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8/8/2019 Bill and Melinda Gates Foundation 2009 Annual Report
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2009Annual ReportThis year weve decided to highlight the diverse groups who contribute to the workwe dograntees, partners, local leaders and citizens, the online community, and thepeople in the eld throughout the world who make change happen. We are all partnersin the common goal of giving every person the chance to live a healthy, productive life.
8/8/2019 Bill and Melinda Gates Foundation 2009 Annual Report
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Table o Contents
2009 Annual Report www.gatesfoundation.org/annualreport/2009 ( i )
On the cover, clockwise rom top lef: Malichi Usoro (center) in his mothers lap during the grand opening o White Centers Educare Early Learning Center (Seattle, Washington, 2010).
Twenty-nine-year-old Koblah Agbeta holding rice seeds rom his arm (Abutia-Kpota, Ghana, 2010). English teacher Tang Xueyan at the Huining School library, part o the China
Evergreen Rural Library Service (Huining, China, 2004). Children in the village o Mwea (Mwea, Kenya, 2009). An agogo (right), or grandparent, checking on a mother and her newborn
at the Ekwendeni Mission Hospital (Mzimba, Malawi, 2009). Students celebrating at the Chamberlain High School graduation (Tampa, Florida, 2010). A woman carrying hybrid maize
to market (Kunsu, Ghana, 2010). A student at Foothill College (Los Altos Hills, Caliornia, 2010). A mother waiting or her child to be vaccinated against rotavirus at the Pantasma
Health Center (Pantasma, Nicaragua, 2009). Stacy Caves reunited with her three boys (lef to right: Nikolas, Jayden, and Skyler) at the Eastside Domestic Violence Program (Bellevue,
Washington, 2009). Children in the village o Nankui (Uttar Pradesh, India, 2010).
Letter from Jeff Raikes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 01
In the Field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04
Our Grantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 05
Our Partners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 06
Our Local Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 07
Our Online Community . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08
Our Employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 09
2009 Financials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
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2009 Annual Report www.gatesfoundation.org/annualreport/2009 ( 01 )
Letterfrom Jef Raikes
Lef: Je Raikes talking with schoolchildren at Ashongman School (Accra, Ghana, 2009). Top right: Raikes visiting Friendship Collegiate Academy (Washington, D.C., 2008).Bottom right: Raikes (sitting, third rom lef) at a meeting o latrine masons in Chiwata Village, listening to J.M. Mkwanda (second rom lef) discuss rural sanitation projectsand training (Masasi, Tanzania, 2009).
As CEO of the Bill & Melinda Gates Foundation, my job is to make sure we are using ourresourcesour endowment, the expertise o our sta, and the voices o our leadersto the utmost, so that we can
have the maximum possible impact on peoples lives. And the next ve years oer a historic opportunity to have an
impact on the health and welare o people in the developing world. Even in the ace o very tough economic times
across the globe, I am optimistic when I think about all that we can accomplish together with our partners.
I think in terms o the next ve years because 2015 will be a landmark year. In 2000, the United Nations took the
historic step o setting specic targets in eight areas o global health and development. It called them the Millennium
Development Goals (MDGs), and it gave the world 15 yearsuntil 2015to meet them.
e MDGs set the clearest health and development agenda the world has ever had, and the decade since they were
ratied has seen more progress than any other 10-year period in history. Just two weeks rom now, the UN will
convene a special session to discuss how governments, oundations, and NGOs can work together to speed up that
progress. (At the Gates Foundation, were pleased to be taking part in that discussion. You can read more about it on
page 8.)
In the next ve years, we also have the chance to introduce vaccines or rotavirus and pneumococcal disease into the
developing world. Vaccines are a miracle (not to mention an extremely high-return investment), because with just a
ew doses, they protect a child or a lietime. In ve years, we could be immunizing hundreds o millions o inants
against two diseases that currently take the lives o 2 million children every year.
And in ve years, we will be even closer to the complete and total eradication o poliovirus rom the earth.Almost everybody has heard o polio, but many people dont know it still exists. Most people arent aware o the
enormous and longstanding global eort to eradicate the disease, and very ew understand the critical juncture were
at right now.
Its worth taking a moment to reect on what eradication means. I vaccines are miraculous because they protect a
child or a lietime, then eradication is the ultimate miracle. Eradicating a disease protects all children, orever.
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Letter from the CEO
Its enough to measure the impact in terms o lives saved and suering averted. But the moral case is augmented by an
economic one thats almost as powerul. Yes, its going to be expensive to travel the last mile toward eradication. But
it will be exponentially more expensive i we dont reach the end o the road, because wed have to keep on treating
thousands o children paralyzed each year indenitely.
According to a recent cost-eectiveness study, investments in polio vaccination in the United States have prevented
1 million cases o polio and saved more than $180 billion. In the countries where polio is still a threat, that savings
could go a long way toward addressing some o the other health problems with which poor people continue to struggle.
Since 1988, when the world set the goal o eliminating the disease orever, the number o polio cases has gone down
by 99 percent. Just two decades ago, the disease was circulating in 125 countries; now, there are only our countries
that have never stopped transmission o the disease.
But eliminating polio rom the last handul o countries is a lot harder than eliminating it rom the rst handul.
It takes a massive eort to eradicate a disease, which is why its happened only once beore, when smallpox was
eradicated in 1980.
e diculty involved in erreting out every last poliovirus is staggering. It takes an eort o such consistent intensity
that its simply not sustainable over a period o years and years.
We have a narrow window o opportunity. It is impossible to keep the virus at its current levels indenitely. Either
we eradicate poliopreventing suering, saving billions o dollars, and demonstrating what is possible with a global
eortor we ail and start to backslide. I we ail, the number o cases will start to go back up, and the virus will
spread back over borders into countries where it has been eliminated. We are seeing this play out in Tajikistan, part o
a region declared polio-ree in 2002, where 454 cases o polio have been conrmed this year.
e stakes are so high, and we have come so ar, which is why I am so surprised that the world is short o the
unding it needs to nish the job. Right now, there is not enough money past next summer to carry out all o
the immunization activities to keep the world on track to eradicate polio. Its shocking, but unding rom the G8
countries has actually gone down in the last several years.
Its very clear: is is make-or-break time or polio eradication. ats why polio is one o my top priorities as CEO.
When we invest in polio eradication, we know exactly what were getting or our money. e eradication campaign is
extremely well organized and has a long record o success.
e Global Polio Eradication Initiative (GPEI) is a model partnership. e U.S. Centers or Disease Control and
Prevention (CDC), Rotary International, UNICEF, and the World Health Organization (WHO) have been working to
support polio-aected countries or more than 20 years.
We are at a critical juncture where the world
has the opportunity to eradicate this disease.
Jeff Raikes on polio
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Letter from the CEO
Each partner plays a particular role, doing what they do best to make an extraordinarily eective whole. Rotary
is a powerul undraiser and advocate. CDC provides technical expertise. UNICEF purchases oral polio vaccine and
supports grassroots mobilization, and WHO leads surveillance, operations, and the complicated logistics on
the ground.
One o the main things were adding to the eort, in addition to our own nancial commitment, is our voice. We havea platorm rom which we can help generate attention. Hopeully, that attention will in turn help generate the unding
and political commitment needed to nish the job.
Bill, Melinda, and I make regular site visits to India, one o the our remaining countries where the disease is
endemicand we will continue to do so, to see the progress on the ground and meet with key leaders. In recent
years, Bill has also traveled extensively to Nigeria, another endemic country.
e progress happening in both those countries makes me optimistic. In Nigeria between January 1 and August 24,
2010, there were just six cases o polio, compared to 368 during the same period last year. India has reported the lowest
number o cases in a decade; so ar this year only 30 cases have been registered, against last years 236 at this point.
e most exciting thing about all the work were doing together with our partners around the world and in the
United States is the tangible dierence we can make in the lives o millions and millions o people: newborns in
India, high school students in Los Angeles, small armers in Ethiopia, homeless amilies in my hometown o Seattle,
to name just a ew.
When I travel on behal o the oundation, whether its to slums and villages in poor countries or to high schools
and community colleges in the United States, I am always moved by peoples eternal hope or a better lie. At the
oundation, we share their ambition and their optimism.
I look orward to the day when I can write a letter talking about how the world eradicated polio.
Je Raikes
CEO, Bill & Melinda Gates Foundation
Last year I announced that the oundation would be commissioning a Grantee Perception Report, and I
promised that Id report back about our fndings.
They were sobering. We received below-average ratings on many aspects o the grantee experience. We take
this eedback very seriously, because we understand that some o these barriers are preventing us and our
grantees rom maximizing our impact. We dont see our work as a popularity contestthere is bound to be
some tension in even the most productive relationshipsbut we know that we must do everything we can to
make sure that we and our grantees can have the maximum possible impact. We spent much o the past year
digesting the results and developing a plan to address them. You can read more about this process and its
outcome at www.gatesfoundation.org/gpr.
Grantee Perception Report
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Lef: Female Community Health Volunteer (FCHV) Saru Devi Auji at home in Kalena, a small village in western Nepal (Doti, Nepal, 2009). Center: Auji counseling a pregnant woman inKalena (Doti, Nepal, 2009). Right: Nineteen-year-old Maheshwori Devi Bishwokarma holding her newborn daughter Seema; afer giving birth at a clinic, she spent the evening sleeping withSeema in this cow shed in the village o Dikha (Doti, Nepal, 2009).
2009 Annual Report www.gatesfoundation.org/annualreport/2009 ( 04 )
In the Field
Like most women in Kalena, a small village in the Doti
district o western Nepal, Saru Devi Auji works hard.
Each day she wakes up at 4 a.m. to eed the cattle. She
gathers wood, tends the re, and prepares the amilys
meals. She maintains her house and looks afer her our
children, whom she cannot aord to send to school.
In her spare time, Saru saves lives.
As part o Nepals national Female Community Health
Volunteer (FCHV) program, Saru provides vital
primary health care services to the people o Kalena.
FCHVs distribute vitamin A and deworming tablets
to young children, oer amily planning counseling,
distribute condoms and pills, manage cases o pneumonia
with rst-line antibiotics, treat diarrhea with zinc and
oral rehydration salts (ORS), and provide sae birth
counseling to pregnant women. ey also play a key part
in monitoring routine immunizations and administering
vaccines to ght preventable diseases like polio.Foundation grantees Save the Children and CARE
support the FCHV program, which now serves all
75 districts o Nepal. ere are more than 48,000
community health volunteers like Saru, each responsible
or as many as 150 households.
Saru became an FCHV afer losing a son to diarrhea.
We didnt know to give him water, and we didnt have
the money to take him to the hospital, she says.
He was crying or water when he died.
About 31 percent o Nepals population o 26 million
live below the national poverty line, and its rates o
maternal and child mortality are among the highest in
the world. e average age o an FCHV is about 40
years, explains David Oot, associate vice president ohealth and nutrition at Save the Children. Virtually all
o them have experienced the death o a child.
Saru has learned to cope with her loss by helping others
avoid similar ates. So Ive lost my son, I thought. I
should do something to make sure my ellow villagers
dont go through a trauma like that. rough her work
as an FCHV, shes become a mother to her entire village.
Over the past two decades, volunteers like Saru have had
a tremendous impact on the health o Nepals poor. By
latest counts, in a single year, FCHVs had treated 236,000
children with pneumonia and distributed 854,000 packetso ORS and 1.8 million zinc tablets. All told, these eorts
save an estimated 12,000 lives each year.
Experts predict that Nepal will reduce deaths among
children under 5 by two-thirds in the next ve years.
For that remarkable achievement, we owe a proound
debt o gratitude or the courage and compassion o
women like Saru.
Saru Devi Auji: A Mother Helping Mothers in Rural Nepal
People in the eldthose we try to help live healthy, productive livesrun the gamut from homelessfamilies in the Pacic Northwest and disadvantaged students in U.S. high schools to small farmers insub-Saharan Africa and single mothers in Nepal. Working hand-in-hand with our grantees to ensure weachieve the greatest possible impact, these people are vital to our success.
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A classroom at Durant High School studied remotely by a research team usingpanoramic video technology (Tampa, Florida, 2010).
OurGranteesMost of our grantees are large intermediary organizations that fund and support those working in the eld,such as the GAVI Alliance, World Food Programme, and Alliance for a Green Revolution in Africa (AGRA).Offering a wealth of experience and expertise, these organizations help ensure that our investments havethe greatest possible impact.
In 2009, together with other philanthropic organizations,
the oundation supported the groundbreaking work
o the Common Core State Standards Initiative. Drivenby the Council o Chie State School Ocers (CCSSO)
and the National Governors Association (NGA),
the initiative aimed to establish a set o shared K-12
standards or English language arts and mathematics
that states could adopt and implement voluntarily.
Standards vary dramatically rom state to state and
district to district in terms o rigor and the ability to
assess the skills and knowledge students actually need.
is system has led us to the point where academic
requirements have become too cumbersome or
teachers to teach and or parents to determine what
their children are expected to know. In response tothis mile-wide and inch-deep approach, 48 states came
together to develop academic standards or K-12 students
that provide clear and consistent guidelines or what
students need to learn at every grade level to graduate
prepared or college and careers.
CCSSO, in partnership with NGA, developed standards
that build on the best o current state standards and
dene what students are expected to know and be able
to do each year rom kindergarten through high school
graduation. Inormed by direct input rom K-12 teachers,
university proessors, administrators, parents, education
experts rom almost every state, and more than 10,000comments rom the public, the new standards provide
a staircase or learning so teachers can build students
knowledge in the right sequence, one step at a time.
For years we have struggled to articulate expectations
and standards, says Paul E. Lingenelter, president o
State Higher Education Executive Ocers (SHEEO).
Clear learning goals or these undamental skills through
K-12 education will give students and teachers a better
road map toward the goal o success in college and lie.
e more states that adopt these college- and career-
based standards, the closer we will be to sharing
innovation across state borders and improving
achievement or all students, says Co-chair Bill Gates.
As states adopt the standards, policymakers will need
to make sure that our teachers have what they need to
do their jobsrich assessment systems that yield useul,
timely data; tools that translate that data into more
eective instruction; and evaluations and compensation
systems that reward teachers or perormance.
We plan to invest up to $250 million over the next eight
years to develop next-generation instructional tools or
teachers and students that will help states and school
districts implement the new standards. We also plan
to und data-driven research that explores ways states
can modiy the standards and assessments to improvestudent success in school and the workorce.
e Common Core State Standards are an important
step in taking the mystery and luck out o instruction
and creating a public education system that lives up to
its charge o preparing all children to live lie to their
ullest potential.
The Common Core State StandardsInitiative: Groundbreaking ProgressToward Consistent, RigorousStandards or All U.S. Students
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Small-scale armers make money by selling what
they grow, but getting crops to markets can be a
daunting task. By using better seeds and techniques,
organizing themselves into business collectives, andbuilding relationships with creditors, processors, and
wholesalers, smallholder armers can transorm a
subsistence activity into a powerul tool or improving
their lives and helping their communities.
To that end, in January 2010, we entered into an exciting
new partnership with e Coca-Cola Companythe
largest single purchaser o ruit juice in the worldand
nonprot TechnoServe to double the incomes rom
mango and passion ruit sales o up to 54,000 ruit
armers in Kenya and Uganda by 2014.
With a $7.5 million grant rom the oundation to
TechnoServe, $3 million provided by Coca-Cola, and
$1 million provided by Sabco, Coca-Colas bottling
partner in East Arica, the project aims to create new
market opportunities or local armers, whose ruit will be
used or Coca-Colas locally produced and sold ruit juices.
TechnoServe will give armers the training they need to
improve the quality o their ruit, increase crop yields,
organize into business collectives, and access credit.
is partnership is a great example o sustainability,
says Nathan Kalumbu, Coca-Colas East & Central
Arica business unit president. By partnering with
tens o thousands o local armers, we can helpincrease their incomes while meeting our needs or
locally sourced ruit.
We have already committed more than $1.5 billion to
programs strengthening agricultural inrastructure
and resources in the developing worldrom seeds
and soil to arm management and market accessso
progress against hunger and poverty is sustainable
over the long term. History has shown that almost no
country has managed a rapid rise rom poverty without
increasing its agricultural productivity, explains
Sylvia Mathews Burwell, president o the oundations
Global Development Program. In sub-Saharan Arica,agriculture represents two-thirds o all employment and
about a third o GDP. I prosperity is to grow on the
continent, agricultural productivity must grow with it.
We believe this partnership will boost the incomes o
smallholder mango and passion ruit armers in Kenya
and Uganda by 100 percent or more, helping them build
better lives or themselves and their amilies.
Lef: Grace Kyomugisha selling matoke, a plantain commonly used in Ugandan cuisine (Kawanda, Uganda, 2009). Right: A coee armer (lef) demonstrating his processing equipment toGlobal Development Program President Sylvia Mathews Burwell (center) and a TechnoServe representative (Iriani, Kenya, 2009).
OurPartnersBecause our resources are limited, we often partner with other large foundations, businesses, andgovernment organizations willing to co-fund or otherwise support a common strategy or goal. Theproblems we address are extremely complex and global in scale, so these partnerships are crucialto our success.
Doubling the Incomes o East Arican Fruit Farmers withThe Coca-Cola Company and TechnoServe
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Teesha Hubbard with her daughter Jordyn (lef) and son Gus (right) outside Crof Place,a transitional housing complex in the Delridge neighborhood o West Seattle (Seattle,Washington, 2009).
Our LocalCommunityWe place a high value on the opinions and contributions of Pacic Northwest citizens andmake an effort to ensure the well-being of the regions families through our local giving.
e path to opportunity begins with a place to call
homeespecially or amilies with children.
In March 2009, we joined other public and private
unders and government ocials in announcing
investments in a new strategy to reduce amily
homelessness in Washington state. Investments will be
made through the Washington Families Fund, a public-
private partnership managed by Seattle-based Building
Changes. e und provides support services statewide
and runs three pilot programs in King, Pierce, and
Snohomish counties.
In 2004, encouraged by progress made through the
Sound Families initiative, the Washington legislature
created the Washington Families Fund to provide service-
enriched aordable housing or amilies throughout
the state. By the end o 2009, the und had awarded $16
million to 43 programs statewide, creating 618 service-enriched housing units supporting more than 1,000
amiliesincluding 3,000 children and their parents.
While the success o these programs is heartening, the
trend o amily homelessness continues to rise. Data
shows that homeless amilies are the astest-growing
segment o the homeless population, and experts
estimate that more than 1.5 million children experience
homelessness in the United States annually.
Washington states no exception. During the 20082009
school year, the Oce o the Superintendent o Public
Instruction identied nearly 21,000 homeless children
attending public schoolsup more than 2,000 rom theprevious year. Approximately 47 percent o homeless
people in Washington state are living in amilies.
It saddens me that amilies with children make up
nearly hal o our states homeless population. And
unortunately, the economic crisis may push even
more amilies with children into homelessness, says
Fighting Family Homelessness:The Washington Families Fund
Washington Governor Christine Gregoire. We must
do more as a community to help amilies achieve and
maintain stability.
Our strategy applies lessons learned rom past
investments. Principles guiding our current investments
in amily homelessness include early intervention andeviction prevention, coordinated access to housing
support services, rapid re-housing or amilies in
shelters, tailored support services that best address the
unique needs o each amily, and access to increased
economic opportunity through education and
workorce development programs.
Todays homeless children all too ofen become
tomorrows homeless parents with children, says David
Bley, director o the oundations Pacic Northwest
initiative. We must do all we can to stop the cycle o
amily homelessness.
With our partners in the Washington Families Fund, we
aim to reduce the number o homeless amilies in our
three target communities by 50 percent over the next
decade. Working together, we can help orge tangible
solutions to prevent and end amily homelessness in
Washington, creating a uture where no child is without
a sae place to call home.
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Engaging the World Online
Lef: Sisters Arta (lef) and Laura (right) Platace connecting to the Internet through ree wireless service on the campus o Vidzeme University (Valmiera, Latvia, 2007).
Right: Our Facebook page (Seattle, Washington, 2010).
Our Online CommunityThose who engage us online are playing an increasingly important role in our advocacy,expanding conversation around the global challenges were trying to address.
Millions o people are already engaging every day
in online conversations about the issues we work
on. Connecting with the online communitynot
only to listen to what people are saying, but toparticipate in those conversationsrepresents an
incredible opportunity and has become a top priority
or the oundation.
In 2009, we established accounts on Facebook,
Twitter, and YouTube, and we now have nearly hal
a million riends and ollowers. rough these social
media channels and our blog, we have been sharing
the inspiring stories o our partners, grantees, and
beneciarieshow the GAVI Alliance and others are
vaccinating children against rotavirus, how Opportunity
International is bringing mobile banking to Aricans
living in rural areas, and how leaders in U.S. educationare coming together to develop ewer, clearer, and
higher standards to measure student learning.
Many o our grantees and partners are using social
media in cutting-edge ways to support their causes.
For example, on World Malaria Day in 2009, Malaria
No More launched a campaign on Twitter to spread
awareness about the million deaths malaria causes each
year and to raise money to buy and distribute liesaving
mosquito nets. In a single day, the organization reached
millions o people worldwide and raised enough money
or tens o thousands o nets. Were delighted that theUnited Nations Special Envoy or Malaria has invited us
to become part o its Social Media Envoy group, which
is employing similar strategies in an eort to reduce
deaths rom malaria to almost zero by 2015.
e online community has become essential to our
eorts to build awareness and engagement around the
issues we work on. We hope our ollowers and riends
will join us September 20 or TEDxChange, an event
were hosting with TED in New York to reect on the
Millennium Development Goals 10 years inon the
progress weve made already and what we can do to
make a better uture. Broadcast live via webcast, theevent will convene more than 200 prominent thought
leaders and community organizers rom around the
world. More than 50 TEDx groups rom 36 countries
will host satellite events during TEDxChange.
For the latest, please visit our community page at
www.gatesfoundation.org/community. Join the
conversation. Wed love to hear rom you.
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Clockwise rom top lef: Senior Program Ocer Cyndi Lewis (lef) speaking with Health Surveillance Assistant Sampson Kumphale (Misi, Malawi, 2010). Deputy Director o AgriculturalDevelopment Roy Steiner examining rice demonstration plots at the National Crops Resources Research Institute (NaCRRI) eld station outside Kampala (Kampala, Uganda, 2007).Director o Global Health Vaccine Delivery Rajeev Venkayya administering vaccine at a polio vaccination booth at the National Zoological Park (New Delhi, India, 2009). Director oGlobal Libraries Deborah Jacobs (lef) speaking with a Veracruz government ocial about her library program (Veracruz, Mexico, 2009). Foundation employees talking during a GlobalDevelopment Program meeting (Seattle, Washington, 2009). Director o Postsecondary Success and Special Initiatives Hilary Pennington visiting a classroom at the Harbor TeacherPreparation Academy (Los Angeles, Caliornia, 2007).
OurEmployeesMost people recognize our co-chairs, but few know the rest of us who work behind the scenes. On our team ofseasoned professionals are scientists, journalists, physicians, activists, educators, economists, lawyers, policyadvisors, and others. We are a diverse global organization of people deeply committed to giving everyone thechance to live a healthy, productive life.
To hear rsthand accounts of our work at the foundation, visit the Our Employees page of the 2009 annualreport at www.gatesfoundation.org/annualreport/2009.
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2009 Financials
Consolidated Statements o Financial PositionAs of December 31, 2009 and 2008Amounts in thousands
ASSETS
Cash $ 8,999 10,283
Benecial interest in the net assets ofBill & Melinda Gates Foundation Trust 33,439,797 (1) 29,574,486 (1)
Program-related investments, net 35,929 29,535
Prepaid expenses and other assets 2,768 12,402Property and equipment, net 424,828 (2) 262,996 (2)
Total Assets $ 33,912,321 29,889,702
LIABILITIES AND NET ASSETS
Liabilities
Accounts payable $ 66,157 52,356
Accrued and other liabilities 29,273 22,928
Grants payable, net 4,844,947 (3) 5,263,223 (3)
Total Liabilities 4,940,377 5,338,507
Net Assets
Unrestricted 28,971,944 24,551,195
Total Liabilities and Net Assets $ 33,912,321 29,889,702
2009 2008
(Audited) (Audited)
(1) The Bill & Melinda Gates Foundation has a two-entity structure. One entity, the Bill & Melinda Gates Foundation (foundation), distributesmoney to grantees. The other, the Bill & Melinda Gates Foundation Trust (trust), manages the endowment assets. The foundation and thetrust are separate legal entities with independently audited nancial statements. However, the legal documents that govern the trust obligateit to fund the foundation in whatever dollar amounts are necessary to accomplish the foundations charitable purposes. Because the foundationhas the legal right to call upon the assets of the trust, the foundations nancial statements reect an interest in the net assets of the trust inaccordance with generally accepted accounting principles (GAAP).
(2) Property and equipment for the foundation include land and construction in progress related to the foundations new campus being constructedon a 12-acre site in downtown Seattle. IRIS Holdings, LLC (IRIS) is the legal entity that owns the land and future headquarters. Since thefoundation is the sole owner of IRIS, the nancial statements of the two entities are presented here on a consolidated basis.
(3)
Grants payable reects the total amount of grants approved for payment in future periods ($5.1 billion in 2009 and $5.6 billion in 2008), discountedto the present value as of December 31, 2009 and 2008, as required by GAAP.
General note: More information about the nancial positions of the trust and the foundation is available in their respective audited nancialstatements provided on the foundations website.
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2009 Financials
2009 Annual Report www.gatesfoundation.org/annualreport/2009 ( 12 )
2009 Grants Paid Summary by StrategyFor the year ended December 31, 2009Amounts in thousands
GLOBAL DEVELOPMENT 677,170
Agricultural Development 316,498
Financial Services for the Poor 132,930
Global Libraries 34,865
Policy & Advocacy 41,095
Special Initiatives 97,648
Water, Sanitation, & Hygiene 54,134
GLOBAL HEALTH 1,826,446
Discovery (Health, Science, & Technology) 59,120
Enteric and Diarrheal Diseases 61,160
Family Planning 39,646
HIV/AIDS 221,648
Malaria 243,416
Maternal, Newborn, & Child Health 122,819
Neglected and Other Infectious Diseases 120,970
Nutrition 53,214
Pneumonia 51,144
Policy & Advocacy 307,541
Polio 253,139Special Initiatives 19,280
Tobacco 34,683
Tuberculosis 121,587
Vaccine Delivery 117,079
UNITED STATES PROGRAM 488,827
Advocacy: Policy & Communications 16,399
Homelessness 7,262
Libraries 18,857
Pacic Northwest Community 30,323
Scholarships 42,755
U.S. Education 373,231
NON-PROGRAM GRANTS 52,751
Charitable Sector Support 7,134
Employee Matching Gifts & Sponsorships 3,238
Family Interest Grants 42,379
Total 3,045,194
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2009 Financials
2009 Annual Report www.gatesfoundation.org/annualreport/2009 ( 13 )
$677,170
$488,827
Non-Program Grants
United States
Global Development
Global Health
$1,826,446
$52,751
2009 Grants Paid SummaryFor the year ended December 31, 2009Amounts in thousands
For the years ended December 31, 2009 and 2008Amounts in thousands
PROGRAM AREAS
Global Development 677,170 459,136
Global Health 1,826,446 1,818,949
United States 488,827 436,706
NON-PROGRAM AREAS
Charitable Sector Support 7,134 5,062
Employee Matching Gifts & Sponsorships 3,238 3,353
Family Interest Grants 42,379 79,466
Total 3,045,194 2,802,672
2009 2008
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Guided by the belief that every life has equal value, the Bill & Melinda Gates Foundation works to help all people lead healthy, productive lives. In developing
countries, it focuses on improving peoples health and giving them the chance to lift themselves out of hunger and extreme poverty. In the United States, it seeks
to ensure that all peopleespecially those with the fewest resourceshave access to the opportunities they need to succeed in school and life. Based in Seattle,
Washington, the foundation is led by CEO Jeff Raikes and Co-chair William H. Gates Sr., under the direction of Bill and Melinda Gates and Warren Buffett.
For additional inormation on the Bill & Melinda Gates Foundation, please visit our website: www.gatesoundation.org.
2010 Bill & Melinda Gates Foundation. All Rights Reserved. Bill & Melinda Gates Foundation is a registered trademark in the United States and other countries.
This years annual report includes video interviews with oundationleaders and employees. To view these, visit the 2009 annual reportwebsite: www.gatesoundation.org/annualreport/2009.