Monarch Executive and Leadership Team

May, 2026

Leadership Overview

Monarch has 10 executives leading key functions including strategy, operations, finance, technology, administration, and medical direction.

Driven by a commitment to transformative care, Monarch provides innovative support to thousands of individuals with intellectual and developmental disabilities, mental illness, and substance use disorders across North Carolina, fostering independence and well-being.

Leadership Roles at Monarch

  • Chief Executive Officer - Peggy Terhune
  • Founder & Chief Executive Officer - Caylan Evans-Moody
  • Chief Financial Officer - Tammy Geis
  • 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 and operational execution for the organization. This leadership role involves guiding Monarch's mission to provide innovative support to thousands of individuals with intellectual and developmental disabilities, mental illness, and substance use disorders throughout North Carolina. Terhune ensures alignment across all departments, fostering a culture of excellence and compassionate care. The Chief Executive Officer's responsibilities include driving growth initiatives, managing key stakeholder relationships, and upholding the organization's commitment to enhancing the quality of life for those served. Peggy Terhune's strategic direction is pivotal in expanding Monarch's reach and impact within the state's health services sector, ensuring sustainable operations and continued service delivery.

    Caylan Evans-Moody - Founder & Chief Executive Officer

    Caylan Evans-Moody, the Founder & Chief Executive Officer at Monarch, established the organization's foundational principles and continues to shape its strategic trajectory. This executive leadership position involves overseeing the company's core mission of delivering innovative support to individuals facing intellectual and developmental disabilities, mental illness, and substance use disorders across North Carolina. Evans-Moody's role encompasses driving long-term vision, fostering organizational culture, and ensuring the effective implementation of programs that promote independence and well-being. The Founder & Chief Executive Officer engages with community partners and advocates for the needs of the population served. Caylan Evans-Moody's deep understanding of the sector's challenges informs strategic decisions, positioning Monarch for continued impact and service expansion within North Carolina.

    Tammy Geis - Chief Financial Officer

    Tammy Geis, the Chief Financial Officer at Monarch, oversees all financial operations, planning, and reporting for the organization. This executive role is crucial for ensuring the financial health and sustainability of Monarch's services supporting individuals with intellectual and developmental disabilities, mental illness, and substance use disorders in North Carolina. Geis manages budgeting, financial analysis, and investment strategies to support the company's mission and growth objectives. The Chief Financial Officer's responsibilities include maintaining compliance with financial regulations and optimizing financial performance across all departments. Tammy Geis's strategic financial management provides the necessary resources and oversight to sustain and expand Monarch's vital support services throughout the state.

    Lyndril Leonard - Chief Operating Officer

    Lyndril Leonard, the Chief Operating Officer at Monarch, directs the day-to-day operational activities that ensure the effective delivery of support services across North Carolina. This executive position focuses on optimizing processes and resource allocation to serve thousands of individuals with intellectual and developmental disabilities, mental illness, and substance use disorders. Leonard oversees the operational integration of programs, ensuring efficiency and quality in service provision. The Chief Operating Officer's responsibilities include managing operational teams, implementing best practices, and driving operational improvements that align with Monarch's mission. Lyndril Leonard's focus on operational excellence is fundamental to maintaining high standards of care and expanding the organization's capacity to serve its community.

    James Pellerin - President

    James Pellerin, the President at Monarch, leads strategic initiatives and operational oversight to advance the organization's mission across North Carolina. This executive position focuses on driving growth and ensuring the effective delivery of support services to individuals with intellectual and developmental disabilities, mental illness, and substance use disorders. Pellerin's responsibilities include fostering key partnerships and championing programs that enhance client well-being and independence. The President's role involves collaborating with other leaders to achieve organizational goals and expand service reach. James Pellerin's leadership contributes significantly to Monarch's operational success and its commitment to serving the community with innovative and compassionate care.

    Blake Martin - President

    Blake Martin, the President at Monarch, directs strategic planning and operational execution to enhance the organization's impact in North Carolina. This executive leadership role focuses on advancing the delivery of innovative support to individuals with intellectual and developmental disabilities, mental illness, and substance use disorders. Martin oversees key initiatives aimed at improving service quality and expanding access to care. The President's responsibilities include fostering collaboration among teams and ensuring alignment with Monarch's core values and objectives. Blake Martin's leadership is instrumental in driving operational effectiveness and reinforcing the organization's commitment to empowering those it serves through dedicated support.

    Geoff Moehrke - Chief Information Officer

    Geoff Moehrke, the Chief Information Officer at Monarch, architects and manages the organization's technology infrastructure and digital strategy. This critical role ensures that Monarch's information systems effectively support the delivery of innovative services to thousands of individuals with intellectual and developmental disabilities, mental illness, and substance use disorders in North Carolina. Moehrke oversees the implementation of secure and efficient technological solutions, driving digital transformation to enhance operational effectiveness and client care. The Chief Information Officer's responsibilities include data management, cybersecurity, and the adoption of new technologies that align with the company's mission. Geoff Moehrke's leadership in information technology is essential for maintaining robust operational capabilities and advancing Monarch's service delivery model.

    Sheryl Zerbe - Chief Operations Officer

    Sheryl Zerbe, the Chief Operations Officer at Monarch, drives operational strategy and execution, focusing on enhancing the efficiency and effectiveness of service delivery across North Carolina. This leadership position is dedicated to optimizing the support provided to thousands of individuals with intellectual and developmental disabilities, mental illness, and substance use disorders. Zerbe oversees the implementation of operational frameworks that ensure quality, compliance, and scalability of programs. The Chief Operations Officer's responsibilities include managing cross-departmental operational initiatives and fostering a culture of continuous improvement. Sheryl Zerbe's leadership in operations is vital for expanding Monarch's capacity and ensuring consistent, high-quality care delivery throughout the region.

    Terri Bernhardt - Executive Vice President & Chief Administrative Officer

    Terri Bernhardt, the Executive Vice President & Chief Administrative Officer at Monarch, directs critical administrative functions that support the organization's comprehensive service delivery. This executive role ensures the smooth operation of internal processes, human resources, and compliance, enabling Monarch to effectively serve thousands of individuals with intellectual and developmental disabilities, mental illness, and substance use disorders in North Carolina. Bernhardt oversees the strategic management of administrative resources, fostering an environment conducive to high-quality care and operational efficiency. The Executive Vice President & Chief Administrative Officer's responsibilities include developing policies and procedures that align with the company's mission and regulatory requirements. Terri Bernhardt's leadership in administration is foundational to Monarch's ability to provide consistent and impactful support.
    Terri Bernhardt

    Robert McHale - Medical Director

    Robert McHale, the Medical Director at Monarch, provides essential clinical leadership and oversight for the organization's healthcare services in North Carolina. This role ensures that medical protocols and treatments align with best practices for individuals with intellectual and developmental disabilities, mental illness, and substance use disorders. McHale guides the integration of medical care with therapeutic support, enhancing patient outcomes and well-being. The Medical Director's responsibilities include developing clinical strategies, ensuring compliance with healthcare regulations, and advising on medical advancements. Robert McHale's expertise is critical in maintaining the high standard of medical care and advancing Monarch's mission to provide comprehensive support.

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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 Caylan Evans-Moody (Founder & Chief Executive Officer) and Tammy Geis (Chief Financial Officer).
    Who is part of Monarch’s executive team?
    The executive team of Monarch includes leaders such as Peggy Terhune (Chief Executive Officer), Caylan Evans-Moody (Founder & Chief Executive Officer), Tammy Geis (Chief Financial 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, Founder & Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, President.