The USA South Athletic Conference Presidents Cup symbolizes the league's top overall athletic program each year. As of the 2005-2006 school year, there is a separate men's and women's Cup as well the overall cup. Points are distributed based on the number of schools sponsoring the particular sport and/or who score in team championships (cross country, indoor & outdoor track & field, golf).

Since the 2015-16 season, for all sports with the exception of football which has no post-season play, the team winning the USA South Tournament Championship has received two bonus points for that sport while the runner-up received one bonus point. Additionally, in the sports of golf and cross country, the athlete placing first has earned two bonus points for his/her institution while the runner-up has collected one bonus point. If athletes from the same institution placed first and second, that institution earns the two bonus points for the first place finish only.

When divisional standings were present in the Conference, the points were separated by divisions.

Since the inception of the Presidents Cup, Greensboro College, Meredith College, Methodist University, N.C. Wesleyan University, Pfeiffer University, and Southern Virginia University, along with former full-members Christopher Newport University, Piedmont University, and St. Andrews Presbyterian College, have been the recipients. Christopher Newport has laid claim to a League-best 31 cups while other multi-cup institutions include Methodist (20), Southern Virginia (11), Piedmont (8), St. Andrews (4), N.C. Wesleyan (2), and Pfeiffer (2). Greensboro and Meredith have one Presidents Cup apiece.

The most current Presidents Cup standings can be found HERE.

To view the results of each year's Presidents Cup results, click on that particular year in the table below:

History of Cup Winners (O=overall / M=men's / W=women's)
1978-79 St. Andrews	1979-80 St. Andrews	1980-81 St. Andrews	1981-82 St. Andrews	1982-83 Christopher Newport	1983-84 Christopher Newport	1984-85 Christopher Newport
1985-86 Christopher Newport	1986-87 Christopher Newport	1987-88 Methodist	1988-89 Methodist	1989-90 Christopher Newport	1990-91 Methodist	1991-92 Methodist
1992-93 Methodist	1993-94 Methodist	1994-95 Christopher Newport	1995-96 Methodist	1996-97 Methodist	1997-98 Christopher Newport	1998-99 Christopher Newport
1999-2000 Christopher Newport	2000-01 Christopher Newport	2001-02 Christopher Newport	2002-03 Christopher Newport	2003-04 Christopher Newport	2004-05 M-Methodist W-Greensboro	2005-06 O-Christopher Newport M-Methodist W-Christopher Newport
2006-07 O-Christopher Newport M-Christopher Newport W-Christopher Newport	2007-08 O-Christopher Newport M-Christopher Newport W-Christopher Newport	2008-09 O-Christopher Newport M-Christopher Newport W-Christopher Newport	2009-10 O-Christopher Newport M-Christopher Newport & N.C. Wesleyan W-Christopher Newport	2010-11 O-Christopher Newport M-Christopher Newport W-Christopher Newport	2011-12 O-Christopher Newport M-Christopher Newport W-Christopher Newport	2012-13 O-Christopher Newport M-Christopher Newport W-Christopher Newport
2013-14 O-Methodist M-Methodist W-Piedmont	2014-15 O-Methodist M-Methodist W-Meredith	2015-16 O-Methodist M-N.C. Wesleyan W-Piedmont	2016-17 O-Piedmont M-Maryville W-Piedmont	2017-18 O-Piedmont M-Methodist W-Piedmont	2018-19 O-Piedmont M-Methodist W-Piedmont	2019-20 Vacant due to Coronavirus pandemic.
2020-21 Vacant due  to Coronavirus pandemic.	2021-22 O-Southern Virginia M-Southern Virginia W-Southern Virginia	2022-23 O-Southern Virginia M-Methodist W-Southern Virginia	2023-24 O-Southern Virginia M-Methodist W-Southern Virginia	2024-25 O-Southern Virginia M-Methodist & Pfeiffer W-Southern Virginia	2025-26 O-Southern Virginia M-Pfeiffer W-Southern Virginia