The foundation is divided by three main programs Global Development, Global Health and a United States Program. From the start of the foundation until September 2009 the total grant commitment is $21 billion. The total 2008 grant payments are $2.8 billion.
Global Development – Focuses on agricultural development, financial services for the poor, special initiatives (libraries, emergency relief, urban poverty, financial services for the poor). In 2008 $462 million was allocated to grants in the Global Development Program.
Global Health Program – Similar to the Global Development program their goal is to reduce poverty, hunger as well as prevent and fight HIV/AIDS, malaria, tuberculosis, and other infectious diseases. $1.8 billion were grants paid towards the Global Health Program in 2008.
United States Program – Concentrate on education (postsecondary degrees), libraries, homelessness, emergency relief efforts. In 2008 Grants paid to United States Programs estimated to $519 million.