Civic Intelligence

Chelsea Medical Staff Trust

EIN 81-6214533 • 501(c)6 • Chelsea, MI

Profile

To promote a common interest of maintaining and improving medical staff skills, performance, knowledge, quality of care, and cost efficiency through peer review, education, certification of completion, establishment of standards, and professional interchange.

775 S Main StreetChelsea, MI 48118-1383

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

49th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)6 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

51st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)6 • <$500k nonprofits • Source year 2024

Net Margin

82nd percentile

21%

Higher net margin than 82% of similar nonprofits.

501(c)6 • <$500k nonprofits • Source year 2024

Top Officer Pay

88th percentile

$45,000

Higher top officer pay than 88% of similar nonprofits.

Top officer pay equals 21.3% of source-year revenue.

501(c)6 • <$500k nonprofits • Source year 2024

Asset Growth

93rd percentile

60%

Faster asset growth than 93% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

97th percentile

185%

Faster revenue growth than 97% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets49th percentile

Assets

Up

$218,325

Up $82,233 (+60%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Up

$218,325

Up $82,233 (+60%) from 2023

Operations
Liabilities / Revenue51st percentileNet Margin82nd percentile

Revenue

Up

$210,914

Up $136,937 (+185%) from 2023

Expenses

Up

$166,654

Up $100,422 (+152%) from 2023

Net Income

Up

$44,260

Up $36,515 (+471%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth93rd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600K$400K$200K$0Assets 2016: $531,655Liabilities 2016: $0Net Assets 2016: $531,6552016Assets 2017: $508,282Liabilities 2017: $0Net Assets 2017: $508,2822017Assets 2018: $489,720Liabilities 2018: $0Net Assets 2018: $489,7202018Assets 2019: $516,012Liabilities 2019: $0Net Assets 2019: $516,0122019Assets 2020: $478,340Liabilities 2020: $0Net Assets 2020: $478,3402020Assets 2021: $336,164Liabilities 2021: $0Net Assets 2021: $336,1642021Assets 2022: $175,815Liabilities 2022: $0Net Assets 2022: $175,8152022Assets 2023: $136,092Liabilities 2023: $0Net Assets 2023: $136,0922023Assets 2024: $218,325Liabilities 2024: $0Net Assets 2024: $218,3252024

Highlighted filing

2024

Assets$218,325
Liabilities$0
Net Assets$218,325
Open 2024 Filing

Operations Trend

Revenue Growth97th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$800K$600K$400K$200K$0-$200KRevenue 2016: $630,453Expenses 2016: $98,798Net Income 2016: $531,6552016Revenue 2017: $105,501Expenses 2017: $192,551Net Income 2017: -$87,0502017Revenue 2018: $165,110Expenses 2018: $171,848Net Income 2018: -$6,7382018Revenue 2019: $127,831Expenses 2019: $160,044Net Income 2019: -$32,2132019Revenue 2020: $67,805Expenses 2020: $128,780Net Income 2020: -$60,9752020Revenue 2021: $95,318Expenses 2021: $220,425Net Income 2021: -$125,1072021Revenue 2022: $65,676Expenses 2022: $146,030Net Income 2022: -$80,3542022Revenue 2023: $73,977Expenses 2023: $66,232Net Income 2023: $7,7452023Revenue 2024: $210,914Expenses 2024: $166,654Net Income 2024: $44,2602024

Highlighted filing

2024

Revenue$210,914
Expenses$166,654
Net Income$44,260
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$218,325
Liabilities
$0
Net assets
$218,325
Revenue
$210,914
Expenses
$166,654
Net income
$44,260
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.18$0.00$2.18$2.11$1.67$0.44
2023Detailed filing. Detailed filing data is available for this year.$1.36$0.00$1.36$0.74$0.66$0.08
2022Detailed filing. Detailed filing data is available for this year.$1.76$0.00$1.76$0.66$1.46$0.80
2021Detailed filing. Detailed filing data is available for this year.$3.36$0.00$3.36$0.95$2.20$1.25
2020Detailed filing. Detailed filing data is available for this year.$4.78$0.00$4.78$0.68$1.29$0.61
2019Detailed filing. Detailed filing data is available for this year.$5.16$0.00$5.16$1.28$1.60$0.32
2018Detailed filing. Detailed filing data is available for this year.$4.90$0.00$4.90$1.65$1.72$0.07
2017Detailed filing. Detailed filing data is available for this year.$5.08$0.00$5.08$1.06$1.93$0.87
2016Summary only. Only limited summary data is available for this year.$5.32$0.00$5.32$6.30$0.99$5.32
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.2
Gross Receipts
$288,034
Mission and Program Overview

Mission

To promote a common interest of maintaining and improving medical staff skills, performance, knowledge, quality of care, and cost efficiency through peer review, education, certification of completion, establishment of standards, and professional interchange.

Chelsea Medical Staff Trust was formed by members of the medical staff of Chelsea Hospital to promote excellence in the medical profession and to improve the quality of medical care available in the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$136,092$218,325▲ $82,233
Rtn Earn Endowment Incm Other Fnds$136,092$218,325▲ $82,233
Total Assets$136,092$218,325▲ $82,233
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$136,092$218,325▲ $82,233
Total Liabilities and Net Assets / Fund Balance$136,092$218,325▲ $82,233
Compensation and Service Providers
Top Officer Pay88th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Stephen Wampler MDChairPT$45,000$45,000
Andre King MDBoard Member-$18,000$18,000
Amit Amin MDBoard Member-$14,625$14,625
Bank of Ann ArborTrustee-$5,007$5,007
Aleksandr Belakovskiy MDTreasurer-$4,500$4,500
Jane Beimer MDBoard Member-$4,500$4,500

Board Members and Trustees

NameTitle
Caroline Wurtzel MDProgram Chair
Sean O'Neill MDPresident
Michael Marcovitz MDBoard Member
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$196,500
Investment Income
$14,414
Other Revenue
$0
Change in Net Assets
$44,260
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$91,632
Other Expenses$75,022
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees---$91,632
Travel---$32,685
Fees for Services Other---$22,500
Conferences and Meetings---$11,695
Other Expenses---$3,394
Fees for Services Accounting---$2,092
Office Expenses---$572
Total Functional Expenses$0$0$0$166,654
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
In-house lobbying only
Yes
Subject to proxy tax
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

“Chelsea Medical Staff Trust has members.”

Form 990, Part VI, Section B, Line 11B

“Chelsea Medical Staff Trusts Trustee Daniel Rose, Bank of Ann Arbor and the Chelsea Medical Staff Trust Board of Governors reviews the Form 990 prior to filing.”

Form 990, Part VI, Section B, Line 12C

“Chelsea Medical Staff Trust does not have a written conflict of interest policy because all members sign a conflict of interest statement every two years under the Saint Joseph Mercy Hospital guidelines. If any issues arise, they are handled by the Integrity and Compliance Department at Saint Joseph Mercy Hospital.”

Form 990, Part VI, Section C, Line 19

“All of Chelsea Medical Staff Trust documents and financial records are available on Saint Joseph Mercy Hospitals website. They are also available by requesting the information through Jennifer Goodwin, Manager, Medical Staff Services.”

Filing and Contact Details

Filer

Filer Name
Chelsea Medical Staff Trust
EIN
81-6214533
Phone
7345935898
Address
775 S Main Street, Chelsea, MI 48118-1383

Signing Officer

Name
Aleksandr Belakovskiy
Title
Treasurer
Phone
7345935898
Signed
2025-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Aleksandr Belakovskiy
Formed
2016
Legal Domicile
Mi
Voting Board Members
69
Independent Board Members
64
Employees
0
Volunteers
3

Preparer

Firm
Bennett & Associates CPAs PLLC
Address
100 Huronview Blvd, Ann Arbor, MI 48103
Preparer
James H Bennett CPA
Phone
7346228015
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

“Stipends 22,500”

Raw XML Appendix308 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
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IRS990/Form990PartVIISectionAGrp/PersonNm8Michael Marcovitz MD
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt045000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt118000
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt1Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt2Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt3Trustee
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IRS990/Form990PartVIISectionAGrp/TitleTxt5Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt6President
IRS990/Form990PartVIISectionAGrp/TitleTxt7Program Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt8Board Member
IRS990/Form990ProvidedToGvrnBodyInd0true
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Chelsea Medical Staff Trust has members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Chelsea Medical Staff Trusts Trustee Daniel Rose, Bank of Ann Arbor and the Chelsea Medical Staff Trust Board of Governors reviews the Form 990 prior to filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Chelsea Medical Staff Trust does not have a written conflict of interest policy because all members sign a conflict of interest statement every two years under the Saint Joseph Mercy Hospital guidelines. If any issues arise, they are handled by the Integrity and Compliance Department at Saint Joseph Mercy Hospital.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3All of Chelsea Medical Staff Trust documents and financial records are available on Saint Joseph Mercy Hospitals website. They are also available by requesting the information through Jennifer Goodwin, Manager, Medical Staff Services.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Stipends 22,500
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, Line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section C, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part IX, Line 11g
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IRS990/TotalProgramServiceRevenueAmt0196500
IRS990/TotalReportableCompFromOrgAmt091632
IRS990/TotalRevenueGrp/ExclusionAmt014414
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0196500
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0210914
IRS990/TotalVolunteersCnt03
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0136092
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0218325
IRS990/TravelGrp/TotalAmt032685
IRS990/TypeOfOrganizationTrustInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0775 S Main Street
IRS990/USAddress/CityNm0Chelsea
IRS990/USAddress/StateAbbreviationCd0MI
IRS990/USAddress/ZIPCd048118
IRS990/VotingMembersGoverningBodyCnt069
IRS990/VotingMembersIndependentCnt064
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Aleksandr Belakovskiy
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Treasurer
ReturnHeader/BusinessOfficerGrp/PhoneNum07345935898
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-11-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Chelsea Medical Staff Trust
ReturnHeader/Filer/BusinessNameControlTxt0CHEL
ReturnHeader/Filer/EIN0816214533
ReturnHeader/Filer/PhoneNum07345935898
ReturnHeader/Filer/USAddress/AddressLine1Txt0775 S Main Street
ReturnHeader/Filer/USAddress/CityNm0Chelsea
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MI
ReturnHeader/Filer/USAddress/ZIPCd0481181383
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0273488128
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Bennett & Associates CPAs PLLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0100 Huronview Blvd
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Ann Arbor
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd048103
ReturnHeader/PreparerPersonGrp/PhoneNum07346228015
ReturnHeader/PreparerPersonGrp/PreparationDt02025-11-12
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0James H Bennett CPA
ReturnHeader/ReturnTs02025-11-12T12:57:46-00:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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