
The Susan Thompson Buffett Foundation concentrates on reproductive health, abortion access, and health systems strengthening—especially across sub‑Saharan Africa—while also backing U.S. abortion access infrastructure and research/training. It funds a mix of government health ministries, global institutions, technical training centers, and U.S. reproductive‑rights nonprofits and intermediaries, often providing large multi‑million dollar grants and repeat support to core partners. The foundation’s giving emphasizes capacity building (training, health bureaus, ministries), direct service and crisis support (abortion funds, hotlines), and policy/advocacy infrastructure via funder intermediaries.
The Susan Thompson Buffett Foundation’s largest recent grants show a clear pattern of very large checks to abortion access and public-health systems. In 2025 it gave $60,574,746 to NAF Hotline Fund for program support, following $54,890,802 in 2024 and $48,427,544 in 2023 to the same recipient. The foundation also made major health-system grants across sub-Saharan Africa, including $50,000,000 to the Federal Ministry of Health and Social Welfare Nigeria and $36,742,555 to Imbuto Foundation in Rwanda. Its work is not limited to one channel. The foundation funds national ministries of health, regional health bureaus, reproductive-health training groups, hospitals, global health institutions, and U.S. abortion-access organizations. Recent awards include support for the World Health Organization, Planned Parenthood Federation of America Inc, and the Center for International Reproductive Health Training. The pattern suggests a grantmaker that uses large, repeated awards to sustain core partners over time, rather than distributing many small grants across unrelated causes. The foundation also funds individuals through a scholarship program for Nebraska students.
Reproductive health and abortion access are central to the foundation’s grantmaking. It gave $25,386,143 to Planned Parenthood Federation of America Inc in 2025 for program support, and $60,574,746 to NAF Hotline Fund for program support. In sub-Saharan Africa, it backs public health systems through ministries and regional health offices. Examples include $32,772,283 to the Ministry of Health Rwanda in 2025 and $24,300,000 to the Ministry of Community Development Gender Eldery and Children Tanzania. Training and research also appear as a distinct theme. The foundation awarded $30,000,987 to the Center for International Reproductive Health Training in Rwanda for program support and $27,689,857 to the same organization in Ethiopia for project support. Global health institutions receive support as well, including $35,000,000 to The Global Fund to Fight Aids Tuberculosis and Malaria for program support and $22,662,174 to the World Health Organization for program support.
Typical grants are large: the 25th percentile is $182,370, the median is $350,712, and the 75th percentile is $1,022,262. The recent grant list also shows repeated multi-year support to the same core recipients, including NAF Hotline Fund, the Center for International Reproductive Health Training, Planned Parenthood Federation of America Inc, and several African health ministries and bureaus. The foundation is a regular funder rather than a donor-advised fund, and it makes no program-related investments. It also gives to individuals through a scholarship program.
$1.5B
$2.7B
$2.7B
$1.6B
Most grants fall between $182K and $1M, with a median of $351K.
25th Percentile
$182K
Median
$351K
75th Percentile
$1M
About 15% of grants go to recipients in DC.
Top 10 recipient countries by grant volume for Susan Thompson Buffett Foundation.
| Rank | Country | Grants | Total | Share |
|---|---|---|---|---|
| 1 | United StatesDomestic | 1,409 | $1.9B | 88.4% |
| 2 | Ethiopia |
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Concentrated, high-dollar giving with many multi‑million and repeat grants to a relatively small set of core grantees spanning governments, global institutions, technical training centers, and U.S. reproductive‑rights organizations; mixes long‑term institutional investments with large single grants to ministries and multilateral partners.
Notable grantees: NAF Hotline Fund, Planned Parenthood Federation of America, Center for International Reproductive Health Training (CIRHT), Ministries of Health in Rwanda/Senegal/Burkina Faso (representative government health partners), World Health Organization
Giving is national, but the recipient base is heavily concentrated in the United States: 89.0% of grants go to U.S. recipients. Nebraska accounts for 15% of grants, reflecting the scholarship program, while Maryland is the top state by grant count overall. Outside the U.S., awards cluster in East and Southern Africa, especially Rwanda, Ethiopia, Tanzania, Senegal, Sierra Leone, and Nigeria. Recent recipient locations include Annapolis Junction, MD; Washington, DC; New York, NY; and New York, NY.
It funds nonprofit organizations, government health ministries, hospitals, scholarship recipients, and some philanthropic intermediaries. Recent recipients include the NAF Hotline Fund, the Ministry of Health Rwanda, the World Health Organization, Planned Parenthood Federation of America Inc, and the Center for International Reproductive Health Training.
Its giving centers on reproductive health, abortion access, and health systems strengthening, especially in sub-Saharan Africa. The recent grant list also shows support for training and research, U.S. abortion-access infrastructure, and large-scale global health organizations.
Yes. The recent grants show multi-year support to several core partners, including NAF Hotline Fund in 2023, 2024, and 2025; the Center for International Reproductive Health Training in Ethiopia and Rwanda; and Planned Parenthood Federation of America Inc in 2024 and 2025.
Yes. The foundation runs two scholarship programs for first-time Nebraska college freshmen. Both programs are for students who live in Nebraska, graduated from a Nebraska high school or earned a GED, plan to attend a Nebraska public college, and demonstrate financial need.
The grant-size distribution is large: the 25th percentile is $182,370, the median is $350,712, and the 75th percentile is $1,022,262. Recent awards also include several grants in the tens of millions, especially to health ministries and core reproductive-health partners.
ALLEN GREENBERG
PRESIDENT/DIRECTOR
2026
Source: IRS Form 990-PF, fiscal year 2026.
| 38 |
| $359.6M |
2.4% |
| 3 | Rwanda | 34 | $542.4M | 2.1% |
| 4 | Kenya | 15 | $62.1M | 0.9% |
| 5 | United Kingdom | 13 | $74.4M | 0.8% |
| 6 | Switzerland | 10 | $125.5M | 0.6% |
| 7 | Tanzania | 9 | $43.8M | 0.6% |
| 8 | Senegal | 6 | $65.4M | 0.4% |
| 9 | Mauritius | 5 | $153.9M | 0.3% |
| 10 | South Africa | 5 | $26.9M | 0.3% |
Recipient country reflects the grantee's headquarters per IRS 990-PF and Schedule F filings, not the program's implementation country.
Most recent grants reported to the IRS.
| Recipient | Location | Amount | Year | Purpose |
|---|---|---|---|---|
| FEDERAL MINISTRY OF HEALTH AND SOCIAL WELFARE NIGERIA | FC | $80,536,284 | 2026 | PROGRAM SUPPORT |
| NAF HOTLINE FUND | ANNAPOLIS JUNCTION, MD | $67,322,157 | 2026 | PROGRAM SUPPORT |
| INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT | WASHINGTON, DC | $60,000,000 | 2026 | PROGRAM SUPPORT |
| OROMIA HEALTH BUREAU | AD | $50,540,000 | 2026 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH BURKINA FASO | OU | $47,020,000 | 2026 | PROGRAM SUPPORT |
| THE GLOBAL FUND TO FIGHT AIDS TUBERCULOSIS AND MALARIA | GE | $40,000,000 | 2026 | PROGRAM SUPPORT |
| HEALTH DEVELOPMENT PARTNERSHIP FOR AFRICA AND THE CARIBBEAN | KI | $38,634,559 | 2026 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH AND SANITATION SIERRA LEONE | FR | $38,020,830 | 2026 | PROGRAM SUPPORT |
| CENTER FOR INTERNATIONAL REPRODUCTIVE HEALTH TRAINING (CIRHT) | KI | $36,818,845 | 2026 | PROGRAM SUPPORT |
| SAND TECH HOLDINGS LIMITED | EB | $35,201,379 | 2026 | PROGRAM SUPPORT |
| PLANNED PARENTHOOD FEDERATION OF AMERICA INC | NEW YORK, NY | $32,735,077 | 2026 | PROGRAM SUPPORT |
| GIDABO POLICY AND ADVOCACY CENTER | KI | $32,359,470 | 2026 | PROGRAM SUPPORT |
| IMBUTO FOUNDATION | KI | $30,792,597 | 2026 | PROGRAM SUPPORT |
| REPUBLIC OF TOGO | LO | $30,023,117 | 2026 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH REPUBLIC OF RWANDA | KI | $30,005,305 | 2026 | PROGRAM SUPPORT |
| SUSTAINABLE HEALTHCARE SOLUTIONS AFRICA | AD | $30,000,000 | 2026 | PROGRAM SUPPORT |
| KING FAISAL HOSPITAL RWANDA FOUNDATION (KFHRF) | KI | $28,198,927 | 2026 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH REPUBLIC OF ZAMBIA | LU | $26,000,000 | 2026 | PROGRAM SUPPORT |
| KENYA MINISTRY OF HEALTH STATE DEPARTMENT FOR MEDICAL SERVICES | NA | $26,000,000 | 2026 | PROGRAM SUPPORT |
| MINISTRE DE LA SANT PUBLIQUE DE LA RPUBLIQUE DU BNIN | CO | $25,336,228 | 2026 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH AND PUBLIC HYGIENE SENEGAL | DA | $23,807,131 | 2026 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH MALAWI | LI | $23,526,821 | 2026 | PROGRAM SUPPORT |
| MINISTRY OF PUBLIC HEALTH AND POPULATION CENTRAL AFRICAN REPUBLIC | BA | $22,000,000 | 2026 | PROGRAM SUPPORT |
| AMHARA REGIONAL HEALTH BUREAU | BA | $20,185,672 | 2026 | PROGRAM SUPPORT |
| INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT | WASHINGTON, DC | $15,000,000 | 2026 | PROGRAM SUPPORT |
| SOCIETY OF FAMILY PLANNING | DENVER, CO | $13,926,726 | 2026 | GENERAL OPERATING SUPPORT |
| LIBERIA MINISTRY OF HEALTH | MO | $13,509,094 | 2026 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH AND PUBLIC HYGIENE - DEMOCRATIC REPUBLIC OF THE CONGO | KI | $13,354,532 | 2026 | PROGRAM SUPPORT |
| HEALTH INTELLIGENCE CENTRE FOR AFRICA | KI | $13,000,000 | 2026 | PROGRAM SUPPORT |
| PLANNED PARENTHOOD FEDERATION OF AMERICA INC | NEW YORK, NY | $12,098,074 | 2026 | PROGRAM SUPPORT |
| PLANNED PARENTHOOD FEDERATION OF AMERICA INC | NEW YORK, NY | $12,019,155 | 2026 | PROGRAM SUPPORT |
| REGENTS OF THE UNIVERSITY OF MICHIGAN | ANN ARBOR, MI | $11,570,418 | 2026 | PROGRAM SUPPORT |
| WORLD HEALTH ORGANIZATION - REGIONAL OFFICE FOR AFRICA | BR | $11,331,087 | 2026 | PROGRAM SUPPORT |
| FEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA MINISTRY OF HEALTH | AD | $11,000,000 | 2026 | PROGRAM SUPPORT |
| TIGRAY REGIONAL HEALTH BUREAU | ME | $10,062,681 | 2026 | PROGRAM SUPPORT |
| THE GOVERNMENT OF THE REPUBLIC OF BOTSWANA | GA | $10,000,000 | 2026 | PROGRAM SUPPORT |
| WILLOWS INTERNATIONAL | MIDDLETOWN, RI | $9,835,682 | 2026 | PROGRAM SUPPORT |
| ST PAUL INSTITUTE FOR REPRODUCTIVE HEALTH AND RIGHTS | AD | $8,247,815 | 2026 | PROGRAM SUPPORT |
| UNIVERSITY OF NEBRASKA OMAHA BOARD OF REGENTS | OMAHA, NE | $7,111,771 | 2026 | SCHOLARSHIPS |
| UNIVERSITY OF NEBRASKA OMAHA BOARD OF REGENTS | OMAHA, NE | $6,947,897 | 2026 | SCHOLARSHIPS |
| PLANNED PARENTHOOD FEDERATION OF AMERICA INC | NEW YORK, NY | $6,661,208 | 2026 | PROGRAM SUPPORT |
| PLANNED PARENTHOOD FEDERATION OF AMERICA INC | NEW YORK, NY | $6,007,867 | 2026 | GENERAL OPERATING SUPPORT |
| SOMALI REGIONAL HEALTH BUREAU | SO | $6,000,000 | 2026 | PROGRAM SUPPORT |
| HOPEWELL FUND | WASHINGTON, DC | $5,507,865 | 2026 | PROGRAM SUPPORT |
| UNIVERSITY OF NEBRASKA LINCOLN BOARD OF REGENTS | LINCOLN, NE | $5,475,254 | 2026 | SCHOLARSHIPS |
| NAF HOTLINE FUND | ANNAPOLIS JUNCTION, MD | $5,464,955 | 2026 | GENERAL OPERATING SUPPORT |
| UNIVERSITY OF NEBRASKA LINCOLN BOARD OF REGENTS | LINCOLN, NE | $5,362,721 | 2026 | SCHOLARSHIPS |
| GLOBAL CENTER FOR HEALTH DIPLOMACY AND INCLUSION | KI | $5,200,000 | 2026 | PROGRAM SUPPORT |
| UNIVERSITY OF NEBRASKA BOARD OF REGENTS | LINCOLN, NE | $5,118,668 | 2026 | SCHOLARSHIPS |
| SHARED ASCENT FUND | SACRAMENTO, CA | $5,065,014 | 2026 | PROGRAM SUPPORT |
FEDERAL MINISTRY OF HEALTH AND SOCIAL WELFARE NIGERIA
$80,536,284PROGRAM SUPPORT
NAF HOTLINE FUND
$67,322,157PROGRAM SUPPORT
INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT
$60,000,000PROGRAM SUPPORT
OROMIA HEALTH BUREAU
$50,540,000PROGRAM SUPPORT
MINISTRY OF HEALTH BURKINA FASO
$47,020,000PROGRAM SUPPORT
THE GLOBAL FUND TO FIGHT AIDS TUBERCULOSIS AND MALARIA
$40,000,000PROGRAM SUPPORT
HEALTH DEVELOPMENT PARTNERSHIP FOR AFRICA AND THE CARIBBEAN
$38,634,559PROGRAM SUPPORT
MINISTRY OF HEALTH AND SANITATION SIERRA LEONE
$38,020,830PROGRAM SUPPORT
CENTER FOR INTERNATIONAL REPRODUCTIVE HEALTH TRAINING (CIRHT)
$36,818,845PROGRAM SUPPORT
SAND TECH HOLDINGS LIMITED
$35,201,379PROGRAM SUPPORT
PLANNED PARENTHOOD FEDERATION OF AMERICA INC
$32,735,077PROGRAM SUPPORT
GIDABO POLICY AND ADVOCACY CENTER
$32,359,470PROGRAM SUPPORT
IMBUTO FOUNDATION
$30,792,597PROGRAM SUPPORT
REPUBLIC OF TOGO
$30,023,117PROGRAM SUPPORT
MINISTRY OF HEALTH REPUBLIC OF RWANDA
$30,005,305PROGRAM SUPPORT
SUSTAINABLE HEALTHCARE SOLUTIONS AFRICA
$30,000,000PROGRAM SUPPORT
KING FAISAL HOSPITAL RWANDA FOUNDATION (KFHRF)
$28,198,927PROGRAM SUPPORT
MINISTRY OF HEALTH REPUBLIC OF ZAMBIA
$26,000,000PROGRAM SUPPORT
KENYA MINISTRY OF HEALTH STATE DEPARTMENT FOR MEDICAL SERVICES
$26,000,000PROGRAM SUPPORT
MINISTRE DE LA SANT PUBLIQUE DE LA RPUBLIQUE DU BNIN
$25,336,228PROGRAM SUPPORT
MINISTRY OF HEALTH AND PUBLIC HYGIENE SENEGAL
$23,807,131PROGRAM SUPPORT
MINISTRY OF HEALTH MALAWI
$23,526,821PROGRAM SUPPORT
MINISTRY OF PUBLIC HEALTH AND POPULATION CENTRAL AFRICAN REPUBLIC
$22,000,000PROGRAM SUPPORT
AMHARA REGIONAL HEALTH BUREAU
$20,185,672PROGRAM SUPPORT
INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT
$15,000,000PROGRAM SUPPORT
SOCIETY OF FAMILY PLANNING
$13,926,726GENERAL OPERATING SUPPORT
LIBERIA MINISTRY OF HEALTH
$13,509,094PROGRAM SUPPORT
MINISTRY OF HEALTH AND PUBLIC HYGIENE - DEMOCRATIC REPUBLIC OF THE CONGO
$13,354,532PROGRAM SUPPORT
HEALTH INTELLIGENCE CENTRE FOR AFRICA
$13,000,000PROGRAM SUPPORT
PLANNED PARENTHOOD FEDERATION OF AMERICA INC
$12,098,074PROGRAM SUPPORT
PLANNED PARENTHOOD FEDERATION OF AMERICA INC
$12,019,155PROGRAM SUPPORT
REGENTS OF THE UNIVERSITY OF MICHIGAN
$11,570,418PROGRAM SUPPORT
WORLD HEALTH ORGANIZATION - REGIONAL OFFICE FOR AFRICA
$11,331,087PROGRAM SUPPORT
FEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA MINISTRY OF HEALTH
$11,000,000PROGRAM SUPPORT
TIGRAY REGIONAL HEALTH BUREAU
$10,062,681PROGRAM SUPPORT
THE GOVERNMENT OF THE REPUBLIC OF BOTSWANA
$10,000,000PROGRAM SUPPORT
WILLOWS INTERNATIONAL
$9,835,682PROGRAM SUPPORT
ST PAUL INSTITUTE FOR REPRODUCTIVE HEALTH AND RIGHTS
$8,247,815PROGRAM SUPPORT
UNIVERSITY OF NEBRASKA OMAHA BOARD OF REGENTS
$7,111,771SCHOLARSHIPS
UNIVERSITY OF NEBRASKA OMAHA BOARD OF REGENTS
$6,947,897SCHOLARSHIPS
PLANNED PARENTHOOD FEDERATION OF AMERICA INC
$6,661,208PROGRAM SUPPORT
PLANNED PARENTHOOD FEDERATION OF AMERICA INC
$6,007,867GENERAL OPERATING SUPPORT
SOMALI REGIONAL HEALTH BUREAU
$6,000,000PROGRAM SUPPORT
HOPEWELL FUND
$5,507,865PROGRAM SUPPORT
UNIVERSITY OF NEBRASKA LINCOLN BOARD OF REGENTS
$5,475,254SCHOLARSHIPS
NAF HOTLINE FUND
$5,464,955GENERAL OPERATING SUPPORT
UNIVERSITY OF NEBRASKA LINCOLN BOARD OF REGENTS
$5,362,721SCHOLARSHIPS
GLOBAL CENTER FOR HEALTH DIPLOMACY AND INCLUSION
$5,200,000PROGRAM SUPPORT
UNIVERSITY OF NEBRASKA BOARD OF REGENTS
$5,118,668SCHOLARSHIPS
SHARED ASCENT FUND
$5,065,014PROGRAM SUPPORT