Monarch Executive and Leadership Team

November, 2026

Leadership Overview

Monarch has 9 executives leading key functions including strategy, information technology, financial management, operational oversight, medical direction, administrative governance, and organizational leadership.

Committed to enhancing lives across North Carolina, Monarch delivers essential support services for individuals facing intellectual disabilities, mental health challenges, and substance use disorders through compassionate, innovative care models.

Leadership Roles at Monarch

  • Chief Executive Officer - Peggy Terhune
  • Chief Financial Officer - Cindy Jones
  • Chief Operating Officer - Lyndril Leonard
  • President - James Pellerin
  • President - Blake Martin
  • Chief Information Officer - Geoff Moehrke
  • Chief Operations Officer - Sheryl Zerbe
  • Executive Vice President & Chief Administrative Officer - Terri Bernhardt
  • Medical Director - Robert McHale
  • Peggy Terhune - Chief Executive Officer

    Peggy Terhune, the Chief Executive Officer at Monarch, directs the overarching strategic vision for all health service initiatives. Terhune architects long-term growth plans while ensuring the organization maintains high standards of care for individuals with intellectual and developmental disabilities. By aligning internal resources with the mission of providing comprehensive support across North Carolina, the Chief Executive Officer fosters a culture of excellence and accountability. Peggy Terhune monitors the efficacy of clinical programs and drives the expansion of service delivery models to meet evolving community needs. Through consistent engagement with the Board and external stakeholders, the Chief Executive Officer secures the necessary partnerships to sustain operational stability. This leadership role involves navigating complex regulatory environments to guarantee that every service remains accessible and impactful. Ultimately, Terhune strengthens the organizational foundation to support thousands of people requiring specialized mental health and substance use disorder assistance.

    Cindy Jones - Chief Financial Officer

    Cindy Jones, the Chief Financial Officer at Monarch, oversees the fiscal health and resource allocation for all health service operations. Jones architects comprehensive financial strategies that ensure the long-term sustainability of programs serving individuals with intellectual disabilities and mental health needs. By managing complex budgets and monitoring revenue streams, the Chief Financial Officer provides the necessary capital to expand service reach throughout North Carolina. Cindy Jones drives rigorous financial reporting and compliance efforts to maintain transparency with stakeholders and regulatory bodies. This leadership role involves analyzing market trends to identify cost-saving opportunities without compromising the quality of care. Through strategic investment planning, the Chief Financial Officer supports the growth of substance use disorder treatment facilities. Jones maintains a disciplined approach to fiscal management, ensuring that every dollar contributes directly to the mission of providing innovative support to those requiring specialized care.

    Lyndril Leonard - Chief Operating Officer

    Lyndril Leonard, the Chief Operating Officer at Monarch, directs the internal scaling and daily execution of health service programs. Leonard architects efficient operational workflows that allow the organization to serve thousands of people with intellectual and developmental disabilities across North Carolina. By focusing on the standardization of service delivery, the Chief Operating Officer ensures that every facility maintains high-quality care standards. Lyndril Leonard drives the implementation of internal processes that streamline patient intake and resource distribution for mental health and substance use disorder services. This role involves coordinating with regional managers to optimize the performance of local care teams. Through the continuous evaluation of operational metrics, the Chief Operating Officer identifies areas for improvement and executes necessary adjustments to enhance service efficiency. Leonard maintains a sharp focus on operational excellence to ensure that the organization meets the diverse needs of the communities served.

    James Pellerin - President

    James Pellerin, the President at Monarch, directs the external relations and community engagement efforts to expand the reach of health services. Pellerin architects partnerships with local stakeholders and government agencies to secure support for programs serving individuals with intellectual and developmental disabilities. By representing the organization in public forums, the President drives awareness of the critical need for mental health and substance use disorder resources across North Carolina. James Pellerin monitors the competitive landscape to identify new opportunities for service expansion and market growth. This leadership role involves collaborating with the Board to define the long-term direction of the organization. Through the cultivation of donor relationships and community advocacy, the President ensures that the organization maintains the necessary resources to fulfill its mission. Pellerin focuses on building a strong public presence that reflects the commitment to providing innovative, compassionate support to those requiring specialized care.

    Blake Martin - President

    Blake Martin, the President at Monarch, directs the strategic development of specialized service lines for individuals with complex mental health needs. Martin architects innovative program models that address the specific requirements of populations with substance use disorders and intellectual disabilities. By focusing on the diversification of service offerings, the President drives the organization toward a more comprehensive care approach across North Carolina. Blake Martin monitors the performance of new initiatives to ensure they meet the high standards of the organization. This leadership role involves working with clinical and operational teams to integrate new services into the existing framework. Through the analysis of patient needs and market demand, the President identifies gaps in care and develops solutions to fill them. Martin maintains a focus on sustainable growth, ensuring that every new program contributes to the overall mission of providing high-quality, accessible support to the community.

    Geoff Moehrke - Chief Information Officer

    Geoff Moehrke, the Chief Information Officer at Monarch, manages the digital infrastructure required to support complex health service delivery. Moehrke architects secure data systems that protect sensitive patient information while enabling seamless communication between clinical teams across North Carolina. By implementing advanced technology solutions, the Chief Information Officer optimizes administrative workflows and improves the accuracy of health records. Geoff Moehrke drives the integration of digital tools that allow for more efficient tracking of patient outcomes in mental health and substance use disorder programs. This role involves collaborating with other C-suite leaders to ensure that technological investments directly support the broader organizational mission. Through the modernization of internal platforms, the Chief Information Officer enhances the overall quality of care provided to individuals with developmental disabilities. Moehrke maintains a robust cybersecurity posture to safeguard the integrity of all organizational data assets.

    Sheryl Zerbe - Chief Operations Officer

    Sheryl Zerbe, the Chief Operations Officer at Monarch, manages the supply chain logistics and facility management for all health service locations. Zerbe architects robust logistical frameworks that ensure every clinic has the necessary resources to provide consistent support for individuals with mental illness and substance use disorders. By overseeing the physical infrastructure and equipment procurement, the Chief Operations Officer guarantees that all environments remain safe and conducive to recovery. Sheryl Zerbe drives the optimization of facility utilization to maximize the number of people receiving care across North Carolina. This leadership role involves working closely with clinical directors to align physical resources with patient volume requirements. Through the management of vendor relationships and maintenance schedules, the Chief Operations Officer prevents service disruptions. Zerbe ensures that the operational backbone of the organization remains resilient, allowing clinical staff to focus entirely on delivering high-quality, compassionate care to those in need.

    Terri Bernhardt - Executive Vice President & Chief Administrative Officer

    Terri Bernhardt, the Executive Vice President & Chief Administrative Officer at Monarch, directs the human resources and administrative functions that support the entire workforce. Bernhardt architects talent acquisition and retention strategies to ensure the organization employs highly skilled professionals dedicated to serving individuals with intellectual disabilities and mental health challenges. By managing internal policies and organizational culture, the Chief Administrative Officer fosters an environment of professional growth and commitment. Terri Bernhardt drives the implementation of administrative systems that streamline communication and compliance across all North Carolina operations. This leadership role involves working with the executive team to align administrative support with the strategic goals of the organization. Through the oversight of employee development programs, the Chief Administrative Officer ensures that the staff remains equipped to handle the complexities of health service delivery. Bernhardt maintains a focus on organizational efficiency to support the mission of providing innovative care.
    Terri Bernhardt

    Robert McHale - Medical Director

    Robert McHale, the Medical Director at Monarch, directs the clinical standards and medical protocols for all health service programs. McHale architects evidence-based treatment plans for individuals with intellectual disabilities, mental illness, and substance use disorders. By supervising clinical staff and ensuring adherence to medical best practices, the Medical Director maintains the highest quality of care across North Carolina. Robert McHale drives the integration of new therapeutic approaches that improve patient outcomes and recovery rates. This leadership role involves collaborating with the executive team to align medical strategy with the overall organizational mission. Through the continuous review of clinical performance data, the Medical Director identifies opportunities to enhance treatment efficacy. McHale ensures that all medical services remain compliant with state and federal regulations. By fostering a culture of clinical excellence, the Medical Director supports the organization in providing life-changing care to thousands of individuals.

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    Frequently Asked Questions Regarding Monarch Top Executives and Leadership Team

    Who leads Monarch?
    Monarch is led by Peggy Terhune (Chief Executive Officer), along with executives such as Cindy Jones (Chief Financial Officer) and Lyndril Leonard (Chief Operating Officer).
    Who is part of Monarch’s executive team?
    The executive team of Monarch includes leaders such as Peggy Terhune (Chief Executive Officer), Cindy Jones (Chief Financial Officer), Lyndril Leonard (Chief Operating Officer) and other senior executives.
    How many executives does Monarch have?
    Monarch has 9 executives leading key business areas.
    What roles are included in Monarch’s leadership team?
    The leadership team of Monarch includes roles such as Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, President, President.