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ASA NEWSLETTER
 
 
October 2002
Volume 66
Number 10
 
ADMINISTRATIVE UPDATE

ASA's Budgetary Process: A Series of Checks and Balances

Roger A. Moore, M.D.
Assistant Treasurer




Roger A. Moore, M.D.



It is said that the weak of stomach should never view the making of sausage and legislative bills. I am happy to report that the ASA budgetary process does not lead to gastric distress, at least for the outside observer! Over the past few years, the budget process has been tightened and turned into an efficient and, for the most part, effective machine. Though more tinkering will be needed in order to ensure a yearly balanced budget for ASA, the basic framework is now in place and running smoothly.

The budgetary process may be of remote interest for most ASA members, yet its importance for ensuring adequate funding for diverse activities make it an extremely important component in the whole of ASA's function. This report will try to provide an overview as well as a behind-the-scenes look at the complex budgetary process.

Developing a yearly budget begins one full year prior to the year under budgetary consideration, and it extends throughout the budgeted year. For example, the 2003 budget begins in January 2002 with letters going out to each ASA committee chair as well as section chairs from the Executive Office. These letters request the development of an itemized budget with both continuing expenses as well as new budgetary requests being justified in writing. An example of a typical budget request from a committee chair would be the projected expenses to support one or two meetings per year in order to fulfill the responsibilities and expectations of that committee. The formal budget requests are returned by March 1 to the Executive Office, where ASA Executive Director Glenn W. Johnson and Director of Finance Susan M. Rogowski collate and categorize them before sending them to the respective section chairs.

Since each committee falls under one of four sections overseen by a section chair, the next step is review by the section chairs, adding another layer of checks and balances to ensure appropriate budgetary requests. The job of the section chair is then to evaluate all the requests in his or her section and prioritize the requests based on what are felt to be the most urgent and important functions in that section. In addition, the section chair is asked to identify at least 10 percent of the monetary requests that could be cut out if the need for prioritization occurred. Of course, this means that some funding will be eliminated, thereby goring someone's ox. Unfortunately, the occurrence of a deficit budget for the past few years has necessitated such action.

The section chairs' prioritized list of budgetary requests is then reviewed in April or May in a meeting of the president, president-elect, first vice-president, treasurer, assistant treasurer and the executive staff. I have had the privilege to attend these meetings for the past four years as your Assistant Treasurer and have observed an evolution from a mostly informational exchange with little intervention concerning the budgetary requests to a hard-nosed, no-nonsense examination of each individual request. There are no sacred cows during this process, and the goal is a balanced budget. At our last meeting, which was chaired by President-Elect James E. Cottrell, M.D., more than $600,000 was cut from the requests.

Following the April/May meeting, the entire budget package is sent to the Administrative Council for further prioritization of requests and approval. This budget then goes to the Board of Directors at its August meeting for consideration with further additions or deletions based on itemized recommendations. Final approval is given at the October meeting of the House of Delegates – again with adjustments based upon individual itemized recommendations for which the House votes up or down. As I mentioned, this whole process occurs the year prior to the budget going into effect.

The budget process is still not over, however, because during the year that the budget is in effect, changes can be made in two ways. For emergency situations, the Administrative Council can approve funding as long as the funding does not encroach upon the restricted assets of ASA. (Restricted assets are equal to the 1.5 multiple of the previous year's total budget.) For emergency funding of programs that do require the use of restricted funds or for nonemergency requests for funding, a majority vote of the Board of Directors is required. Such considerations of nonemergency requests normally occur during the March or August Board of Directors meetings. Should restricted assets have to be used (this has never occurred), the Board of Directors will have to consider reducing or eliminating previously approved budgetary items as recommended by the Administrative Council.

As you can see, the budgetary process is complex and time intensive. However, the series of checks and balances allows all budget requests to get a fair hearing.

The will of the ASA members, through their representatives in the House of Delegates, is the final word in how ASA funds are prioritized. In addition, continued fiscal integrity depends on continued maintenance of these budgetary mechanisms.

 


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