2025-01-20T07:00:10-06:00 2024-06-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2023-07-01 561326126 MONARCH MONA 7049861500 350 PEE DEE AVENUE SUITE 101 ALBEMARLE NC 28001 TERRI BERNHARDT CHIEF ADMINISTRATIVE OFFICER 7049861500 2025-01-16 1 1 MATTHEW MCKINNEY P01707028 8283222070 2025-01-16 2023 2024-10-15 13:58:12Z PEGGY TERHUNE 350 PEE DEE AVENUE SUITE 101 ALBEMARLE NC 28001 124458977 0 X WWW.MONARCHNC.ORG X 1981 NC SEE RESPONSE FOR PART III, LINE 1, BELOW FOR MISSION STATEMENT. 16 16 2248 60 0 0 1277247 9218626 93620418 104615830 250634 947692 915407 411572 96063706 115193720 0 0 0 0 75674267 81795596 0 0 0 22403318 24899691 98077585 106695287 -2013879 8498433 45356209 57173831 22459480 25485119 22896729 31688712 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 38718242 41417774 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. 24,038 PATIENTS WERE SERVED IN THE CURRENT YEAR. 37444839 48200923 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. 581 PATIENTS WERE SERVED IN THE CURRENT YEAR. 8624871 10693661 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. 1,117 PATIENTS WERE SERVED IN THE CURRENT YEAR. 3212709 4657672 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. 1,547 PATIENTS WERE SERVED IN THE CURRENT YEAR.ANCILLARY PROGRAM SERVICE REVENUE INCLUDING RENTS, SALES OF INVENTORY & REFUNDS / REIMBURSEMENTS RELATED TO EXEMPT PURPOSE. 3212709 4657672 88000661 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 1 208 0 1 2248 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 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 ROBERT GOODALE 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 KURTIS TAYLOR 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 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 599461 0 0 TAMMY GEIS CFO 40.00 X 231848 0 600 MELISSA HALL COO 40.00 X 194406 0 0 CHRISTY SHAVER COO 40.00 X 174593 0 0 TERRI BERNHARDT CAO 40.00 X 391658 0 0 TROY SYBERT CMO 40.00 X 190721 0 185 DAVE BROWN CIO 40.00 X 163464 0 370 DR DOUGLAS SMITH PSYCHIATRIST 40.00 X 423260 0 600 DR HAZEL MASTON PSYCHIATRIST 40.00 X 339593 0 600 DR JACQUELINE SMITH ASSOCIATE MEDICAL DIRECTORMEDICAL DIRECTOR 40.00 X 305702 0 0 JOHN LATZ ASSOCIATE MEDICAL DIRECTOR 40.00 X 296441 0 0 ROBERT MCHALE ASSOCIATE MEDICAL DIRECTOR 40.00 X 279599 0 0 3590746 0 2355 69 0 1 0 DIVISION OF MEDICAL ASSISTANCE 2022 MAIL SERVICE CENTER RALEIGH NC 27699 ICF HOMES ASSESSMENT FEES 946007 CDW DIRECT PO BOX 75723 CHICAGO IL 60675 COMPUTER AND SOFTWARE 737107 ARC HDS 5509-A WEST FRIENDLY AVE SUITE 101 GREENSBORO NC 27410 HUD RENT 708705 GARDNER SKELTON 505 EAST BLVD CHARLOTTE NC 28203 LEGAL SERVICES 686406 MAXIM HEALTHCARE STAFFING SERVICES INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONTRACT NURSING 619962 49 257 5010988 4207381 9218626 MEDICAID PAYMENTS 624100 70929374 70929374 MENTAL HEALTH 624100 22811841 22811841 RESIDENT RENT 624100 5826710 5826710 INSURANCE PAYMENTS 624100 1810189 1810189 MEDICARE PAYMENTS 624100 1635585 1635585 1602131 1602131 104615830 619399 619399 63526 0 63526 63526 63526 8848280 704793 8761327 463453 86953 241340 328293 328293 82632 25260 57372 57372 59773 15217 44556 44556 OTHER REVENUE 624100 217958 217958 INTEREST SUBSIDY 624100 28160 28160 246118 115193720 104970030 0 1005064 X 1947306 1947306 67478161 59870270 7607891 6493845 4616168 1877677 5876284 5052921 823363 7536 7536 588894 588894 124440 124440 97512 97512 40068 40068 86363 74325 12038 438323 183858 254465 2761352 490120 2271232 4362852 4189936 172916 478013 418652 59361 1090199 976417 113782 86570 77889 8681 1136741 1048991 87750 1026410 751325 275085 CONTRACT SERVICES 2075943 1355821 720122 SUPPLIES 1799288 946858 852430 REPAIRS AND MAINTENANCE 1783447 1704697 78750 FOOD AND PROVISIONS 1311673 1281321 30352 5604067 4961092 642975 106695287 88000661 18694626 0 1300 1000 9702076 13314896 2000000 4925782 7681654 875547 647131 21915291 11828037 8236109 10087254 11509383 12218156 10106012 11223740 45356209 57173831 7168188 9644577 2630253 3431525 12377311 12141989 283728 267028 22459480 25485119 X 22896729 27872671 3816041 22896729 31688712 45356209 57173831 8498433 293550 0 X X 0 1 X 1 1 1 X 2196686 2372101 13355053 1277247 9218626 28419713 83423394 89613722 90656993 94451023 104861948 463007080 109632 14143 18987 20057 59773 222592 1147648 1147648 640120 483400 493200 3912016 86877360 93147614 104671153 96231727 114633547 495561401 0 0 0 495561401 103978 118503 110303 406786 682925 1422495 103978 118503 110303 406786 682925 1422495 86981338 93266117 104781456 96638513 115316472 496983896 0.99710 0.99810 0.00290 0.00190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 97512 0 0 97512 0 PART II-B, LINE 1: DURING THE 2023 SESSION OF THE NC GENERAL ASSEMBLY: MONARCH'S PART-TIME LOBBYISTS MONITORED LEGISLATIVE COMMITTEE MEETINGS, ACTIVITIES, PENDING LEGISLATION, AND THE 2023-2024 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. 487848 487848 12133111 6697527 5435584 92718 51181 41537 9201614 5079329 4122285 10087254 RESIDENTS' CASH 267028 CASH VALUE OF LIFE INSURANCE 288972 OPERATING LEASE - RIGHT OF USE 9851699 CONTRIBUTED FACILITIES LEASE RECEIVABLE 816041 11223740 PATIENTS' FUND 267028 267028 X 115512530 293550 25260 318810 115193720 0 115193720 106720547 25260 25260 106695287 0 106695287 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 25,260. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST INCOME ON 990 25,260. GOLF TOURNAMENT - FALL 82632 82632 25260 82632 82632 25260 25260 57372 X X X X X 1 0 0 0 0 0 0 0 0 PEGGY TERHUNE CEO 487850 0 111611 0 0 0 0 0 0 0 599461 0 0 0 DR DOUGLAS SMITH PSYCHIATRIST 423260 0 0 0 0 0 0 0 600 0 423860 0 0 0 TERRI BERNHARDT CAO 326822 0 64836 0 0 0 0 0 0 0 391658 0 0 0 DR HAZEL MASTON PSYCHIATRIST 339593 0 0 0 0 0 0 0 600 0 340193 0 0 0 DR JACQUELINE SMITH ASSOCIATE MEDICAL DIRECTORMEDICAL DI 295702 0 10000 0 0 0 0 0 0 0 305702 0 0 0 JOHN LATZ ASSOCIATE MEDICAL DIRECTOR 296441 0 0 0 0 0 0 0 0 0 296441 0 0 0 ROBERT MCHALE ASSOCIATE MEDICAL DIRECTOR 279599 0 0 0 0 0 0 0 0 0 279599 0 0 0 TAMMY GEIS CFO 221848 0 10000 0 0 0 0 0 600 0 232448 0 0 0 MELISSA HALL COO 184406 0 10000 0 0 0 0 0 0 0 194406 0 0 0 TROY SYBERT CMO 190721 0 0 0 0 0 0 0 185 0 190906 0 0 0 CHRISTY SHAVER COO 174593 0 0 0 0 0 0 0 0 0 174593 0 0 0 DAVE BROWN CIO 163464 0 0 0 0 0 0 0 370 0 163834 0 0 0 PART I, LINE 4A DR. TROY SYBERT (CMO) RECEIVED A SEVERANCE PAYMENT OF $86,301 FOR THE TIME PERIOD 4/23 TO 6/23. JOSH GRAHAM CHILD OF CEO, PEGGY TERHUNE. EMPLOYED BY THE ORGANIZATION. 0 MICHELLE TROUTMAN SISTER 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 AND DIRECTOR OF PSR GROUP 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 74,325. MANAGEMENT AND GENERAL EXPENSES 12,038. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,363. FORM 990, PART IX, LINE 24E BAD DEBT EXPENSE: PROGRAM SERVICE EXPENSES 1,249,243. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,249,243. MEDICAID ASSESSMENT: PROGRAM SERVICE EXPENSES 946,011. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 946,011. TELEPHONE: PROGRAM SERVICE EXPENSES 761,457. MANAGEMENT AND GENERAL EXPENSES 117,049. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 878,506. UTILITIES: PROGRAM SERVICE EXPENSES 664,396. MANAGEMENT AND GENERAL EXPENSES 26,656. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 691,052. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 189,706. MANAGEMENT AND GENERAL EXPENSES 497,844. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 687,550. CONTRACTED DAY SERVICES: PROGRAM SERVICE EXPENSES 488,092. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 488,092. IN-KIND RENT: PROGRAM SERVICE EXPENSES 455,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 455,200. MEDICAL SERVICES AND SUPPLIES: PROGRAM SERVICE EXPENSES 174,053. MANAGEMENT AND GENERAL EXPENSES 1,426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 175,479. CLIENT RECREATION: PROGRAM SERVICE EXPENSES 25,484. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,484. LIVING SUBSIDIES: PROGRAM SERVICE EXPENSES 7,450. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,450. FORM 990 PART XII ITEM 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.