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COSO

COSO Deficiency Management: Addressing Control Weaknesses

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71

The CFO's face had gone pale. We were sitting in a conference room on the 14th floor of their downtown headquarters, and I'd just walked him through the findings from their SOX 404 assessment. Twenty-three control deficiencies. Four of them material weaknesses.

"How did this happen?" he asked. "We have controls. We have processes. We have good people."

I've had this conversation dozens of times over my 15+ years in cybersecurity and compliance. Here's the truth that nobody wants to hear: having controls isn't the same as having effective controls. And the difference between the two can cost millions—or even destroy a company.

What COSO Control Deficiencies Really Mean (And Why They Matter More Than You Think)

Let me take you back to 2017. I was consulting for a mid-sized manufacturing company that had just received their external audit findings. The auditors had identified what they called a "significant deficiency" in their IT general controls.

The CIO was furious. "It's just one finding," he argued. "We're not reporting this to the board."

Six months later, that "just one finding" led to a material weakness disclosure, a 12% stock price drop, an SEC investigation, and the CIO's resignation.

Here's what I learned from that painful experience: control deficiencies aren't technical problems—they're business risks hiding in plain sight.

"A control deficiency is like a crack in your foundation. Ignore it long enough, and you won't just need repairs—you'll need to rebuild the entire house."

Understanding the COSO Control Deficiency Hierarchy

Before we dive into how to fix deficiencies, you need to understand what you're dealing with. The COSO framework defines three levels of control deficiencies, and the distinctions matter enormously.

The Control Deficiency Pyramid

Deficiency Level

Definition

Impact

Reporting Requirement

Control Deficiency

A control is missing or not operating effectively

Low likelihood of preventing/detecting misstatements

Internal management only

Significant Deficiency

A deficiency (or combination) that is important enough to merit attention by those charged with governance

More than remote likelihood of material misstatement not being prevented/detected

Audit committee required

Material Weakness

A deficiency (or combination) such that there is a reasonable possibility of a material misstatement not being prevented/detected on a timely basis

High likelihood of material misstatement

Public disclosure required (for public companies)

I once worked with a financial services company that tried to argue their way down from a material weakness to a significant deficiency. They spent $400,000 on consulting fees building their case. The auditors didn't budge.

Why? Because the designation isn't about opinion—it's about mathematical likelihood and potential financial impact.

The Real Cost of Each Level

Here's a table I share with every executive team I work with. It shows the real-world costs I've observed across various organizations:

Deficiency Level

Average Remediation Cost

Average Time to Resolve

Stock Price Impact (Public Cos)

Customer Impact

Control Deficiency

$15,000 - $50,000

1-3 months

None

Minimal

Significant Deficiency

$75,000 - $300,000

3-9 months

0-3% decline

Moderate - may trigger customer audits

Material Weakness

$250,000 - $2M+

9-24 months

8-15% decline

Severe - may lose customers/contracts

These aren't theoretical numbers. They're based on actual remediation projects I've led or observed over the past fifteen years.

The Five Most Common COSO Control Deficiencies I've Encountered

In my experience, about 80% of control deficiencies fall into five categories. Let me walk you through each one with real examples.

1. Inadequate Segregation of Duties (SoD)

This is the granddaddy of all control deficiencies. I can't count how many times I've found the same person who can create vendor records, approve invoices, and process payments.

Real Story: A healthcare provider I worked with in 2020 had an accounts payable clerk who'd been embezzling money for three years. She created fake vendors, approved invoices to those vendors, and processed the payments. The scheme? $847,000 over three years.

The fix cost them $60,000. The embezzlement cost them nearly a million dollars, plus legal fees, insurance deductibles, and devastating reputational damage.

Common SoD Deficiencies by Function

Business Function

High-Risk Combination

Why It Matters

Remediation Approach

Accounts Payable

Vendor creation + Payment approval

Enables fictitious vendor fraud

Separate roles or implement approval workflows

IT Access

Security admin + Database admin

Allows unauthorized data manipulation

Role separation or compensating detective controls

Payroll

Timesheet entry + Payroll processing

Enables ghost employee schemes

Implement independent review process

Inventory

Physical custody + Record keeping

Facilitates inventory theft

Periodic independent counts

Journal Entries

Entry preparation + Posting

Allows fraudulent financial reporting

Supervisory review and approval

2. Insufficient IT General Controls (ITGCs)

Here's something that surprises people: IT general controls underpin almost every business process in modern organizations. When ITGCs are deficient, everything built on top of them becomes unreliable.

I worked with a retail company in 2019 where developers had production access. "We need it for troubleshooting," they argued.

During the audit, we discovered that a developer had modified pricing logic directly in production to help a friend get discounts. The company lost $230,000 in revenue over eight months before anyone noticed.

Critical ITGC Categories

ITGC Category

Common Deficiencies

Business Impact

Quick Win Solutions

Access Controls

Excessive admin rights, no access reviews

Unauthorized changes, fraud risk

Quarterly access reviews, role-based access

Change Management

No approval process, production access

System instability, unauthorized modifications

Implement ticketing system, separate environments

Computer Operations

No backup monitoring, failed job alerts ignored

Data loss, financial reporting errors

Automated monitoring, escalation procedures

Program Development

No code review, insufficient testing

System failures, security vulnerabilities

Peer review process, automated testing

3. Inadequate Monitoring and Review Controls

This deficiency kills me because it's so preventable. Organizations implement controls, then never check if they're actually working.

Case Study: A financial services firm had a beautiful policy requiring manager approval for all wire transfers over $50,000. Excellent control, right?

Except when I reviewed the logs, I found that 73% of approvals happened after the wire had already been sent. The "control" was pure theater.

"A control without monitoring is just a suggestion. And suggestions don't prevent fraud or errors."

4. Lack of Documentation and Formalization

I call this the "It's in Bob's head" problem. Critical processes that exist only as tribal knowledge, passed down through shadowy office rituals.

What happens when Bob retires? Or quits? Or gets hit by a bus? (Everyone always says "bus"—like that's the most common workplace hazard.)

Real Impact: A manufacturing company lost their senior accountant unexpectedly. It took them four months to close their books because nobody knew how she'd been calculating certain accruals. They missed their 10-Q filing deadline and got delisted from NASDAQ.

The fix? $15,000 for a documentation consultant. The cost of not having documentation? $40 million in market cap evaporation.

5. Weak Entity-Level Controls

Entity-level controls are the foundation of your entire control environment. When they're deficient, everything else becomes unreliable.

Entity-Level Control

Red Flags I Look For

Why It Matters

Remediation Priority

Tone at the Top

Leadership dismisses control importance

Controls won't be followed consistently

Critical - address immediately

Code of Conduct

Generic policy, no training, no enforcement

Ethical lapses become normalized

High - sets cultural foundation

Risk Assessment

No formal process, hasn't been updated in years

Emerging risks go unidentified

High - drives control design

Whistleblower Hotline

Doesn't exist or nobody uses it

Problems fester until they explode

Medium - provides early warning

Internal Audit Function

Underfunded, reports to CFO instead of audit committee

Lack of independent oversight

High - ensures control effectiveness

The COSO Deficiency Lifecycle: From Discovery to Resolution

Over the years, I've developed a systematic approach to managing control deficiencies. Here's the framework that's worked across dozens of organizations.

Phase 1: Identification and Assessment (Weeks 1-2)

This is where most organizations stumble. They either:

  1. Minimize the finding ("it's not really that bad")

  2. Panic and overreact ("we need to fix everything immediately")

  3. Argue with the auditors ("you don't understand our business")

None of these work.

What Works Instead:

Deficiency Impact Assessment Matrix

Assessment Factor

Questions to Ask

Documentation Needed

Magnitude

What's the largest potential financial misstatement?

Financial impact analysis

Likelihood

How often could this control fail undetected?

Historical error rates, process frequency

Pervasiveness

How many processes/accounts are affected?

Process mapping, account analysis

Compensating Controls

What other controls might catch this?

Control matrix review

Detection Timeline

How quickly would we find an error?

Monitoring procedures review

I worked with a technology company that discovered a segregation of duties issue in their revenue recognition process. Using this matrix, we determined:

  • Magnitude: Up to $2M quarterly misstatement possible

  • Likelihood: Medium (process ran weekly with oversight gaps)

  • Pervasiveness: High (affected all revenue streams)

  • Compensating Controls: Some reconciliation procedures existed

  • Detection: Quarterly financial review might catch issues

Verdict: Significant deficiency requiring immediate remediation.

Phase 2: Root Cause Analysis (Weeks 2-3)

Here's where you dig deeper than the surface problem. I use the "Five Whys" technique, and it's revealing every single time.

Example from a Real Engagement:

Finding: Database administrator has ability to modify financial data without detection.

Why #1: Why does the DBA have this access? Answer: We granted it during a system implementation three years ago.

Why #2: Why wasn't it removed after implementation? Answer: Nobody documented that it was temporary.

Why #3: Why isn't there a process to review excessive access? Answer: We conduct access reviews, but they don't cover this system.

Why #4: Why doesn't the access review cover this system? Answer: Finance team didn't know to include it.

Why #5: Why didn't Finance know to include it? Answer: No formal process to identify systems containing financial data.

Root Cause: Lack of systematic inventory of systems processing financial data, leading to gaps in access review procedures.

See how the real problem is four layers deeper than the surface finding? Fix only the surface issue, and you'll have the same problem pop up somewhere else.

Phase 3: Remediation Planning (Weeks 3-5)

This is where the rubber meets the road. I've seen too many organizations create elaborate remediation plans that look great on paper but fail in practice.

The Remediation Prioritization Framework

Priority Level

Criteria

Remediation Timeline

Resource Allocation

P0 - Critical

Material weakness or immediate fraud risk

30-60 days

Dedicate full-time resources

P1 - High

Significant deficiency or emerging material weakness

60-90 days

Dedicated part-time resources

P2 - Medium

Control deficiency with moderate risk

90-180 days

Regular project time allocation

P3 - Low

Control deficiency with low risk/impact

180-365 days

Fit into regular improvement cycles

Key Principle I've Learned: Never try to fix everything at once. I watched a company attempt to remediate 31 control deficiencies simultaneously. They burned out their team, fixed nothing well, and created new problems in the process.

Better approach: Fix the critical few excellently, then move to the next tier.

Phase 4: Implementation (Weeks 5-16, varies by complexity)

Implementation is where theory meets reality. Here's my battle-tested approach:

Control Remediation Playbook

Remediation Type

Implementation Steps

Success Metrics

Common Pitfalls

New Control

1. Design control<br>2. Document procedure<br>3. Train personnel<br>4. Pilot for 30 days<br>5. Full implementation

Control operates 100% of required instances

Insufficient training, unclear ownership

Enhanced Control

1. Identify gap<br>2. Modify existing process<br>3. Update documentation<br>4. Communicate changes<br>5. Monitor effectiveness

Gap fully addressed, no new gaps created

Incomplete gap analysis, scope creep

Compensating Control

1. Design detective control<br>2. Determine review frequency<br>3. Document review procedures<br>4. Implement monitoring

Catches 100% of control failures within acceptable timeframe

Insufficient review frequency, lack of follow-up

Real Story: An insurance company needed to implement segregation of duties for their claims processing system. The IT solution would take 18 months and cost $2.3 million.

Instead, we implemented a compensating control: weekly automated reports showing claims approved by the same person who entered them, reviewed by a supervisor within 48 hours.

Cost: $35,000. Time: 6 weeks. Effectiveness: 100%.

Sometimes the elegant solution isn't the expensive one.

"Perfect is the enemy of done. Implement the control that works today, then optimize it tomorrow."

Phase 5: Testing and Validation (Weeks 12-20)

You can't declare victory until you've proven the control actually works. I've seen too many organizations implement controls, declare success, then fail their audit because they never tested effectiveness.

Control Testing Framework

Testing Phase

What to Test

Sample Size

Success Criteria

Design Testing

Does the control address the risk?

Policy/procedure review

Control design adequately addresses identified risk

Implementation Testing

Is the control in place?

5-10 instances

Control exists and is being performed

Operating Effectiveness

Does the control work consistently?

25+ instances or full population if small

Zero exceptions or documented/resolved exceptions

Sustainability Testing

Will the control continue working?

3-month monitoring period

Consistent performance without degradation

I worked with a healthcare organization that celebrated implementing a new IT access review control. Then we tested it.

Results:

  • 40% of reviews submitted late

  • 25% of reviews incomplete

  • 15% of reviews approved access that should have been removed

The control existed, but it wasn't effective. We spent another two months refining the process, improving training, and adding monitoring before it actually worked.

Phase 6: Continuous Monitoring (Ongoing)

This is the phase most organizations skip, and it's why deficiencies come back like weeds.

Best Practice I've Implemented:

Quarterly Control Health Dashboard

Control Category

# of Controls

Operating Effectively

Exceptions This Quarter

Trend vs. Last Quarter

Access Controls

15

14

3 (all resolved)

↑ Improving

Change Management

8

7

5 (2 unresolved)

→ Stable

Segregation of Duties

12

12

0

↑ Improving

Management Review

10

8

8 (3 unresolved)

↓ Declining

TOTAL

45

41 (91%)

16

→ Stable

This dashboard goes to the audit committee quarterly. It keeps control effectiveness visible and prevents backsliding.

The Hidden Challenge: Organizational Resistance

Let me share something I've learned the hard way: technical fixes are easy; people problems are hard.

I've never failed a deficiency remediation project because we couldn't figure out the technical solution. I've failed because:

  • Leadership didn't prioritize it

  • Business units resisted process changes

  • People refused to give up access they shouldn't have

  • Teams were too busy for "compliance stuff"

The Resistance Patterns I've Encountered

Resistance Type

What It Sounds Like

Real Concern

How to Address

Authority Challenge

"I've been doing this for 20 years!"

Loss of autonomy/status

Involve them in solution design, emphasize expertise

Efficiency Argument

"This will slow us down!"

Fear of decreased productivity

Show data on incident costs, streamline processes

Resource Complaint

"We don't have time for this!"

Already overwhelmed

Provide dedicated resources, automate where possible

Not Invented Here

"That won't work for us!"

Desire for control/customization

Pilot in their area, allow customization within framework

Risk Minimization

"It's not really that serious!"

Don't want to deal with it

Present facts, share case studies, escalate if needed

Case Study: A technology company needed to implement change management controls. The development team fought us for three months. "You're killing our agility!" they protested.

We sat down with them and actually mapped their current process. Turns out, they were spending 40% of their time fixing production issues caused by poorly coordinated changes.

After implementing proper change management:

  • Production incidents down 67%

  • Development time spent firefighting dropped to 8%

  • Deployment success rate up to 94%

  • Team morale improved significantly

The lead developer told me: "I can't believe we fought this. We're actually faster now, and I sleep better."

"Resistance to controls usually isn't about the controls—it's about fear of change, loss of autonomy, or past bad experiences with 'compliance people' who didn't understand the business."

The Remediation Success Formula

After managing dozens of deficiency remediation projects, I've identified the factors that separate success from failure.

Critical Success Factors

Success Factor

Impact on Success Rate

How to Ensure It

Executive Sponsorship

+40% success rate

Audit committee ownership, quarterly updates

Dedicated Resources

+35% success rate

Full or part-time project manager, clear accountability

Clear Timelines

+30% success rate

SMART goals, milestone tracking, regular status updates

Cross-Functional Teams

+25% success rate

Representatives from IT, Finance, Operations, Compliance

Change Management

+25% success rate

Communication plan, training, addressing resistance

Independent Validation

+20% success rate

Internal audit or external testing before declaring success

Notice I didn't list "budget" as a critical success factor? Here's why: I've seen $2 million remediation projects fail and $50,000 projects succeed. Money helps, but it's not determinative.

What matters is focus, commitment, and follow-through.

Common Pitfalls and How to Avoid Them

Let me save you from the mistakes I've watched organizations make (and sometimes made myself).

The Top 10 Deficiency Remediation Mistakes

Mistake

Why It Happens

Real-World Impact

Prevention Strategy

Treating Symptoms, Not Root Causes

Rushing to "fix" without analysis

Deficiency recurs elsewhere

Mandatory root cause analysis before remediation

Over-Engineering Solutions

Consulting firms selling complexity

Delays, cost overruns, user rejection

Start with simplest effective control

Ignoring the People Side

Technical mindset dominates

Implementation resistance, control abandonment

Change management, training, involvement

No Testing Before Rollout

Pressure to show progress

Control doesn't work, wasted effort

Pilot testing required before full implementation

Declaring Victory Too Early

Want to move on to next priority

Control degrades over time

Minimum 90-day effectiveness period

Trying to Fix Everything at Once

Underestimate complexity

Nothing gets fixed well

Prioritize ruthlessly, sequence remediation

Insufficient Documentation

See it as bureaucratic overhead

Can't prove control effectiveness to auditors

Document as you build, not after

No Ownership Assigned

Assume "team" will handle it

Nobody feels accountable

Single point of accountability for each control

Skipping Monitoring

Control is "done"

Gradual degradation goes unnoticed

Automated monitoring where possible

Hiding Problems from Leadership

Fear of career impact

Issues escalate to material weaknesses

Transparency culture, no-blame environment

Real-World Remediation Timeline

Here's what a typical deficiency remediation actually looks like in practice. This is based on a composite of projects I've led:

180-Day Material Weakness Remediation Plan

Phase

Duration

Key Activities

Deliverables

Success Criteria

Week 1-2: Assessment

2 weeks

Root cause analysis<br>Impact assessment<br>Stakeholder interviews

Assessment report<br>Remediation approach

Clear understanding of deficiency

Week 3-4: Planning

2 weeks

Solution design<br>Resource allocation<br>Timeline development

Project plan<br>Resource commitment<br>Executive approval

Approved remediation plan

Week 5-8: Design

4 weeks

Control design<br>Process documentation<br>Tool configuration

Control documentation<br>Updated procedures<br>Training materials

Controls ready to pilot

Week 9-12: Pilot

4 weeks

Limited implementation<br>Issue identification<br>Refinement

Pilot results<br>Updated design<br>Lessons learned

Controls work in pilot environment

Week 13-16: Rollout

4 weeks

Full implementation<br>User training<br>Go-live support

Implemented controls<br>Trained users<br>Support documentation

Controls fully operational

Week 17-24: Testing

8 weeks

Operating effectiveness testing<br>Exception handling<br>Process refinement

Test results<br>Exception reports<br>Corrective actions

90+ days clean operation

Week 25-26: Validation

2 weeks

Independent review<br>Auditor walkthrough<br>Final documentation

Validation report<br>Audit evidence<br>Final procedures

External validation of effectiveness

Reality Check: This timeline assumes moderate complexity and good cooperation. Material weaknesses involving system implementations can take 12-24 months.

The Documentation That Actually Matters

Auditors love documentation. But not all documentation is created equal. Here's what actually moves the needle:

Essential Remediation Documentation

Document Type

Purpose

Key Contents

Update Frequency

Remediation Plan

Project roadmap

Deficiency description<br>Root cause<br>Remediation approach<br>Timeline<br>Resources

Weekly during active remediation

Control Documentation

Operational reference

Control objective<br>Procedure steps<br>Responsible parties<br>Evidence requirements

After any control change

Testing Documentation

Prove effectiveness

Test approach<br>Sample selection<br>Results<br>Exceptions<br>Conclusions

Each testing cycle

Status Reports

Stakeholder communication

Progress vs. plan<br>Issues/risks<br>Decisions needed<br>Next steps

Weekly to project team<br>Monthly to audit committee

Post-Implementation Review

Lessons learned

What worked<br>What didn't<br>Recommendations<br>Process improvements

After each major remediation

Pro Tip: I create a "Remediation Binder" for each deficiency—physical or digital—that contains all this documentation. When the auditors show up, you hand them the binder. It saves weeks of scrambling.

The Cost-Benefit Reality Check

Let's talk about something nobody likes discussing: the actual cost of remediating deficiencies.

Average Remediation Costs (Based on My Experience)

Deficiency Complexity

Internal Hours

External Consulting

Technology/Tools

Total Average Cost

Timeline

Simple (e.g., adding approval step)

40-80 hours

$0-$15,000

$0-$5,000

$5,000-$25,000

1-2 months

Moderate (e.g., segregation of duties)

200-400 hours

$25,000-$75,000

$10,000-$50,000

$50,000-$150,000

3-6 months

Complex (e.g., IT system controls)

800-2000 hours

$75,000-$300,000

$50,000-$500,000

$200,000-$1M+

6-18 months

Now compare these costs to the alternatives:

Cost of Living with the Deficiency:

  • Material weakness disclosure: 8-15% stock price decline (public companies)

  • Customer loss: I've seen companies lose 20-40% of enterprise customers

  • Insurance premium increases: 50-200% increases are common

  • Regulatory fines: Can exceed remediation cost by 10-100x

Real Example: A financial services company debated spending $180,000 to remediate a significant deficiency. They delayed six months. During that delay:

  • The deficiency escalated to a material weakness

  • They lost three major clients ($4.2M annual revenue)

  • Their cyber insurance premium increased $350,000 annually

  • They ultimately spent $680,000 to remediate under pressure

The CFO told me: "That $180,000 we 'saved' cost us over $5 million. Worst financial decision I've ever made."

Building a Culture of Control Excellence

Here's what I've learned after fifteen years: sustainable control effectiveness isn't about perfect processes—it's about organizational culture.

The organizations that excel at managing deficiencies share common characteristics:

Characteristics of High-Performance Control Cultures

Cultural Element

What It Looks Like

How to Build It

Transparency

Problems reported quickly without fear

No-blame environment, reward early identification

Ownership

Clear accountability for every control

RACI matrices, performance metrics tied to controls

Continuous Improvement

Regular assessment and refinement

Quarterly control effectiveness reviews

Business Integration

Controls seen as enablers, not obstacles

Show how controls prevent real losses

Leadership Commitment

Visible C-suite prioritization

Regular board updates, executive KPIs include control metrics

Resource Allocation

Adequate staffing and budget

Controls funded like other business initiatives

Story That Changed My Thinking:

I worked with two companies with similar deficiencies. Company A spent $300,000 and 8 months remediating. Company B spent $250,000 and 6 months.

Three years later:

  • Company A had 12 new deficiencies

  • Company B had zero new deficiencies and continuously improving controls

The difference? Company B built remediation into their culture. They:

  • Included control effectiveness in performance reviews

  • Celebrated teams that identified issues early

  • Made control metrics visible in executive dashboards

  • Allocated 5% of project budgets to control design

Company A treated it as a one-time compliance project. Company B made it part of how they operate.

"You can't audit your way to control excellence. You have to build it into the DNA of how your organization operates."

Your Action Plan: What to Do Monday Morning

If you're facing control deficiencies right now, here's your immediate action plan:

Week 1: Assess and Acknowledge

  • [ ] Create complete inventory of all known deficiencies

  • [ ] Classify each by severity (control deficiency, significant deficiency, material weakness)

  • [ ] Estimate financial impact of each deficiency

  • [ ] Schedule briefing with audit committee

  • [ ] Secure executive sponsorship

Week 2: Prioritize and Plan

  • [ ] Conduct root cause analysis on highest-priority deficiencies

  • [ ] Develop remediation approach for each

  • [ ] Estimate resources needed (time, money, people)

  • [ ] Create project timeline with milestones

  • [ ] Assign ownership for each remediation

Week 3-4: Launch and Execute

  • [ ] Kick off remediation projects

  • [ ] Establish weekly status reporting

  • [ ] Set up project tracking dashboard

  • [ ] Communicate plan to affected stakeholders

  • [ ] Begin pilot implementations

Ongoing: Monitor and Adjust

  • [ ] Weekly project status reviews

  • [ ] Monthly audit committee updates

  • [ ] Quarterly control effectiveness assessment

  • [ ] Annual control environment review

The Final Word: From Deficiency to Excellence

I want to end where I started—with that CFO in the conference room, staring at twenty-three control deficiencies.

We spent the next six months methodically addressing each one. We prioritized ruthlessly. We involved the right people. We tested thoroughly. We documented everything.

Eighteen months later, they received their audit report: zero deficiencies. Not zero material weaknesses—zero deficiencies of any kind.

More importantly, they'd built something sustainable. They had:

  • Clear control ownership

  • Effective monitoring processes

  • A culture that valued control effectiveness

  • Systems that prevented problems before they started

The CFO called me on the day they received the clean audit report. "You know what's amazing?" he said. "We're not just compliant—we're better at everything. Our close process is faster. Our financial reporting is more accurate. Our team has confidence in our numbers."

That's the secret about COSO control deficiencies: they're not just compliance problems to be fixed—they're opportunities to build better, stronger, more resilient organizations.

The question isn't whether you have control deficiencies. Every organization does, or will.

The question is: what are you going to do about them?

Because in the world of internal controls, there are only two types of organizations: those that manage deficiencies proactively, and those that let deficiencies manage them.

Choose wisely.

71

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