followers, consisting of thirty housewives, to save fifty cents (US$0.02) from their grocery money every day and store them in bamboo savings banks to help needy families. When posed with the question, "Why can't we give once a week?", Cheng Yen replied, "Because giving is a practice and we need to give every day. If we have a yearning or a positive desire in us, we must nourish it and bring it to fulfillment. Just as Buddha was guided by a noble desire to help others, we too can listen to those who are sad or help those who are in pain." In the first year, fifteen families were provided with aid by the initial thirty followers. Tzu Chi expanded its work from helping needy families to medical aid in 1970. In 1986 Tzu Chi established its first Hospital in Hualien. Tzu Chi has since built hospitals in Yuli, Hualien County; Dalin, Jiayi County; Guanshan, Taitung County; and Xindian, New Taipei City. Tzu Chi experienced modest growth in the first two decades of its establishment, it grew to 293 members in 1968 and by 1986 had just 8,000 members. However, with the surge in popularity of Humanistic Buddhism in Taiwan in the late 1980s and 1990s, Tzu Chi enjoyed a rapid expansion in membership alongside several other major Taiwanese Buddhist organizations. From 1987 to 1991, Tzu Chi membership doubled in size each year, by 1994 Tzu Chi membership was estimated at 4 million members. Tzu Chi is most well known for its work in disaster relief, Cheng Yen's philosophy includes the notion that not only are those receiving assistance benefiting materially by receiving the aid, but those delivering the aid are also spiritually rewarded when they see the gratitude in the eyes and smiles of the recipients. Tzu Chi's first major disaster relief effort was in 1991, when it undertook relief operations after severe floods hit central and eastern China. One of the most iconic attributes of Tzu Chi disaster relief efforts is that volunteers not only provide short term aid but also partake in long-term projects to rebuild the communities affected. Tzu Chi often builds new homes, schools, hospitals, and places of worship (including churches and mosques for non-Buddhists) for victims following a disaster. As of 2015, Tzu Chi has provided disaster relief aid to over 85 countries worldwide. A significant fraction of funds raised by Tzu Chi revolves