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Nonprofiteer
← MONARCH

Form 990 for tax year 2024

Filed by MONARCH.

Totals

Total revenue
$115,589,948
Total expenses
$114,846,596
Contributions and grants received
$2,071,387
Grants paid
$0
Program service revenue
$111,717,205
Investment income
$1,022,062
Other revenue
$779,294
Total assets, end of year
$59,624,587
Total liabilities, end of year
$26,900,307
Net assets or fund balances, end of year
$32,724,280
Program services expenses (Part IX)
$93,495,389
Management and general expenses
$21,351,207
Fundraising expenses
$0
Program service expenses (Part III)
$93,495,389

Program services were 81.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $914,554

  • 1f · All other contributions, gifts and grants

    $1,156,833

  • 2a · Program service revenue: MEDICAID PAYMENTS

    total $84,420,619 · related or exempt $84,420,619

  • 2b · Program service revenue: MENTAL HEALTH

    total $15,865,094 · related or exempt $15,865,094

  • 2c · Program service revenue: RESIDENT RENT

    total $6,165,648 · related or exempt $6,165,648

  • 2d · Program service revenue: INSURANCE PAYMENTS

    total $1,818,135 · related or exempt $1,818,135

  • 2e · Program service revenue: MEDICARE PAYMENTS

    total $1,539,214 · related or exempt $1,539,214

  • 2f · All other program service revenue

    total $1,908,495 · related or exempt $1,908,495

  • 3 · Investment income

    total $757,660 · excluded $757,660

  • 6a · Gross rents

    real property $139,761

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $139,761

  • 6d · Net rental income or loss

    total $139,761 · related or exempt $139,761

  • 7a · Gross sales of assets other than inventory

    securities $16,290,205 · other assets $686,594

  • 7b · Less cost or other basis and sales expenses

    securities $16,172,959 · other assets $539,438

  • 7c · Gain or loss

    securities $117,246 · other assets $147,156

  • 7d · Net gain or loss

    total $264,402 · excluded $264,402

  • 8a · Fundraising events: gross income

    $380,017

  • 8b · Fundraising events: direct expenses

    $46,644

  • 8c · Net income from fundraising events

    total $333,373 · excluded $333,373

  • 10a · Gross sales of inventory

    $63,528

  • 10b · Cost of goods sold

    $14,052

  • 10c · Net income from sales of inventory

    total $49,476 · related or exempt $49,476

  • 11a · Other revenue: OTHER REVENUE

    total $227,267 · related or exempt $227,267

  • 11b · Other revenue: INTEREST SUBSIDY

    total $29,417 · related or exempt $29,417

  • 11e · Other revenue, total

    $256,684

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $2,526,752 · management and general $2,526,752

  • 7 · Other salaries and wages

    total $72,549,832 · program services $63,466,650 · management and general $9,083,182

  • 9 · Other employee benefits

    total $7,357,847 · program services $5,280,617 · management and general $2,077,230

  • 10 · Payroll taxes

    total $6,310,128 · program services $5,391,857 · management and general $918,271

  • 11a · Fees: management

    total $7,930 · management and general $7,930

  • 11b · Fees: legal

    total $687,364 · management and general $687,364

  • 11c · Fees: accounting

    total $211,662 · management and general $211,662

  • 11f · Fees: investment management

    total $58,941 · management and general $58,941

  • 11g · Fees: other

    total $84,961 · program services $77,946 · management and general $7,015

  • 12 · Advertising and promotion

    total $345,916 · program services $86,210 · management and general $259,706

  • 13 · Office expenses

    total $253,386 · program services $134,647 · management and general $118,739

  • 16 · Occupancy

    total $4,000,190 · program services $3,929,256 · management and general $70,934

  • 17 · Travel

    total $440,493 · program services $385,305 · management and general $55,188

  • 19 · Conferences, conventions and meetings

    total $1,199,970 · program services $1,074,766 · management and general $125,204

  • 20 · Interest

    total $90,141 · program services $78,078 · management and general $12,063

  • 22 · Depreciation, depletion and amortization

    total $1,179,267 · program services $1,080,827 · management and general $98,440

  • 23 · Insurance

    total $1,114,556 · program services $768,188 · management and general $346,368

  • 24a · Other expenses: CONTRACT SERVICES

    total $6,584,088 · program services $2,476,202 · management and general $4,107,886

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $1,837,565 · program services $1,752,693 · management and general $84,872

  • 24c · Other expenses: FOOD AND PROVISIONS

    total $1,538,084 · program services $1,491,202 · management and general $46,882

  • 24d · Other expenses: BAD DEBT EXPENSE

    total $1,122,511 · program services $1,122,511

  • 24e · All other expenses

    total $5,345,012 · program services $4,898,434 · management and general $446,578

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,000 · end of year $850

  • 2 · Savings and temporary cash investments

    beginning of year $13,314,896 · end of year $9,605,461

  • 3 · Pledges and grants receivable

    beginning of year $2,000,000 · end of year $0

  • 4 · Accounts receivable

    beginning of year $7,681,654 · end of year $7,895,624

  • 9 · Prepaid expenses and deferred charges

    beginning of year $647,131 · end of year $895,946

  • 10a · Land, buildings and equipment: cost or other basis

    $22,017,333

  • 10b · Land, buildings and equipment: accumulated depreciation

    $12,508,921

  • 10c · Land, buildings and equipment, net

    beginning of year $10,087,254 · end of year $9,508,412

  • 11 · Investments: publicly traded securities

    beginning of year $12,218,156 · end of year $19,428,026

  • 15 · Other assets

    beginning of year $11,223,740 · end of year $12,290,268

  • 17 · Accounts payable and accrued expenses

    beginning of year $9,644,577 · end of year $9,519,321

  • 19 · Deferred revenue

    beginning of year $3,431,525 · end of year $4,337,145

  • 23 · Secured mortgages and notes payable

    beginning of year $12,141,989 · end of year $12,728,165

  • 25 · Other liabilities

    beginning of year $267,028 · end of year $315,676

  • 27 · Net assets without donor restrictions

    beginning of year $27,872,671 · end of year $29,839,728

  • 28 · Net assets with donor restrictions

    beginning of year $3,816,041 · end of year $2,884,552

Mission and programs · 2024

Mission

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.

Activities or mission (Part I)

SEE RESPONSE FOR PART III, LINE 1, BELOW FOR MISSION STATEMENT.

  • 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.

    Expenses $39,599,680 · Revenue $45,050,535

  • 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.

    Expenses $41,854,192 · Revenue $52,177,603

  • 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.

    Expenses $9,491,527 · Revenue $11,307,388

  • 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.

    Expenses $2,549,990 · Revenue $3,627,600

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Kent Earnhardt

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jeff Irvin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Theresa Hall-Kendrick

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Amie Brendle

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Elizabeth Underwood

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Deborah Stark

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Andy Starzecki

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Alexis G Budge

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Caroletta Metcalf Daniels

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Jay Charles

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • K Michael Shamberger

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Kara S Guerriero

    PAST CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Duncan E Munn

    BOARD DEV CHAIR

    Total calculated
    $0
    Hours/week
    1
  • William Austin

    FINANCE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Jean Andersen

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Jeffrey Gaskin

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Benjamin Marsh

    CHAIR

    Total calculated
    $0
    Hours/week
    1
  • Peggy Terhune

    CEO

    Total calculated
    $614,526
    From this org
    $614,526
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $537,482
    Bonus
    $77,044
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $614,526
  • Tammy Geis

    CFO

    Total calculated
    $324,736
    From this org
    $324,136
    From related orgs
    $0
    Other
    $600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $267,624
    Bonus
    $56,512
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $600
    Filer's total
    $324,736
  • Melissa Hall

    COO

    Total calculated
    $208,525
    From this org
    $208,525
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,525
    Bonus
    $10,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $208,525
  • Christy Shaver

    COO

    Total calculated
    $221,519
    From this org
    $221,519
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,519
    Bonus
    $15,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $221,519
  • Terri Bernhardt

    CAO

    Total calculated
    $447,254
    From this org
    $447,254
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $371,589
    Bonus
    $75,665
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $447,254
  • Blake Martin

    PRESIDENT

    Total calculated
    $274,499
    From this org
    $274,499
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $220,227
    Bonus
    $54,272
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $274,499
  • Lyndril Leonard

    SENIOR VP OF OPERATIONS

    Total calculated
    $223,576
    From this org
    $222,976
    From related orgs
    $0
    Other
    $600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $210,976
    Bonus
    $12,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $600
    Filer's total
    $223,576
  • Geoffrey Moehrke

    CIO

    Total calculated
    $212,117
    From this org
    $212,117
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,617
    Bonus
    $7,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $212,117
  • Dr Douglas Smith

    PSYCHIATRIST

    Total calculated
    $424,376
    From this org
    $423,776
    From related orgs
    $0
    Other
    $600
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $421,276
    Bonus
    $2,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $600
    Filer's total
    $424,376
  • Dr Jacqueline Smith

    MEDICAL DIRECTOR

    Total calculated
    $328,742
    From this org
    $328,742
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $318,742
    Bonus
    $10,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $328,742
  • John Latz

    MEDICAL DIRECTOR

    Total calculated
    $313,677
    From this org
    $313,677
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $303,677
    Bonus
    $10,000
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $313,677
  • Robert McHale

    MEDICAL DIRECTOR

    Total calculated
    $285,006
    From this org
    $285,006
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $282,506
    Bonus
    $2,500
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $285,006
  • Dr Amy Underwood

    PSYCHIATRIST

    Total calculated
    $274,319
    From this org
    $274,319
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $274,319
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $274,319

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2024
Filed
17 November 2025
IRS schema version
2024v5.2
Source object
202533219349309988

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