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Annual Report 2024

The Bill & Melinda Gates Foundation is one of the world's largest private philanthropic foundations, committed to global equity and opportunity. In its 25th anniversary year, the Foundation provided $8.015 billion in total charitable support across global health, global development, gender equality and education. Key 2024 highlights include 4 million girls vaccinated against HPV, major investments in polio eradication ($889m), malaria ($318m) and tuberculosis ($283m), and a commitment to spend $200 billion over the next 20 years.

Report snapshot
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About

Global Health; Global Development; Gender Equality; Global Growth & Opportunity; United States Program; Global Policy & Advocacy; philanthropic partnerships; volume guarantees for vaccines and medicines

Key Metrics

Key Metric 1 $8.015 billion in total charitable support in 2024, including grants, direct charitable contracts and operational expenditure
Key Metric 2 $889 million for polio eradication; $482 million for immunisation; $318 million for malaria; $283 million for tuberculosis
Key Metric 3 4 million girls vaccinated against HPV/cervical cancer through volume guarantee financing mechanism in 2024

Key Outcomes

  • 25th anniversary year: $100 billion spent since foundation; commitment to spend $200 billion in next 20 years
  • $934 million invested in Gender Equality including maternal and newborn health, women's health innovation and family planning
  • $47 billion received from Warren Buffett since 2006 — described by Bill Gates as 'probably the most generous gift ever given to someone else's foundation'

Geography

International

Impact Snapshot
Key Metric 1
Total income £18,180,000 and total expenditure £18,560,000 (year ended 31 December 2024, charity no. 1084958 England/Wales and SC039654 Scotland); in 2024 spent £3.8m on...
Key Metric 2
700+ members supported through in-person visits and support calls in 2025; 697 support grants allocated in 2025 for essential items including specialist clothing, cooling...
Key Metric 3
Largest global investment in EB research to date: multi-million-pound drug repurposing trial provisionally agreed with LifeArc partner at Guy's and St Thomas' NHS Foundation...
£34,000 raised in 2025 winter appeal supporting families like Darcie's with specialist items, emotional support and research; 697 support grants delivered in 2025; first Members Connect event in Northern Ireland; EB Priorities Setting Partnership study completed providing global research roadmap
Impact Snapshot
Key Metric 1
22,507 households helped through RBL casework and specialist support services across 66 countries
Key Metric 2
22,600 grants given to those in need, totalling £11.8 million
Key Metric 3
733 beneficiaries represented at tribunals, resulting in £24.5 million in War Pensions awards
1,548 new families living with dementia supported by RBL Admiral Nurses service
Impact Snapshot
Key Metric 1
3,600 blind veterans received support across the UK; 447 new blind veterans started receiving support in 2024/25
Key Metric 2
1,598 referrals to rehabilitation services completed; 313 veterans received assistive technology training
Key Metric 3
997 volunteers donated 26,824 hours of support; befriending service awarded Quality in Befriending Excellence — one of only 11 organisations in the UK to...
1,831 National Creative Wellbeing Project packs issued to help veterans reconnect with creativity and independence
Impact Snapshot
Key Metric 1
349,000+ people completed the Know Your Risk tool to assess their risk of type 2 diabetes in 2024
Key Metric 2
£4 million invested in 17 new research projects; total active grants portfolio worth over £45 million
Key Metric 3
32% of people completing NHS England's Path to Remission programme — which Diabetes UK campaigned for — put their type 2 diabetes into remission
Type 1 Diabetes Grand Challenge invested over £23 million in 19 projects across 161 experts from 47 institutions in 8 countries since 2022