2023-11-10T07:46:55-06:00 2023-06-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2022-07-01 561326126 MONARCH MONA 7049861500 350 PEE DEE AVENUE SUITE 101 ALBEMARLE NC 28001 TAMMY GEIS CFO 7049861500 2023-11-01 1 TAMMY GEIS XXX-XX-XXXX 1 MATTHEW MCKINNEY P01707028 8283222070 2023-11-01 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PEGGY TERHUNE 350 PEE DEE AVENUE SUITE 101 ALBEMARLE NC 28001 108228830 0 X WWW.MONARCHNC.ORG X 1981 NC SEE RESPONSE FOR PART III, LINE 1, BELOW FOR MISSION STATEMENT. 15 15 2052 1 0 0 13355053 1277247 89841852 93620418 544615 250634 893479 915407 104634999 96063706 0 0 0 0 72007610 75674267 0 0 0 22878408 22403318 94886018 98077585 9748981 -2013879 36086660 45356209 11580943 22459480 24505717 22896729 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 39738611 39847242 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. 26,036 PATIENTS WERE SERVED IN THE CURRENT YEAR. 30166481 40191607 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. 533 PATIENTS WERE SERVED IN THE CURRENT YEAR. 8171360 9248104 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. 1,077 PATIENTS WERE SERVED IN THE CURRENT YEAR. 4026373 5205972 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. 1,174 PATIENTS WERE SERVED IN THE CURRENT YEAR.ANCILLARY PROGRAM SERVICE REVENUE INCLUDING RENTS, SALES OF INVENTORY & REFUNDS / REIMBURSEMENTS RELATED TO EXEMPT PURPOSE. 4026373 5205972 82102825 1 1 0 0 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 1 220 0 1 2052 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 MADELFIA ABB 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 JEAN ANDERSEN 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 KARA GUERRIERO PAST CHAIR 1.00 X X 0 0 0 DUNCAN E MUNN BOARD DEV CHAIR 1.00 X X 0 0 0 MICHAEL J MCCRANN JD SECRETARY 1.00 X X 0 0 0 WILLIAM AUSTIN FINANCE CHAIR 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 482864 0 0 CINDY JONES CFO 40.00 X 224745 0 0 MELISSA HALL COO 40.00 X 184877 0 0 CHRISTY SHAVER COO 40.00 X 175704 0 0 TERRI BERNHARDT CAO 40.00 X 423754 0 1200 TROY SYBERT CMO 40.00 X 331728 0 577 DAVE BROWN CIO 40.00 X 243849 0 600 DR DOUGLAS SMITH PSYCHIATRIST 40.00 X 433854 0 600 DR HAZEL MASTON PSYCHIATRIST 40.00 X 324051 0 600 ROBERT MCHALE MEDICAL DIRECTOR 40.00 X 281363 0 0 DR JACQUELINE SMITH ASSOCIATE MEDICAL DIRECTOR 40.00 X 281574 0 0 IVERSON CARTER ASSOCIATE MEDICAL DIRECTOR 40.00 X 250766 0 0 3639129 0 3577 66 0 1 0 KEY BENEFIT ADMINISTRATORS PO BOX 55210 INDIANAPOLIS IN 46205 HEALTH PLAN ADMINISTRATOR 1088657 MAXIM HEALTHCARE STAFFING SERVICES INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 CONTRACT NURSING 1058612 DIVISION OF MEDICAL ASSISTANCE 2022 MAIL SERVICE CENTER RALEIGH NC 27699 MONTHLY ASSESSMENT FEE FOR ICF HOMES 895243 ENTELEGENT 2520 WHITEHALL PARK DR SUITE 200 CHARLOTTE NC 28273 TELEPHONE AND INTERNET SERVICES 802486 BRIDGEFIELD CASUALTY INSURANCE CO PO BOX 3203 LAKELAND FL 33802 INSURANCE PREMIUMS 755032 45 1113820 163427 1277247 MEDICAID PAYMENTS 624100 56664551 56664551 MENTAL HEALTH 624100 26181926 26181926 RESIDENT RENT 624100 4613188 4613188 INSURANCE PAYMENTS 624100 1958104 1958104 MEDICARE PAYMENTS 624100 1628722 1628722 2573927 2573927 93620418 368713 368713 38073 0 38073 38073 38073 11942757 74955 12093523 42268 -150766 32687 -118079 -118079 56005 13105 42900 42900 20057 16228 3829 3829 OTHER REVENUE 624100 800777 800777 INTEREST SUBSIDY 624100 29828 29828 830605 96063706 94492925 0 293534 X 2069898 2069898 62474766 55480155 6994611 4536984 4011086 525898 6592619 5828445 764174 6912 6912 617756 617756 96550 96550 29593 29593 68766 65281 3485 321890 125914 195976 369676 246587 123089 3984955 3786690 198265 440752 391516 49236 1395619 1281965 113654 115220 91671 23549 1139175 882308 256867 963315 742453 220862 CONTRACT SERVICES 2691586 1974409 717177 REPAIRS AND MAINTENANCE 2653792 1210730 1443062 SUPPLIES 1575949 740360 835589 BAD DEBT EXPENSE 1254175 1254175 0 4677637 3989080 688557 98077585 82102825 15974760 0 1412 1300 16787078 9702076 5687056 4925782 997777 875547 19276743 11040634 8669642 8236109 3462305 11509383 481390 10106012 36086660 45356209 7494266 7168188 1119722 2630253 2686969 12377311 279986 283728 11580943 22459480 X 24505717 22896729 24505717 22896729 36086660 45356209 -2013879 404891 0 X X 0 1 X 1 1 1 X 1761956 2196686 2372101 13355053 1277247 20963043 83793900 83423394 89613722 90656993 94451023 441939032 159753 109632 14143 18987 20057 322572 1032552 1147648 1147648 640120 483400 4451368 86748161 86877360 93147614 104671153 96231727 467676015 0 0 0 467676015 137679 103978 118503 110303 406786 877249 137679 103978 118503 110303 406786 877249 86885840 86981338 93266117 104781456 96638513 468553264 0.99810 0.99880 0.00190 0.00120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 487848 487848 10209299 5999136 4210163 92718 54482 38236 8486878 4987016 3499862 8236109 RESIDENTS' CASH 283728 CASH VALUE OF LIFE INSURANCE 241676 OPERATING LEASE - RIGHT OF USE 9580608 10106012 PATIENTS' FUND 283728 283728 X 96481702 404891 13105 417996 96063706 0 96063706 98090690 13105 13105 98077585 0 98077585 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 13,105. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED AGAINST INCOME ON 990 13,105. GOLF TOURNAMENT - FALL 56005 56005 13105 56005 56005 13105 13105 42900 X X X X X 1 0 0 0 0 0 0 0 0 PEGGY TERHUNE CEO 482864 0 0 0 0 0 0 0 0 0 482864 0 0 0 DR DOUGLAS SMITH PSYCHIATRIST 433854 0 0 0 0 0 0 0 600 0 434454 0 0 0 TERRI BERNHARDT CAO 308498 0 115256 0 0 0 0 0 1200 0 424954 0 0 0 TROY SYBERT CMO 321728 0 10000 0 0 0 0 0 577 0 332305 0 0 0 DR HAZEL MASTON PSYCHIATRIST 324051 0 0 0 0 0 0 0 600 0 324651 0 0 0 DR JACQUELINE SMITH ASSOCIATE MEDICAL DIRECTOR 281574 0 0 0 0 0 0 0 0 0 281574 0 0 0 ROBERT MCHALE MEDICAL DIRECTOR 281363 0 0 0 0 0 0 0 0 0 281363 0 0 0 IVERSON CARTER ASSOCIATE MEDICAL DIRECTOR 250766 0 0 0 0 0 0 0 0 0 250766 0 0 0 DAVE BROWN CIO 243849 0 0 0 0 0 0 0 600 0 244449 0 0 0 CINDY JONES CFO 224745 0 0 0 0 0 0 0 0 0 224745 0 0 0 MELISSA HALL COO 184877 0 0 0 0 0 0 0 0 0 184877 0 0 0 CHRISTY SHAVER COO 175704 0 0 0 0 0 0 0 0 0 175704 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 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 65,281. MANAGEMENT AND GENERAL EXPENSES 3,485. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,766. FORM 990, PART IX, LINE 24E FOOD AND PROVISIONS: PROGRAM SERVICE EXPENSES 1,177,851. MANAGEMENT AND GENERAL EXPENSES 29,862. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,207,713. TELEPHONE: PROGRAM SERVICE EXPENSES 733,811. MANAGEMENT AND GENERAL EXPENSES 182,990. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 916,801. MEDICAID ASSESSMENT: PROGRAM SERVICE EXPENSES 895,251. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 895,251. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 199,212. MANAGEMENT AND GENERAL EXPENSES 444,645. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 643,857. UTILITIES: PROGRAM SERVICE EXPENSES 561,600. MANAGEMENT AND GENERAL EXPENSES 29,418. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 591,018. MEDICAL SERVICES AND SUPPLIES: PROGRAM SERVICE EXPENSES 194,130. MANAGEMENT AND GENERAL EXPENSES 1,642. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,772. CONTRACTED DAY SERVICES: PROGRAM SERVICE EXPENSES 152,867. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,867. CLIENT RECREATION: PROGRAM SERVICE EXPENSES 67,158. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,158. 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.