Preliminary Risk Analysis and Proposed FY 2011 Internal Audit Scope Illinois Institute of Technology December 21st, 2010 Table of Contents I. Executive Summary Slide Assessment Objectives 3 Risk Assessment Scope and Approach 4 Project Participants 5-6 Significant Observations and Considerations 7 Identifying Opportunities for Improvement 8 Overall Risk Analysis Results 9 Proposed 2011 Internal Audit Plan 10-11 II. Appendix – Detail Analysis Audit Universe Listing – Business Processes 13 IIT Risk Analysis 14-18 Business Risk Profiling Analysis 19-22 © Grant Thornton LLP. All rights reserved. 2 Risk Assessment Objectives • Assist Illinois Institute of Technology ("IIT") management and the Board in identifying relevant risks associated with the University's different business activities and assess the inherent risk significance of each • Identify the audit universe and considerations for internal audit attention to 11 business processes and 63 sub-processes at IIT • Assist IIT management and the Board in creating the FY 2011 – 2013 audit plan • Increase practical awareness of risk and controls amongst IIT management © Grant Thornton LLP. All rights reserved. 3 Risk Assessment Scope and Approach • Conducted 15 interviews as a basis for analysis, observations and recommendations • Reviewed key documents such as audited financial statements, organization charts, prior year’s audit reports, available policies and procedures, and the strategic plan • Utilized Grant Thornton's proprietary risk model which is based on the Committee of Sponsoring Organizations (COSO*) Internal Control Integrated Framework Note: Our review did NOT include the performance of audit testing procedures or validation activities around any observations noted * COSO is a voluntary private sector organization dedicated to improving the quality of financial reporting through business ethics, effective internal controls, and corporate governance. © Grant Thornton LLP. All rights reserved. 4 Risk Assessment Participants Illinois Institute of Technology • • • • • • • • • • • • • • • John Anderson Pat Laughlin Brian Laffey Mary Ann Smith Ophir Trigalo Alan Cramb David McCormick Donna Taylor Betsy Hughes Bruce Mueller Sharon Muldrow-Thomas Jatan Clark Deb Casales Domenica Pappas Frank FioRito © Grant Thornton LLP. All rights reserved. President Chief Financial Officer Controller General Counsel Chief Information Officer Provost & Senior Vice President for Academic Affairs Senior Vice President, Director of IIT Research Institute Accounts Payable Manager Vice President for Institutional Advancement Chief People Officer Payroll Manager Director, Grants and Contract Accounting Bursar Director of Sponsored Research and Programs Purchasing Manager 5 Risk Assessment Participants Grant Thornton • Steve Siemborski – Regional Practice Leader • Larry Ladd – National Director, Higher Education Practice • Rick O’Callaghan – Senior Manager • Nick Saracco – Senior Associate © Grant Thornton LLP. All rights reserved. 6 Observations and Considerations • An extensive list of over 60 audit universe considerations has been identified for IIT across the university, including areas outside of the Finance and Administration functions. • The areas of highest ‘inherent risk’ are not necessarily the areas of focus to select for the first year of the internal audit plan. In some cases, controls are considered to be commensurate with risk, or have been recently audited and found to be effective, and can therefore be appropriately scheduled in the second or third year of the audit plan. • The distributed or decentralized nature of certain operations within a University heightens the inherent risk of inaccurate or incomplete management and financial information as well as the misappropriation of assets. This suggests a need for broad annual internal audit coverage and an audit approach and methodology that maximizes audit coverage within each review. • Opportunities for immaterial theft, fraud or misappropriation of resources that is not detected timely appears to be higher in lower risk areas, e.g., auxiliary enterprises. As a result, the potential aggregate impact could be significant and internal audit coverage should include certain lower risk areas on a rotational basis, and include lower risk areas when sample testing higher risk processes across the University. © Grant Thornton LLP. All rights reserved. 7 Identifying Opportunities for Improvement • In every audit to be conducted, identifying potential opportunities for process improvement and cost savings is an expected outcome. Although audit procedures are primarily designed to evaluate the effectiveness and efficiency of internal controls and compliance with established policies and regulations, opportunities for operational improvements and/or direct or indirect cost savings are inevitably found through the audit process. • Examples of some opportunities to improve internal controls identified through our discussions with management during the risk assessment include: – The need to formalize, codify and/or reevaluate University policies and procedures, including trustee-level (i.e., conflict of interest, investment approval), financial/accounting (e.g., accounts receivable, payables, capital construction, etc.) and information technology (e.g., information security, application change management, etc.). – The opportunity to strengthen control and security over IT assets through a periodic review of user access and information / network security related to critical IT applications, systems and resources to ensure it is maintained to restrict access to appropriate personnel and effective segregation of duties is enforced on an ongoing basis. – A disaster recovery and business continuity plan, containing an appropriate level of detail and integration with business process priorities and a crisis management plan in order to be effective and reduce the potential impact on university operations in the event of IT systems outage. – The need to reevaluate and enhance the controls around the use of endowment funds. © Grant Thornton LLP. All rights reserved. 8 Overall Risk Analysis Results # Process Inherent Risk Rating (Consolidated) 1 Governance, Risk & Compliance Medium 2 Revenue / Receivables Medium 3 Expenditures / Payables High 4 Human Resources Medium 5 Treasury High 6 Risk Management Medium 7 Financial Reporting & Other Accounting Medium 8 Auxiliary Activities & Other Considerations Low 9 Student Affairs Medium 10 Information Systems & Resources High 11 Development Medium © Grant Thornton LLP. All rights reserved. Proposed Internal Audit Plan for FY2011 The following conclusions were drawn based on our assessment of risk and preliminary perceptions on internal control within the University: • Given the outcome of the risk analysis, a suggested audit plan containing approximately 500 – 750 hours per year appears reasonable and appropriate. • All estimated hours for internal audit activities are intended to understand key risks and controls in each audit area for the purpose of assessing control design effectiveness and then performing tests of operating effectiveness. • However, there are certain other ‘baseline’ audit activities such as external audit assistance and ongoing compliance monitoring as well as special request projects and follow-up procedures on prior year audits that are inherent to any University internal audit function and will need to be taken into consideration annually. These activities could require additional hours of internal audit effort. • Overall, prioritization of the remaining audit areas identified should be a function of ongoing interaction between Grant Thornton, the Board and executive management. © Grant Thornton LLP. All rights reserved. 10 Summary of Audit Areas to Include in the Audit Plan Process # Audit Process Area Sub-process Area Suggested Audit Frequency Estimated Hours N/A 1 50 2 100 – 150 FY 2011 Internal Audit Plan * General Audit Administration, Planning & Reporting 5 Treasury Cash Management / Point of Service Collections 10 Information Systems & Resources Information / Network Security 1 100 – 150 10 Information Systems & Resources Application Development & Change Controls 1 100 – 150 3 Expenditures / Payables Purchasing / Payment Cards 2 70 – 120 3 Expenditures / Payables Accounts Payable 3 80 – 130 Total 2011 Hours 500 – 750 Audit Frequency Key: 1=yearly, 2=every other year, 3=every third year. © Grant Thornton LLP. All rights reserved. 11 II. Appendix © Grant Thornton LLP. All rights reserved. 12 Audit Universe*: Business Processes and SubProcesses * The audit universe for a typical University environment • • Governance, Risk & Compliance – Control environment – Risk assessment – Information & communication – Monitoring – Fraud controls – Compliance – Strategic planning Revenue / Receivables – Tuition & fees – Credit & collections – Grants & contracts • Expenditures / Payables – Purchasing / payment cards – Capital expenditures – Construction – T&E expenses – Accounts payable – Facilities maintenance • Human Resources – Employment / employee relations (Faculty & Staff) – Executive compensation – Payroll (employees & students) – Employee benefits – Student employment © Grant Thornton LLP. All rights reserved. • Treasury – Cash management – Endowments – Financing – Investments • Risk Management – Risk management – Insurance – Business continuity & crisis management – Environmental health & safety • Financial Reporting & Other Accounting – General accounting – Internal reporting – External reporting – Budgeting – Tax compliance – Fixed assets – Intellectual property, copyrights & patents • Student Affairs – Student activities, clubs & events – Admissions/student recruitment – Financial aid & scholarships – Health services – Residence halls – Athletics – Programs abroad & international initiatives – Privacy (FERPA, HIPAA compliance) • Auxiliary Activities and Other Considerations – Food service – Bookstore – Student/employee cards – University collectibles • Development – Development / fund raising – Planned gifts – Alumni activities • Information Systems & Resources – Applications – IT governance – Information security – Network security / architecture – Network & infrastructure change management – Application integrity controls – Telecommunications – Physical security – Application development & change controls – Third-party / vendor management – Computer operations – Third party interfaces & connectivity – Library – Disaster recovery 13 Risk Analysis for Illinois Institute of Technology Process Governance, Risk & Compliance Revenue / Receivables © Grant Thornton LLP. All rights reserved. Sub Process Control Environment Inherent Risk Rating HIGH Risk Assessment MEDIUM Information and Communication MEDIUM Monitoring MEDIUM Fraud Controls MEDIUM Compliance MEDIUM Strategic Planning MEDIUM Tuition and Fees MEDIUM Credit and Collections MEDIUM Grants and Contracts MEDIUM 14 Risk Analysis for Illinois Institute of Technology Process Expenditures / Payables Human Resources Sub Process Purchasing / Payment Cards © Grant Thornton LLP. All rights reserved. HIGH Capital Expenditures MEDIUM Construction MEDIUM T&E Expenses LOW Accounts Payable HIGH Facilities Maintenance HIGH Employment / Employee Relations Executive Compensation Treasury Inherent Risk Rating MEDIUM LOW Payroll MEDIUM Employee Benefits MEDIUM Student Employment MEDIUM Cash Management HIGH Endowments HIGH Financing HIGH Investments HIGH 15 Risk Analysis for Illinois Institute of Technology Process Risk Management Financial Reporting & Other Accounting Sub Process Risk Management MEDIUM Insurance MEDIUM Business Continuity & Crisis Management HIGH Environmental Health & Safety LOW General Accounting MEDIUM Internal Reporting MEDIUM External Reporting MEDIUM Budgeting MEDIUM Tax Compliance Fixed Assets Vehicle Inventory & Maintenance Intellectual Property, Copyrights & Patents Auxiliary Activities & Other Considerations © Grant Thornton LLP. All rights reserved. Inherent Risk Rating LOW MEDIUM LOW MEDIUM Food Service LOW Bookstore LOW Student / Employee Cards LOW University Collectibles LOW 16 Risk Analysis for Illinois Institute of Technology Process Student Affairs Sub Process Student Activities, Clubs & Events LOW Admissions / Student Recruitment HIGH Financial Aid & Scholarships Development © Grant Thornton LLP. All rights reserved. Inherent Risk Rating MEDIUM Health Services LOW Residence Halls LOW Athletics LOW Program Abroad & International Initiatives MEDIUM Privacy MEDIUM Development / Fund Raising HIGH Planned Gifts MEDIUM Alumni Activities MEDIUM 17 Risk Analysis for Illinois Institute of Technology Process Information Systems & Resources Sub Process Applications IT Governance HIGH MEDIUM Information Security HIGH Network Security / Architecture HIGH Network & Infrastructure Change Management MEDIUM Application Integrity Controls MEDIUM Telecommunications HIGH Physical Security LOW Application Development & Change Controls MEDIUM Third-party / Vendor Management MEDIUM Computer Operations Third-party Interfaces & Connectivity © Grant Thornton LLP. All rights reserved. Inherent Risk Rating LOW MEDIUM Library LOW Disaster Recovery HIGH 18 Business Risk Profiling Summary Analysis Governance Risk Definition Risk that the processes, customs, policies, procedures, communications and management attributes affecting the way in which an organization is directed, administered, controlled or internally monitored is not sufficient, effective or appropriate, impacting the achievement of organizational goals. Analysis Overall, governance risks are moderate to high due to their pervasive nature and impact, as well as the inherent risk. Although viewed favorably, changes in leadership can create perceptions of instability in certain areas. Given the increasing complexity of the organization's risk profile, the breadth, depth and focus of internal audit activities for addressing relevant organizational risks has become increasingly important. As there has been no consistent formal internal audit activity to ensure proper controls are in place and operating effectively, the University's risk could be increased, which is factored into this rating. Personnel Risk Definition The risk that the Human Resources function is not adequate resulting in inconsistent or ineffective recruiting, application of policy or management of student employees. The risk that departments are not properly staffed due to turnover, attrition or lack of sufficient recruiting. The risk that people either do things they are not supposed to do or fail to do things they should do. The risk that the University is not fostering a positive working culture resulting in lower morale among employees. © Grant Thornton LLP. All rights reserved. Analysis Overall, personnel risks are moderate. The decentralized nature of certain departments and programs and the corresponding responsibility and delegated authority for and monitoring increases the risk of misappropriation of assets. As with almost all universities, there is always a concern related to the recruitment and retention of key faculty in staff. Additionally, the Human Resources function should be closely monitored to ensure that it is meeting the needs of everyone it serves. 19 Business Risk Profiling Summary Analysis Financial Risk Definition The risk that an organization will be unable to fulfill its financial obligations as a party to a financial transaction. The risk that an entity cannot obtain cash quickly enough to pay current obligations. Actual losses may occur as a result of the entity's inability to fund the operational or financial obligations of the business. The risk that tuition pricing is more than students are willing to pay resulting in decreasing enrollment. Analysis Overall financial risk at IIT appears to be high. IIT financial reporting and accounting departments have had significant write-offs in FY10, and issues have been raised in regards to the current endowment and debt financing positions. New management has assumed key roles in the finance and accounting departments with a goal of not only reviewing and correcting actions from prior year, but also establishing key objectives for future growth. However, since some of these initiatives are still in the early stages, the overall financial risk remains high. Operational and Process Risk Definition The risk that organization operations and procedures are not effective or efficient resulting in incomplete or inaccurate financial or management information, frustration or loss of students and employees, or the loss or misappropriation of assets. The risk that employee and student health and safety is not sufficiently controlled exposing the university to potentially significant liability and impairment of image and reputation. © Grant Thornton LLP. All rights reserved. Analysis Overall, the operational and process risks are moderate at IIT. Concerns related to the viability of the current business continuity and crisis management plans appear to be the highest inherent operational risk areas. Increased attention to purchasing and payables, including the use of procurement cards should also be considered. 20 Business Risk Profiling Summary Analysis Compliance Risk Definition The risk that reports of operating or financial information required by regulatory agencies (Federal / State government, NCAA, Accreditation, etc.) are incomplete, inaccurate or untimely, exposing the company to fines, penalties and sanctions. The risk that financial reports include material misstatements or omit material facts, making them misleading. The risk of noncompliance with tax regulations, payment and filing requirements or that transactions of the University have adverse tax consequences that could have been avoided had they been structured appropriately. Analysis Overall, compliance risks appears to be low to moderate. The inherent nature of the many rules and regulations that the University is subject to, raises the risk level in this area. Internal compliance with policies and procedures appears to be an area of lower risk, given the current state of formally documented policies and procedures. The lack of a full time Compliance Officer or department creates added risk; however, these risks are slightly mitigated by the Compliance Committee. Technology Risk Definition The risk that the organization does not have an effective information technology infrastructure to support the current or future needs of the University in an efficient, cost-effective and wellcontrolled fashion. The risk that the processes used to develop, maintain and operate an information processing environment is not sufficient to provide for the accuracy, completeness, integrity, security, availability or recoverability of organizational information. This risk includes development or modification of applications and infrastructure as well as security related to end users and ISR personnel. The risk that a technology strategy does not exist or is not aligned with organizational strategy or objectives. © Grant Thornton LLP. All rights reserved. Analysis Overall, technology risks are considered high. The University is highly dependent upon information technology for its administrative and academic operations. Information and network security, systems availability and recovery have become highly important considerations. There is a concern over the reliability of the current infrastructure as upgrades have not been possible given recent year budget constraints. Additional areas of concern include the viability of the disaster recovery plan, as well as the potential loss of revenue from the Educational Broadband Services ("EBS") channels. 21 Business Risk Profiling Summary Analysis Environmental Risk Definition Major competitors take actions to establish and sustain competitive advantage over the University or even threaten its ability to survive. Changes in regulations and actions by national or local regulators can result in increased competitive pressures and significantly affect an organization's ability to efficiently or effectively conduct business. Other environmental or external factors outside of the span of the University’s control may also adversely impact the organization and its operations. Failure to monitor a changing environment may result in obsolete strategies. Analysis Overall, environmental risks appear to be low and are monitored. Competitor risk is high as competition for qualified students increases, and close proximity to other universities dictates. Compliance with regulatory requirements and maintaining accreditation status is essential for preventing potential impairment of image and reputation. Fraud Risk Definition The risk that employees, students, vendors or third parties individually or in collusion perpetrate fraud against the University, resulting in financial loss or unauthorized use or misappropriation of physical, financial or information assets. There is also potential for legal exposure, impairment of image and reputation as well as an adverse impact on operations. © Grant Thornton LLP. All rights reserved. Analysis Overall, fraud risks appear to be moderate. As the University has tackled many pressing issues over the past couple years, it appears there has been less focus on ensuring that design and operating effectiveness of policies, procedures, and controls is adequate. Additionally, a lack of a consistent, formal internal audit program increases the opportunity for fraud and/or misappropriation of assets. 22