Monarch Executive and Leadership Team

September, 2026

Leadership Overview

Monarch has 10 executives leading key functions including strategy, information technology, revenue management, financial oversight, operational scaling, clinical operations, ownership, executive leadership, administration, and regional management.

Committed to enhancing lives through compassionate care, Monarch delivers specialized support for individuals with intellectual disabilities and mental health needs across North Carolina.

Leadership Roles at Monarch

  • Chief Executive Officer - Peggy Terhune
  • Chief Financial Officer - Cindy Jones
  • Chief Operating Officer - Lyndril Leonard
  • President & Owner - Rachel Doyle
  • President - Blake Martin
  • President - James Pellerin
  • Chief Information Officer - Geoff Moehrke
  • Chief Revenue Officer - James Kernan
  • Chief Operations Officer - Sheryl Zerbe
  • Executive Vice President & Chief Administrative Officer - Terri Bernhardt
  • Peggy Terhune - Chief Executive Officer

    Peggy Terhune, the Chief Executive Officer at Monarch, directs the overarching strategic vision for all clinical and community-based support services. Terhune architects long-term growth initiatives that expand access to care for individuals with intellectual and developmental disabilities throughout North Carolina. By aligning organizational resources with the mission of providing high-quality mental health and substance use disorder services, the Chief Executive Officer ensures operational excellence across all departments. This leadership role involves constant collaboration with the Board to maintain fiscal health and regulatory compliance. Peggy Terhune monitors the efficacy of service delivery models to guarantee that every program meets the complex needs of the population served. Through rigorous oversight of organizational culture and performance metrics, the Chief Executive Officer drives sustainable impact. Ultimately, Terhune secures the future of the organization by fostering partnerships that strengthen the regional healthcare infrastructure and improve patient outcomes.

    Cindy Jones - Chief Financial Officer

    Cindy Jones, the Chief Financial Officer at Monarch, directs the fiscal planning, budgeting, and financial reporting functions that underpin the entire organization. Jones architects robust financial frameworks to manage the complex funding requirements associated with providing support for mental illness and substance use disorders. By overseeing capital allocation and expense management, the Chief Financial Officer ensures that resources reach the front lines of care delivery throughout North Carolina. This leadership role involves providing the Board and executive team with transparent financial analysis to guide strategic investments and operational adjustments. Cindy Jones monitors cash flow and regulatory compliance to safeguard the long-term stability of the company. Through the application of precise accounting standards and financial modeling, the Chief Financial Officer supports the expansion of essential services. Ultimately, Jones maintains the financial health required to fulfill the mission of providing innovative support to thousands of individuals with developmental disabilities.

    Lyndril Leonard - Chief Operating Officer

    Lyndril Leonard, the Chief Operating Officer at Monarch, directs the internal scaling and administrative processes that facilitate the delivery of health services. Leonard architects efficient workflows for internal departments to ensure that support programs for individuals with intellectual disabilities function without interruption. By streamlining organizational procedures, the Chief Operating Officer enhances the capacity of the company to serve more people across North Carolina. This leadership role involves managing the day-to-day logistics of service delivery and ensuring that all internal teams align with the broader corporate mission. Lyndril Leonard monitors operational bottlenecks and implements solutions to improve service quality and staff productivity. Through the coordination of cross-functional teams, the Chief Operating Officer drives the execution of strategic initiatives. Ultimately, Leonard ensures that the internal infrastructure remains agile and responsive to the evolving needs of the population, thereby supporting the overall growth and effectiveness of the organization.

    Rachel Doyle - President & Owner

    Rachel Doyle, the President & Owner at Monarch, directs the foundational values and long-term vision that define the company's commitment to community health. Doyle architects the core philosophy of the organization, ensuring that every service provided to individuals with intellectual disabilities remains rooted in empathy and innovation. By maintaining a focus on the mission, the President & Owner guides the executive team in navigating the complex landscape of mental health and substance use disorder services in North Carolina. This leadership role involves setting the ethical standards and cultural expectations that drive the entire workforce. Rachel Doyle monitors the overall impact of the company on the communities served, ensuring that the organization remains a leader in the health services industry. Through the alignment of business goals with social responsibility, the President & Owner secures the legacy of the company. Ultimately, Doyle ensures that the organization remains dedicated to its founding purpose.

    Blake Martin - President

    Blake Martin, the President at Monarch, directs the execution of high-level business strategies and market expansion efforts. Martin architects partnerships with regional stakeholders to increase the reach of services for individuals with developmental disabilities and mental health needs. By overseeing the implementation of new service lines across North Carolina, the President ensures that the company remains competitive and responsive to changing healthcare demands. This leadership role involves coordinating with other executives to translate strategic goals into actionable plans for growth and service improvement. Blake Martin monitors market trends and competitive positioning to identify new opportunities for the organization. Through the management of key external relationships, the President drives the visibility and reputation of the company. Ultimately, Martin ensures that the organization continues to evolve and adapt, maintaining a strong presence in the health services sector while delivering essential support to thousands of people.

    James Pellerin - President

    James Pellerin, the President at Monarch, directs the regional operational strategy and service delivery excellence for specific geographic territories. Pellerin architects localized programs that address the unique needs of individuals with mental illness and substance use disorders within the North Carolina market. By overseeing the performance of regional teams, the President ensures that service quality remains consistent and aligned with the company's high standards. This leadership role involves managing regional budgets and coordinating with the executive team to implement corporate initiatives at the local level. James Pellerin monitors regional outcomes and patient feedback to drive continuous improvement in service delivery. Through the development of local community partnerships, the President strengthens the presence and impact of the organization. Ultimately, Pellerin ensures that the company effectively meets the needs of the population in every region served, contributing to the overall success and mission of the organization.

    Geoff Moehrke - Chief Information Officer

    Geoff Moehrke, the Chief Information Officer at Monarch, directs the digital transformation and technological infrastructure required to support complex health service delivery. Moehrke architects secure data management systems that protect sensitive patient information while enabling seamless coordination between clinical teams across North Carolina. By implementing advanced health information technology, the Chief Information Officer optimizes the efficiency of electronic health records and internal communication platforms. This leadership role involves evaluating emerging software solutions to enhance the quality of care for individuals with mental illness and substance use disorders. Geoff Moehrke manages the cybersecurity posture of the organization to mitigate risks in an increasingly digital healthcare landscape. Through the integration of robust data analytics, the Chief Information Officer provides actionable insights that inform strategic decision-making for the entire executive team. Ultimately, Moehrke ensures that technology remains a reliable foundation for the delivery of essential community support services.

    James Kernan - Chief Revenue Officer

    James Kernan, the Chief Revenue Officer at Monarch, directs the financial growth strategies and revenue cycle management necessary to sustain comprehensive health services. Kernan architects billing processes and reimbursement models that ensure the financial viability of programs supporting individuals with intellectual disabilities and mental health challenges. By analyzing market trends and payer requirements across North Carolina, the Chief Revenue Officer optimizes revenue streams to fund critical community initiatives. This leadership role involves close coordination with financial departments to forecast income and manage contractual obligations with state and private entities. James Kernan monitors key performance indicators to identify opportunities for operational efficiency and revenue expansion. Through the implementation of rigorous financial controls, the Chief Revenue Officer maintains the fiscal integrity of the organization. Ultimately, Kernan secures the necessary resources to allow the company to continue providing high-quality care to thousands of people in need.
    James Kernan

    Sheryl Zerbe - Chief Operations Officer

    Sheryl Zerbe, the Chief Operations Officer at Monarch, directs the supply chain logistics and facility management required to maintain high-quality care environments. Zerbe architects the operational protocols for physical locations and service centers that provide support for mental illness and substance use disorders. By overseeing the procurement of necessary resources and the maintenance of clinical facilities throughout North Carolina, the Chief Operations Officer ensures that every site meets safety and quality standards. This leadership role involves managing vendor relationships and optimizing the distribution of supplies to frontline care teams. Sheryl Zerbe monitors facility utilization and operational costs to maximize the impact of available resources. Through the implementation of standardized operational procedures, the Chief Operations Officer improves the consistency of care delivery across the regional network. Ultimately, Zerbe ensures that the physical and logistical foundations of the company support the mission of providing compassionate care to all individuals.

    Terri Bernhardt - Executive Vice President & Chief Administrative Officer

    Terri Bernhardt, the Executive Vice President & Chief Administrative Officer at Monarch, directs the human resources, legal compliance, and administrative functions that support the entire workforce. Bernhardt architects policies that foster a culture of excellence and ensure that all staff members are equipped to provide high-quality care to individuals with intellectual disabilities. By overseeing talent acquisition and professional development programs across North Carolina, the Executive Vice President & Chief Administrative Officer ensures that the organization attracts and retains top-tier talent. This leadership role involves managing complex administrative workflows and ensuring that all operations adhere to state and federal regulations. Terri Bernhardt monitors employee engagement and organizational health to maintain a productive work environment. Through the implementation of efficient administrative systems, the Executive Vice President & Chief Administrative Officer supports the operational success of the company. Ultimately, Bernhardt ensures that the internal administrative structure remains robust and capable of supporting the mission.
    Terri Bernhardt

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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 10 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 & Owner, President.