Executive Leadership Team
Dr. Peggy Terhune
President/Chief Executive Officer
Dr. Peggy Terhune has been CEO of Monarch since June 1995. Under Peggy’s leadership as President/CEO, Monarch has implemented evidence-based and best practices in all areas, has successfully added numerous services, enhanced community integration, improved customer satisfaction, reduced turnover, and has effectively developed programs to serve consumers with multiple disabilities. She has grown the company significantly and diligently pursues her methodology to incorporate continuous improvement within the organization. Peggy is a strong advocate for people with disabilities and has presented often at conferences and technical workshops, particularly on emerging practices that are used at Monarch.
Peggy has served as an advocate for people with disabilities for more than 40 years and has presented often at conferences and technical workshops, particularly on emerging practices that are used at Monarch. She is a founding board member of the North Carolina Providers Council and past president of the National Conference of Executives of the Arc. Additionally, Peggy was appointed to the N.C. Department of Health and Human Services Waiver Advisory Committee (DWAC) and has been appointed twice to the N.C. Commission on Mental Health, Developmental Disabilities, and Substance Abuse Services. She is also a board member of the N.C. Council of Developmental Disabilities, also appointed twice by the Governor. Peggy is a past member and officer of the Board of Directors for the National Alliance on Mental Illness (NAMI) North Carolina and former member of the Benchmarks’ Board of Trustees.
Peggy is the recipient of numerous regional and national leadership awards. In 2016, she was the first-ever recipient of the Distinguished Professional Award in Diversity and Cultural Competency by the National Conference of Executives (NCE) of The Arc. In 2017, she was also awarded the Lifetime Achievement Excellence Award from i2i, a health care leadership organization in North Carolina. In 2020, she was awarded the Champion award by the National Conference of Addiction Disorders. In 2020, she was also awarded the highest honor a North Carolina citizen can receive when she received the Order of the Long Leaf Pine award, recognizing her outstanding contributions to the state and its people.
Peggy received a Bachelor of Science degree in Occupational Therapy from Indiana University, a Master of Business Administration (MBA) degree from Rochester Institute of Technology, and a Ph.D. from The University of North Carolina at Greensboro. She has worked with and advocated for people with disabilities for more than 40 years. Her competencies include a wide range of clinical and administrative skills and she is culturally competent.
In addition to her career, Peggy is mother to seven adult children, grandmother to ten and wife to Bob. For more than twenty years, the couple has fostered children with and without disabilities. A servant leader, Peggy continues to provide community service in many ways. For fun, she serves as an adjunct faculty member at Wingate University in the doctoral program for Occupational Therapy and at Pfeiffer University in the masters’ program for Occupational Therapy. In her spare time, she enjoys needlepoint, knitting, reading and traveling.
Executive Vice President/ Chief Administrative Officer
As the Chief Administrative Officer of Monarch, Terri oversees the Human Resources and Information Technology operations.
She is a 1993 graduate of Appalachian State University, and holds a Bachelor of Science Degree in Communications Media with a Minor in Management. In 1999, Terri was also awarded her National Society of Human Resource Management Certification. This was accomplished by showing competencies in all areas of human resource management including employee relations, risk management, strategic planning and workforce planning. Terri has been employed with Monarch since 1993. She and her husband Matt live in Salisbury.
Chief Information Officer
Dave Brown is Monarch’s Chief Information Officer. He has nearly three decades of progressive IT leadership and transformative adoption of technology experience across the healthcare, insurance, and financial services industries and has led teams in the development of use-case driven outcomes, focused application development, and strategic IT deliveries.
Executive Vice President/Chief Operating Officer- Behavioral Health
Melissa Hall, M.B.A., B.S., is Executive Vice President / Chief Operations Officer for Behavioral Health for Monarch. She oversees Monarch’s behavioral health operations statewide, provides clinical and administrative oversight and helps to direct the company’s service expansion strategies.
Melissa has 30 years of experience in the health and human services field, encompassing both intellectual/ developmental disabilities and mental health. A graduate of the University of Pittsburgh, she holds a Bachelor of Science degree in Psychology. She completed her Master of Business Administration (MBA) degree at Pfeiffer University. Melissa is currently working on her Doctorate in Business Administration at the Belk College of Business at the University of North Carolina at Charlotte.
She also completed Leadership Richmond through the Richmond County Chamber of Commerce and the N.C. Advancing Strong Leadership Initiative through the North Carolina Council on Developmental Disabilities and the University of Delaware.
Originally from Pittsburgh, Melissa moved to North Carolina in 1994. She and her husband, Robby, have two children.
Executive Leadership Team, Chief Financial Officer
Cindy has been employed with Monarch since November of 1984. She received her B.S. Degree in Accounting from the University of North Carolina at Greensboro, May 1983.
She is a member of Beta Alpha Psi, Accounting Honorary Fraternity. Currently serving as the treasurer for Pleasant Grove Baptist Church, she Is an active member in her community, and has also held the office of treasurer with the PTO organizations and Optimist Club. She lives in Albemarle with her husband Richard and her two children.
Executive Vice President / Chief Operating Officer for Behavioral Health Outpatient Services
Lyndril Leonard, MA, LCMHC is Executive Vice President / Chief Operating Officer for Behavioral Health Outpatient Services for Monarch. She oversees Monarch’s outpatient operations statewide, provides clinical and administrative oversight and helps to direct the company’s service expansion strategies.
Lyndril joined Monarch in October 2013 as the Clinical Operations Director in the Partners Managed Care Organization (MCO) catchment area and served as the Vice President of Enhanced Services prior to moving into her current role.
She earned a Bachelor of Arts degree in psychology from Belmont Abbey College, and a Master of Arts degree in counseling from Webster University. As a North Carolina licensed clinical mental health counselor (LCMHC), Lyndril has experience working with children, adolescents and adults. She has more than 20 years of experience working in the field of mental health, substance use disorders and developmental disabilities. She has worked in various capacities at different levels of the service delivery systems including private practice, residential group homes, and community-based mental health provider organizations.
Lyndril lives in Lake Wylie, S.C., with her husband Cotye and their son, Cotye Jr.
Executive Vice President/Chief Operating Officer – Long-Term Services and Supports
Christy oversees major clinical and administrative operations as well as developing and ensuring the implementation of new and existing programs and services for Monarch statewide.
She has been employed by Monarch for over 20 years and previously served as Vice President of Operations for Long-Term Services and Supports for the western region of North Carolina. Christy has worked in the field of mental health and human services for more than two decades in both direct support and administration, and helped lead Monarch’s residential, vocational and community services in supporting, educating and empowering people with Intellectual and Developmental Disabilities (I/DD) to choose and achieve what is important to them.
She earned a Bachelor of Science degree from Gardner-Webb University and completed her Master of Health Administration degree at Pfeiffer University. She is a graduate of the N.C. Advancing Strong Leadership Initiative through the North Carolina Developmental Disabilities Council and the University of Delaware and she is a Master Trainer for “Getting It Right.”
She is married, has one daughter, and lives in Albemarle.
Dr. Troy Sybert
Chief Medical Officer (Interim)
Interim Chief Medical Officer Troy E. Sybert, MD, MPH has over a decade of progressive health care management experience as a physician executive in acute care hospitals, multi-specialty physician practices, as well as corporate health systems. In addition, he has served clinically in most care settings thus maintaining a patient-centric approach in his leadership style. He is passionate about understanding how best to engage physicians and other clinical providers in the support of the mission of an organization.
Dr. Sybert attended medical school at the University of Texas Southwestern in Dallas, Texas, after which he pursued a combined residency in Internal Medicine and Preventive Medicine and Public Health in Galveston, Texas. He completed his formal training with a fellowship in Hospital Medicine at the Mayo Clinic in Rochester, Minnesota.
Over the past several years, he has been involved in redesigning care delivery with a focus on how technology can improve both health care access and chronic care management of rural and underserved populations.
At Monarch, Dr. Sybert will put his wealth of knowledge and experience to work assessing and improving operational and clinical systems, policies and procedures, and outcomes and patient care.
Dr. Brooks Carter
Associate Medical Director (Forsyth, Guilford, Cleveland and Lincoln Counties)
Clinical Liaison - Advanced Practice Providers
Education & CertificationPMHNP-BC University of Buffalo MSN SUNY Stony Brook Board Certified
Dr. Robert McHale
CCBHC Medical Director
Education & CertificationMS University of Missouri-St. Louis MD Saint George's University School of Medicine Residency: University of Kansas School of Medicine - Wichita
Dr. Robert James McHale, M.D., M.S. has been Medical Director of Monarch since July 2010. He provides supervision and oversight for the behavioral health services of Monarch. In addition, he works with people of all ages dealing with mental illness and substance abuse concerns. He has a special interest in intellectual disabilities and general medical conditions of the people we serve.
Dr. McHale earned a Bachelors of Science Degree in Biology at Saint Louis University, a Masters of Science Degree in Biology at University of Missouri – St. Louis, and his Medical Degree from Saint George’s University School of Medicine. He completed his residency training in Psychiatry at the University of Kansas – Wichita, School of Medicine. He was named Chief Resident during his training. He has been Study Physician and Sub-Investigator at the Clinical Research Institute in Kansas, involved with research concerning Depression, Psychotropic medications and drug – drug interactions of medications. Prior to entering into medical school, Dr. McHale worked as a biochemist at Saint Louis University School of Medicine, Department of Biochemistry and has been a co-author of over 30 scientific publications and abstracts. He was also involved in research and study of Sleep Disorders at Saint Louis University School of Medicine, Department of Psychiatry – Sleep Disorders Center. He has given numerous lectures and presentations on mental illness and believes education is a hallmark for quality of care for all the people with serve in our communities.
Dr. McHale was awarded Excellence In Service Award from NAMI (National Alliance on Mental Illness), The Laurie Coyner Award: Excellence For Psychiatric Inpatient Care at University of Kansas, Saint Louis University Undergraduate Research Award. He is a Member of several Professional Associations; American Psychiatric Association, American Medical Association, North Carolina Psychiatric Association, North Carolina Medical Society, Kansas Psychiatric Society, Collaborative Family Health Care Association. Dr. McHale recently has been recognized as a Diplomate of the American Board of Psychiatry and Neurology, a member Board of the American Board of Medical Specialties. He received his Board Certification in Addiction Medicine from the American Board of Preventative Medicine.
Dr. McHale and his wife (Amy) are new to the North Carolina area and are pleased with the generosity and hospitality of the North Carolinians. Robert and Amy are the proud parents of a young son named Thomas.
Dr. Douglas Smith
Medical Director - Assertive Community Treatment Teams
Education & CertificationMD University of North Carolina at Chapel Hill Residency University of Florida, Gainsville Board Certified in Adult Psychiatry
Dr. Jacqueline Smith
Associate Medical Director (Mecklenburg, Gaston and Wake Counties)
Education & CertificationMD University of North Carolina at Chapel Hill Residency UNC School of Medicine Board Certified in Adult, Child-Adolescent and Forensic Psychiatry
Vice President of Operations, Enhanced Services
Shannon Atkinson is the Vice President of Operations for Enhanced Services, overseeing the implementation of community-based services for individuals with mental health diagnoses. Shannon joined Monarch in November of 2015 after having worked in outpatient, community and
facility-based settings in Maryland, Virginia, Tennessee and South Carolina. She has been a Licensed Clinical Social Worker (LCSW) since 2004, and has experience working with with adults, children and families.
Shannon received both her Bachelor’s and Master’s degrees in Social Work from Radford University in Radford, Virginia. She did post-graduate work at the University of Tennessee’s College of Social Work, studying the impact of organizational climate and culture on burnout in the human services field. Shannon has conducted conference presentations on her areas of interest and facilitates both formal and informal trainings on an ongoing basis.
Shannon currently resides in Rock Hill, South Carolina, and enjoys outdoor activities such as gardening, boating and hiking.
Chief Technology Officer
Andy leads information technology support operations and strategy across Monarch’s footprint. As Chief Technology Officer, he is responsible for ensuring that the necessary infrastructure and processes are in place for effective and efficient IT development, technology and implementation.
Andy joined Monarch in 2012, bringing extensive experience leading mission-critical IT and security objectives. He has worked in information technology and security for three decades and has specialized skills in enterprise-wide information security design, network and systems infrastructure oversight. Prior to his appointment at Monarch, Andy held the role of senior manager of security engineering at New Breed Logistics in High Point. He spent 25 years at Food Lion’s corporate headquarters in Salisbury, where he served in various technology positions, including information security operations director.
Vice President of Risk Management
Monarch’s Vice President of Risk Management Amy Boone oversees the agency’s safety program, HIPAA program and medical records, and all lines of insurance, including worker’s comp and general liability.
Before joining Monarch, Amy spent 24 years as a registered nurse and worked in health care risk management and hospital accreditation. She earned her RN degree from Wake Tech Community College and holds a Bachelor of Science in nursing from Barton College.
Vice President of Care Management – Behavioral Health
Leigh Herring Daughtridge, MSW, is a licensed clinical social worker and has been with Monarch since 2013. Prior to assuming the role of Vice President of Care Management – Behavioral Health, Leigh held the position of Care Management Director overseeing teams in Wake and Forsyth counties. Previously at Monarch, Leigh served as practice administrator for the Nash and Wilson Behavioral Health Outpatient Clinics from 2017 to 2021. She began with Monarch as an outpatient therapist. Leigh has experience in behavioral health care settings ranging from outpatient clinics, inpatient facilities and community-based programs.
As Vice President of Care Management – Behavioral Health, Leigh oversees Monarch’s Behavioral Health Care Management program statewide. She and a team of leaders within Care Management will work together to advocate for the people we support, bridging gaps in whole-person care and providing an avenue for positive outcomes for people supported and their families.
Leigh holds a bachelor’s degree and a master’s degree in Social Work from East Carolina University. She and her family reside in Nashville, North Carolina. She serves on the Board of Directors for Down East Partnership for Children, is a member of Eastpointe’s Credentialing Committee and participates in a variety of other community projects.
Vice President of Medical Services
Britni Eaton, M.S., LCMHC-QS, LCAS, is a licensed clinical mental health counselor and certified supervisor and a licensed clinical addictions specialist. She has been employed with Monarch for more than six years, having started as a therapist on an Assertive Community Treatment team (ACTT) in 2015 before being promoted to a team lead position in 2016.
Britni spent three years serving as director of operations for ACTT at Monarch providing clinical and administrative oversight for our seven ACT teams across North Carolina. In this role, Britni worked to ensure that ACTT services were consistently delivered according to evidence-based practice standards to ensure quality of care and maximized efficiency of workflows to increase revenue across the service line.
As vice president of medical services, Britni works closely with Monarch’s Chief Medical Officer and other physician leadership to develop and oversee programs related to the management of physicians and advanced practice providers across Monarch.
Britni holds a master’s degree in clinical psychology from Loyola University of Maryland and a bachelor’s degree in psychology from High Point University.
Vice President for Value Based Care
A native of Stanly County, Alice Eudy began her nursing career in 2009 as a staff nurse in the Medical-Surgical Telemetry Unit at Stanly Regional Medical Center, now Atrium Stanly. She credits her mother, who is also a nurse, for encouraging her career in health care and is grateful for the opportunities it has given her to be an active participant in caring for the community she calls home.
As her career evolved, Alice moved from direct patient care into information and data analyst roles, allowing her to use her clinical experience and knowledge to lead improvements in data collection and reporting, as well as implement new technologies to support improved health care outcomes and health care cost-savings. She is board certified in Nursing Informatics and has experience leading large, system-wide information technology initiatives.
As payors continue to make the shift to value-based care contracts and in her role as Monarch’s Vice President of Value-Based Care, Alice will primarily be responsible for ensuring that appropriate metrics are identified and tracked in alignment with payor contract requirements and the needs of our departments including finance, operations and others. She will serve as an integral part of the team that will move Monarch into new, value-based care contract relationships with payors.
Alice holds a master’s degree in Healthcare Administration from the School of Health Policy and Management at the University of North Carolina at Chapel Hill and a bachelor’s degree in Nursing from Queens University of Charlotte. She lives in Locust with her husband, Brandon, and two sons.
Senior Vice President, LTSS
Vice President of Business Intelligence and Process
As Vice President of Business Intelligence and Process at Monarch, Lee Fandel ensures process efficiency within the organization and determines the best business intelligence tools and techniques for analysis and reporting.
Lee joined Monarch in 2014, bringing experience in both the manufacturing and health care industries. He holds a Bachelor of Science degree in business administration from the University of South Carolina – Aiken. He has received multiple leadership awards and is a certified Black Belt in Six Sigma, a data-driven methodology for process improvement in business and has been featured in Six Sigma Magazine. He also is a former member of Toastmasters, where he won multiple awards for public speaking.
Lee lives in Tega Cay, S.C. with his wife and five children. A former college baseball player, he enjoys community activities, including coaching and sports training.
Vice President of Operations, LTSS
As Vice President of Operations, LTSS, Relena Hair oversees Monarch’s Long-Term Services and Supports day, residential and community-based programs across Central North Carolina. She provides leadership, supervision and support to staff providing direct care across a range of services for people with intellectual and developmental disabilities and mental illness.
Vice President of Operations, LTSS
As Vice President of Operations, LTSS, Nancy Kaierle oversees Monarch’s Long-Term Services and Supports day, residential and community-based programs across Western North Carolina. She provides leadership, supervision and support to staff providing direct care across a range of services for people with intellectual and developmental disabilities and mental illness. She has worked in the field for more than 36 years.
Nancy joined Monarch in 2012 as a program director covering residential and community-based services and has held several leadership and management positions in the years since. Across her roles at Monarch, Nancy has remained committed to the idea that the individuals Monarch supports should be provided opportunities to live in the settings of their choosing and organizations like Monarch can work to make that happen through available resources, technology and support.
Nancy holds a Bachelor of Science degree from Western Carolina University. She lives in Huntersville with her husband and enjoys cultural activities and traveling, having visited 13 different countries, including a visit to South Africa in 2022.
Vice President of Finance, Controller
Lori Maness serves as Monarch’s Vice President of Finance, Controller. She is responsible for the accounting operations of the company, including the production of periodic financial reports, maintenance of an adequate system of accounting records, and a comprehensive set of controls designed to mitigate risk, enhance the accuracy of the company’s reported financial results, and ensure that reported results comply with generally accepted accounting principles.
Lori has worked at Monarch for 27 years in various roles within Monarch’s Finance Department.
Anna Yon Marshall
Vice President of Care Management, I/DD and Tailored Plan
Anna Yon Marshall serves as Monarch’s Vice President of Care Management, I/DD and Tailored Plan. In this role, she leads the development and implementation of Monarch’s statewide care management services for individuals with intellectual and developmental disabilities (I/DD) and traumatic brain injury (TBI) provided through North Carolina’s Behavioral Health and I/DD Tailored Plans.
Anna has more than 30 years of experience working with individuals, families and organizations supporting people with mental illness, substance use disorders, I/DD and TBI. She has coordinated supports for children with significant medical needs living in intermediate care facilities (ICFs) and spent more than 15 years designing and implementing a care coordination model for individuals with I/DD in a waiver setting for Cardinal Innovations Healthcare.
In addition, she designed a regional model to work with community and public organizations, consumer and family advisory committees (CFAC’s) and county officials in addressing social determinants of health (SDOH) in their communities. She also designed a referral platform using SAMSHA’s Eight Dimensions of Wellness model. Most recently at Cardinal, Anna served as Senior Change Manager.
Vice President for Human Resources
Laurie Meyer serves as Monarch’s Vice President of Human Resources where she holds primary responsibility for all Human Resources functions.
She has an extensive background in Human Resources and has worked in both the public and private sectors. Prior to joining Monarch, she served as the Chief Human Resources Officer for Anne Carlsen, a statewide provider of life-changing behavioral health support and services to individuals and families in North Dakota. Laurie has also held leadership positions in health care and the nuclear industry.
In her more than 20 years in Human Resources, Laurie has distinguished herself as a trusted advisor and dedicated employee advocate. She is also an active member of the Society of Human Resources Management (SHRM).
Laurie graduated from Randolph Macon Woman’s College in Lynchburg, Virginia, with a Bachelor of Arts degree in Sociology and Anthropology. She also holds a Master of Business Administration degree from Averett University in Danville, Virginia.
Laurie and her husband, Ken, live in Asheboro, North Carolina, after relocating from North Dakota. They are avid Ohio State fans enjoy spending time with their four adult children and five grandchildren.
Vice President of Operations, Outpatient Clinical Services
As Vice President of Operations, Outpatient Clinical Services, Todd Posey, M.Ed, LCMHCS, LCAS, CCS, provides leadership and directs the day-to-day operations of our outpatient therapy services, providing both administrative and clinical supervision to Monarch’s Senior Therapists.
Todd is a Licensed Clinical Mental Health Counselor Supervisor, Licensed Clinical Addictions Specialist and Certified Clinical Supervisor. He holds a master’s degree in guidance and counseling from Virginia State University and a graduate certificate in substance abuse counseling from East Carolina University.
Todd has worked in clinical and operational leadership in behavioral health for nearly 20 years in a variety of treatment settings. Todd’s therapeutic approach is trauma-informed and relies heavily on evidence-based practices which include Cognitive Behavioral Therapy and Motivational Interviewing. When providing clinical supervision, Todd utilizes the Integrative Developmental Model which tailors the approach to fit the developmental stage of the therapist.
Todd and his family live in Mebane. During his down time, Todd enjoys reading, working out and spending time with his wife and daughter.
Vice President of Operations, Outpatient Administrative Services
Lora Umberger serves as Monarch’s Vice President of Operations, Outpatient Administrative Services and administrative operations for Monarch’s 16 outpatient clinics and the Wake Behavioral Health Urgent Care (BHUC). Drawing on her wealth of knowledge of outpatient services at Monarch, Lora is responsible for setting up standardized systems and monitoring those systems to ensure administrative duties for the outpatient offices are completed effectively and accurately.
Lora has served Monarch in a variety of positions since 2006. Most recently, she was the Special Projects Manager for Behavioral Health and prior to that she served as the Practice Administrator for Monarch’s Behavioral Health – Guilford outpatient office for seven years.
Lora received a bachelor’s degree in social work from Appalachian State University. In addition to her experience working with directly with the people we support with mental illness and substance use disorders and in operations, Lora has also served as a facilitator for Monarch for various trainings including Getting it Right and System of Care Provider Partner.
Vice President of Operations, LTSS
As Vice President of Operations, LTSS, Cammie Smith oversees Monarch’s Long-Term Services and Supports day, residential and community-based programs across Eastern North Carolina. She provides leadership, supervision and support to staff providing direct care across a range of services for people with intellectual and developmental disabilities and mental illness. She has worked in the field for 30 years.
Cammie began her career working part time as a direct support professional in a group home to individuals with intellectual and developmental disabilities. She held a variety of coordinator and director positions before joining Monarch in 2016 as a qualified professional. In the years since, Cammie has served as a program manager, director of program operations and moved into the vice president of operations role in 2022.
Cammie holds a bachelor’s degree in Community and Commercial Recreation with a minor in Psychology, from East Carolina University and lives in Grifton, North Carolina, where she enjoys spending time with family and pets, camping and working on projects around the house.
Vice President for Customer Experience
Carrie Waide serves Monarch’s Vice President of Customer Experience, working with operations and clinical teams as well as Monarch’s administrative departments to review the many ways we engage with the people we support. As Monarch strives to improve customer service across all of our programs and services, Carrie coordinates process and procedures that put the people we support first and provide solutions to improve customer satisfaction. In her role, Carrie also oversees Monarch’s call center, which answers thousands of patient calls each month and is often the first point of contact for individuals and families seeking services and support.
Carrie comes Monarch with an extensive background in health care management, having worked with Health Care Services Corporation, a conglomeration of Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma and Texas.
Vice President of Marketing and Philanthropy
Laurie Weaver is Monarch’s Vice President of Marketing and Philanthropy builds and maintains brand awareness and loyalty and oversees Monarch’s marketing, communications, community engagement and philanthropic fundraising initiatives. She manages a team of creative and engaged professionals who raise awareness and understanding of the people, programs, services and mission of Monarch.
Laurie joined Monarch in 2013 as the Director of Grants and Foundation Relations and moved into the role of Senior Director of Philanthropy. During her tenure in fundraising at Monarch, she successfully secured the organization’s first private, six-figure grant, Monarch’s first facility naming gift and the organizations first multi-million dollar, multi-year federal grant.
Prior to joining Monarch, she held marketing, communications and program management roles with Our State magazine and the University of North Carolina at Greensboro. She holds a Master of Science degree from Colorado State University in Ft. Collins, CO, and a Bachelor of Arts degree from the University of North Carolina at Greensboro.