Life After Ice Buckets: ALS Group Faces $94 Million Challenge : Shots - Health News The ALS Association has raised more than $94 million in recent weeks via its online ice bucket challenge — compared with $2.7 million this time last year. Now what?

Life After Ice Buckets: ALS Group Faces $94 Million Challenge

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Exactly one week ago, the ALS Ice Bucket Challenge had raised $31 million. As of today, that's up to more than $94 million. And people are still dumping buckets of water over their heads and donating. Now the charity that's trying to find a cure for what's known as Lou Gehrig's disease faces this challenge - how to spend all that money. NPR's Pam Fessler reports.

PAM FESSLER, BYLINE: Barbara Newhouse had just started her new job as president and CEO of the ALS Association this summer when - like a bucket of cold water - she was hit with one of the most amazing windfalls in U.S. philanthropy.

BARBARA NEWHOUSE: It's amazing. It's, perhaps, a little overwhelming.

FESSLER: Overwhelming, she says, because her group now has a big responsibility - handling more money than it's ever seen before, all from a viral campaign that took the association by surprise.

B. NEWHOUSE: Sort of like the lottery winner that receives a lot of money and four years later is looking in the mirror saying, what did I do with all that money? Where did it go? We don't want to be that kind of lottery winner. We want to take this money and very thoughtfully plan out exactly what we're going to do with it.

FESSLER: So Newhouse says they're consulting with clients, volunteers and their 38 chapters across the country on how the money should be spent. She says the focus will be on expanding the work they already do - funding scientific research, providing care and counseling for ALS patients and their families and advocacy. The ideas will be discussed at a Board of Trustees meeting in October. And then she says decisions will be made very carefully.

B. NEWHOUSE: It's not about spending money quickly. It's about spending money thoughtfully.

KEN BERGER: While they're doing that, they have the expectation, at least implicit, typically, of most donors that the money is going to be used in a timely way.

FESSLER: Ken Berger is the president and CEO of Charity Navigator which rates and analyzes U.S. charities. For the record, it gives the ALS Association four stars - its highest rating. But Berger says the association has a tough balancing act - investing the money well but not sitting on it either.

BERGER: We've see situations where charities have stockpiled money when they've gotten an influx like this. And donors have gotten very upset about it because their expectation is the problem is now, the need is now. The organization needs to step up and dramatically increase its services.

FESSLER: He and others recall a backlash when the American Red Cross received hundreds of millions of dollars after the 9/11 terrorist attacks and then diverted some of the funds to other needs. Donors were outraged. Berger says no matter what it decides, the ALS Association has to share its plans as soon as possible so people know what to expect. Patrick Rooney with the School of Philanthropy at Indiana University says he thinks most donors understand that curing a neurodegenerative disease such as ALS is a long-term investment. But still he warns...

PATRICK ROONEY: Everybody will be watching. So a year from now, people will say, where did that money go and what's the social return on that investment?

FESSLER: Barbara Newhouse says she's well aware of all of this - that she's already been inundated with advice.

B. NEWHOUSE: I'm getting e-mails - everything from spend the money this way to e-mails that say take your time, do it right to people who say I've got the cure for ALS so just pay me, and I'll give you the cure. I'm getting it all.

FESSLER: But she admits for someone running a charity, there are worse problems to have. Pam Fessler, NPR News.

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