Monarch
Monarch is a North Carolina-based nonprofit 501(c)(3) behavioral health and human services organization serving approximately 13,000 individuals with intellectual and developmental disabilities plus a broader mental health and substance use caseload across all 100 NC counties and Rhode Island through outpatient, residential, crisis, mobile, and care-management services reimbursed primarily by Medicaid and Medicare.
- Company typePrivate
- Founded1958
- HeadquartersAlbemarle, United States
- Headcount1–10
- GTM typeB2C
- OfferingServices
What Monarch does
Monarch is a North Carolina-based nonprofit 501(c)(3) behavioral health and human services organization founded in 1958 and headquartered in Albemarle, NC, operating across all 100 North Carolina counties and in Rhode Island. The organization provides a continuum of services for individuals with intellectual and developmental disabilities (I/DD), mental illness, substance use disorders, and traumatic brain injuries, serving approximately 13,000 I/DD individuals alongside a broader behavioral health caseload. Service lines include outpatient therapy, psychiatric and medication management, residential and day programs, community-based mental health services, Tailored Care Management, Individual Placement and Support (IPS) employment services, facility-based crisis centers (including the 16-bed SECU Youth Crisis Center in Charlotte), Mobile Integrated Care Clinics in rural Eastern NC, Community Living and Support Services, and the new Family Peer Support Services offering.
The underlying technology footprint is intentionally modest and primarily clinical/operational rather than technology-product oriented: a HIPAA-compliant electronic health record surfaced through a third-party patient portal (MyPortal / credible portal) for records access and provider messaging, the Doxy.me telehealth platform for virtual appointments, and mobile-clinic logistics infrastructure for rural deployment. No public APIs, SDKs, AI/ML models, patents, or proprietary technology platforms are disclosed; Monarch's value is delivered through its human clinical and direct-support workforce (1,001–5,000 employees including 800+ Direct Support Professionals) and its Joint Commission Gold Seal of Approval accreditation.
Monarch's business model is reimbursement-driven rather than transaction-priced. Revenue is generated primarily through Medicaid (Standard Plans and Tailored Plans across multiple NC Managed Care Organizations including AmeriHealth Caritas, Healthy Blue, Carolina Complete Health, UnitedHealthcare, Wellcare, Alliance, Partners, Trillium, Vaya, and RI Optum), Medicare, a broad set of commercial insurance carriers (BCBS, Aetna, Humana, Magellan, etc.), and a sliding-fee scale for uninsured/underinsured individuals. Distribution combines county-based outpatient sites, fixed facilities (Charlotte, Lumberton, Biscoe, planned Concord and Pittsboro), mobile clinics, telehealth, and an Open Access walk-in/call-in intake channel, with referrals flowing from MCOs, healthcare providers, and community partners. Donations through the "Giving to Monarch" program supplement service revenue. The organization operates with a member-directed nonprofit governance model under a Board of Directors, with no parent company or private equity ownership indicated.
Monarch firmographics
Firmographics- Name
- Monarch
- Legal name
- Monarch
- Website
- https://monarchnc.org
- Company type
- Private
- Founded year
- 1958
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Monarch is a North Carolina-based nonprofit 501(c)(3) behavioral health and human services organization serving approximately 13,000 individuals with intellectual and developmental disabilities plus a broader mental health and substance use caseload across all 100 NC counties and Rhode Island through outpatient, residential, crisis, mobile, and care-management services reimbursed primarily by Medicaid and Medicare.
- Ownership category
- akta.pro rank
Monarch industry classification
Industry- Product category
- Behavioral Health and Human Services
- NAICS
- Residential Intellectual and Developmental Disability Facilities (62321), Residential Intellectual and Developmental Disability, Mental Health, and Substance Abuse Facilities (6232)
- SIC
- Accident & Health Insurance (6321)
- akta.pro primary industry
- Crisis Stabilization Units & Psychiatric Emergency Services (HLAFACAH)
Keywords
Where Monarch is headquartered
LocationHeadquarters
- HQ city
- Albemarle
- HQ country
- United States
- HQ region
- North America
Offices6 records
Markets served
Monarch business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Government Healthcare Programs: Revenue from Medicaid (both Standard Plans and Tailored Plans) and Medicare reimbursement for behavioral health and I/DD services provided to eligible individuals.
- Commercial Insurance: Revenue from contracted insurance providers including AmeriHealth Caritas, Blue Cross Blue Shield, United Healthcare, Aetna, Humana, Magellan, and others for covered behavioral health services.
- Sliding Fee Scale Payments: Reduced-cost services for individuals who qualify based on family size and income, providing affordable access to care for uninsured or underinsured populations.
- Donations and Charitable Contributions: Tax-exempt 501(c)(3) organization that accepts donations through its Giving to Monarch program to support services and operations.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Medicaid accepted plans |
| Subscription | Monthly | Medicare and Commercial Insurance |
| Hybrid | Pay-as-you-go | Sliding Fee Scale |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels6 records
Monarch product offering
Product offeringCore offering
Monarch is a nonprofit behavioral health and human services provider delivering outpatient therapy, psychiatric care, crisis intervention, residential and day programs, tailored care management, mobile integrated care, and supported employment to approximately 13,000 individuals with mental illness, intellectual and developmental disabilities, substance use disorders, and traumatic brain injuries across North Carolina and Rhode Island. Services are reimbursed through Medicaid, Medicare, and commercial insurance, with a sliding fee scale and charitable donations supporting access.
Product overview
Monarch is a behavioral health and human services organization providing a comprehensive suite of interconnected care services. The organization operates a platform model combining mental health treatment (outpatient therapy, psychiatric services, crisis intervention), intellectual and developmental disability support (residential, day programs, community living), and specialized programs (youth crisis centers, mobile clinics, tailored care management). Core access channels include the MyPortal patient portal and telehealth via Doxy.me. Services are delivered across North Carolina and Rhode Island through facility-based, community-based, and mobile modalities.
Differentiator
Problem solved
Functional benefit
Products and services
- Mental Health and Behavioral Health Services
- Intellectual and Developmental Disability (I/DD) Services
- SECU Youth Crisis Center
- Tailored Care Management (TCM)
- Mobile Integrated Care Clinics
- MyPortal Patient Portal
- Virtual Appointment Check-In (Telehealth)
- Facility-Based Crisis (FBC) Services
- Individual Placement and Support (IPS)
- Community Living and Support Services
- Family Peer Support Services
Quantifiable outcome
- SECU Youth Crisis Center has provided life-changing services to thousands of youth since opening in December 2017
- +1 more outcomes
Companies that use Monarch
Customer profileNamed customers6 records
Segments5 records
Ideal customer profiles5 records
Monarch technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
Monarch partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core and minor.
- Trillium Health ResourcescoreMonarch's Mobile Integrated Care Clinics are operated in partnership with Trillium Health Resources, a Managed Care Organization. The clinics serve Halifax, Northampton, Bertie, Hertford, Gates and Nash counties, offering treatment plans, crisis intervention and resources for ongoing care to underserved communities.
- The Joint CommissioncoreMonarch has earned The Joint Commission's Gold Seal of Approval, demonstrating compliance with national standards for health care quality and safety. The Joint Commission is an independent, not-for-profit organization that accredits and certifies health care organizations and programs.
- Community LinkminorCommunity Link program partners with Monarch's Tailored Care Management services to help ensure long-term stability for individuals receiving care, particularly for housing and social support needs.
- SECU (State Employees' Credit Union)coreThe SECU Youth Crisis Center in Charlotte is named after and supported by SECU, the State Employees' Credit Union. This 16-bed facility has been a vital resource for North Carolina children experiencing mental health or substance use crises since opening in December 2017.
Scale indicators5 records
Recent moves10 records
Expansion highlights5 records
Monarch competitors and assessment
Company assessmentDirect peers
- RHA Health Services: RHA Health Services is a North Carolina-headquartered behavioral health and I/DD services provider with a similar nonprofit model, multi-county footprint, and comprehensive service portfolio spanning mental health, substance use, and developmental disability services—making it the closest like-for-like peer to Monarch within the state.
- The Arc of North Carolina: The Arc of North Carolina is a statewide nonprofit advocating for and serving individuals with intellectual and developmental disabilities—overlapping directly with Monarch's I/DD service portfolio in the same geography and operating on a similar community-based model.
- Penn-Mar Human Services: Penn-Mar Human Services is a nonprofit provider of I/DD, behavioral health, and aging services across Pennsylvania and Maryland with a person-centered, community-based model that closely mirrors Monarch's approach to comprehensive human services delivery.
- Centria Healthcare: Centria Healthcare is a national provider of applied behavior analysis (ABA) and I/DD services for children and adults with autism and developmental disabilities—comparable to Monarch's I/DD segment with a more concentrated focus on autism services.
Broad incumbents
- Sevita Health: Sevita Health (formerly The MENTOR Network) is one of the largest national providers of I/DD, behavioral health, and home and community-based services, operating across dozens of states with both direct service and family-model programs—a clear analog to Monarch's service mix at national scale.
- BrightSpring Health Services: BrightSpring Health Services (NASDAQ: BTSG) is a public, PE-backed home and community-based services platform serving I/DD, behavioral health, and complex care populations; its pharmacy, hospice, and home health segments complement a similar I/DD/behavioral health focus to Monarch's, with much broader geographic reach.
- BAYADA Home Health Care: BAYADA Home Health Care is a large national home and community-based services provider with a similar direct support professional workforce model serving I/DD, behavioral health, and aging populations—sharing Monarch's labor-intensive, person-centered care delivery approach.
- Acadia Healthcare: Acadia Healthcare (NASDAQ: ACHC) is a leading national behavioral health operator with inpatient psychiatric and residential treatment facilities—comparable to Monarch on the crisis and residential service lines but operating as a for-profit incumbent across a much larger footprint.
- Universal Health Services: Universal Health Services (NYSE: UHS) operates one of the largest behavioral health divisions in the U.S. through its acute care and behavioral health hospital segments, overlapping with Monarch's crisis stabilization and psychiatric services at much larger scale as a public diversified healthcare system.
Others
- Alliance Health: Alliance Health is a North Carolina Managed Care Organization (LME/MCO) that contracts with Monarch and other providers for behavioral health and I/DD services—relevant as a payer counterpart and ecosystem participant rather than a direct competitor.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks7 records
Key highlights7 records
Customer concentration
Monarch social profiles
Digital presenceMonarch compliance and trust
Trust signalCompliance3 records
Monarch financial estimates
Financial estimateRevenue estimate
Valuation estimate
Monarch leadership team
Management profileNumber of profiles
Profiles17 records
Monarch funding detail
Funding detailFunding overview
Funding rounds1 record
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Monarch M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Monarch
What does Monarch do?
Monarch is a nonprofit behavioral health and human services provider delivering outpatient therapy, psychiatric care, crisis intervention, residential and day programs, tailored care management, mobile integrated care, and supported employment to approximately 13,000 individuals with mental illness, intellectual and developmental disabilities, substance use disorders, and traumatic brain injuries across North Carolina and Rhode Island. Services are reimbursed through Medicaid, Medicare, and commercial insurance, with a sliding fee scale and charitable donations supporting access.
Is Monarch a public or private company?
Monarch is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Monarch founded?
Monarch was founded in 1958. It employs 1 to 10 people.
Where is Monarch based?
Monarch is headquartered in Albemarle, United States, in the North America region.
How does Monarch make money?
Four revenue lines are on record. Government Healthcare Programs are the primary driver. The others are commercial Insurance, sliding Fee Scale Payments and donations and Charitable Contributions.
Who are Monarch's main competitors?
Direct peers on record are RHA Health Services, The Arc of North Carolina, Penn-Mar Human Services and Centria Healthcare. Broad incumbents are Sevita Health, BrightSpring Health Services, BAYADA Home Health Care, Acadia Healthcare and Universal Health Services. Alliance Health is listed as an others.
Does Monarch have an API?
No public API is recorded for Monarch.
What industry is Monarch in?
Monarch's product category is Behavioral Health and Human Services. Its primary akta.pro industry code is HLAFACAH, Crisis Stabilization Units & Psychiatric Emergency Services. Its NAICS code is 62321 and its SIC code is 6321.