Together, We Are Changing Lives

JULY 1, 2020 TO JUNE 30, 2021

A Message from


Dear friends,  

Thank you for your support. As we look back over the past 18 months, there have been many challenges and changes that we have navigated together. The path has not always been an easy or clear one, but with your support, Monarch continues to thrive.   

This year, we have provided support to nearly 30,000 people across North Carolina – people with mental illness, substance use disorders and intellectual and developmental disabilities and their families who face their own challenges each day. But with your help, we served them through innovative, high-quality services. We continue to change lives – together. 

The coming year will be an exciting one as we continue to expand our services. Early in 2022, we will launch a mobile mental health clinic to serve rural communities in Nash, Gates, Halifax and Northampton counties. This spring, we will open a new peer-led psychosocial rehabilitation (PSR) center for individuals with mental illness in the Wilmington area. And later in the year, we plan to provide care management services to individuals in all 100 North Carolina counties with intellectual and developmental disabilities, mental illness, substance use disorders and traumatic brain injuries as part of the state’s Medicaid Transformation. We have been preparing to provide care management services for a long time. Your support has helped create a firm foundation for expansion at a time when our services are needed more than ever.  

We hope you enjoy this snapshot of the past year. I am grateful to you, to our dedicated team of Monarch staff and to our many community partners for the work we have accomplished. 


Peggy S. Terhune, Ph.D., MBA, OTR/L

With the support of generous donors and community partners like the Southern Cabarrus Rotary Club, Monarch’s programs and services remain strong. Pictured here left to right,  Monarch’s Senior Community Outreach Manager Yesenia Mueller Howell, Vice President of Marketing and Philanthropy Laurie Weaver receive a generous donation from Southwest Cabarrus Rotary Club member John Brady and Club President David Haywood for the SECU Youth Crisis Center in Charlotte.

In an effort to better engage with prospective patients and their families, Monarch launched a series of virtual tours, enabling people to visit our sites and see where services are provided – all from the comfort of their own home. Throughout the tours, pins point out details about the site and the services that will be helpful for future patients. Visit and take a tour of our Greensboro and Shelby outpatient clinics, the SECU Youth Crisis Center, our Wake Behavioral Health Urgent Care, and The Goodale School and Recovery Community.

Our 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.


Annual Impact

People Served icon



45%  55%

MALE            FEMALE



icon telehealth







Patient Encounters icon



NC Counties Served



Site Locations icon



Thank You To Our Partners

Monarch’s life-changing work across the state is possible because of dedicated community and business partners including:

  • Referral Partners
  • Local Management Agencies/Managed Care
  • Organizations Hospitals and Primary Care Practices
  • Emergency and First Responders
  • Law Enforcement and Justice Departments
  • State, County and Local Governments
  • Social Services Agencies
  • School Systems
  • Civic Groups
  • Community Advocates
  • Creative Arts Organizations
  • Faith-Based Organizations
  • Homeless Shelters
  • Nonprofit and Volunteer Organizations
  • Businesses Employing People We Support

Financial Summary

TOTAL REVENUE $92,947,513

Medicaid Service Contracts


State Service Contracts


Contributions & Local Support


Other Revenue


Investment Income


Resident Rent and Fees for Service


Medicare & Insurance Fees for Service




BHUC Lobby
Wake County Behavioral Health Urgent Care

Monarch’s Wake Behavioral Health Urgent Care (BHUC) celebrated its second year of service in 2021. As the need for mental health support continues to rise as a result of the coronavirus pandemic, the BHUC provides a critical community service in the Raleigh area.

Philanthropic Giving

Each year, philanthropic giving by Monarch donors shapes our programs and services. Individuals, businesses and philanthropic foundations give of their time and money, helping to strengthen existing programs and establish new ones. Monarch donors touch the lives of each of the more than 28,800 people we support, and we are grateful for their investment in our mission.


Total Philanthropic Giving in Fiscal Year 2021


New Monarch Donors

Giving by Monarch’s Board of Directors:
100% Participation


Raised at Monarch’s Annual Dreams Take Flight Golf Tournament

Thank you to our corporate partners and sponsors for their continued support!

ActionPlus Ideas


Mental Health and Substance Use Disorder Services

Father’s Commitment to Son Helps Employment Success 

After facing the challenges of post-traumatic stress disorder (PTSD) and severe depression, Michael Williams wanted to build a better life for himself and his 4-year-old son. With support from Monarch’s Individual Placement and Supports (IPS) team in Nash County and Employment Support Professional Donald Winslow, Williams charted a plan to successful employment, brushed up his resume and began applying for jobs. Today, he is thriving in a professional role and is a shining example of perseverance for his little boy. 

Grand Oaks Resident Shares Journey of Healing and Recovery 

Travis Adams was held tight in the grip of a cocaine addiction for several decades. As she sought recovery at the age of 55, she also needed to find a home that would support her journey. She found it at Monarch’s Grand Oaks supervised living apartments in Gastonia, where she works daily at getting better. She credits the supportive Monarch staff and fellow residents at Grand Oaks for helping give her hope, and because of the support of donors and friends, Monarch’s services were available for Adams when she needed them most.

Mobile Crisis Team On Hand to Assist People in Mental Health Crisis

When residents of Bladen, Columbus, Robeson and Scotland counties face a mental health crisis, Monarch’s Mobile Crisis Management Team is just a phone call away – 24 hours a day, seven days a week. The highly-trained team of provides direct support, serving and treating people who are experiencing an acute mental health or substance use disorder crisis and connecting them to longer-term services. As the effects of the pandemic continue to take their toll on the communities we serve, Monarch’s mobile crisis services are an important step in the continuum of care we provide and can be a life-saving bridge of support at a critical moment in time.

Intensive In-Home Service Leads to a Calmer Way of Life

Elijah White was angry. He was a few steps away from being told to leave the only family and home he had known. He couldn’t control the way he communicated which was by yelling, cursing and physical aggression. Any little thing would set him off. He was referred to Monarch’s Intensive In Home Services (IIHS) through another community agency where he was receiving similar services. IIHS is a six-month program that assists a family during a child’s mental health crisis. Monarch’s IIHS Associate Tina Rivers, QP, worked along with the IIHS team in Forsyth County to support Elijah, 18. With help and support from Tina and the team at Monarch, Elijah began to learn the skills he needs to manage his mental illness and anger. Today, he’s working a new job and looking forward to his future.

The Impact of

Long-Term Services and Supports

Pence Place Resident Proudly Completes High School 

In June, when Timothy Bethea received a certificate of completion from Richmond Senior High School, he accomplished something many may have labeled impossible. For the 17-year-old resident of Pence Place group home, Monarch’s only home specializing in services for youth with intellectual and developmental disabilities (I/DD) – whose physical condition requires highly specialized medical and nursing care, attending graduation and receiving that certificate were milestone moments. The achievement was made possible through creative support from Monarch staff, the Richmond County school district and caring Monarch donors and friends.

Brittney Green and Lanetta Jernigan

Freeing the Inner Artist Is the Goal in Lanetta Jernigan’s Classes

For day program participants like Brittany Green at Monarch’s New Horizons program in Mocksville, the arts provide an opportunity for self-expression, community building and fun. Dedicated instructors like Direct Support Professional Lanetta Jernigan spur the imagination and make space for creative exploration through painting, pottery and a whole host of other special projects. Thanks to support from donors and civic organizations, Monarch’s arts programs across North Carolina continue to foster a creative spirit in the people we support.

Nicholas Glaze Working Hard

Nicholas Glaze Finds Independence Through Volunteer Work

Nicholas Glaze knows that working within his community as a volunteer today will help him achieve his goals. Glaze, 18, attends Monarch’s Creative Arts and Community Center day program in Southern Pines and volunteers with the Habitat for Humanity ReStore in Rockingham. He is happy to have the opportunity to give back to his community while learning skills that eventually will be important to gaining and maintaining employment. He is one of the people Monarch supports who find volunteering a meaningful way to engage in the community as they gain skills that will help them in the future.

Colson Family in Dream Home Doorway

Colson Family’s Dream of Home Ownership Comes True

Jimmy and Beverly Colson are the proud owners of a newly built, three-bedroom, two-bathroom home they can call their own thanks to Stanly County Habitat for Humanity. The couple, who receives community support services through Monarch and other community agencies, applied for a Habitat for Humanity home in early 2020 and received word in March of that year that they were approved for a new home to be built for them. Jimmy and Beverly worked alongside other Habitat for Humanity volunteers as their house was built and were excited to receive the keys earlier this year.

The Impact of

New and Innovative Services

The Goodale School's red brick building with white pillars along the front and flanked by trees.

The Goodale School and Recovery Community Models Sober Living for Teen Boys

When a student walks through the door at The Goodale School and Recovery Community, it is the hope of the staff that he will be changed forever. The school opened last winter with a mission to help empower teenage boys between the ages of 14–17 to live a sober life and heal from substance use and co-occurring mental health disorders. That’s a tall order, but for the students who have enrolled so far, recovery is possible. Through a person-centered, evidence-based clinical recovery program in a boarding school setting, students are supported by a clinical team, academic instructors and mentors. The work is challenging, but for these committed students and their families, good days are indeed ahead.

If you know a student who could benefit from services provided by The Goodale School and Recovery Community, please visit or contact [email protected] for information.

Windermere resident Stephanie Williams using her rolling walker wearing a blue top and printed pants in the home's kitchen.

Windermere Resident Reaches Goals with Occupational Therapy 

Stephanie Williams has a goal to be more independent. Living with mental illness can create barriers to independence, but Monarch’s innovative occupational therapy services, launched in 2021, are helping Stephanie overcome those barriers. With support from Monarch Occupational Therapist (OT) Charley Cross, OTR/L, Williams has worked to improve her mobility and cognitive skills. This included learning ways to navigate surroundings with a rolling walker and learning new cooking skills to break down a recipe or adjust meal directions into simple, manageable steps. As a result, Williams feels more independent, her self-confidence has increased and her depression has reduced. She and her family are delighted with her progress.

Monarch’s CCBHC and Goshen Medical Partner to Offer Whole-Person Centered Care

When it comes to convenient care, Monarch’s Certified Community Behavioral Health Clinic in Stanly County has the people we support covered. Monarch is partnering with Goshen Medical Medical Center, one of the largest community health care centers in Eastern North Carolina, to offer physical health care services to the Stanly County community. The joint venture began in April with the arrival of Goshen Medical Center’s mobile health unit at Monarch’s CCBHC in Albemarle, where it will be permanently stationed. The CCBHC provides an array of mental health, substance use disorder, housing and employment services. Goshen’s mobile unit offers medical services, the same as a physician’s medical practice, and will include physical exams, well and sick visits, preventative health care visits, vaccinations, blood and drug testing, and treatment for chronic medical problems such as high blood pressure and diabetes. The partnership ensures that Monarch patients have direct access to the care they need to stay healthy.


Hard Working Staff

Monarch’s team of more than 1,500 dedicated employees works tirelessly each day to
ensure the care and well-being of the people we support. Their compassionate service
changes lives across North Carolina every day and we are grateful for their dedication.


Stanly Industrial Services Site Manager

"There really has been a lot of those proud moments through the years but the ones that stand out are when our staff helps individuals supported find jobs within the community, because it helps them have the lifestyle that they want, as well as feeling valued and important. And everyone wants to feel valued and important. "

Gayle Van Horn

Behavioral Health Therapist

"I enjoy advocating for and promoting self-determination for people we support. It’s a great opportunity to work with people we serve so that they can accomplish goals in all areas of life. I enjoy meeting people where they are, as sometimes immediate needs are the most important things for them. It is rewarding to be able to work with people of all ages, all diagnoses, all psychosocial challenges and resource needs."

Dana Lightner

Administrative Assistant, Behavioral Health

"I love to see the people that we serve receive the help and services that they need. It is rewarding to see the progress that they make while under our care and being able to see our services working."

We Are Hiring!

If you or someone you know would like to turn their compassion into a career at Monarch, please encourage them to visit today.


Milestone moments

Monarch’s President and CEO Dr. Peggy Terhune receives the Order of the Longleaf Pine, North Carolina’s highest honor awarded by the Governor to a private citizen. She was recognized for her outstanding leadership and contributions to intellectual and developmental disability and mental health services in North Carolina on the occasion of her 25th anniversary at Monarch.

Monarch launches MyPortal client portal system that will allow people we support to connect directly with their health record and the Credible electronic health record system to engage in care at Monarch.

Monarch was selected to provide Care Management Agency services in pilot project with Alliance Health.

Monarch’s 16 day programs for individuals with intellectual and developmental disabilities collectively received recognition from the i2i Center for Integrative Health, winning the 2020 Connections Challenge Award for outstanding programming during COVID-19. The award honors “an organization that was able to carry out a program or activity that resulted in an increase in social connectedness for individuals in the service system during COVID-19.”

Monarch’s CCBHC expands services with a partnership for primary care services with Goshen Health Services and the addition of Substance Use Intensive Outpatient Services.

Monarch advocates for legislation supporting a stable, well-staffed system of care that meets the needs of North Carolinians receiving care through Medicaid services by allocating funding and ensuring rate increases that support increased wages and/or benefits for direct support professionals.

Monarch begins the process to become a Care Management Agency, delivering services to the State of North Carolina’s Tailored Plans as part of Medicaid Transformation.

Monarch was awarded a grant to provide Project for Assistance in Transition from Homelessness (PATH) services in Mecklenburg County.