2025-11-17T12:17:04-06:00 2025-06-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2024-07-01 561326126 MONARCH MONA 7049861500 350 PEE DEE AVENUE SUITE 101 ALBEMARLE NC 28001 PEGGY TERHUNE CHIEF EXECUTIVE OFFICER 7049861500 2025-11-17 1 1 MATTHEW MCKINNEY P01707028 8283222070 2025-11-17 2024 2025-03-06 01:10:19Z PEGGY TERHUNE 350 PEE DEE AVENUE SUITE 101 ALBEMARLE NC 28001 132363041 0 X WWW.MONARCHNC.ORG X 1981 NC SEE RESPONSE FOR PART III, LINE 1, BELOW FOR MISSION STATEMENT. 17 17 2299 172 0 0 9218626 2071387 104615830 111717205 947692 1022062 411572 779294 115193720 115589948 0 0 0 0 81795596 88744559 0 0 0 24899691 26102037 106695287 114846596 8498433 743352 57173831 59624587 25485119 26900307 31688712 32724280 X MONARCH IS COMMITTED TO SUPPORTING, EDUCATING AND EMPOWERING PEOPLE WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES, MENTAL ILLNESS, AND SUBSTANCE USE DISORDERS TO CHOOSE AND ACHIEVE WHAT IS IMPORTANT TO THEM. WE PROVIDE RESIDENTIAL, DAY/EMPLOYMENT, BEHAVIORAL HEALTH OUTPATIENT THERAPY AND OTHER PERIODIC SERVICES, CRISIS SERVICES, ASSERTIVE COMMUNITY TREATMENT TEAMS AND VARIOUS OTHER COMMUNITY SERVICES FOR PEOPLE WITH INTELLECTUAL/DEVELOPMENTAL DISABILITIES, MENTAL ILLNESS AND SUBSTANCE USE DISORDERS. SERVING CHILDREN, ADULTS, AND FAMILIES, WE FOCUS ON INDEPENDENCE, GROWTH, AND RECOVERY AS APPROPRIATE. 0 0 39599680 45050535 MONARCH BEHAVIORAL HEALTH SERVICES: MONARCH PROVIDES OUTPATIENT THERAPY (INDIVIDUAL, FAMILY, GROUP), MEDICATION MANAGEMENT, PEER SUPPORTS, INTENSIVE IN-HOME, COMMUNITY SUPPORTS,TARGETED CASE MANAGEMENT, FACILITY BASED CRISIS, MOBILE CRISIS, ACTT, DWI SERVICES, AND PSYCHIATRIC SERVICES. 25,921 PATIENTS WERE SERVED IN THE CURRENT YEAR. 41854192 52177603 MONARCH RESIDENTIAL SERVICES: MONARCH MANAGES SMALL GROUP HOMES (2-9 PEOPLE), APARTMENT PROGRAMS AND COMPLEXES, ALONG WITH INDEPENDENT LIVING IN THE COMMUNITY FOR PEOPLE WHO HAVE INTELLECTUAL/DEVELOPMENTAL DISABILITIES OR MENTAL ILLNESS. GROUP HOME SETTINGS PROVIDE 24 HOUR SUPERVISION. SITES ACCESS QUALIFIED PROFESSIONALS, NURSES, PHYSICIANS, VARIOUS THERAPISTS, DIETICIANS, PSYCHOLOGISTS OR PSYCHIATRIC SERVICES AS NEEDED. APARTMENT PROGRAMS AND SUPPORTS IN THE COMMUNITY MAY BE 24 HOUR OR PERIODIC. PERSON CENTER PLANS ARE DEVELOPED AND IMPLEMENTED BASED ON AN INDIVIDUAL'S DREAMS, VALUES AND FAMILY CULTURE TO CREATE GOALS FOR GREATER INDEPENDENCE AT HOME AND IN THE COMMUNITY. 477 PATIENTS WERE SERVED IN THE CURRENT YEAR. 9491527 11307388 MONARCH DAY/EMPLOYMENT/PERIODIC SERVICES: MONARCH PROVIDES A VARIETY OF DAY/EMPLOYMENT SERVICES INCLUDING SUPPORTED EMPLOYMENT, MICRO-ENTERPRISE, AND JOB DEVELOPMENT TO HELP PEOPLE BECOME EMPLOYED. VOLUNTEERING AND COMMUNITY INVOLVEMENT WITH SKILLS DEVELOPMENT ASSIST THOSE WHO CHOOSE NOT TO WORK YET, FOR VARIOUS REASONS. WHEN NEEDED, DAY SUPPORTS CAN ALSO PROVIDE ASSISTANCE IN GAINING HIGHER EDUCATION. PERSON CENTER PLANS ARE DEVELOPED AND IMPLEMENTED BASED ON AN INDIVIDUAL'S DREAMS, VALUES AND FAMILY CULTURE TO CREATE GOALS FOR GREATER INDEPENDENCE AT HOME AND IN THE COMMUNITY. 1,065 PATIENTS WERE SERVED IN THE CURRENT YEAR. 2549990 3627600 NC MEDICAID IS COMMITTED TO EFFECTIVELY MANAGING PATIENTS MEDICAL, SOCIAL AND BEHAVIORAL CONDITIONS THROUGH A TEAMBASED, PERSONCENTERED APPROACH CALLED CARE MANAGEMENT. ALL MEDICAID ENROLLEES WILL HAVE ACCESS TO APPROPRIATE CARE MANAGEMENT AND COORDINATION SUPPORT ACROSS MULTIPLE SETTINGS OF CARE, INCLUDING A STRONG BASIS IN PRIMARY CARE AND CONNECTIONS TO SPECIALTY CARE AND COMMUNITYBASED RESOURCES. ENROLLEES WITH HIGH MEDICAL, BEHAVIORAL OR SOCIAL NEEDS SHOULD HAVE ACCESS TO A PROGRAM OF CARE MANAGEMENT THAT INCLUDES THE INVOLVEMENT OF A MULTIDISCIPLINARY CARE TEAM AND THE DEVELOPMENT OF A WRITTEN CARE PLAN. LOCAL CARE MANAGEMENT (CARE MANAGEMENT PERFORMED AT THE SITE OF CARE, IN THE HOME, OR IN THE COMMUNITY WHERE FACETOFACE INTERACTION IS POSSIBLE) IS THE PREFERRED APPROACH, BUILDING ON THE STRENGTHS OF THE CURRENT CARE MANAGEMENT STRUCTURE. CARE MANAGERS WILL HAVE ACCESS TO TIMELY AND COMPLETE ENROLLEELEVEL INFORMATION. AS PART OF CARE MANAGEMENT AND CARE COORDINATION, ENROLLEES WILL HAVE ACCESS TO DIRECT LINKAGES TO PROGRAMS AND SERVICES THAT ADDRESS UNMET HEALTHRELATED RESOURCE NEEDS AFFECTING SOCIAL DETERMINANTS OF HEALTH, ALONG WITH FOLLOWUP AND ONGOING PLANNING. CARE MANAGEMENT ACTIVITIES WILL ALIGN WITH OVERALL STATEWIDE PRIORITIES FOR ACHIEVING QUALITY OUTCOMES AND VALUE. 1,340 PATIENTS WERE SERVED IN THE CURRENT YEAR.ANCILLARY PROGRAM SERVICE REVENUE INCLUDING RENTS, SALES OF INVENTORY & REFUNDS / REIMBURSEMENTS RELATED TO EXEMPT PURPOSE. 2549990 3627600 93495389 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 217 0 1 2299 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NC X X TAMMY GEIS 7046613840 350 PEE DEE AVENUE ALBEMARLE NC 28001 KENT EARNHARDT DIRECTOR 1.00 X 0 0 0 JEFF IRVIN DIRECTOR 1.00 X 0 0 0 THERESA HALL-KENDRICK DIRECTOR 1.00 X 0 0 0 AMIE BRENDLE DIRECTOR 1.00 X 0 0 0 ELIZABETH UNDERWOOD DIRECTOR 1.00 X 0 0 0 DEBORAH STARK DIRECTOR 1.00 X 0 0 0 ANDY STARZECKI DIRECTOR 1.00 X 0 0 0 ALEXIS G BUDGE DIRECTOR 1.00 X 0 0 0 CAROLETTA METCALF DANIELS DIRECTOR 1.00 X 0 0 0 JAY CHARLES DIRECTOR 1.00 X 0 0 0 K MICHAEL SHAMBERGER DIRECTOR 1.00 X 0 0 0 KARA S GUERRIERO PAST CHAIR 1.00 X X 0 0 0 DUNCAN E MUNN BOARD DEV CHAIR 1.00 X X 0 0 0 WILLIAM AUSTIN FINANCE CHAIR 1.00 X X 0 0 0 JEAN ANDERSEN SECRETARY 1.00 X X 0 0 0 JEFFREY GASKIN VICE CHAIR 1.00 X X 0 0 0 BENJAMIN MARSH CHAIR 1.00 X X 0 0 0 PEGGY TERHUNE CEO 40.00 X 614526 0 0 TAMMY GEIS CFO 40.00 X 324136 0 600 MELISSA HALL COO 40.00 X 208525 0 0 CHRISTY SHAVER COO 40.00 X 221519 0 0 TERRI BERNHARDT CAO 40.00 X 447254 0 0 BLAKE MARTIN PRESIDENT 40.00 X 274499 0 0 LYNDRIL LEONARD SENIOR VP OF OPERATIONS 40.00 X 222976 0 600 GEOFFREY MOEHRKE CIO 40.00 X 212117 0 0 DR DOUGLAS SMITH PSYCHIATRIST 40.00 X 423776 0 600 DR JACQUELINE SMITH MEDICAL DIRECTOR 40.00 X 328742 0 0 JOHN LATZ MEDICAL DIRECTOR 40.00 X 313677 0 0 ROBERT MCHALE MEDICAL DIRECTOR 40.00 X 285006 0 0 DR AMY UNDERWOOD PSYCHIATRIST 40.00 X 274319 0 0 4151072 0 1800 76 0 1 0 AUTOMOTIVE RENTALS (HOLMAN) 4001 LEADENHALL ROAD MOUNT LAUREL NJ 08054 VEHICLE MAINTENANCE / FUEL 894845 AMERGIS HEALTHCARE STAFFING INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONTRACT NURSING 767100 GARDNER SKELTON 505 EAST BLVD CHARLOTTE NC 28203 LEGAL SERVICES 741214 ARC HDS 5509-A WEST FRIENDLY AVE SUITE 101 GREENSBORO NC 27410 HUD RENT 701935 CDW DIRECT PO BOX 75723 CHICAGO IL 60675 COMPUTER AND SOFTWARE SERVICES 618489 55 914554 1156833 2071387 MEDICAID PAYMENTS 624100 84420619 84420619 MENTAL HEALTH 624100 15865094 15865094 RESIDENT RENT 624100 6165648 6165648 INSURANCE PAYMENTS 624100 1818135 1818135 MEDICARE PAYMENTS 624100 1539214 1539214 1908495 1908495 111717205 757660 757660 139761 0 139761 139761 139761 16290205 686594 16172959 539438 117246 147156 264402 264402 380017 46644 333373 333373 63528 14052 49476 49476 OTHER REVENUE 624100 227267 227267 INTEREST SUBSIDY 624100 29417 29417 256684 115589948 112163126 0 1355435 X 2526752 2526752 72549832 63466650 9083182 7357847 5280617 2077230 6310128 5391857 918271 7930 7930 687364 687364 211662 211662 58941 58941 84961 77946 7015 345916 86210 259706 253386 134647 118739 4000190 3929256 70934 440493 385305 55188 1199970 1074766 125204 90141 78078 12063 1179267 1080827 98440 1114556 768188 346368 CONTRACT SERVICES 6584088 2476202 4107886 REPAIRS AND MAINTENANCE 1837565 1752693 84872 FOOD AND PROVISIONS 1538084 1491202 46882 BAD DEBT EXPENSE 1122511 1122511 5345012 4898434 446578 114846596 93495389 21351207 0 1000 850 13314896 9605461 2000000 0 7681654 7895624 647131 895946 22017333 12508921 10087254 9508412 12218156 19428026 11223740 12290268 57173831 59624587 9644577 9519321 3431525 4337145 12141989 12728165 267028 315676 25485119 26900307 X 27872671 29839728 3816041 2884552 31688712 32724280 57173831 59624587 743352 292216 0 X X 0 1 X 1 1 1 X 2372101 13355053 1277247 9218626 2071387 28294414 89613722 90656993 94451023 104861948 111973889 491557575 14143 18987 20057 59773 63528 176488 1147648 640120 483400 493200 541944 3306312 93147614 104671153 96231727 114633547 114650748 523334789 0 0 0 523334789 118503 110303 406786 682925 897421 2215938 118503 110303 406786 682925 897421 2215938 93266117 104781456 96638513 115316472 115548169 525550727 0.99580 0.99710 0.00420 0.00290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 134205 0 0 134205 0 PART II-B, LINE 1: DURING THE 2024 SESSION OF THE NC GENERAL ASSEMBLY: MONARCH'S PART-TIME LOBBYISTS MONITORED LEGISLATIVE COMMITTEE MEETINGS, ACTIVITIES, PENDING LEGISLATION, AND THE 2024-2025 BUDGET DEVELOPMENT PROCESS. THESE ACTIVITIES WERE CONDUCTED REMOTELY AND FACE-TO-FACE FORUMS WERE HELD DURING THIS PERIOD. ADDITIONALLY, MONARCH'S LOBBYIST PRESENTED LEGISLATIVE REPRESENTATIVES AND COMMITTEE LEADERSHIP WITH NEEDS FOR A DIRECTED GRANT ALLOCATION FOR EMPLOYMENT SERVICES FOR PEOPLE WITH INTELLECTUAL DISABILTIES AND DEVELOPMENTAL DISABILITIES. 487850 487850 11830345 6873591 4956754 137718 80016 57702 9561420 5555314 4006106 9508412 RESIDENTS' CASH 315676 CASH VALUE OF LIFE INSURANCE 318398 OPERATING LEASE - RIGHT OF USE 10833234 CONTRIBUTED FACILITIES LEASE RECEIVABLE 822960 12290268 PATIENTS' FUND 315676 315676 X 115928808 292216 46644 338860 115589948 0 115589948 114893240 46644 46644 114846596 0 114846596 PART X, LINE 2: THE ORGANIZATION HAS IMPLEMENTED THE ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF THE END OF THE CURRENT AND PRIOR YEAR, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AND RECOGNIZED NO SUCH INTEREST OR PENALTIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST INCOME ON 990 46,644. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST INCOME ON 990 46,644. CHARLOTTE LUNCHEON 223952 223952 1700 9382 GOLF TOURNAMENT - OCTOBER 73683 73683 975 296 21730 2 82382 82382 1240 5101 6220 380017 380017 2215 7097 37332 46644 333373 X X X X X 0 0 0 0 0 0 0 0 0 PEGGY TERHUNE CEO 537482 0 77044 0 0 0 0 0 0 0 614526 0 0 0 TERRI BERNHARDT CAO 371589 0 75665 0 0 0 0 0 0 0 447254 0 0 0 DR DOUGLAS SMITH PSYCHIATRIST 421276 0 2500 0 0 0 0 0 600 0 424376 0 0 0 DR JACQUELINE SMITH MEDICAL DIRECTOR 318742 0 10000 0 0 0 0 0 0 0 328742 0 0 0 TAMMY GEIS CFO 267624 0 56512 0 0 0 0 0 600 0 324736 0 0 0 JOHN LATZ MEDICAL DIRECTOR 303677 0 10000 0 0 0 0 0 0 0 313677 0 0 0 ROBERT MCHALE MEDICAL DIRECTOR 282506 0 2500 0 0 0 0 0 0 0 285006 0 0 0 BLAKE MARTIN PRESIDENT 220227 0 54272 0 0 0 0 0 0 0 274499 0 0 0 DR AMY UNDERWOOD PSYCHIATRIST 274319 0 0 0 0 0 0 0 0 0 274319 0 0 0 LYNDRIL LEONARD SENIOR VP OF OPERATIONS 210976 0 12000 0 0 0 0 0 600 0 223576 0 0 0 CHRISTY SHAVER COO 206519 0 15000 0 0 0 0 0 0 0 221519 0 0 0 GEOFFREY MOEHRKE CIO 204617 0 7500 0 0 0 0 0 0 0 212117 0 0 0 MELISSA HALL COO 198525 0 10000 0 0 0 0 0 0 0 208525 0 0 0 JOSHUA GRAHAM CHILD OF CEO, PEGGY TERHUNE. EMPLOYED BY THE ORGANIZATION. 0 LAURA SMITH SISTER IN LAW OF CAO, TERRI BERNHARDT. EMPLOYED BY THE ORGANIZATION. 0 LINN BERNHARDT BROTHER IN LAW OF CAO, TERRI BERNHARDT. EMPLOYED BY THE ORGANIZATION. 0 KATHLEEN MALESKI CHILD OF CEO, PEGGY TERHUNE EMPLOYED BY THE ORGANIZATION 0 MICHELLE TROUTMAN SISTER OF CAO, TERRI BERNHARDT. EMPLOYED BY THE ORGANIZATION 0 FORM 990, PART VI, SECTION A, LINE 2 PLEASE REFER TO SCHEDULE L FOR RELATIONSHIP DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE CEO AND CFO OF MONARCH, INC., IN ADDITION TO THE FINANCE COMMITTEE AND BOARD OF DIRECTORS, THE AUDIT FIRM COMPLETING THE FORM WILL MEET AND REVIEW THE 990 WITH THE CEO, CFO, FINANCE COMMITTEE AND BOARD IF REQUESTED. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, EACH BOARD MEMBER SIGNS THE CONFLICT OF INTEREST POLICY. IN ADDITION, EACH BOARD MEMBER IS CHARGED WITH IDENTIFYING THEIR OWN (OR OTHERS IF NOTICED) CONFLICTS OF INTEREST THROUGHOUT THE YEAR. EVIDENCE OF THIS IS RECORDED IN OUR BOARD MINUTES WHEN SOMEONE HAS A CONFLICT OF INTEREST AND EXCUSES THEMSELVES FROM DISCUSSION AND VOTING ON THE ISSUE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD EXECUTIVE COMMITTEE SHALL ACT AS OR APPOINT A COMPENSATION COMMITTEE THAT HAS GENERAL OVERSIGHT OF THE ORGANIZATION'S COMPENSATION POLICIES AND PRACTICES FOR KEY EMPLOYEES AND EXECUTIVES OF MONARCH. SPECIFIC DUTIES OF THE COMPENSATION COMMITTEE INCLUDE: (1) YEARLY EVALUATION OF THE CHIEF EXECUTIVE OF THE ORGANIZATION INCLUDING SETTING OF THE CEO'S COMPENSATION, (2) REVIEW AND APPROVAL OF THE CEO'S RECOMMENDATIONS FOR COMPENSATING OTHER EXECUTIVES, AND (3) REVIEW AND APPROVAL OF POLICIES CONCERNING NON-CASH OR OTHER COMPENSATION OF EXECUTIVES. COMPARABLE INDUSTRY DATA IS UTILIZED IN THE PROCESSES DESCRIBED. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, AUDIT AND CONFLICT OF INTEREST POLICY ARE AVAILABLE AT THE MAIN ADMINISTRATIVE OFFICE FOR ANYONE TO REVIEW. FORM 990 IS POSTED ON THE GUIDESTAR WEBSITE, AND AN ANNUAL REPORT IS PLACED ON THE ORGANIZATION'S WEBSITE. FORM 990, PART IX, LINE 11G TAXES & LICENSES: PROGRAM SERVICE EXPENSES 77,946. MANAGEMENT AND GENERAL EXPENSES 7,015. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,961. FORM 990, PART IX, LINE 24E MEDICAID ASSESSMENT: PROGRAM SERVICE EXPENSES 918,238. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 918,238. SUPPLIES: PROGRAM SERVICE EXPENSES 893,487. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 893,487. UTILITIES: PROGRAM SERVICE EXPENSES 775,171. MANAGEMENT AND GENERAL EXPENSES 27,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 802,835. CONTRACTED DAY SERVICES: PROGRAM SERVICE EXPENSES 738,316. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 738,316. IN-KIND RENT: PROGRAM SERVICE EXPENSES 593,609. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 593,609. TELEPHONE: PROGRAM SERVICE EXPENSES 514,563. MANAGEMENT AND GENERAL EXPENSES 72,016. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 586,579. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 232,488. MANAGEMENT AND GENERAL EXPENSES 346,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 578,576. MEDICAL SERVICES AND SUPPLIES: PROGRAM SERVICE EXPENSES 190,161. MANAGEMENT AND GENERAL EXPENSES 810. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 190,971. CLIENT RECREATION: PROGRAM SERVICE EXPENSES 35,201. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,201. LIVING SUBSIDIES: PROGRAM SERVICE EXPENSES 7,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,200. FORM 990 PART XII ITEM 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.