Energize Your Enterprise Risk Management

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Energize Your Enterprise Risk Management Presented By Mark Caiazzo, CISA, CISM, CRISC Tammy Michaud, CPA May 15, 2017 Reviewed:

Agenda Enterprise Risk Management Defined Benefits of ERM Key Components of the ERM Process 2017 ERM Survey Results Risks Facing NFP Organizations A Case Study 2

What is Risk? The possibility of an event occurring that may have either a positive or negative impact on the achievement of objectives. Harm, loss, danger, threat, and hazard Chance, uncertainty, and opportunity 3

Healthcare Consultant SARAH BELLIVEAU BS, CPA PRINCIPAL Certified Public Accountant Provides audit, accounting, and management advisory services to a variety of healthcare and not-for-profit organizations ranging in size and complexity TODAY S SESSIONS: 11:30am 1:00pm 1:30pm 3:30pm Purchasing and Payables General Ledger and Grants What is Enterprise Risk Management (ERM)? Committee of Sponsoring Organizations (COSO) key terms Continuous process Effected by key stakeholders Strategically aligned Identification of possible events Implementation of reasonable measures Achievement of entity objectives 4

Benefits of ERM Foundation for many operational activities Emphasizes organization-wide accountability and transparency Establishes processes to identify risks in a timely manner Connects decision-making to risk assessment Builds effective audit and monitoring activities Helps coordinate regulatory and compliance matters Reduces surprises 5

THE COSO CUBE Components of ERM Internal Environment Objective Setting Risk Identification Risk Assessment Risk Response Control Activities Information and Communication Measure & Monitor 6

Internal Environment The general culture and environment in which an organization operates. Mission, vision, and core values Code of conduct Employment policies Communication - tone at the top Strategic plan Governance plan 7

Objective Setting The process management uses to set its strategic goals and objectives and establish the organization s risk appetite and tolerance. Strategic risk Operational risk Financial risk Compliance risk Reputational risk 8

Risk Identification The process used by an organization to identify events that influence strategy and objectives, or could affect an organization s ability to achieve its objectives. Facilitated group discussions Questionnaires Industry benchmarking Historic trend analysis Understanding regulatory requirements Third-party arrangements (downstream risks) 9

Risk Assessment The organization s process of evaluating the impact and likelihood of events, and prioritizing related risks. Probability of risk occurring Potential impact if it occurs Qualitative vs quantitative analysis Consideration of risk appetite Consideration of third-parties Consideration of controls, processes, and systems already in place 10

Risk Response Determining how management will respond to the risks an organization faces. Risk mitigation fix or reduce the risk to a cost-effective level Risk acceptance deal with it Risk avoidance decision not to proceed Risk transfer let a third-party deal with it Risk financing cover with insurance 11

Control Activities Policies, procedures, and systems that an organization implements to address the risks the organization chooses to mitigate. Business resumption plans Incident response plans Training programs Communications plans Vendor due diligence program 12

Information and Communication The practices that ensure that the right information is communicated to the right people, at the right time. Staff education Board education and reporting Customer communication Incident response Compliance reporting 13

Measure and Monitor Ongoing evaluations to ensure controls are functioning as designed, and taking corrective action to enhance control activities if needed. Internal audit program GRC program Balanced scorecard Maturity modeling Customer and stakeholder feedback 14

2017 AICPA ERM Survey Survey Results 58% of NFP respondents believe the volume and complexity of risks have increased significantly in the last 5 years 56% of NFP respondents indicate their organizations are risk averse or strongly risk averse 26% of NFP respondents have no formal ERM program in place or planned 59% of NFP respondents indicate they have provided no or only minimal RM training in the past 2 years 45% of NFP respondents indicate they feel pressure (somewhat or mostly) from outside parties to provide increased risk management information 15

2017 AICPA ERM Survey REPORT ON ERM BARRIERS Competing priorities 45% Insufficient resources 44% Lack of perceived value 37% Perception that ERM adds overhead 28% Lack of executive leadership 27% Legal or regulatory barriers 5% 16

Evolving Risks Operational Financial Compliance Cash management Customer retention Human capital, culture Information technology Industry or economic changes Fraud Reputation, brand, image Privacy 17

Specific NFP Risks Economy Funding sources Donor retention Excess compensation and benefits Transparency / Transactions with related parties Compliance 18

Case Study A Hypothetical A not-for-profit recently found itself with an opportunity for rapid growth. A grant was given, significantly increasing the organization s funding and possibilities. This growth resulted in expansion for a couple of years, but as business grew, the organization s knowledge of proper infrastructure management and how to foresee and address risk did not keep pace. The organization s first step to solving this problem was to identify the major risks they faced, plan an approach to address these risks, and a then developing a plan to monitor the major risks. 19

Case Study Approach to Risk Educate management and key decision-makers in risk management practices and strategies. Ensure there is sponsorship. Assemble a working Committee comprised of management and staff with appropriate skill sets Clearly identify and document roles and responsibilities of those on the Committee Facilitate risk management meetings and provide open discussions and brainstorming to identify risks throughout the organization Rate the identified risks (impact, likelihood, and timeline), identify the controls that mitigate these risks, and establish risk event response plans Establish a communication plan Develop a monitoring and reporting program for risk, including regular updates from the Risk Committee to the Board 20

Roles and Responsibilities Governing Board Oversees audit and risk issues Management Committee Reviews risk policies and recommends to CEO for approval Chief Executive Office Overall risk responsibility Audit Committee Responsible for internal control and financial reporting and risk management oversight Financial Manager Oversees financial reporting and attests to internal controls Auditor Provides assurance on risk management process 21

Case Study The Risks Once management was educated, and roles and responsibilities were defined and understood, they were ready to begin working with the Risk Committee. With work sessions, they identified the risks. Some risks addressed by the committee: Contract Negotiation Cash flow management Inadequate payroll control Client service Licensing/Service authorization providers 22

Case Study Risk, A Deeper Dive After the risks were identified, the Risk Committee was confident enough in its assessment to discuss risks further through the next step, which was to facilitate interactive sessions. These sessions shed light on risks that were related to: Funding sources Human capital Legislative IT Social media Financial Conflicts of interest Reputation 23

Risk Rating Matrix Risk Event Severity Likelihood Timeframe Controls Rating 1 Cash flow impairment High Moderate Moderate Weak High 2 Contract negotiation failure High Moderate Moderate Weak High 3 Pre-authorized failure Low High Rapid Weak High 4 Loss of funding source High Low Slow Weal Moderate 5 Disaster recovery / Business continuity failure High Moderate Rapid Adequate Moderate 6 Client billing failure Low High Rapid Adequate Moderate 7 Key employee departure High Low Moderate Adequate Moderate 8 Payroll fraud Moderate Low Moderate Strong Low 24

Risk Mitigation Risk Event Mitigation Analysis 1 Cash flow impairment Implement cash flow reporting Possible line of credit for short term aid Review current accounts receivable for collectability Develop authorized credit approval procedures for future counterparties. Designate representatives for major accounts Streamline and enhance control of billing and collection processes 2 Contract negotiation failure Identify consulting partner to provide assistance with negotiations Establish a Deal Review Board to authorize material agreements Develop proper training programs for vital resources Analyze in-force agreements for improvement opportunities 25

Risk Monitoring and Reporting A Risk Management Committee to perform on-going reviews and alignments for the organization s operation strategies Risk monitoring responsibilities to senior resources Monthly reporting protocols for key resources Key risk indicators to be addressed at Board Meetings Periodic risk education updates throughout the organization on all levels An environment of employee buy-in, continual process, and control improvement 26

The Never Ending Story Establish ERM Committee Monitor and Report Risk Management Framework Continuously Identify Risk and Risk Events 27

Maturity Model: Where are You? REACTIVATE: Minor management support No common language regarding risk No formal approach Risk areas uncovered DEVELOPING: Some management support Risk leader identified Periodic risk assessments Key risk defined in common language ADVANCED: Proactive management Risk review shared throughout organization Common language regarding risk Timely risk review 28

Interested in more? Mark Caiazzo, CISA, CISM, CRISC Principal mcaiazzo@berrydunn.com Tammy Michaud, CPA Principal tmichaud@berrydunn.com 29