At a Glance – Yearly Stats

  • 662 human patients treated in the communities of:
    • La Bolsa
    • Paraiso
    • Salinas Grandes
    • La Leona
    • Hato 2
  • Nearly 700 animals cared for with treatments ranging from vitamins to emergency wound healing, spaying & neutering

    • 153 Cows
    • 73 Horses
    • 91 Pigs
    • 345 Dogs
    • 30 Cats
  • Nearly 2000 bottles of OTC and prescribed medication and vitamins distributed
  • 621 community members given personal public health consults
  • 150+ water bottles distributed 
  • Nearly 60 pounds of Protein and Mineral powder distributed
  • 100 community leaders, figureheads, and officials involved with HOLA in order to better understand the local population's needs
  • $5000 infused into to the local economy for paid wages to local doctors, vets, translators, and more!


A Brief History

In 2004, four students from the University of Colorado at Boulder decided to do things differently on their spring break. James Byers, Britt Severson, Brian Morgan, and Anthony Rossi – members of the Colorado Alpha Chapter of the Alpha Epsilon Pre-Health Honor Society – wanted to find a way to address the medical needs of a rural community in Nicaragua. Their plan was simple: the team would drive a pickup truck to the center of a small town and meet with local leaders to identify individuals in need of medical care. The patients would be assessed and then taken to physicians in city of León, with all expenses, from consult to medication to transportation, paid for by the students. Though unstructured and rough around the edges, their plan was successful and the team was able to care for approximately 15 people a day over a period of five days.

The experience and the appreciation of the community they served changed the lives of the four students. Word about the trip spread quickly. The next year, the team of four grew into a team of 12 and in March 2005 they returned to Nicaragua. The program also evolved, and the students developed a network of acute care clinics that was able to serve over 100 people a day.

In October 2008, David Baulesh and Anthony Rossi incorporated Health Outreach for Latin America as a 501c3 nonprofit in Boulder, Colorado.

Our Mission

Since 2008, the HOLA Foundation has broadened its mission to provide integrated and sustainable health care solutions for developing countries in Latin America. HOLA continues to create acute care clinics and promote community health, but has expanded to provide veterinary care and various public health services. We are also committed to adapting our operations as we assess the communities we serve, always being flexible with our strategies to ensure our services align with needs of the people.

As the populations we serve do not have the means to pay for their medical needs, HOLA's mission is to fully subsidize their immediate and continual care. We have established local community health advocates, a First Aid program, and a teach-the-teacher public health program to empower the community and lay the groundwork for more sustainable impact. HOLA has also provided resources for improved sanitation, water purification, nutrition, and prenatal care.

HOLA Foundation medical operations are delivered by physicians from the city of León who provide their services below the market value in Nicaragua. These physicians work alongside our volunteer operations staff that administers the operations and provides clinical support.


Quality and process control measures ensure medical supplies, pharmaceuticals, vitamins, and over-the-counter drug inventories are all managed to avoid stock outs and reduce associated overhead.

All supplies are donated either in-kind or purchased from charitable gifts. Clinical rotations and timing strategy keeps the volunteer model effective under the pressures of the harsh environment and the demands of the challenging care delivery environment. Continual education for HOLA Foundation volunteers is vital to its success. Medical documentation, care dynamics, cultural sensitivity, and clinical operations are continually evaluated and improved to ensure the highest level of patient care and satisfaction.

Veterinary care services is also part of HOLA Foundations model. Its goals include providing vitamins and the neutering of animals and livestock to control populations.

By combining acute & chronic medical care, public health education, supplies, services, and veterinary operations, the HOLA Foundation is taking an integrated approach to health improvement in the developing world.