Supplement to the Charter

MUSC BOARD OF TRUSTEES

EXPLANATION OF INTERNAL AUDIT DEPARTMENT AUTHORITY AND OTHER AUDIT RELATED PROCEDURES

The Board of Trustees of the Medical University of South Carolina depends on the Internal Audit Department to monitor enterprise wide compliance with policies and procedures established by the Board and certain outside agencies.

The Internal Audit Department and its Director report directly to the Board of Trustees. It is recommended that all employees of the Medical University of South Carolina and all of its affiliates read and become familiar with the Internal Audit Department’s Charter as approved by the Board of Trustees. The Charter may be found on the Department’s web page www.musc.edu/internalaudit. The Board of Trustees has given the Internal Audit Department the following authority and expects employees of MUSC and all affiliates to comply with the policy. 

AUTHORITY

The Director of Internal Audit is authorized by the Board of Trustees to direct a broad, comprehensive program of internal audit within the University, the Authority, and the affiliated organizations and related parties. Internal Audit examines and evaluates the adequacy and effectiveness of the systems of management control provided by the University, the Authority, and the affiliates and related parties to direct their activities toward the accomplishment of their missions and objectives in accordance with applicable policies and plans. In accomplishing his activities, the Director of Internal Audit and his representatives are authorized to have full, free, and unrestricted access to all University, Authority, and affiliated organization and related party functions, records, property, systems and personnel.

PROCEDURES

In many situations, the Internal Audit Department performs engagements at the request of management.  Generally, these engagements will be coordinated with departments or areas under review. 

At other times, the Internal Audit Department may perform engagements on behalf of the Board of Trustees.  Many of these procedures will be coordinated in advance with those under review.  However, there are times where such reviews will be conducted on an unannounced basis at the request of the Board. 

The Board of Trustees requires that under all circumstances employees of MUSC and its affiliates comply with all requests that Internal Audit Department personnel may make. No one can deny the Internal Audit Department immediate access to any information they may request. Their requests do not require advance approval by management and such requests must be complied with promptly. Failure to comply with Internal Audit Department policies and procedures will be reported to the Board.  In most situations, employees may notify their supervisor’s after the fact of such requests. 

There may be situations where employees are instructed to keep engagements confidential from their direct reporting lines and others.  Such requests have to be authorized in person by the Director of Internal Audit and will be evidenced by a mutually signed document. The Board expects all employees to comply with such requests.

In those situations where employees are unsure about compliance with such requests, the procedure shall be for the employee to comply with the request and forward in writing their questions after the fact to the Audit Committee of the Board of Trustees.  Such communication will be held confidential and should be mailed to the following address:

MUSC Board of Trustees Audit Committee

179 Ashley Avenue

MSC 001

Charleston, South Carolina 29425-0010

ORGANIZATIONS COVERED BY MUSC AUDIT POLICIES

MEDICAL UNIVERSITY OF SOUTH CAROLINA

MEDICAL UNIVERSITY HOSPITAL AUTHORITY

UNIVERSITY MEDICAL ASSOCIATES

MUSC FOUNDATION

MUSC FOUNDATION FOR RESEARCH DEVELOPMENT

MEDICAL UNIVERSITY FACILITIES CORPORATION

CHS DEVELOPMENT CORPORATION

MUFC CENTRAL ENERGY PLANT, LLC

PARKING GARAGE ASSOCIATES, LLC

CAROLINA FAMILY CARE, INC

CAROLINA PRIMARY CARE PHYSICIANS, PA

CAROLINA HEALTH MANAGEMENT SERVICES

Approved by the MUSC Board of Trustees on August 8, 2008