Monarch is a 501(c)(3) organization based in Albemarle, North Carolina, registered in 1982, with $115,589,948 in FY2024 revenue. CharityIndex grades it A, and it directs about 81% of spending to programs.
Revenue (FY2024)
$115.6M
▲ 0.3% vs prior year
Human Services median: $293K
Expenses (FY2024)
$114.8M
Net assets
$32.7M
Employees
2,299
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Monarch: 81% to programs · $0 to raise $100 earns a A on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Monarch: 3 mo reserves · +1% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Monarch: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Monarch: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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See response for part iii, line 1, below for mission statement.
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.
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.
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.
Revenue grew from $67.0M (FY2013) to $115.6M (FY2024) across 12 reported years.
Financial snapshot
Operating margin
0.6%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$59.6M
Total liabilities
$26.9M
Net assets
$32.7M
Salaries & benefits
$88.7M
77% of expenses
Board members
17
17 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $115,589,948▲0.3% | $114,846,596▲7.6% | $32,724,280▲3.3% | $59,624,587▲4.3% | 990 |
| 2023 | $115,193,720▲19.9% | $106,695,287▲8.8% | $31,688,712▲38.4% | $57,173,831▲26.1% | 990 |
| 2022 | $96,063,706▼8.2% | $98,077,585▲3.4% | $22,896,729▼6.6% | $45,356,209▲25.7% | 990 |
| 2021 | $104,634,999▲13.3% | $94,886,018▲6.2% | $24,505,717▲55.7% | $36,086,660▼3.9% | 990 |
| 2020 | $92,387,705▲7.5% | $89,371,078▲4.9% | $15,740,989▲29.3% | $37,536,351▲12.0% | 990 |
| 2019 | $85,909,767 | $85,170,890▼1.6% | $12,177,151▲6.4% | $33,513,959▲64.4% | 990 |
| 2018 | $85,889,680▲6.0% | $86,553,611▲7.9% | $11,446,265▼5.1% | $20,386,681▼1.3% | 990 |
| 2017 | $80,995,721▲2.7% | $80,241,737▲2.8% | $12,062,520▲6.8% | $20,657,904▲7.9% | 990 |
| 2016 | $78,878,806▼1.2% | $78,080,443▼0.8% | $11,295,118▲9.3% | $19,150,034▲5.4% | 990 |
| 2015 | $79,858,563▲4.1% | $78,718,880▲5.6% | $10,334,329▲10.6% | $18,164,486▼2.2% | 990 |
| 2014 | $76,681,015▲14.4% | $74,528,939▲11.3% | $9,342,682▲28.2% | $18,573,227▲12.6% | 990 |
| 2013 | $67,037,476 | $66,949,104▲15.6% | $7,286,952▲4.5% | $16,490,227▲25.6% | 990 |
| 2012 | — | $57,889,736▲4.9% | $6,972,216▲5.0% | $13,132,392▲4.4% | 990 |
| 2011 | — | $55,188,544▲7.0% | $6,638,855▲8.3% | $12,576,569▲5.5% | 990 |
| 2010 | — | $51,598,984▲27.3% | $6,130,045▼6.2% | $11,922,728▲9.3% | 990 |
| 2009 | — | $40,527,423 | $6,536,637 | $10,911,462 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Peggy Terhune — $614,526 (0.54% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Peggy Terhune | Ceo | 40 | $614,526 |
| Terri Bernhardt | Cao | 40 | $447,254 |
| Dr Douglas Smith | Psychiatrist | 40 | $423,776 |
| Dr Jacqueline Smith | Medical Director | 40 | $328,742 |
| Tammy Geis | Cfo | 40 | $324,136 |
| John Latz | Medical Director | 40 | $313,677 |
| Robert Mchale | Medical Director | 40 | $285,006 |
| Blake Martin | President | 40 | $274,499 |
| Dr Amy Underwood | Psychiatrist | 40 | $274,319 |
| Lyndril Leonard | Senior Vp of Operations | 40 | $222,976 |
| Christy Shaver | Coo | 40 | $221,519 |
| Geoffrey Moehrke | Cio | 40 | $212,117 |
| Melissa Hall | Coo | 40 | $208,525 |
| Alexis G Budge | Director | 1 | — |
| Amie Brendle | Director | 1 | — |
| Andy Starzecki | Director | 1 | — |
| Benjamin Marsh | Chair | 1 | — |
| Caroletta Metcalf Daniels | Director | 1 | — |
| Deborah Stark | Director | 1 | — |
| Duncan E Munn | Board Dev Chair | 1 | — |
| Contractor | Services | Paid |
|---|---|---|
| Automotive Rentals (holman) | Vehicle Maintenance / Fuel | $894,845 |
| Amergis Healthcare Staffing Inc | Contract Nursing | $767,100 |
| Gardner Skelton | Legal Services | $741,214 |
| Arc Hds | Hud Rent | $701,935 |
| Cdw Direct | Computer and Software Services | $618,489 |
16 grants to Monarch totaling $141K, reported by foundations on their Schedule I filings — showing the 15 most recent.
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Data for Monarch (EIN 56-1326126) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.