Audit 299296

FY End
2023-06-30
Total Expended
$295.65M
Findings
2
Programs
94
Year: 2023 Accepted: 2024-03-28
Auditor: Kpmg LLP

Organization Exclusion Status:

Checking exclusion status...

Findings

ID Ref Severity Repeat Requirement
386961 2023-001 Significant Deficiency - N
963403 2023-001 Significant Deficiency - N

Programs

ALN Program Spent Major Findings
84.268 Federal Direct Student Loans $103.40M Yes 1
93.342 Health Professions Student Loans, Including Primary Care Loans/loans for Disadvantaged Students $6.48M Yes 0
93.364 Nursing Student Loans $3.15M Yes 0
64.RD Other Federal Assistance $3.08M - 0
93.498 Provider Relief Fund $2.97M Yes 0
93.398 Cancer Research Manpower $2.04M - 0
93.917 Hiv Care Formula Grants $1.63M - 0
93.264 Nurse Faculty Loan Program (nflp) $1.62M Yes 0
84.038 Federal Perkins Loan Program $1.51M Yes 0
93.353 21st Century Cures Act - Beau Biden Cancer Moonshot $892,498 - 0
81.136 Long-Term Surveillance and Maintenance $889,677 - 0
93.243 Substance Abuse and Mental Health Services_projects of Regional and National Significance $771,297 - 0
93.247 Advanced Nursing Education Grant Program $674,904 - 0
93.884 Grants for Primary Care Training and Enhancement $659,384 - 0
93.925 Scholarships for Health Professions Students From Disadvantaged Backgrounds $650,000 Yes 0
16.321 Antiterrorism Emergency Reserve $581,296 - 0
93.870 Maternal, Infant and Early Childhood Home Visiting Grant $544,208 - 0
93.107 Area Health Education Centers Point of Service Maintenance and Enhancement Awards $462,527 - 0
16.582 Crime Victim Assistance/discretionary Grants $418,236 - 0
97.044 Assistance to Firefighters Grant $405,015 - 0
93.087 Enhance Safety of Children Affected by Substance Abuse $390,854 - 0
16.123 Community-Based Violence Prevention Program $291,768 - 0
84.033 Federal Work-Study Program $287,097 Yes 0
93.877 Autism Collaboration, Accountability, Research, Education, and Support $258,186 - 0
93.396 Cancer Biology Research $257,206 - 0
93.191 Graduate Psychology Education Program and Patient Navigator and Chronic Disease Prevention Program $228,515 - 0
84.063 Federal Pell Grant Program $216,580 Yes 0
93.859 Biomedical Research and Research Training $216,545 - 0
93.839 Blood Diseases and Resources Research $204,138 - 0
16.575 Crime Victim Assistance $201,361 - 0
93.912 Rural Health Care Services Outreach, Rural Health Network Development and Small Health Care Provider Quality Improvement $179,600 - 0
93.939 Hiv Prevention Activities_non-Governmental Organization Based $177,898 - 0
93.236 Grants to States to Support Oral Health Workforce Activities $172,634 - 0
93.788 Opioid Str $159,669 - 0
84.007 Federal Supplemental Educational Opportunity Grants $159,250 Yes 0
93.391 Activities to Support State, Tribal, Local and Territorial (stlt) Health Department Response to Public Health Or Healthcare Crises $153,015 - 0
93.847 Diabetes, Digestive, and Kidney Diseases Extramural Research $151,639 - 0
93.959 Block Grants for Prevention and Treatment of Substance Abuse $148,063 - 0
93.279 Drug Abuse and Addiction Research Programs $141,798 - 0
10.555 National School Lunch Program $139,403 - 0
93.865 Child Health and Human Development Extramural Research $112,063 - 0
66.509 Science to Achieve Results (star) Research Program $108,793 - 0
93.286 Discovery and Applied Research for Technological Innovations to Improve Human Health $92,503 - 0
93.394 Cancer Detection and Diagnosis Research $82,412 - 0
47.083 Integrative Activities $78,932 - 0
45.024 Promotion of the Arts_grants to Organizations and Individuals $76,795 - 0
43.003 Exploration $68,024 - 0
93.945 Assistance Programs for Chronic Disease Prevention and Control $58,858 - 0
93.397 Cancer Centers Support Grants $55,274 - 0
93.361 Nursing Research $52,648 - 0
93.399 Cancer Control $52,418 - 0
93.103 Food and Drug Administration_research $51,306 - 0
93.350 National Center for Advancing Translational Sciences $50,116 - 0
93.211 Telehealth Programs $49,326 - 0
93.846 Arthritis, Musculoskeletal and Skin Diseases Research $41,887 - 0
93.866 Aging Research $41,214 - 0
93.421 Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation’s Health $40,666 - 0
93.213 Research and Training in Complementary and Integrative Health $40,120 - 0
93.732 Mental and Behavioral Health Education and Training Grants $39,951 - 0
93.867 Vision Research $39,843 - 0
93.124 Nurse Anesthetist Traineeships $33,305 - 0
43.008 Education $32,064 - 0
93.855 Allergy, Immunology and Transplantation Research $30,440 - 0
93.273 Alcohol Research Programs $29,799 - 0
93.113 Environmental Health $27,725 - 0
84.324 Research in Special Education $24,293 - 0
93.516 Affordable Care Act (aca) Public Health Training Centers Program $23,718 - 0
93.433 Acl National Institute on Disability, Independent Living, and Rehabilitation Research $21,407 - 0
93.307 Minority Health and Health Disparities Research $20,097 - 0
93.165 Grants to States for Loan Repayment $12,880 - 0
93.059 Training in General, Pediatric, and Public Health Dentistry $11,991 - 0
93.084 Prevention of Disease, Disability, and Death by Infectious Diseases $11,277 - 0
93.130 Cooperative Agreements to States/territories for the Coordination and Development of Primary Care Offices $7,806 - 0
93.837 Cardiovascular Diseases Research $7,397 - 0
93.838 Lung Diseases Research $6,785 - 0
93.RD Other Federal Assistance $6,548 - 0
47.075 Social, Behavioral, and Economic Sciences $5,556 - 0
93.155 Rural Health Research Centers $5,076 - 0
93.242 Mental Health Research Grants $4,583 - 0
93.395 Cancer Treatment Research $2,930 - 0
93.393 Cancer Cause and Prevention Research $1,877 - 0
12.420 Military Medical Research and Development $1,829 - 0
93.011 National Organizations of State and Local Officials $1,369 - 0
93.853 Extramural Research Programs in the Neurosciences and Neurological Disorders $691 - 0
93.226 Research on Healthcare Costs, Quality and Outcomes $539 - 0
84.425F Education Stabilization Fund $130 - 0
93.844 Acl Centers for Independent Living, Recovery Act $18 - 0
93.173 Research Related to Deafness and Communication Disorders $-473 - 0
93.879 Medical Library Assistance $-853 - 0
47.041 Engineering $-1,093 - 0
93.121 Oral Diseases and Disorders Research $-4,625 - 0
93.310 Trans-Nih Research Support $-6,470 - 0
81.121 Nuclear Energy Research, Development and Demonstration $-15,701 - 0
97.130 National Nuclear Forensics Expertise Development Program $-36,990 - 0

Contacts

Name Title Type
NHV3GTWSALA7 Patrick Wamsley Auditee
8437928908 Alison Upton Auditor
No contacts on file

Notes to SEFA

Title: (1) Basis of Presentation Accounting Policies: Expenditures for student financial aid programs include the federal share of students’ Federal Supplemental Educational Opportunity Grant (FSEOG) program grants and Federal Work-Study (FWS) Program earnings, certain other federal financial aid for students, and administrative cost allowances, where applicable. Federal Pell grant awards are recognized as agency transactions and are not recorded as expenditures in the financial statements. Expenditures for federal research and development programs are determined using the cost accounting principles and procedures set forth in OMB Circular A-21, Cost Principles for Educational Institutions, or the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The University did not elect to use the 10% de minimis indirect cost rate, as discussed in Uniform Guidance Section 200.414. The accompanying schedule of expenditures of federal awards (the Schedule) includes the federal grant activity of the Medical University of South Carolina (the University) and is presented on the accrual basis of accounting. The information in the Schedule is presented in accordance with the requirements of Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards at Title 2 U.S. Code of Federal Regulation Part 200 (Uniform Guidance). Therefore, some amounts presented in the Schedule may differ from amounts presented in or used in the preparation of the basic financial statements.
Title: (2) Summary of Significant Accounting Policies for Federal Award Expenditures Accounting Policies: Expenditures for student financial aid programs include the federal share of students’ Federal Supplemental Educational Opportunity Grant (FSEOG) program grants and Federal Work-Study (FWS) Program earnings, certain other federal financial aid for students, and administrative cost allowances, where applicable. Federal Pell grant awards are recognized as agency transactions and are not recorded as expenditures in the financial statements. Expenditures for federal research and development programs are determined using the cost accounting principles and procedures set forth in OMB Circular A-21, Cost Principles for Educational Institutions, or the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The University did not elect to use the 10% de minimis indirect cost rate, as discussed in Uniform Guidance Section 200.414. Expenditures for student financial aid programs include the federal share of students’ Federal Supplemental Educational Opportunity Grant (FSEOG) program grants and Federal Work-Study (FWS) Program earnings, certain other federal financial aid for students, and administrative cost allowances, where applicable. Federal Pell grant awards are recognized as agency transactions and are not recorded as expenditures in the financial statements. Expenditures for federal research and development programs are determined using the cost accounting principles and procedures set forth in OMB Circular A-21, Cost Principles for Educational Institutions, or the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement.
Title: (3) Noncash Assistance Accounting Policies: Expenditures for student financial aid programs include the federal share of students’ Federal Supplemental Educational Opportunity Grant (FSEOG) program grants and Federal Work-Study (FWS) Program earnings, certain other federal financial aid for students, and administrative cost allowances, where applicable. Federal Pell grant awards are recognized as agency transactions and are not recorded as expenditures in the financial statements. Expenditures for federal research and development programs are determined using the cost accounting principles and procedures set forth in OMB Circular A-21, Cost Principles for Educational Institutions, or the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The University did not elect to use the 10% de minimis indirect cost rate, as discussed in Uniform Guidance Section 200.414. Most federal financial assistance is in the form of cash awards. However, there are a number of federal programs that do not involve cash transactions with the University. These noncash transactions in which the University obtains other assistance are the Federal Direct Student Loan Program, which includes the Federal Direct Stafford Student Loan program (subsidized and unsubsidized) and the Federal Direct Parent Loans for Undergraduate Students (PLUS). The loans are as follows for the various student loan programs: ALN Amount Federal Direct Student Loan Program – Student loans: 84.268 Direct Stafford Loan Program $ 780,105 Direct Unsubsidized Stafford Loan Program 59,199,966 Federal Direct PLUS Loan Program 136,879 Federal Direct Graduate PLUS Loan Program 43,283,997 Total Federal Direct Student Loan Program $ 103,400,947 The Federal Perkins Loan, the Health Professions Student Loan (HPSL), the Nurse Faculty Loan Program (NFLP), and the Nursing Student Loan (NSL) programs are administered directly by the University, and balances and transactions relating to these programs are included in the University’s basic financial statements. The balance of loans outstanding under the Federal Perkins, HPSL, NFLP, and NSL programs was $1,073,933, $6,071,621, $1,530,635, and $2,890,786, respectively, as of June 30, 2023. The University is responsible only for the performance of certain administrative duties with respect to the guaranteed student loan programs, and accordingly, these loans are not included in its financial statements. It is not practicable to determine the balance of loans outstanding to students and former students of the University under these programs as of June 30, 2023.
Title: (4) Matching Accounting Policies: Expenditures for student financial aid programs include the federal share of students’ Federal Supplemental Educational Opportunity Grant (FSEOG) program grants and Federal Work-Study (FWS) Program earnings, certain other federal financial aid for students, and administrative cost allowances, where applicable. Federal Pell grant awards are recognized as agency transactions and are not recorded as expenditures in the financial statements. Expenditures for federal research and development programs are determined using the cost accounting principles and procedures set forth in OMB Circular A-21, Cost Principles for Educational Institutions, or the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The University did not elect to use the 10% de minimis indirect cost rate, as discussed in Uniform Guidance Section 200.414. Under the FWS program, the University matched $71,774 in total compensation for the year ended June 30, 2023 in addition to the federal share of expenditures in the accompanying schedule of expenditures of federal awards. Under the FSEOG program, the University matched $39,813 in funds awarded to students for the year ended June 30, 2023 in addition to the federal expenditures in the accompanying schedule of expenditures of federal awards.
Title: (5) Indirect Cost Rate Accounting Policies: Expenditures for student financial aid programs include the federal share of students’ Federal Supplemental Educational Opportunity Grant (FSEOG) program grants and Federal Work-Study (FWS) Program earnings, certain other federal financial aid for students, and administrative cost allowances, where applicable. Federal Pell grant awards are recognized as agency transactions and are not recorded as expenditures in the financial statements. Expenditures for federal research and development programs are determined using the cost accounting principles and procedures set forth in OMB Circular A-21, Cost Principles for Educational Institutions, or the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The University did not elect to use the 10% de minimis indirect cost rate, as discussed in Uniform Guidance Section 200.414. The University did not elect to use the 10% de minimis indirect cost rate, as discussed in Uniform Guidance Section 200.414.
Title: (6) Provider Relief Funding Accounting Policies: Expenditures for student financial aid programs include the federal share of students’ Federal Supplemental Educational Opportunity Grant (FSEOG) program grants and Federal Work-Study (FWS) Program earnings, certain other federal financial aid for students, and administrative cost allowances, where applicable. Federal Pell grant awards are recognized as agency transactions and are not recorded as expenditures in the financial statements. Expenditures for federal research and development programs are determined using the cost accounting principles and procedures set forth in OMB Circular A-21, Cost Principles for Educational Institutions, or the cost principles contained in Title 2 U.S. Code of Federal Regulations Part 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards. Under these cost principles, certain expenditures are not allowable or are limited as to reimbursement. De Minimis Rate Used: N Rate Explanation: The University did not elect to use the 10% de minimis indirect cost rate, as discussed in Uniform Guidance Section 200.414. COVID-19 CARES – Provider Relief (ALN 93.498) represents total expenditures and/or lost revenues from the Period 4 and 5 to report submissions to the PRF Reporting Portal. Period 4 is based on payments received from July 1, 2021 to December 31, 2021, with a period of availability of expenses and/or lost revenue from January 1, 2020 to December 31, 2022. Period 5 is based on payments received from January 1, 2022 to June 30, 2022, with a period of availability of expenses and/or lost revenue from January 1, 2020 to June 30, 2023.

Finding Details

Loan Disbursement Notifications Federal Program Student Financial Assistance Cluster (ALN #84.268) Federal Agency U.S. Department of Education Federal Award Years and Federal Award Number July 1, 2022 to June 30, 2023 ; P268K232193 Criteria or Requirement Per 34 CFR section 668.165, if an institution credits a student's account with a Direct Loan, the institution must notify the student or parent, no earlier than 30 days before the disbursement and no later than 30 days after the disbursement, in writing of the anticipated date and amount of the loan disbursement, the student's right or parent's right to cancel all or a portion of that loan or loan disbursement and have the loan proceeds returned to the holder of that loan, and the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or loan disbursement. Condition and Context For 40 out of 40 students, while the students have access to their student accounts that show disbursement activity and the institution has posted to their website the required terms of loan disbursements, the federal direct loan disbursement notification was not sent to the student or parent within the required 30 days before or 30 days after the disbursement was credited to the student's account and did not include the necessary information regarding the student's right or parent's right to cancel as noted in the above criteria. Cause and Potential Effect The University's internal controls for determining that a loan disbursement notification was sent for each disbursement made was not operating effectively. Accordingly, the University did not send a loan notification for disbursements within the required timeframe nor with the required information. Questioned Cost There were no questioned costs associated with the finding. Statistically Valid Sample The sample was not intended to be, and was not, a statistically valid sample. Identification of Whether the Audit Finding is a Repeat of a Finding in the Immediately Prior Audit No. Recommendation We recommend the University enhance the precision of the controls over loan disbursements to ensure that all loan disbursements through the Federal Direct Student Loan Program have a written notification, inclusive of all required information as noted in the criteria above, sent to the student/and or parents within the required timeline of within 30 days before and 30 days after the disbursement date. View of Responsible Officials Management of the University takes no exception to this reported finding. We have implemented the remedial actions as outlined in our Corrective Action Plan.
Loan Disbursement Notifications Federal Program Student Financial Assistance Cluster (ALN #84.268) Federal Agency U.S. Department of Education Federal Award Years and Federal Award Number July 1, 2022 to June 30, 2023 ; P268K232193 Criteria or Requirement Per 34 CFR section 668.165, if an institution credits a student's account with a Direct Loan, the institution must notify the student or parent, no earlier than 30 days before the disbursement and no later than 30 days after the disbursement, in writing of the anticipated date and amount of the loan disbursement, the student's right or parent's right to cancel all or a portion of that loan or loan disbursement and have the loan proceeds returned to the holder of that loan, and the procedures and time by which the student or parent must notify the institution that he or she wishes to cancel the loan or loan disbursement. Condition and Context For 40 out of 40 students, while the students have access to their student accounts that show disbursement activity and the institution has posted to their website the required terms of loan disbursements, the federal direct loan disbursement notification was not sent to the student or parent within the required 30 days before or 30 days after the disbursement was credited to the student's account and did not include the necessary information regarding the student's right or parent's right to cancel as noted in the above criteria. Cause and Potential Effect The University's internal controls for determining that a loan disbursement notification was sent for each disbursement made was not operating effectively. Accordingly, the University did not send a loan notification for disbursements within the required timeframe nor with the required information. Questioned Cost There were no questioned costs associated with the finding. Statistically Valid Sample The sample was not intended to be, and was not, a statistically valid sample. Identification of Whether the Audit Finding is a Repeat of a Finding in the Immediately Prior Audit No. Recommendation We recommend the University enhance the precision of the controls over loan disbursements to ensure that all loan disbursements through the Federal Direct Student Loan Program have a written notification, inclusive of all required information as noted in the criteria above, sent to the student/and or parents within the required timeline of within 30 days before and 30 days after the disbursement date. View of Responsible Officials Management of the University takes no exception to this reported finding. We have implemented the remedial actions as outlined in our Corrective Action Plan.