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September 2005
Volume 69
Number 9

Administrative Update


Fiscally Sound ASA Looks Forward to Further Growth


he future health of any organization can often be predicted by its financial condition. I am pleased to announce that once again ASA has had a banner year economically. Our assets are greater now than at any time in our history, and in spite of a deficit budget projected, our audited year-end results indicate more than a $1 million surplus. The surplus was due to the diligence of various committees and task forces in controlling their individual budgets.


Roger A. Moore, M.D.


ASA’s mission, however, is not to simply accumulate assets but rather to promote anesthesia research, education, patient safety and the advocacy of our medical profession — anesthesiology. The growing ASA assets provide a means to achieve our mission. For the year 2006, the ASA budget continues to grow significantly as we increase funding for our Foundations and begin many new initiatives that are directed at furthering the core values of ASA and its members. Ensuring that ASA has the resources to accomplish its goals is the job of the Section on Fiscal Affairs.
Not content to bask in past fiscal successes, the Section has been actively taking on new challenges to ensure ASA’s financial viability far into the future. Some of the issues the Section on Fiscal Affairs has been dealing with either directly or in consultation with other Task Forces are:

Changes in the ASA Travel and Per-Diem Reimbursement Policy

In October 2004, ASA President Eugene P. Sinclair, M.D., assigned a task force to re-evaluate the ASA Travel and Reimbursement Policy, which had been in place essentially untouched for almost 50 years. The charge given to the task force was first and foremost to bring fairness to this policy; second, to bring the policy in line with what other organizations provide; and third, if possible, to improve ASA’s financial status. The existing policy, based on a formula using first-class airfare as the primary source for reimbursement, essentially ensured that some ASA travelers would be over-reimbursed for their travel while others would not have their basic expenses covered.

The task force, with input from the Section on Fiscal Affairs, developed a policy that ensures equity for ASA travelers, no matter what distance they travel. This new policy also will bring ASA travel reimbursement policies more in line with that of other organizations. By covering coach airfare, hotel room expenses and a per diem, the new policy protects those ASA travelers who previously had ended up with a loss when doing ASA business. Does the policy make up for the huge amount of expended time and effort provided by those volunteering for ASA? The answer is a definite no. There were strong feelings that the primary strength of ASA is in the many wonderful and capable people willing to come forth and volunteer their time and effort to ASA, based on their commitment to our specialty. It would be impossible to create an economic mechanism to make up for the lost time that these volunteers take from their practices. The new policy, however, will make it easier for those traveling on ASA business to have, at least, their expenses covered. Will ASA save a lot of money with this new policy? Running the initial numbers indicates that ASA will most likely break even with this new policy, but the primary advantage is that it finally brings fairness to the entire travel and reimbursement policy. In order to keep this policy current with the needs of the membership, the Section on Fiscal Affairs promises ongoing review and modification. You can be assured that it will not be another 50 years before the Section on Fiscal Affairs reassesses this policy!

Diversification of Asset Classes

In the early 1990s, ASA decided to leap into the stock market for investing a portion of its assets. The leap was controlled, and the result was investment in a single large cap growth fund. This fund has done quite well over the years, but the Section on Fiscal Affairs, checking on the some $30 million ASA has in this fund, noticed sudden swings in ASA assets of more than $1 million from month to month. Based on increasing concerns as to the safety of having ASA assets limited to only a bond fund and a single large cap growth fund, a financial advisor from Deloitte and Touche was hired to provide an analysis of ASA investments and work with the Section on Fiscal Affairs to develop a new Investment Policy Statement.

After numerous telephone conferences, the Section on Fiscal Affairs has agreed to an approach that is considered moderately conservative. Over the next year, the Section will redistribute ASA assets into a more diversified portfolio that will bring greater stability to ASA’s holdings as well as provide a more consistent return on invested assets. With more than $50 million in assets, the Section on Fiscal Affairs also has requested that ASA hire a financial consultant to oversee the managers involved in the new diversified investment classes and to work directly with the Section of Fiscal Affairs to ensure that the Investment Policy Statement is followed.

Spendable Account

As mentioned earlier, the purpose of ASA assets is not simply to have them grow. The assets are there to carry out ASA’s missions. One way to make income from assets become part of the working capital that can be utilized for various important projects is to designate some of the expected and historic returns on investments as a line item in the income portion of the revenue/expense sheet. The recommendation of the Section on Fiscal Affairs is to use a very conservative 2.5 percent of $40 million in ASA assets, or $1 million, as a Spendable Account in the 2006 budget. For the 2007 budget, there will be a new Administrative Procedure governing how the amount of the Spendable Account will be determined, based on the past three years’ total investment returns and the immediate past three years’ total assets.

Our job is ongoing as we are continually challenged with projects, both new and old, that we must deal with effectively in order to ensure the future financial health of ASA.



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The views expressed herein are those of the authors and do not necessarily represent or reflect the views, policies or actions of the American Society of Anesthesiologists.

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