLC) provides comprehensive healthcare services to underserved populations in the Kingdom of Eswatini (formerly Swaziland), a small landlocked country in Southern Africa. TLC operates a 300-bed hospital and national referral center that delivers primary through tertiary care. A local team of more than 500 staff are trained and equipped to lead and implement all aspects of this model, which emphasizes accountability, excellence, and compassionate care for every patient. Eswatini is a country of 1.3 million people with the highest HIV/AIDS rate worldwide. Across the population, 27% of people are HIV positive; women of childbearing age have an HIV+ rate of over 45%. Although the HIV/AIDS epidemic has plateaued, the need to care for those who live with HIV in the underserved areas of Eswatini and the continued need for HIV prevention, care and treatment makes the work of TLC vitally important. TLC delivers comprehensive medical services through thousands of mobile hospital outreaches and at fixed inpatient and outpatient facilities at its centrally-located base of operations (Miracle Campus). The ever-expanding TLC Miracle Campus Hospital offers all outreach services plus inpatient services for all diseases including emergency medical care, surgical care, mental health, critical care, cancer screening, and palliative care. Lack of transportation is a critical barrier to underserved populations receiving healthcare. TLC's mobile hospital outreach model overcomes this barrier by delivering health services directly to patients in the remote communities. TLC offers testing for chronic diseases such as diabetes, hypertension, TB, and HIV/AIDS in an integrated healthcare context. All activity is coordinated through an electronic health record system created and maintained by TLC. In 2024, TLC delivered over 1,291,828 medical services. The Luke Commission Swaziland Farm 523 Sidvokodvo WZ M216 981265973 Health Care WZ NA false false false false false false false false false false false false false false false false false false false false