Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 3,312,774 | 3,339,743 | 4,063,316 | 4,159,493 | 4,854,735 | 19,730,061 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 3,815,745 | 4,022,925 | 3,855,424 | 4,544,466 | 4,979,941 | 21,218,501 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 7,128,519 | 7,362,668 | 7,918,740 | 8,703,959 | 9,834,676 | 40,948,562 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 40,948,562 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 7,128,519 | 7,362,668 | 7,918,740 | 8,703,959 | 9,834,676 | 40,948,562 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 535 | 789 | 23,004 | 15,171 | 932 | 40,431 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 535 | 789 | 23,004 | 15,171 | 932 | 40,431 |
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 205,978 | 14,066 | 4,073 | 19,389 | 2,002 | 245,508 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 7,335,032 | 7,377,523 | 7,945,817 | 8,738,519 | 9,837,610 | 41,234,501 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| PART III SECTION B LINE 12 | 2016 GROSS FUNDRAISING INCOME = $174,425 2016 OTHER INCOME = $31,553 2017 OTHER INCOME = $14,066 2016 OTHER INCOME = $4,073 2016 OTHER INCOME = $19,389 2016 OTHER INCOME = $2,002 |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4A | IN 2020, 6,998 UNIQUE PATIENTS WERE SERVED. THE FREMONT WELLNESS CENTER YIELDED 11,327 ENCOUNTERS FOR 4,107 PATIENTS, AND THE FLORENCE CLINIC YIELDED 16,704 ENCOUNTERS FOR 5,214 PATIENTS. OF THE 28,031 VISITS, 10,951 OR 39% WERE IN-PERSON, AND 17,080 OR 61% WERE TELEHEALTH. VISITS BY SERVICE TYPE IN 2020 WERE AS FOLLOWS, 24,739 FOR PRIMARY CARE SERVICES OF WHICH 58% WERE TELEHEALTH, 3,004 FOR MENTAL HEALTH OF WHICH 86% WERE TELEHEALTH, AND 1% FOR CASE MANAGEMENT OF WHICH 16% WERE TELEHEALTH. 54% OF UMMA'S PATIENTS LIVE BELOW THE POVERTY LEVEL, AND 32% OF THEM ARE UNINSURED. 70% OF THE PATIENTS ARE LATINO, 20% AFRICAN AMERICAN AND 10% OTHER RACES. 44% OF OUR PATIENTS AND BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. COVID-19 TESTING SERVICES ARE OFFERED AT THE FLORENCE CLINIC. CLINIC PATIENTS VISIT FREMONT 4,107 11,327 FLORENCE 5,214 16,704 TOTAL 9,321 28,031 UNIQUE PATIENTS 6,998 28,031 CHARITY CARE AND SOCIAL ACCOUNTABILITY UMMA IS A NOT-FOR-PROFIT HEALTH CARE PROVIDER ESTABLISHED TO MEET THE HEALTH CARE NEEDS OF AREA RESIDENTS. UMMA PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SINCE UMMA DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. UMMA MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF CHARITY CARE IT PROVIDES. THE AMOUNT OF CHARITY CARE PROVIDED DURING THE YEARS ENDED DECEMBER 31, 2020 AND 2019 AMOUNTED TO APPROXIMATELY $1,129,253 AND $829,000, RESPECTIVELY. FREMONT DENTAL CENTER IS EXPECTED TO OPEN AT THE END OF JANUARY 2022. FREMONT FOOD FAIR FREE FOOD FAIR RUNS TWICE A MONTH TO PROVIDE FRESH FRUITS AND VEGETABLES TO MORE THAN 300 FAMILIES IN NEED. WE ARE ALSO A DISTRIBUTION HUB FOR 19 LOCAL COMMUNITY PARTNERS WHO PICK UP FRESH PRODUCE FROM OUR FREE FOOD FAIR AND DISTRIBUTE TO COMMUNITY MEMBERS ACROSS SOUTH LOS ANGELES. DURING THE COVID-19 HEALTH CRISIS, WE DOUBLED OUR FREE FOOD FAIR SERVICES, REACHING MORE THAN 2,600 COMMUNITY MEMBERS IN NEED AND DISTRIBUTING MORE THAN 270,000 POUNDS OF FRESH PRODUCE IN JUST THE FIRST 9 MONTHS OF COVID-19. OVERALL, 361,332 POUNDS OF FRESH PRODUCE WERE DISTRIBUTED IN 2020. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE CPA FIRM UPON ITS COMPLETION OF THE INDEPENDENT AUDITED FINANCIAL STATEMENTS. THE FORM IS CAREFULLY REVIEWED BY THE CFO, CEO AND MANAGEMENT TEAM. THE FORM 990 IS ALSO REVIEWED BY THE AUDIT COMMITTEE. AFTER THE FORM 990 HAS BEEN APPROVED BY THE AUDIT COMMITTEE IT IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR APPROVAL. ONCE THE BOARD HAS APPROVED IT, IT IS FILED AND POSTED ON UMMA'S WEBSITE AND ALSO UPLOADED INTO GUIDESTAR. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE UNIVERSITY OF MUSLIM MEDICAL ASSOCIATION INC. HAS A CONFLICT OF INTEREST AND ETHICS POLICY THAT REQUIRES ITS DIRECTORS, OFFICERS AND EMPLOYEES IN A POSITION OF AUTHORITY WITHIN THE CORPORATION (INTERESTED PERSONS) TO OBSERVE HIGH STANDARDS OF BUSINESS AND PERSONAL ETHICS IN THE CONDUCT OF THEIR DUTIES AND RESPONSIBILITIES. DUTY TO SELF-DISCLOSE. AN INTERESTED PERSON SHALL MAKE AN APPROPRIATE DISCLOSURE OF ALL MATERIAL FACTS, INCLUDING THE EXISTENCE OF ANY FINANCIAL INTEREST, AT ANY TIME THAT ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST OR ETHICAL QUESTION ARISES. INTERESTED PERSONS ARE ALSO REQUIRED TO ANNUALLY SIGN A CONFLICT OF INTEREST DISCLOSURE FORM ON ON-GOING RELATIONSHIPS AND INTERESTS THAT MAY PRESENT A CONFLICT OF INTEREST. EVALUATION OF THE POTENTIAL CONFLICT. AFTER DISCLOSURE OF ALL MATERIAL FACTS AND ANY FOLLOW-UP DISCUSSION WITH THE INTERESTED PERSON WITH A POTENTIAL CONFLICT OF INTEREST, A DETERMINATION MUST BE MADE ABOUT WHETHER A MATERIAL FINANCIAL INTEREST, SELF-DEALING TRANSACTION OR OTHER KIND OF ACTUAL CONFLICT EXISTS. IF THE POTENTIAL CONFLICT IS FIRST DISCLOSED DURING A BOARD OR COMMITTEE MEETING AT WHICH THE INTERESTED PERSON WITH THE POTENTIAL CONFLICT IS IN ATTENDANCE, THE INTERESTED PERSON SHALL LEAVE THE MEETING WHILE THE DETERMINATION OF WHETHER A CONFLICT OF INTEREST EXISTS IS EITHER DISCUSSED AND VOTED UPON OR REFERRED TO COMMITTEE FOR FURTHER CONSIDERATION. IN EITHER EVENT, THE DECISION-MAKING BODY WILL EVALUATE THE DISCLOSURES BY THE INTERESTED PERSON, AND WILL DETERMINE ON A CASE-BY-CASE BASIS WHETHER THE DISCLOSED ACTIVITIES CONSTITUTE AN ACTUAL CONFLICT OF INTEREST. IF THE DISCLOSURE IS MADE OUTSIDE OF THE CONTEXT OF A MEETING, THEN THE DETERMINATION OF WHETHER A CONFLICT EXISTS WILL BE REFERRED TO A DECISION-MAKING BODY OF THE BOARD FOR DECISION AND ACTION. PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST. PRIOR TO VOTING ON A CONTRACT, TRANSACTION, OR MATTER IN WHICH AN ACTUAL CONFLICT IS FOUND TO EXIST, THE BOARD OR COMMITTEE FOLLOWS THE FOLLOWING PROCEDURES: A. THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING AT WHICH SUCH TRANSACTION IS BEING CONSIDERED, BUT AFTER THE PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. B. THE CHAIRPERSON OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. C. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CORPORATION COULD OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. D. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. E. A VOTE OF A MAJORITY OF DISINTERESTED DIRECTORS IS REQUIRED FOR THE APPROVAL OF A CONFLICT TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | UMMA'S BOARD OF DIRECTORS HAS A PROCESS FOR REVIEWING AND APPROVING THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES ON A REGULAR BASIS TO DETERMINE IT IS FAIR AND REASONABLE WITH THE GOAL OF RETAINING EMPLOYEES AT COMPENSATION LEVELS WITHIN APPROPRIATE MARKET RANGE. THE PROCESS FOR DETERMINING THE COMPENSATION PAID TO THE CEO, OFFICERS, AND KEY EMPLOYEES INCLUDES THE APPROVAL OF THE COMPENSATION ARRANGEMENT IN ADVANCE, BY THE BOARD OF DIRECTORS, WITH ALL PERSONS WITH A CONFLICT OF INTEREST ABSTAINING FROM THE BOARD'S DELIBERATION AND DISCUSSION. THE BOARD REVIEWS DATA OF COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED NONPROFIT EXECUTIVES AT SIMILARLY SITUATED ENTITIES. THE DOCUMENTATION OF THE BOARD INCLUDES THE TERMS OF THE TRANSACTION AND THE DATE OF APPROVAL, THE MEMBERS WHO WERE PRESENT DURING THE DEBATE AND VOTE ON THE TRANSACTION, A DESCRIPTION OF THE COMPARABLE DATA AND HOW IT WAS OBTAINED, AND DOCUMENTATION OF THE BASIS FOR THE DETERMINATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | SOME OR ALL OF THESE ITEMS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONSULTANT & CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 1,203,105. MANAGEMENT AND GENERAL EXPENSES 164,314. FUNDRAISING EXPENSES 6,135. TOTAL EXPENSES 1,373,554. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 41,160. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,160. |
| Software ID: | |
| Software Version: |