
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.
$908.8M
$2.8B
$1.7B
$996.6M
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 MD.
ALLEN GREENBERG
PRESIDENT/DIRECTOR
Top 10 recipient countries by grant volume for Susan Thompson Buffett Foundation.
| Rank | Country | Grants | Total | Share |
|---|---|---|---|---|
| 1 | United StatesDomestic | 1,031 | $1.3B | 89.0% |
| 2 | Ethiopia | 24 | $176M |
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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.
2025
Source: IRS Form 990-PF, fiscal year 2025.
2.1% |
| 3 | Rwanda | 21 | $305.2M | 1.8% |
| 4 | United Kingdom | 12 | $72.9M | 1.0% |
| 5 | Kenya | 11 | $31.7M | 0.9% |
| 6 | Switzerland | 8 | $84M | 0.7% |
| 7 | Tanzania | 8 | $43.3M | 0.7% |
| 8 | Senegal | 4 | $38.5M | 0.3% |
| 9 | South Africa | 4 | $25.9M | 0.3% |
| 10 | Burkina Faso | 3 | $28.6M | 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 |
|---|---|---|---|---|
| NAF HOTLINE FUND | ANNAPOLIS JUNCTION, MD | $60,574,746 | 2025 | PROGRAM SUPPORT |
| FEDERAL MINISTRY OF HEALTH AND SOCIAL WELFARE NIGERIA | — | $50,000,000 | 2025 | PROGRAM SUPPORT |
| THE GLOBAL FUND TO FIGHT AIDS TUBERCULOSIS AND MALARIA | — | $35,000,000 | 2025 | PROGRAM SUPPORT |
| HEALTH DEVELOPMENT PARTNERSHIP FOR AFRICA AND THE CARIBBEAN | — | $33,635,887 | 2025 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH RWANDA | — | $32,772,283 | 2025 | PROGRAM SUPPORT |
| CENTER FOR INTERNATIONAL REPRODUCTIVE HEALTH TRAINING (CIRHT) | — | $30,000,987 | 2025 | PROGRAM SUPPORT |
| KING FAISAL HOSPITAL RWANDA FOUNDATION | — | $27,874,770 | 2025 | PROGRAM SUPPORT |
| PLANNED PARENTHOOD FEDERATION OF AMERICA INC | NEW YORK, NY | $25,386,143 | 2025 | PROGRAM SUPPORT |
| MINISTRY OF COMMUNITY DEVELOPMENT GENDER ELDERY AND CHILDREN TANZANIA | — | $24,300,000 | 2025 | PROGRAM SUPPORT |
| AFRICAN UNION DEVELOPMENT AGENCY NEW PARTNERSHIP FOR AFRICA'S DEVELOPMENT | — | $21,003,001 | 2025 | PROGRAM SUPPORT |
| TOGO MINISTRY OF HEALTH | — | $20,000,003 | 2025 | PROGRAM SUPPORT |
| AMHARA REGIONAL HEALTH BUREAU | — | $15,000,000 | 2025 | PROGRAM SUPPORT |
| INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT | WASHINGTON, DC | $15,000,000 | 2025 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH SIERRA LEONE | — | $15,000,000 | 2025 | PROGRAM SUPPORT |
| OROMIA HEALTH BUREAU | — | $15,000,000 | 2025 | PROGRAM SUPPORT |
| SAND TECH HOLDINGS LIMITED | — | $13,892,385 | 2025 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH AND SOCIAL ACTION SENEGAL | — | $13,862,869 | 2025 | PROGRAM SUPPORT |
| REGENTS OF THE UNIVERSITY OF MICHIGAN | ANN ARBOR, MI | $11,601,550 | 2025 | PROGRAM SUPPORT |
| WHO AFRICA REGION | — | $11,331,087 | 2025 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH BURKINA FASO | — | $11,246,053 | 2025 | PROGRAM SUPPORT |
| TIGRAY REGIONAL HEALTH BURERU | — | $10,000,000 | 2025 | PROGRAM SUPPORT |
| MINISTRY OF HEALTH KENYA | — | $10,000,000 | 2025 | PROGRAM SUPPORT |
| NEW VENTURE FUND | WASHINGTON, DC | $9,348,345 | 2025 | PROGRAM SUPPORT |
| IMBUTO FOUNDATION | — | $9,075,306 | 2025 | PROGRAM SUPPORT |
| REPRODUCTIVE FREEDOM FOR ALL | WASHINGTON, DC | $9,075,214 | 2025 | PROGRAM SUPPORT |
| HOPEWELL FUND | WASHINGTON, DC | $8,508,729 | 2025 | PROGRAM SUPPORT |
| SOCIETY OF FAMILY PLANNING | DENVER, CO | $7,397,699 | 2025 | GENERAL OPERATING SUPPORT |
| NATIONAL NETWORK OF ABORTION FUNDS | BEAVERTON, OR | $7,006,964 | 2025 | GENERAL OPERATING SUPPORT |
| NTI | WASHINGTON, DC | $7,001,664 | 2025 | GENERAL OPERATING SUPPORT |
| UNIVERSITY OF NEBRASKA OMAHA BOARD OF REGENTS | OMAHA, NE | $6,788,877 | 2025 | SCHOLARSHIPS |
| MINISTRY OF PUBLIC HEALTH AND POPULATION CENTRAL AFRICAN REPUBLIC | — | $6,500,000 | 2025 | PROGRAM SUPPORT |
| FLORIDA ALLIANCE FOR CIVIC ENGAGEMENT | HOMESTEAD, FL | $6,493,311 | 2025 | GENERAL OPERATING SUPPORT |
| SOMALI REGIONAL HEALTH BUREAU | — | $6,000,600 | 2025 | PROGRAM SUPPORT |
| UNIVERSITY OF NEBRASKA OMAHA BOARD OF REGENTS | OMAHA, NE | $5,903,447 | 2025 | SCHOLARSHIPS |
| NARAL PRO-CHOICE AMERICA FOUNDATION | WASHINGTON, DC | $5,789,116 | 2025 | GENERAL OPERATING SUPPORT |
| FEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA | — | $5,699,279 | 2025 | PROGRAM SUPPORT |
| WILLOWS INTERNATIONAL | MIDDLETOWN, RI | $5,407,550 | 2025 | PROGRAM SUPPORT |
| UNIVERSITY OF NEBRASKA LINCOLN BOARD OF REGENTS | LINCOLN, NE | $5,223,224 | 2025 | SCHOLARSHIPS |
| GLOBAL CENTER FOR HEALTH DIPLOMACY AND INCLUSION | — | $5,200,000 | 2025 | PROGRAM SUPPORT |
| REPROHUB | KIRKLAND, WA | $5,129,711 | 2025 | PROGRAM SUPPORT |
| GLOBAL POVERTY PROJECT | NEW YORK, NY | $5,013,023 | 2025 | PROGRAM SUPPORT |
| GUTTMACHER INSTITUTE | NEW YORK, NY | $5,012,757 | 2025 | GENERAL OPERATING SUPPORT |
| NAF HOTLINE FUND | ANNAPOLIS JUNCTION, MD | $5,000,803 | 2025 | PROGRAM SUPPORT |
| GIDABO POLICY AND ADVOCACY CENTER | — | $5,000,000 | 2025 | PROGRAM SUPPORT |
| DEMOCRATIC REPUBLIC OF THE CONGO | — | $5,000,000 | 2025 | PROGRAM SUPPORT |
| UNIVERSITY OF NEBRASKA LINCOLN BOARD OF REGENTS | LINCOLN, NE | $4,699,819 | 2025 | SCHOLARSHIPS |
| IFWHENHOW | OAKLAND, CA | $4,666,806 | 2025 | GENERAL OPERATING SUPPORT |
| UNIVERSITY OF NEBRASKA-THOMPSON LEARNING COMMUNITY | LINCOLN, NE | $4,493,750 | 2025 | PROGRAM SUPPORT |
| DTK INTERNATIONAL | WASHINGTON, DC | $4,488,385 | 2025 | PROGRAM SUPPORT |
| KING FAISAL HOSPITAL RWANDA FOUNDATION | — | $4,470,000 | 2025 | PROGRAM SUPPORT |
NAF HOTLINE FUND
$60,574,746PROGRAM SUPPORT
FEDERAL MINISTRY OF HEALTH AND SOCIAL WELFARE NIGERIA
$50,000,000PROGRAM SUPPORT
THE GLOBAL FUND TO FIGHT AIDS TUBERCULOSIS AND MALARIA
$35,000,000PROGRAM SUPPORT
HEALTH DEVELOPMENT PARTNERSHIP FOR AFRICA AND THE CARIBBEAN
$33,635,887PROGRAM SUPPORT
MINISTRY OF HEALTH RWANDA
$32,772,283PROGRAM SUPPORT
CENTER FOR INTERNATIONAL REPRODUCTIVE HEALTH TRAINING (CIRHT)
$30,000,987PROGRAM SUPPORT
KING FAISAL HOSPITAL RWANDA FOUNDATION
$27,874,770PROGRAM SUPPORT
PLANNED PARENTHOOD FEDERATION OF AMERICA INC
$25,386,143PROGRAM SUPPORT
MINISTRY OF COMMUNITY DEVELOPMENT GENDER ELDERY AND CHILDREN TANZANIA
$24,300,000PROGRAM SUPPORT
AFRICAN UNION DEVELOPMENT AGENCY NEW PARTNERSHIP FOR AFRICA'S DEVELOPMENT
$21,003,001PROGRAM SUPPORT
TOGO MINISTRY OF HEALTH
$20,000,003PROGRAM SUPPORT
AMHARA REGIONAL HEALTH BUREAU
$15,000,000PROGRAM SUPPORT
INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT
$15,000,000PROGRAM SUPPORT
MINISTRY OF HEALTH SIERRA LEONE
$15,000,000PROGRAM SUPPORT
OROMIA HEALTH BUREAU
$15,000,000PROGRAM SUPPORT
SAND TECH HOLDINGS LIMITED
$13,892,385PROGRAM SUPPORT
MINISTRY OF HEALTH AND SOCIAL ACTION SENEGAL
$13,862,869PROGRAM SUPPORT
REGENTS OF THE UNIVERSITY OF MICHIGAN
$11,601,550PROGRAM SUPPORT
WHO AFRICA REGION
$11,331,087PROGRAM SUPPORT
MINISTRY OF HEALTH BURKINA FASO
$11,246,053PROGRAM SUPPORT
TIGRAY REGIONAL HEALTH BURERU
$10,000,000PROGRAM SUPPORT
MINISTRY OF HEALTH KENYA
$10,000,000PROGRAM SUPPORT
NEW VENTURE FUND
$9,348,345PROGRAM SUPPORT
IMBUTO FOUNDATION
$9,075,306PROGRAM SUPPORT
REPRODUCTIVE FREEDOM FOR ALL
$9,075,214PROGRAM SUPPORT
HOPEWELL FUND
$8,508,729PROGRAM SUPPORT
SOCIETY OF FAMILY PLANNING
$7,397,699GENERAL OPERATING SUPPORT
NATIONAL NETWORK OF ABORTION FUNDS
$7,006,964GENERAL OPERATING SUPPORT
NTI
$7,001,664GENERAL OPERATING SUPPORT
UNIVERSITY OF NEBRASKA OMAHA BOARD OF REGENTS
$6,788,877SCHOLARSHIPS
MINISTRY OF PUBLIC HEALTH AND POPULATION CENTRAL AFRICAN REPUBLIC
$6,500,000PROGRAM SUPPORT
FLORIDA ALLIANCE FOR CIVIC ENGAGEMENT
$6,493,311GENERAL OPERATING SUPPORT
SOMALI REGIONAL HEALTH BUREAU
$6,000,600PROGRAM SUPPORT
UNIVERSITY OF NEBRASKA OMAHA BOARD OF REGENTS
$5,903,447SCHOLARSHIPS
NARAL PRO-CHOICE AMERICA FOUNDATION
$5,789,116GENERAL OPERATING SUPPORT
FEDERAL DEMOCRATIC REPUBLIC OF ETHIOPIA
$5,699,279PROGRAM SUPPORT
WILLOWS INTERNATIONAL
$5,407,550PROGRAM SUPPORT
UNIVERSITY OF NEBRASKA LINCOLN BOARD OF REGENTS
$5,223,224SCHOLARSHIPS
GLOBAL CENTER FOR HEALTH DIPLOMACY AND INCLUSION
$5,200,000PROGRAM SUPPORT
REPROHUB
$5,129,711PROGRAM SUPPORT
GLOBAL POVERTY PROJECT
$5,013,023PROGRAM SUPPORT
GUTTMACHER INSTITUTE
$5,012,757GENERAL OPERATING SUPPORT
NAF HOTLINE FUND
$5,000,803PROGRAM SUPPORT
GIDABO POLICY AND ADVOCACY CENTER
$5,000,000PROGRAM SUPPORT
DEMOCRATIC REPUBLIC OF THE CONGO
$5,000,000PROGRAM SUPPORT
UNIVERSITY OF NEBRASKA LINCOLN BOARD OF REGENTS
$4,699,819SCHOLARSHIPS
IFWHENHOW
$4,666,806GENERAL OPERATING SUPPORT
UNIVERSITY OF NEBRASKA-THOMPSON LEARNING COMMUNITY
$4,493,750PROGRAM SUPPORT
DTK INTERNATIONAL
$4,488,385PROGRAM SUPPORT
KING FAISAL HOSPITAL RWANDA FOUNDATION
$4,470,000PROGRAM SUPPORT