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    Prepared For: Board of Go

    Issued On: January 28,

    Prepared By: MNP LLP

    2300, 1055

    PO Box 491

    MNP Contact: Peter Guo, P

    Phone: (604

    Fax: (604

    Kwantlen Polytechnic U

    Internal Audit of Human Resou

    Processes and Controls

    Executive Management Compe

    Employment-related Expenses

    ernors, Kwantlen Polytechnic University

    015

    unsmuir Street

    8, Vancouver, BC V7X 1J1

    artner, BC Enterprise Risk Services Leader

    ) 637-1513

    ) 685-8594

    iversity

    ces

    nsation and

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    TABLE OF CONTENTS

    Executive Summary ................................................................................................................... 3

    Background .............................................................................................................................. 3

    Scope....................................................................................................................................... 4

    Approach................................................................................................................................. 5

    Limitations............................................................................................................................... 6

    Key Findings and Recommendations............................................................................................ 7

    Appendix 1: Current and Proposed Process for Appointment of New Senior Academic Administrators

    ..............................................................................................................................................20

    Appendix 2: PSEC and SOFI Report Process Narratives and Flowcharts ...........................................22

    Appendix 3: Summary of Recommendations...............................................................................29

    Limitation of Use

    This report is intended solely for the information and use of Kwantlen Polytechnic University. This report should

    not be distributed to third parties without MNP LLPs written consent. Any use that a third party makes of this

    report, and any reliance or decisions made based on it, are the responsibility of such third party. MNP LLP accepts

    no liability or responsibility for any loss or damages suffered by any third party as a result of decisions made or

    actions taken based on this report.

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    3

    Executive Summary

    The Board of Governors of Kwantlen Polytechnic University (the Board) engaged MNP to assess and

    report on the processes and controls related to the employment, compensation and accountability

    reporting for Kwantlen Polytechnic Universitys (KPU or the University) executive managers (Pay

    Grade 9 and above) during the period from April 1, 2010 to June 30, 2014.

    MNP found significant gaps in the manner in which senior executive employment terms were

    documented. Contract terms and salary adjustments were not fully documented in the files provided by

    KPU. These gaps made it difficult to ascertain the manner in which terms were agreed, the specific

    terms of employment in each case and whether the terms identified were complete.

    Appropriate financial, human resource and legal consultation was not fully utilized and relevant

    functional expertise was not always taken into consideration. This contributed to significant

    inconsistencies that were identified between contracts. KPU has already instituted some improvements,

    however further progress is required.

    MNP did not identify the existence of any further pre-employment contracts during the review period,

    except for those that have already been publicly identified. With the exception of disclosures related to

    these pre-employment contracts, MNP did not note significant deviations from the disclosures required

    under the Public Sector Executive Compensation Reporting Guidelines promulgated by the Public Sector

    Employers Council Secretariat (PSEC). For the sample of senior managers selected, MNP did not note

    significant deviations from the disclosures specified for the Statement of Financial Information as

    required by the Financial Information Act. However, MNP did identify opportunities to improve the

    internal control environment underlying, and processes for overseeing, these reports.

    In summary, MNP made a total of 24 recommendations to KPUs Board of Governors to improve the

    processes and controls related to the employment, compensation and accountability reporting for the

    Universitys executive managers, as well as general governance and oversight at KPU.

    Background

    Kwantlen Polytechnic University (KPU or the University) employs a number of senior administrators

    charged with managing various aspects of the Universitys academic programs and administration.

    These positions are excluded from membership in collective bargaining groups such as the Kwantlen

    Faculty Association or the BC Government Employees Union.

    Senior administrators are employed by KPU as either temporary appointments, regular appointments

    with an indefinite term or as regular appointments under fixed term contracts. Regardless of the

    manner of appointment, employment of senior administrators is governed by the Public Sector

    Employers Act (the Act), as administered by the Public Sector Employers Council Secretariat.

    Amongst other things, PSEC regulates the compensation paid to KPUs senior administrators.

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    KPU is required to submit a Compensation Plan to PSEC for its review and approval. The Compensation

    Plan identifies the duties, responsibilities and compensation for each position. Once approved by PSEC,

    the Compensation Plan is a legally enforceable compensation standard, from which KPU is not allowed

    to deviate without permission from PSEC. The compensation plan is the basis for KPUs compensation

    grid, which links each position to a particular pay grade. The most recent compensation plan required

    by PSEC was approved in November 2010.

    The Act and related Public Sector Executive Compensation Reporting Guidelines also contain

    accountability reporting requirements that oblige KPU to disclose the compensation of Named

    Executive Officers (NEOs). NEOs are defined as the chief executive officer and four highest ranking

    corporate officers earning a base salary of $125,000 or more per year. For the purposes of this

    disclosure, KPU is required to include everything that a reasonable person would view as

    compensation, including salary, bonuses, allowances, benefits paid on the employees behalf, paid

    leaves and perquisites. Perquisites are further defined by what they are and are not. An item is not a

    perquisite if it is integrally and directly related to the performance of an executive officers duties, for

    instance the cost of travel and registration to a conference related to the duties of the executive officer.

    A long, though not exhaustive, list of perquisites is provided in the Guidelines, including such items as

    cars, personal travel, clothing, club memberships, theatre tickets, parking and housing subsidies.

    In addition to PSEC requirements, KPU is also required under the Financial Information Act to disclose a

    Statement of Financial Information (SOFI) that lists, among other things, the compensation of all

    employees earning in excess of $75,000 per year.

    As part of its annual internal audit plan for 2014-15, MNP was engaged to assess KPUs current HR

    processes and controls in relation to executive management compensation and employment-related

    expenses.

    Scope

    The objectives of the engagement were:

    To understand and assess KPUs current processes and controls in relation to its executive

    management compensation and employment-related expenses;

    To assess whether KPUs current practices are in compliance with the statute(s), regulation(s),

    and government guidelines or policies that govern executive and excluded compensation at KPU

    (the External Regulatory Framework),

    To identify improvement opportunities for executive management compensation and

    employment-related expense processes and controls; and

    To provide practical recommendations for improvement.

    As part of the planning phase of this audit, the following in-scope areas of focus were identified:

    For the period April 1, 2010 to June 30, 2014, review the processes and controls in relation to

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    KPUs Executive Management (senior administration Pay Grade 9 and above) compensation

    and employment-related expenses, including:

    o Hiring

    o Compensation package determination

    o Offers and contracts

    o Employment-related expense claims (this does NOT include expense reimbursements that

    are due to the normal course of conducting job duties.)

    o Any other material payment to KPU Executive Management, including but not limited to

    research allowance, moving allowance, professional development, pre-employment

    contracts, etc.

    Assess the processes and controls in relation to KPUs compliance with the External Regulatory

    Framework, including:

    o Identifying and reporting Executive Management compensation and employment-related

    expense information

    This encompassed examining the supporting documentation for 68 employment transactions (hire,

    temporary assignment, promotion or reclassification) for 42 individual employees.

    Approach

    Fieldwork for this assignment was completed between July and October, 2014. The review consisted of

    reviewing a sample of documents and reports; a series of interviews with relevant management and

    staff; along with a more detailed review and testing of controls in relation to the in-scope areas of focus

    noted previously. As noted in the Scope section, the sample that was tested for this review focused on

    pay grade 9 and above for the period April 1, 2010 to June 30, 2014.

    In summary, the approach included the following:

    Understanding and documenting executive hire and accountability reporting processes and

    controls by reviewing existing policies / guidelines and other related documents and

    interviewing relevant key management and staff. For the documentation of accountability

    reporting processes and controls, please see Appendix 2: PSEC and SOFI Report Process

    Narratives and Flowcharts.

    Reviewing PSEC and SOFI accountability reports for 2010 to 2013. For PSEC reports, all reported

    items were examined in detail. For SOFI reports, a sample of senior executives was examined in

    detail, as well as the overall process.

    Reporting any specific significant exceptions, and opportunities for improvement of internal

    controls.

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    Limitations

    MNPs work to provide this report was carried out based on the assumption that information provided

    by management and employees of KPU was reliable, accurate and complete. MNP did not subject the

    information contained in this report to checking or verification procedures except to the extent

    expressly stated. In no circumstances shall MNP be responsible for any loss or damage, of whatsoever

    nature, arising from information material to MNPs work being withheld or concealed from MNP ormisrepresented to MNP by management and employees of KPU or any other person of whom MNP may

    make enquiries.

    This reviews activities do not constitute an examination in accordance with generally accepted

    accounting standards or attestation standards. As a result MNP does not provide an opinion, attestation,

    or other form of assurance.

    MNPs review activities do not constitute an examination for fraud or fraudulent transactions under any

    standards. This review is not a forensic review and has not been designed to search for fraud,

    fraudulent or suspicious transactions. If such matters arose from the review activities, they would have

    been brought to the attention of in-house legal counsel and the Chair of the Audit Committee of KPUs

    Board of Governors.

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    reimbursement for moving expenses, nor did it specify repayment terms in the event of termination of

    employment. Reimbursement of paid moving expenses on early termination is a normal condition, the

    absence of which does not protect the best interests of the University. Further, in some cases, contracts

    specified that computers can be purchased through the research allowance, which is outside of KPUs

    normal procurement procedures.

    Recommendation

    2. In order to clearly delineate compensation from non-compensation related matters, KPU should

    ensure that non-compensation related items, such as research allowances, are negotiated and agreed

    separately from the compensation negotiation process.

    Observations Consistency in Employment Contracts

    Inconsistencies were noted in the employment contracts among senior executives. For instance,

    vacation allotments vary from between 4 and 7 weeks, without reference to the number of years of

    employment at KPU. There were also inconsistencies in research and professional development

    allowances.

    Employment contracts for academic administrators frequently specify a term of administrative leave,

    usually offered in contemplation of a transition from an administrative to a teaching position at the

    conclusion of the contracted appointment or its renewal. Such administrative leaves are conditional on

    the individual obtaining a faculty appointment within one of KPUs academic departments. However, in

    at least one instance a term of administrative leave was agreed to without reference to continued

    employment by KPU. In this case, the leave was more akin to a sabbatical.

    In addition, some offer terms could have put KPU and the individuals being hired offside with the CRA.

    For instance, in at least one case, the offer letter specified an amount available for relocation, but did

    not specify the requirement to provide moving expense receipts. In the absence of receipts, a moving

    allowance becomes a taxable benefit rather than a non-taxable reimbursement. (In all instances, KPU

    did seek receipts; that receipts would be required was not always made clear in the formal

    documentation provided to recruits.)

    There was one instance where a housing loan was made available, although it was not used. In another

    instance, KPU offered and paid for three months of furnished housing; a taxable benefit and reportable

    under the compensation reporting guidelines. That this formed part of the individuals compensation

    package was not made clear in the offer letter to the individual.

    KPU works within a challenging recruitment environment it is understood that externally imposed

    compensation restrictions have made it difficult to attract the calibre of candidate the University

    desires. As a consequence, KPU has sought innovative ways to attract high quality senior

    administrators. These efforts have had a contributing effect on these inconsistencies.

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    The most significant inconsistencies were noted in a period between 2010 and 2012. The services of a

    professional recruiting agency were retained, but the advice of KPUs Human Resources and Finance

    departments was not always consistently sought during the executive recruitment process. It was also

    unclear the extent to which professional legal advice was obtained. It is likely that the inconsistency in

    seeking timely professional human resource, finance and legal advice, during the executive recruitment

    process, led to many of the variations identified above.

    The negotiation of varying employment terms is a normal practice in the private sector. However, in the

    private sector, individual compensation is usually a confidential matter. On the other hand, in the public

    sector, compensation is a matter of public record. In this environment, even small inconsistencies in the

    compensation provided to individuals at the same level can lead to significant human resource and

    oversight challenges.

    Recommendations

    3. In order to improve consistency, KPU should formally delegate responsibility for making offers of

    employment and procuring contracts of employment to the HR Department.

    4. In order to improve consistency, standardized templates for key aspects of the recruitment process

    should be developed by Human Resources, with the advice and assistance of Finance and Legal

    departments. In the near term, until standard templates are established, all draft offers of employment

    to senior executives should be reviewed and formally signed-off by KPUs Human Resource, Finance and

    Legal departments, to ensure conformity with KPU policies and procedures, public sector requirements

    and limits and the Income Tax Act, prior to offers being made to prospective senior employees. (Also

    see Recommendation 1.)

    Observations Recent Progress towards Consistency

    KPU has initiated a process to create consistency through an annual professional development fund,

    from which executive managers can claim reimbursement for eligible professional development

    expense, subject to an annual limit associated with their position.

    It is understood that responsibility for administering executive recruitments has been assigned to KPUs

    Human Resources department. With this move, there was improved consistency and clarity in the

    wording of recent contracts and offers. However, further progress is required.

    KPU has developed standard appendices for inclusion in employment contracts that standardize certain

    items such as vacation entitlements. However, inconsistencies in vacation entitlements were noted

    between contracts and the standard form appendix attached to them.

    In June 2013, KPU instituted policies and procedures for the Search Advisory, Appointment and Re-

    appointment of Senior Academic Administrator Positions (Policy & Procedure HR 20) and a revised

    appendix to the Board Governance Manual for the appointment of employees (Appendix H). These

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    policies and procedures are now being instituted and represent positive steps towards ensuring

    professional, consistent executive recruitment; however they have not yet been fully implemented.

    Recommendations

    5. Contracts of employment with senior executives should be consistent with the standard terms

    developed by KPU.

    6. Terms of each draft offer of employment should be formally signed-off by the person or group

    assigned responsibility for approving candidates, as specified in Appendix H of the Board Governance

    Manual.

    Observations Responsibility for Executive Contract Negotiation

    KPUs executive recruitment policies and procedures outline the powers and responsibilities of the

    Board, President and administration in relation to recruitment. They detail the role and composition of

    Search Advisory Committees (SAC) and outline, at a high level, the search process. The Board

    Governance Manual delegates responsibility for hiring to the Human Resources Committee for specific

    positions. However, the policy guidance speaks more to who should have input into decision making

    than it does to specific procedures. The policies do not identify requirements for formal documentation,

    including approval sign-offs, nor do they provide guidance for the negotiation process that is integral to

    the hiring of senior academic administrators, including the determination of compensation and all

    compensation related items.

    Recommendations

    7. KPU should enhance its policies and procedures for hiring senior academic administrators. These

    enhancements should clearly define the activities and requirements in the hiring process, including the

    necessity of formal documentation and where approvals are required.

    8. Negotiating contract terms should be limited to those persons or groups assigned responsibility for

    approving candidates as specified in Appendix H of the Board Governance Manual, in consultation with

    the Human Resources department. KPU should develop guidelines for negotiating contracts that

    identify negotiating ranges for specific compensation items consistent with the PSEC-approved plan, and

    ensure that KPUs standard contract terms are consistent with these items.

    Pre-Employment Contracts

    Observations

    Our review did not indicate the existence of any further pre-employment contracts during the review

    period additional to those already publicly identified.

    Notwithstanding any deliverables provided or performance expectations outlined, all of the individuals

    that were interviewed and who received pre-employment contracts understood them to be integral

    with an offer of employment, either as inducements to sign or in an effort to make prospective

    employees whole in a challenging salary environment. Mingays report characterizes the pre-

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    employment contracts he examined as vague on deliverables or not containing any discernible

    deliverables. The absence of clear, specified deliverables or remuneration rate contributed to a

    perception that pre-employment contracts were developed with the intention to skirt compensation

    limits.

    It must be pointed out that the individual employees in question bear no responsibility or fault. In fact,

    Mingay noted that Dr. Davis ...worked extensively during the period...and provided valuable services to

    KPU. They were negotiating in good faith with the University, with the reasonable assumption that any

    terms offered would be consistent with all applicable laws and policies under which KPU was obliged to

    operate. Typically, professional finance, legal and human resource advice (whether in-house or

    external) is obtained, with the intention to preclude organizations from going offside of laws and

    policies during the negotiating process. As noted earlier, such advice was not always sought at KPU.

    It was also noted that KPU does not have any policies that provide guidance regarding the offering of

    pre-employment contracts to prospective employees.

    Recommendation

    9. KPU should develop a policy that discourages pre-employment contracts. In the rare circumstances

    where specific services may be appropriate during the transition period prior to employment, KPU

    should develop guidance for pre-employment contracts to ensure compliance with legal and policy

    compensation restrictions. Any pre-employment contracts should be procured in accordance with good

    procurement practices, with clear deliverables, specified time frames and appropriate rates, and pre-

    cleared through PSEC.

    Compensation disclosure PSEC

    Observations Reporting Process

    The process for creating KPUs annual Executive Compensation Disclosure Report was obtained and

    documented through interviews conducted during this assignment (see Appendix 2-A). In addition, the

    compensation disclosures for all employees included in the PSEC reports for the years ending March 31,

    2010 2014 were reviewed.

    KPUs process for generating this report is largely manual, requiring coordination between the Human

    Resources department that is responsible for drafting the report, and Finance Payroll department that

    has care and custody of the underlying financial data. The process is adequate with respect to gross

    salary items, as most payments are made through payroll. However, there is a gap related to items that

    could potentially be considered compensation, as defined under PSECs guidelines. Such items would

    likely be paid via purchasing card (P-card) or expense claims, and so would not show up in a payroll

    report. The manual process undertaken between Human Resources and Finance may not be sufficient

    to ensure that the information required is complete and accurate.

    Based on interviews with KPU management and review of KPU policies and procedures, there is no clear

    definition of perquisites, and it is not clear how these perquisites should be tracked. In practice, the

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    expense forms / P-card statements are reviewed more from an authorization / reasonableness

    perspective rather than perquisites compliance and disclosure purposes.

    During the period of this review (April 1, 2010 to June 30, 2104), minor amounts (approximately $3,000

    in total) were noted through our assessment of P-cards and expense claims, that related to perquisites

    and should have been included as compensation. Further minor amounts (approximately $5,000 in

    total) could possibly have been classified as perquisites, but there was insufficient information to

    confirm these items.

    Recommendations

    10. As part of drafting the Executive Compensation Disclosure Report to PSEC, the Finance department

    should be consulted regarding items that could be considered compensation under the Public Sector

    Executive Compensation Reporting Guidelines issued by PSEC.

    11. KPU should establish a clear definition of perquisites in its expense / P-card policies, consistent with

    the definition provided for expense reporting by PSEC, which should be communicated throughout the

    University. The perquisites / potential perquisites should be identified during the expense form / P-card

    statement review and tracked for annual reporting purposes.

    Observations Board Chair Attestation

    There were no significant variances between the payroll records and PSEC reports, other than for those

    employees who received pre-employment contracts. The manner in which pre-employment contracts

    were reported as contract payments rather than compensation was not an oversight; it was a

    judgement made by KPU management at the time based on their interpretation of the guidelines. The

    current guidelines governing the disclosure of executive compensation are specific regarding the

    requirement to include payments under pre-employment contracts with total compensation. However,

    before they were revised in May 2014, the guidelines were silent in this regard. KPU management notes

    that the disclosure guidance was ambiguous regarding pre-employment contracts, and felt that the

    manner in which they were disclosed was correct and consistent with the disclosure of professional

    services contracts with other non-employees.

    From the fieldwork conducted during this review, it appears that management did not attempt to

    deceive with respect to how pre-employment contracts were disclosed. However, it is unclear whether

    a fulsome briefing was provided to the Board Chair, especially regarding judgement calls that were

    made regarding this disclosure.

    Current PSEC reporting guidelines require the Board Chair to provide an attestation letter confirming

    that:

    The board is aware of the executive compensation paid in the prior fiscal year

    The compensation information being disclosed is accurate and includes all compensation paid

    by the employer, foundations, subsidiaries, or any other organization related to or associated

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    with the employer. It also includes the value of any pre or post-employment payments made

    during the 12 month period before or after the term of employment.

    Verifying that compensation provided was within the approved compensation plans and

    complies with these guidelines.

    Board Chairs are not expected to have detailed knowledge concerning the administration of the

    organizations they oversee. However, in this instance, the attestation report requires the Board Chair to

    stake her or his reputation on the veracity of the information submitted. Consequently, this requires a

    rigorous underlying process to ensure the completeness and accuracy of the information provided to

    the Board Chair, including a documented review of this material at the senior administrative level. Both

    the process and documented review were not clearly evident.

    Instead, the accountability information provided to the Board Chair was compiled by an administrative

    manager and reviewed by a senior member of the Finance department, but without further review and

    formal sign-off. This process, while adequate for matters of routine administration, is not

    commensurate with the serious nature of the Chairs required attestation.

    Recommendations

    12. KPU should formally institute procedures for senior management (VP Finance & Administration

    and/or the President) review and sign-off of disclosures required under the Public Sector Employers Act,

    including the identification of any judgements made in the compilation of this information, prior to its

    submission to the Board Chair for formal attestation.

    13. KPU should ensure that the processes for collecting, validating and certifying PSEC and other key

    regulatory submissions are consistently documented and communicated. Key control points in these

    processes should be clearly identified, and tested on a regular basis to ensure that the processes

    function rigorously and consistently.

    Compensation disclosure - SOFI

    Observations Reporting Process

    As part of this review, the process for creating KPUs annual Statement of Financial Information,

    required under the Financial Information Act was documented (see Appendix 2-B). The assessment of

    the information reported under SOFI for all Presidents, and a sample of currently employed grade 9 and

    10 employees, for the period April 1, 2010 to March 31, 2013 (the 2014 report was not yet available at

    the time of field work) was performed, and no significant exceptions were noted.

    KPUs system for generating the SOFI report is generally adequate with respect to reporting information

    that is processed through payroll. However, as was the case with the Executive Compensation

    Disclosure Report, KPU does not have a process for ensuring that compensation-related items expensed

    through P-cards or expense claims have been correctly captured in the SOFI report.

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    KPUs accounting and payroll systems do not easily lend themselves to the kind of reporting required

    under SOFI. Consequently, there is considerable manual intervention required to produce the

    information required. Automating the process, at least in part, could make the resulting data more

    reliable, and would improve the ease with which it is extracted. For instance, it may be possible to have

    Banner produce a report showing total employee expenses. This could be compared to the total

    employee expenses reported in the SOFI report to check that the information is complete (see also

    observations and recommendations previously noted under Compensation disclosure PSEC).

    While costs to automate the entire system would likely be significant, a cost/benefit analysis has not

    been performed with respect to automating any part of the system to support SOFI reporting.

    Recommendations

    14. As part of drafting the SOFI, the Finance department should identify and provide information

    regarding items that could be considered compensation under the guidance provided by the Ministry of

    Finance, such as perquisites and taxable benefits, which have been processed via P-cards or expense

    reports.

    15. KPU should perform a cost/benefit analysis of automating at least part of the SOFI report generating

    process.

    Observations Oversight of Guidance Updates

    Each year, the Ministry of Finance updates its guidance for the preparation of the SOFI report. This

    guidance forms the basis on which the SOFI report is prepared the value of the report could be

    undermined should the interpretation of the Ministrys guidance be incorrect in any way. These

    requirements are reviewed by Finance department management to ensure the report is prepared

    correctly. However, this review is informal and not documented.

    Recommendation

    16. Given that the SOFI report will be released to the public, a formal, documented supervisory review

    should be implemented by KPU to validate that the SOFI guidelines, or any changes that may occur year-

    to-year, have been interpreted correctly.

    Observations Review and Approval

    The SOFI report is provided to the Executive Director of Finance for detailed review and approval. The

    report is also forwarded to the VP Finance & Administration; however the VP is not required to review

    or approve it. Given that the SOFI report is a public document, and that the Board Chair is required to

    approve the report as part of the package of financial information released by KPU, formal review and

    approval of the SOFI report by a member of the senior administration should be required, attesting to

    the completeness and accuracy of the information reported.

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    Recommendation

    17. The Vice President, Finance and Administration should review and formally approve the Statement

    of Financial Information required under the Financial Information Act, attesting to the completeness and

    accuracy of the information reported, before it is provided to the Board for its review and approval.

    Compensation Compliance with Legislation and Policy

    ObservationsCompliance with the Management Compensation Freeze

    On September 13, 2012, Government announced a management compensation freeze for all public

    sector organizations. The written direction from the Minister of Finance was specific that this freeze

    applies to any movement within existing compensation ranges on the basis of service, merit or other

    progression, or changes to existing ranges and to position reclassifications without substantive changes

    to responsibilities. The management compensation freeze remains in effect.

    There were three instances where senior management received annual step level increases identified

    during the review period. However, KPUs Policies Concerning Working Conditions, Salaries, Benefits

    and Retirement Provisions for Administrative Employees states that advancement within the

    applicable salary range shall take place annually (based on FTE service) on the anniversary date,

    provided that the employee is assessed to be performing at least satisfactorily. PSEC concluded that

    this wording legally obligated KPU to continue providing increments, and therefore KPU was exempted

    from this directive as it related to the awarding of increments.

    As part of this internal audit, the compensation paid was compared with the salary specified for the

    position on the compensation grid, to ensure consistency and to ensure that the government-imposed

    wage freeze had been respected. There were no significant deviations from the salary grid.

    However, there were some instances where salaries changed over this time. KPU maintained that in all

    instances salary changes were due to individuals changing positions or positions being reclassified.

    Where PSEC approval was sought by KPU, approval was not always received prior to changes being

    made, and in some instances, approval was only sought retrospectively.

    Recommendation

    18. KPU should request and receive written approval from PSEC prior to implementing changes to the

    compensation of excluded staff, unless the change falls within the PSEC-approved plan.

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    Governance and Oversight

    Observations

    During the course of this review, a number of opportunities for KPU to improve its overall governance

    and oversight practices were noted. These observations are based on the widely-adopted Committee of

    Sponsoring Organizations of the Treadway Commission (COSO) standards.

    ObservationsNew Governor Orientation

    At the time of our fieldwork, orientation for new Board members consisted of a brief overview of KPUs

    history and operations. This is usually conducted via a meeting between the existing Chair and the new

    Board member, with support from the Board Secretary. There is no formal orientation package or Board

    members handbook that outlines responsibilities of the Board as a whole or of Board members

    individually.

    At a minimum, Board member orientation should include:

    major issues related to the post secondary sector in general, and KPU in particular;

    the Universitys organizational structure and major programs;

    KPUs strategic objectives its mission, vision and values;

    the operational plans for achieving KPUs strategic objectives;

    the measures of operational performance used by KPU to gauge its success in achieving these

    objectives;

    how the Board is organized and how major decisions are made;

    the Universitys budget, current financial statements and key financial management issues;

    key risks facing KPU and how they are managed;

    Board member fiduciary duties;

    regulatory requirements for, and related expectations of the Board; expectations and responsibilities of individual Board members as specified in the Board

    governance manual; and

    how the performance of individual Board members and the Board as a whole, is monitored.

    Recommendation

    19. KPUs Board should implement a formal orientation process for new Board members that includes

    elements such as the Universitys structure and operating environment; strategic plan and objectives;

    operational plans and measures of success; Board governance, expectations and performance

    monitoring; KPU finances and Board fiduciary responsibility; and KPUs risk management framework and

    process.

    ObservationsPerformance Management

    A significant quantity of information is provided to Governors in advance of each Board meeting.

    However, while the volume of information provided is significant, it tends to be operational in nature,

    and not packaged in a decision-useful format appropriate to a governance board.

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    Until recently, KPU has not had a plan that outlines the Universitys strategic goals, and measures of

    performance for those goals. Since the arrival of Dr. Davis, a strategic plan has been developed and

    performance measures have been, or are being, identified. Performance measurement is still being

    implemented, and as such, effective monitoring by the Board is not yet a part of routine governance.

    Recommendation

    20. KPUs Board should receive and review regular reports of the Universitys performance against its

    strategic objectives, including analyses of deviations from objectives and KPUs intended response.

    ObservationsRisk Management

    Under S.4.2.3 of the Board Terms of Reference, KPUs senior leadership is responsible for establishing

    processes, procedures and mechanisms by which key matters or risks are identified, and ensuring that

    strategies are developed to manage such risks. The Board ensures, through regular reviews and

    assessments, that senior leadership has established appropriate systems to identify and manage these

    risks and receives regular reports on the management of these risks.

    Under S.17, primary responsibility for KPUs risk management is vested in the President and overseen by

    the Board. The President is responsible for establishing processes, procedures and mechanisms by

    which key financial and non-financial risks are identified, and ensuring that strategies are developed to

    manage such risks.

    The Board has responsibility to:

    a) understand the key financial and non-financial risks of KPUs operations;

    b) ensure, through regular reviews and assessments, that senior leadership has established

    appropriate systems to manage these risks; and

    c) receive regular reports on the management of material risks to KPU.

    In particular, the Board will review with senior leadership the policies and procedures that are in place to

    identify, manage, and monitor material risk...

    At least annually, the Board oversees a risk review where it reviews:

    a) KPUs material risks

    b) the adequacy of senor leaderships systems, policies and procedures to identify and manage risk;

    and

    c) the effectiveness of senior leaderships risk management process.

    The risk management function at KPU was established in 2012 to initiate the implementation of

    enterprise risk management (ERM). Over the past two and a half years, ERM has evolved to include a

    recognized framework (ISO31000), standardized tool set, operational risk assessments, updates to the

    Board Manual (S. 17 as noted above), administrative oversight and periodic reporting to the Board.

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    Since its inception, the risk management function has been staffed by one individual. At this time, the

    risk management function does not report to the Board or the President; instead, it reports

    operationally to the AVP Administration, and is physically housed in HR.

    Currently, KPU does not yet have a comprehensive risk register. Moreover, the risk reports that have

    been made to the Board have been somewhat ad hoc, relating to specific issues of the day rather than a

    comprehensive identification and assessment of risks that encompass all categories of risk (strategic,

    operational, financial, reputational, regulatory, etc.)

    Recommendations

    21. Given the Presidents direct responsibility for risk management, overseen by the Board, the

    operational responsibility for risk management should be reassigned directly to the President, or in the

    alternate, the Board. Accordingly, risk management staff should report directly to the President or the

    Board.

    22. Using the ISO31000 risk management framework, KPU should develop a comprehensive risk register

    as soon as possible, and use this register as the basis for regular reporting to the Board on the status of

    risks and KPUs programs to manage them.

    ObservationsCode of Conduct

    Under S.4.2.6 of the Board Governance Manual, the Board is required to approve and monitor

    compliance with a Code of Conduct for KPU senior leadership.

    KPU is now (as many institutions are also doing after having been directed by government) developing a

    Code of Conduct for its staff and senior leadership. Minimum requirements have been established

    under the Standards of Conduct Guidelines for the B.C. Public Sector (July 2014).

    In response, KPU has developed draft guidance in the following areas:

    Conflict of Interest,

    Conflict of Commitment,

    Confidentiality,

    Use of University Property,

    Protected Disclosure (Whistle blowing), and

    Intellectual Property.

    The development of policies and procedures in these areas is an important first step, but in itself is not

    enough. To bring the Code of Conduct to life, KPU will need to assign ownership to a specific individual

    to ensure the new policies and procedures are embedded in KPUs operations and culture. This will

    involve the development and delivery of an implementation plan, employee orientation including

    training, formal sign-off, and periodic review to ensure the Code remains current.

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    Recommendation

    23. KPU should formally assign responsibility for the Code of Conduct to a senior staff member, and this

    responsibility should include the development and delivery of an implementation plan as well as

    periodic review and updating of the Code.

    ObservationsInternal Controls

    Under S.4.2.4 the Board is required to verify that internal financial and operational controls and

    information systems are in place and functioning satisfactorily. Logically, responsibility for this oversight

    should be delegated to the Finance and Audit Committee.

    While the Board may oversee KPUs internal control framework, it is KPUs senior administration that is

    responsible for developing it, maintaining it, and ensuring that it operates effectively.

    To date, the Finance and Audit Committee has not performed a comprehensive review and assessment

    of KPUs control environment. It would be appropriate and beneficial for KPU to identify, document and

    assess its controls related to areas of high risk (as determined through its ERM programsee previous

    discussion and recommendation). In particular, controls around compensation transactions, data

    accumulation, disclosure, reporting and compliance would be an obvious high priority area.

    Recommendation

    24. Using a well-established control framework (e.g., COSO Internal Control-Integrated Framework), KPU

    should assess, enhance and/or implement controls related to key financial areas and processes. These

    activities should include identification of key controls and control gaps in high priority processes for the

    University. Testing of such key controls should occur on a regular basis.

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    Appendix 1: Current and Pr

    Academic Administrators

    1-A: Current Appoint

    Responsibility for employment cinformally delegated to H

    Responsibility for

    Empl

    Responsibility for negotiation not

    Candidate

    Responsibility to appoint, per AppBoard Governance Manu

    C

    Selection process Procedure HR 2Governance Manual

    20

    oposed Process for Appointment of Ne

    ment Process for New Senior Academic Administr

    ontract of Employment

    ontractsR

    Standard Terms Appendix - not always

    Offer of Employment

    ffers of employment informally delegated to HR

    yment Contract Negotiation

    specified Not all negotiating ranges are spec

    Approval - President or Designate

    endix H ofal

    Required to approve selection, or maselection - no sign off

    andidate Selection - SAC

    0 of BoardRecommends up to 3 candidat

    Senior

    tors

    followed

    ified

    es final

    s

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    1-B: Proposed Appoin

    * until standard templates are established,

    by KPUs Human Resource, Finance and Le

    Co

    Responsibility formally delegate

    O

    Responsibility fo

    Draf

    Using standardized temp

    Employ

    Responsibility for negotiation

    formally assigned with

    responsbility to appoint

    Candidate Ap

    Responsibility to appoint, per AppendiGovernance Manual

    Can

    Selection process Procedure HR 20Governance Manual

    21

    tment Process for New Senior Academic Administ

    all draft offers of employment to senior executives should be reviewe

    al departments

    tract of Employment

    d to HR Standard Terms Appendix - always foll

    fer of Employment

    r offers of employment formally delegated to HR

    Offer of Employment

    lates , draft offers of employment with consistent terms*

    ent Contract Negotiation

    Formal sign-off consistent with

    Appendix H

    Negotiating ranges sp

    policy

    proval - President or Designate

    x H of BoardRequired to approve selection, or makes fin

    idate Selection - SAC

    of BoardRecommends up to 3 candidates

    ators

    and formally signed-off

    lowed

    cified by

    al selection

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    Appendix 2: PSEC and SOFI Report Process Narratives and Flowcharts

    2-A: Executive Compensation Disclosure Report (PSEC report)

    Current Process Current gaps in, and recommendations for, the process are highlighted in yellow

    below and in the respective flowchart.

    KPU is currently using the following process to prepare its compensation figures for the Executive

    Compensation Disclosure Report:

    In order to be included on the Executive Compensation Disclosure Report the following

    requirements must be met:

    o The employee must be in a key decision making position at the university.

    o The employees annualized base salary must be greater than $125,000 (Note that this

    means employees who work a partial year should be adjusted to determine if their

    annualized salary would have been greater than $125,000). The report also breaks down what type of income was earned. The categories are Salary, Bonus

    and / or Incentive Plan Compensation, Benefits, Pension, and All Other Compensation.

    The Manager of Human Resources & Benefits coordinates with The Payroll Operations Manager

    in the payroll department to determine who meets this definition.

    o The working copy of the report is automatically populated with the executives who

    were reported last year to determine if they still meet the criteria.

    o There are few executive officer positions and so the Manager of Human Resources &

    Benefits would be aware of the people in these positions.

    o This is an example of the sort of judgement call that should be explicitly reviewed and

    approved by KPU senior management, as noted in Recommendation 12. Once the employees to include in the report have been determined, the Payroll Operations

    Manager prepares a manual excel spreadsheet to calculate each of the required columns.

    o Most of these numbers come from the payroll program Banner.

    o The Executive Compensation Disclosure Report contains all amounts paid on behalf of

    employees including employer paid benefits and severance payments.

    o The Payroll Operations Managers calculations only include amounts that are paid

    through the payroll system.

    Although most payment items are paid through the payroll department; there are two columns

    in the report titled Vehicle / Transportation Allowance and Perquisites / other Allowances.

    These items would be paid through a P-card or expense claim. The manual process undertakenbetween Human Resources and Finance may not be sufficient to ensure that the information

    required is complete and accurate. (See Recommendations 10 and 11).

    After completing the payroll columns the Payroll Operations Manager compares the amounts in

    the working copy back to the employee register in Banner. The Manager does this for all of the

    employees in the report.

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    The Payroll Operations Manager then sends the report to the Manager of Human Resources &

    Benefits for review.

    Once the Manager of Human Resources & Benefits is satisfied with the report, it is forwarded to

    the Executive Director, Finance and the Associate Vice President, Administration for additional

    review.

    The report is reviewed by the Executive Director of Finance, but not reviewed further, and

    presented to the Board Chair for attestation. (See Recommendation 12)

    The finalized report is then sent to PSEA, and after PSEA reviews the information, to PSEC for

    approval.

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    Kwantlen Polytechnic University (KPU)

    Process: Executive Compensation Disclosure Report Compilation Procedure

    Banner Calculates

    Employee Payroll

    Banner Generates Reports

    Detailing Payroll

    The Human Resource Manager and the

    Payroll Operations Manager discuss who

    meets the definition for Executive

    Compensation Disclosure

    Payroll reports are used to manually calculate an

    excel working copy of Executive Compensation

    Disclosure information

    The Executive Compensation

    Disclosure report is developed

    from the working copy

    The Executive Compensation

    Disclosure report is forwarded to

    the human resource department

    Banner

    The Payroll

    OperationsManager tests all

    employees for

    accuracy of

    calculation

    The Executive Compensation Disclosure report is

    forwarded on to the Associate VP, Administration and

    the Executive Director of Finance

    The Executive Compensation Disclosure

    report is provided to the board

    The Executive

    Director of Finance

    performs a review

    of the final report

    The Human

    Resource

    Manager performs

    a review of the

    report

    The finalized report is sent

    to PSEC for review

    The payroll

    department does not

    coordinate with the

    finance department

    for taxable benefits in

    the expense claim

    process

    The process could be

    improved by adding

    sign-offs by the VP

    Finance and the

    President before

    presenting the report

    to the Board Chair

    The report is attested to bythe board chair

    : Key Controls in existing process

    : Opportunities for Improvement

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    2-B: SOFI Report

    Current Process Current gaps and recommendations to the process are highlighted in yellow below

    and in the respective flowchart.

    KPU is currently using the following process to prepare its SOFI report:

    All employee payrolls are processed by the University using Banner.

    Banner is configured so that each employees annual salary is for 26 pay periods. It takes their

    annual salary and divides it by 26 to obtain the gross pay in each pay run.

    Banner tracks the employee and employer paid deductions as well as taxable benefits that are

    paid through payroll.

    After the fiscal year has ended, Banner can generate a report to show the total gross wages for

    the fiscal period. This report shows employer paid benefits and taxable benefits separately. The

    amounts on the report are dependent on manual earnings codes which are identified by the

    user.

    o Some taxable benefits are deductions which are embedded in the employer paid

    benefits. A separate deduction report needs to be run and merged with the earnings

    code report to obtain the correct taxable benefit amount. Other taxable benefits are

    obtained in the report under separate non-cash earning codes.

    o This report does not adjust for accrual of wages for pay periods which end outside of

    the fiscal year. Reconciliation to accrual wages is performed later in the process.

    Before generating any reports, the Payroll Operations Manager reviews the SOFI guidelines for

    remuneration to ensure appropriate earnings and taxable benefits are included in the report.

    There is no supervisory review to validate that the SOFI guidelines, or any changes that mayoccur year-to-year, have been interpreted correctly. (Recommendation 16)

    The Payroll Operations Manager then generates the Banner report by indicating all earnings

    codes that are required under the SOFI disclosure and merging the deduction taxable benefits

    with this report.

    The Payroll Operations Manager uses this report to create a manual excel spreadsheet working

    copy for summarizing the SOFI report wages.

    This excel sheet contains each employees name, their wages in the year (excluding employer

    paid benefits), and their taxable benefits.

    After completing the excel working copy, the Payroll Operations Manager picks a risk adjusted

    sample of 10 employees and checks that their wage amounts reconcile back to the employeepayroll register in Banner. Of the ten people chosen, the Payroll Operations Manager attempts

    to ensure that they are from different areas of the University. The President, the Payroll

    Operations Managers immediate supervisor, and the Payroll Operations Managers own

    calculation are always selected in this sample. The Payroll Operations Manager also attempts to

    pull employees who have had a one-of-a-kind payment, as they would be more likely to have

    differences in their calculation.

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    The Payroll Operations Manager adds the wages and taxable benefits to determine which

    employees have a total of greater than $75,000. These employees are included on the report.

    The compensation of all employees with a total of less than $75,000 are added-up and included

    on the SOFI report at the bottom as employees who do not meet the threshold.

    Once the Payroll Operations Manager is satisfied that the payroll numbers are correct, the final

    version of the report is forwarded on to the Finance department to incorporate the expenses

    claimed by employees throughout the year (reported as a separate column).

    The Payroll Operations Managers report only includes taxable benefits that have been paid

    through the payroll system. If any P-card or expense claim items are taxable benefits they would

    need to be added in by Finance. There is currently no system to check for this or add in these

    additional taxable benefits. (Recommendation 14)

    The expense claim numbers included in the SOFI report are pulled from the finance module of

    Banner. This is a long process with a number of manual steps.

    o The IT department creates a report from Banner showing all GL expense transactions

    matched with cheque paid information.

    o The Finance department then takes the prepaid/advance information and manually

    compares it to the GL expense transactions to determine the actual expense paid in the

    period.

    o The Finance department then manually goes through adjustments to see if there are

    any offsets or account changes.

    o Employee expense claims and P-card transactions contain a code within Banner that

    identifies them and relates them to the employee name. This helps with the matching of

    expenses.

    Automating this process is recommended as it is a largely manual process which could result in

    errors. Kwantlen is currently exploring this option. (Recommendation 15)

    The Finance department performs the following checks on expenses:

    o The Banner report showing the total GL expenses is reconciled back to the expense

    accounts in the GL to ensure all expenses are included in the account.

    o A variance analysis is done by employee / vendor to compare expenses reported to the

    previous year.

    It may be possible to have Banner produce a report showing total employee expenses. This

    could be compared to the total employee expenses reported in the SOFI report to check that the

    information is complete. (Recommendation 15)

    The Manager of Financial Reporting & Systems performs a completeness check on the payroll

    numbers by comparing the end wages in the SOFI report to the wages recorded in the GL and onthe audited financial statements. This involves reconciliation from accrual to cash since the SOFI

    report does not adjust for accruals of wages.

    The Manager of Financial Reporting & Systems confirms that all of the Board members are

    included in the first schedule. The Board members are not paid remuneration and so do not

    meet the $75,000 threshold but still need to have all of their expenses disclosed.

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    The Manager of Financial Reporting & Systems provides a copy of the report to the Payroll

    Operations Managers supervisor for review as well.

    After Finance has added the expense numbers and completed their review, the SOFI package is

    forwarded to the Executive Director, Finance for final review and approval.

    The Executive Director of Finances review consists of:

    o Comparing the values reported in the working papers, the final draft, and Banner for the

    key earners.

    o Review that titles on the report are correct

    o Reviews employees who have significant expenses other than salary.

    o Looks at the reconciliation to the annual report

    The SOFI package is also provided to the VP Finance and Administration, although no formal

    review and sign-off is required. (Recommendation 17)

    These sign offs occur throughout the review process:

    o The Executive Director, Finance signs a covering memo to the Board Chair

    o The Board Chair signs the Statement of Financial Information Approval

    The value of these sign-offs could be enhanced if they included specifics regarding the steps that

    were performed, or that the signer confirmed the completeness and accuracy of the reported

    information. (Recommendation 17)

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    Kwantlen Polytechnic University (KPU)

    Process: SOFI Report Compilation Procedure

    Banner Calculates

    Employee Payroll

    Banner Generates Reports

    Detailing Payroll

    Payroll Operations Manager Reviews

    remuneration guidelines for SOFI

    Payroll reports are used to manually calculate an

    excel working copy of SOFI information

    The SOFI report is developed

    from the working copy

    The SOFI report is forwarded to

    the finance department

    The finance department pulls

    expense data from Banner and

    compiles it manually by employee

    Banner

    Banner

    The finance

    department

    performs testing

    on expenses for

    accruacy.

    The Payroll

    Operations

    Manager tests a

    random sample of

    employees for

    accuracy of

    calculation

    The finance

    department

    performs testing

    on payroll for

    accruacy.

    The SOFI report is forwarded on to the VP Finance and

    Administration and the Executive Director of Finance

    The SOFI report isprovided to the boardThe VP Finance

    and

    Administrationdoes not review

    the SOFI report

    The expense data is entered

    into the SOFI report

    No secondary

    review is done to

    ensure that this

    has been

    interpreted

    correctly

    The manual

    process is time

    consuming and

    prone to human

    error.

    The Executive

    Director of Finance

    performs a review

    of the final report

    This calculation

    only includestaxable benefits

    which are

    processed

    through payroll.

    It may be possible

    for Banner to

    generate a report

    of total employee

    expenses to

    compare to the

    SOFI report

    : Key Controls in existing process

    : Opportunities for Improvement

    The board chair signs the Statement of

    Financial Information Approval

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    Appendix 3: Summary of Recommendations

    1. Consistent processes and documentation should be used for all senior executive appointments. While

    details of the processes for internal or external candidates may differ, all appointments, reclassifications

    and salary adjustments should be fully documented in each employees personnel file. (Also see

    Recommendations 4 and 7.)

    2. In order to clearly delineate compensation from non-compensation related matters, KPU should

    ensure that non-compensation related items, such as research allowances, are negotiated and agreed

    separately from the compensation negotiation process.

    3. In order to improve consistency, KPU should formally delegate responsibility for making offers of

    employment and procuring contracts of employment to the HR Department.

    4. In order to improve consistency, standardized templates for key aspects of the recruitment process

    should be developed by Human Resources, with the advice and assistance of Finance and Legal

    departments. In the near term, until standard templates are established, all draft offers of employment

    to senior executives should be reviewed and formally signed-off by KPUs Human Resource, Finance and

    Legal departments, to ensure conformity with KPU policies and procedures, public sector requirements

    and limits and the Income Tax Act, prior to offers being made to prospective senior employees. (Also

    see Recommendation 1.)

    5. Contracts of employment with senior executives should be consistent with the standard terms

    developed by KPU.

    6. Terms of each draft offer of employment should be formally signed-off by the person or group

    assigned responsibility for approving candidates, as specified in Appendix H of the Board Governance

    Manual.

    7. KPU should enhance its policies and procedures for hiring senior academic administrators. These

    enhancements should clearly define the activities and requirements in the hiring process, including the

    necessity of formal documentation and where approvals are required.

    8. Negotiating contract terms should be limited to those persons or groups assigned responsibility for

    approving candidates as specified in Appendix H of the Board Governance Manual, in consultation withthe Human Resources department. KPU should develop guidelines for negotiating contracts that

    identify negotiating ranges for specific compensation items consistent with the PSEC-approved plan, and

    ensure that KPUs standard contract terms are consistent with these items.

    9. KPU should develop a policy that discourages pre-employment contracts. In the rare circumstances

    where specific services may be appropriate during the transition period prior to employment, KPU

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    should develop guidance for pre-employment contracts to ensure compliance with legal and policy

    compensation restrictions. Any pre-employment contracts should be procured in accordance with good

    procurement practices, with clear deliverables, specified time frames and appropriate rates, and pre-

    cleared through PSEC.

    10. As part of drafting the Executive Compensation Disclosure Report to PSEC, the Finance department

    should be consulted regarding items that could be considered compensation under the Public Sector

    Executive Compensation Reporting Guidelines issued by PSEC.

    11. KPU should establish a clear definition of perquisites in its expense / P-card policies, consistent with

    the definition provided for expense reporting by PSEC, which should be communicated throughout the

    University. The perquisites / potential perquisites should be identified during the expense form / P-card

    statement review and tracked for annual reporting purposes.

    12. KPU should formally institute procedures for senior management (VP Finance & Administration

    and/or the President) review and sign-off of disclosures required under the Public Sector Employers Act,

    including the identification of any judgements made in the compilation of this information, prior to its

    submission to the Board Chair for formal attestation.

    13. KPU should ensure that the processes for collecting, validating and certifying PSEC and other key

    regulatory submissions are consistently documented and communicated. Key control points in these

    processes should be clearly identified, and tested on a regular basis to ensure that the processes

    function rigorously and consistently.

    14. As part of drafting the SOFI, the Finance department should identify and provide information

    regarding items that could be considered compensation under the guidance provided by the Ministry of

    Finance, such as perquisites and taxable benefits, which have been processed via P-cards or expense

    reports.

    15. KPU should perform a cost/benefit analysis of automating at least part of the SOFI report generating

    process.

    16. Given that the SOFI report will be released to the public, a formal, documented supervisory review

    should be implemented by KPU to validate that the SOFI guidelines, or any changes that may occur year-

    to-year, have been interpreted correctly.

    17. The Vice President, Finance and Administration should review and formally approve the Statement

    of Financial Information required under the Financial Information Act, attesting to the completeness and

    accuracy of the information reported, before it is provided to the Board for its review and approval.

    18. KPU should request and receive written approval from PSEC prior to implementing changes to the

    compensation of excluded staff, unless the change falls within the PSEC-approved plan.

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    19. KPUs Board should implement a formal orientation process for new Board members that includes

    elements such as the Universitys structure and operating environment; strategic plan and objectives;

    operational plans and measures of success; Board governance, expectations and performance

    monitoring; KPU finances and Board fiduciary responsibility; and KPUs risk management framework and

    process.

    20. KPUs Board should receive and review regular reports of the Universitys performance against its

    strategic objectives, including analyses of deviations from objectives and KPUs intended response.

    21. Given the Presidents direct responsibility for risk management, overseen by the Board, the

    operational responsibility for risk management should be reassigned directly to the President, or in the

    alternate, the Board. Accordingly, risk management staff should report directly to the President or the

    Board.

    22. Using the ISO31000 risk management framework, KPU should develop a comprehensive risk register

    as soon as possible, and use this register as the basis for regular reporting to the Board on the status of

    risks and KPUs programs to manage them.

    23. KPU should formally assign responsibility for the Code of Conduct to a senior staff member, and this

    responsibility should include the development and delivery of an implementation plan as well as

    periodic review and updating of the Code.

    24. Using a well-established control framework (e.g., COSO Internal Control-Integrated Framework), KPU

    should assess, enhance and/or implement controls related to key financial areas and processes. These

    activities should include identification of key controls and control gaps in high priority processes for the

    University. Testing of such key controls should occur on a regular basis.