Click on the name for the complete quote.

Click on the name for the complete quote.

"TBH partnered with our organization beginning in September of 2009.  They assembled a team of psychiatrists to cover both weekdays and weekends with very short notice.  We were very pleased with their ability to fully staff our hospital from the first day. "

"Not only were they able to staff our hospital with quality psychiatrists, our census more than doubled in a matter of a few weeks!  TBH continues to partner with us to fully develop our hospital.  We have seen a decrease in our ALOS and a decrease in our denials of payment.  TBH psychiatrists have been very collaborative with the patient care and operations teams.  They have also been very responsive to the needs of our referral sources. "

"TBH psychiatrists are an integral component in goal to be the quality regional mental health provider!   We are excited about the many opportunities on our horizon that are within our reach through the partnership with TBH.  Many thanks to the TBH team!"

Don Myers, Director, Kaweah Delta Mental Health Hospital  

"TBH has been working with us for 5 months now.  They have brought high quality care given by a solid group of very competent  psychiatrists. There has been a very strong commitment from Gary Hayes. He has been personally involved in resolving physician staffing issues and communicating with both
our administrative team and our doctors.

We are pleased to have Dr. Brad Keller join us as medical director of the inpatient unit.  He is a solid leader and has made a significant contribution in the few weeks that he has been here.

TBH has been a strong partner and we look forward to continuing to work together to provide the high quality patient care that our institution is recognized for."
-John Fankhauser, MD, Medical Director, VCMC & Sta. Paula Hospitals

“TBH psychiatrists are clearly very pleased to be associated with TBH. They are a part of a community of other psychiatrists of quality. TBH recruits highly qualified psychiatrists into programs that appreciate that quality. As a result psychiatrists are almost always very pleased with the program, and in the few instances when that turned out to not be true, arrangements were made for a psychiatrists to move to another program.

“I have worked with Gary Hayes and TBH for about 8 years. TBH has proven itself to be an excellent partner, and we now have TBH doctors for about 70% of the California programs that have psychiatrists. The programs'
and psychiatrists' satisfaction with each other are very high.”
- Stephen Wilson, MD, Medical Director, Telecare

“TBH has done an excellent job of providing Telecare with capable psychiatrists. They are skilled at developing a resource pool of candidates and pre-screening doctors to match our requirements. In developing a partnership with TBH, we have been better able to meet our needs for quality psychiatrists. I highly recommend their service.”
- Stacey Calhoun, Vice-President of Telecare

“Now that we have passed the first trimester of TBH's involvement at St. Helena Hospital, I wanted to give you my overall impressions of how it's working out. Superb! Wonderful! Outstanding! Drs. Jackson and Zeff have brought quality, efficiency and collegiality to our institution and we are moving in the direction of providing enhanced patient care and staff support at St. Helena Hospital. Thank you and your group for working with us.”
- Guy C. Qvistgaard, MS, MFT, Sr. Vice President of Operations

Click here to see Guy C. Qvistgaard's First Trimester Evaluation of TBH.

“Caminar is a brand new customer of TBH, and so far we are delighted.”
- Peg Morris, Program Administrator, Caminar, Inc.

“TBH was awarded the contract for the psychiatric services in the last week of January 2007 at John George Pavilion with a start date of February 1.

“An interim plan was set in place immediately and the transition was very smooth. By March they had a Chief of Inpatient Services and 4.5 full time permanent doctors in place augmented by locum tenens, all of the weekend coverage taken care of and even the vacation relief doctor hired with a start date of July. We were very impressed.

In the intervening three and a half years TBH has had an outstanding retention of physicians and our recruitment problem has disappeared.  We continue to be very impressed with the quality of the doctors and patient care has benefitted significantly from the consistency.  Also the financial viability of the project has improved with better documentation, shorter length of stay and a dramatic reduction in denial and admin days.

“TBH’s doctors are exceptionally skilled and are team players. We are very excited about partnering with TBH to bring John George to a center of excellence.”
- Bill Manns, COO, John George Psychiatric Pavilion

Click here to see Bill Mann's First Quarter Evaluation of TBH.

“TBH is providing a "top-notch" professional service for our patients. We asked them to take over our inpatient psychiatric services with a month's notice. Gary and the team recruited very highly qualified psychiatrists at a moment's notice and they improved the quality of our care dramatically. TBH is just fabulous!” - Jeffrey V. Smith, Executive Director, CCRMC

“Gary, I want to extend my gratitude and comment on the process so far. One month ago (May 14, 2007), I asked you to come in and present a proposal to senior staff to take over our contract for Crisis stabilization and inpatient psychiatry. Your proposal and presentation was extremely well received and we got an immediate green light to terminate with our former contractor and proceed with TBH.

“Since then, on behalf of CCRMC, TBH has hired 7 permanent crisis-stabilization doctors, and 3 inpatient doctors. Additionally, TBH has assumed contractual relationships with all five of our independent contractors. Further, TBH has coordinated locum tenens coverage to bring us closer to full staffing the very day the contract begins (June 16, 2007) than we've been in the three years I've been the administrative director of the services. Not only has TBH been able to provide doctors, but the level of quality and experience in the medical staff at CCRMC will benefit tremendously from the quality and experience of the TBH physicians.”
- Miles D. Kramer, Administrative Director, CCRMC

“TBH has supplied us with three full-time psychiatrists placed in long-term positions and we are asking for more. The TBH doctors are excellent psychiatrists and we are very happy with them. I feel TBH provides excellent services.”
- Gary Bravo, MD, Medical Director, Sonoma County Mental Health

“TBH has placed seven psychiatrists here at Humboldt County in Eureka. We are a rural community environment and historically we have had significant challenges in recruiting psychiatrists. TBH has not only done a superb job in recruiting, their retention of physicians has also been great. I am really delighted with Gary and the TBH staff.”
- Kate Bell, MD, Humboldt County Mental Health

"For nearly a decade now TBH has provided medical staff for this Crestwood campus. We are very pleased with their services. The quality of the medical staff, the consistency of the physicians, the accuracy of the documentation, and the compassion in which the services are delivered clearly reflect the values and standards of TBH.

"Dr. Jones is a superb physician who is very popular both with the clients and staff. The longevity of our relationship with TBH speaks for itself!"
- Gail McDonald, RN, Campus Administrator, Crestwood Solano

I have been working for TBH for 2 years now and its one of the best companies I have worked for thus far. There are numerous psychiatry opportunities available in the company and they are all so diverse. TBH is a group of close knit psychiatrists that are collegues as well as friends. I think one of the things that sets the company apart from other companies is the annual Napa Valley Resort trip that all docs are invited to. It is a great chance to get to know other psychiatrists on a professional as well as a personal level. TBH also has a great benefits package and vacation schedule as well. TBH can work out a schedule that fits each psychiatrist individually and there is a great deal of flexibility. I recommend this company highly. Thanks!

-Simret Nanda, MD

I have been associated with TBH for more than 3 years and I really appreciate the work environment that Gary and his wonderful staff like Susana, Lisa and others provide. I work on the inpatient unit and TBH after taking over the contract for another provider has done a great deal to improve the quality of care and recruited some really smart and hard working professionals. It is a great opportunity for someone starting his or her career or wanting a change, with long term growth opportunities within the organization. TBH provides a range of positions to consider, like out patient positions working with chronic and persistently mentally ill clients to inpatient settings. Belonging to  a large and cohesive group has helped me learn a lot from my colleagues and made me feel part of a community. There is lively discussion within the group by email about important research articles and  input from colleagues about  diagnostic and treatment considerations for any challenging situations. Any one considering working for TBH will not regret their decision.

-Giridhar Reddy

I joined TBH in 2004 as a forensic psychologist responsible for providing court testimony regarding client conservatorships and related mental health court matters. Under oath, I would heartily endorse TBH as an organization, at the direction of Gary Hayes, PhD, providing personalized attention to the TBH doctors and contracted programs.

I especially appreciate the intelligence and openness of the TBH operations (Lisa, Susana and company) and their attention to details. I have worked with a number of private mental health organizations, and recognize the value of the TBH approach: give the professionals the resources to provide quality work.

Along with periods of growth within the company and the changes at the partnering programs, TBH has retained its family feel. When I attend the annual TBH conference each winter in Napa, I really look forward to reunions with colleagues up and down the State.

-Gary Freedman-Harvey, PhD
Forensic Psychologist

• La Casa PHF
• La Casa MHRC
• La Paz Geropsychiatric

-Ronnie Cummings MD

"TBH has been an amazing company to work for. There are so many personal touches that the staff make an extra effort to do. It is clear that we are important as individuals to the company, more than just numbers. The flexibility within the organization is also a valuable resource for its psychiatrists. I would unconditionally recommend working for or hiring TBH to staff a hospital."

-David Huang, MD

"TBH has done an outstanding job of matching my skills and interests with a collegial, team-oriented, challenging and supportive work environment at John George Hospital.  It was an example of serendipity when I found myself working with TBH over three years ago. But as my career as a staff psychiatrist progresses, I find myself with an even greater appreciation for my employment with Traditions Behavioral Health. Thanks Gary!"

- John W. Fenton, MD

"I have always kept a small moonlighting job on the side to supplement my income as a psychiatrist.  TBH is the first moonlighting position in 15 years where I have seriously considered switching to full-time.  The organization is honest, straight-forward, provides high-quality care and retains physicians by emphasizing good morale.  I give them a high recommendation." 

-Barry Mills MD PhD

"It is now twelve years since I joined the TBH "family".  TBH continues to be a welcoming and supportive resource for the additional income necessary for me to fully support my family and personal interests.  I am grateful for the companys' attention to negotiating contracts such that quality of care as well as the needs of  Psychiatrists are ensured.  I have frequently and enthusiastically recommended others to enroll with TBH.
Come join us,you won't regret it! - Michelle"

“I have just passed my one-year anniversary with TBH and still have only good things to say.  It is run well, efficiently and there are no surprises. I am still at my initial placement at an ACT program in San Diego, and feel very lucky to have found this position. Gary can be depended on to handle the bumps in the road and consistently represent the TBH physicians’ best interest. You won’t be disappointed by TBH."

-Meg Weiss, MD, MBA

I have been working with TBH since 2008.  I am thrilled with the opportunities that being a physician with TBH has provided for me and my patients - and all that I have learned and how I have grown professionally and personally.   However, I am mostly excited about my future with TBH and all that being a TBH psychiatrist is going to provide not only me but the California communities where I work as a TBH doctor.  Thanks Gary, Susana, Lisa and staff at TBH!

- Andrea Bates, MD, MBA

"I have been working for TBH for two years and although I am a part-time staff physician, I have always been made to feel I belong to the greater TBH community. As the mother of a small child I cannot emphasize enough the value of having a flexible and accommodating work environment and have found this and more to be true of TBH. From day one, Gary has made me feel as integral to TBH as any full time employee and the TBH culture is one in which all employees are valued, respected and empowered to carve out a position uniquely suited to their individual needs. While TBH physicians come from a variety of backgrounds and have a variety of interests and goals, we share in common a commitment to provide high quality care because while TBH demands the best from us, it provides a strong foundation for good work in return. At TBH, physician satisfaction and well being are not just catchy terms given lip service but are truly made a top priority because Gary seems to recognize how essential physician job satisfaction is to the health and functioning of the company at large. Thank you Gary, and thank you TBH!"

-Anna Budayr MD

"I had worked in the Empire State for a number of years before I moved to Northern California two and a half years ago. Thanks to Gary, I  found the kind of work that I enjoy very much at John George Psychiatric Pavilion. And I am lucky to be surrounded by good people,especially all of my wonderful colleagues . I feel very comfortable with the patient mix. The staffing ratio is significantly better than the one I was used to. Once you are done at 5 PM, you are done. Rarely are there after hour calls. I enjoy our monthly TBH dinner meeting. Not only is there good food,wine, and camaraderie, but there is also regular detailed updates from Gary about TBH and job security.  To top it all off, there is the great  Northern California weather. You can not beat it.
-Jin-Soo Rhee, M.D.
Staff Psychiatrist at JGPP, San Leandro, CA

" I have been working for TBH for one year. I have been very impressed by qualities in the company that I had not yet encountered in previous working relationships.  First of all is Gary Hayes himself, the president of the company.  He is consistently available, by phone, email, and in person, and is in touch on an ongoing basis with both the professional and personal lives of his employees. Beautiful bouquets are sent for special occasions as birthdays. There is a monthly dinner meeting (at an excellent restaurant) which brings Gary and the psychiatrists in the area together, and which is congenial, educational, and entertaining. Gary himself is the epitome of transparency, and speaks of various issues regarding the company, even if they are problematic.  If one has a question about pay or any other issue, just pick up the phone (and dial) and the person involved at the home office in Napa will give you the answer. It very much feels as if you are part of a family. I am not usually a company man, nor a terribly trusting person, and it has taken some time to reach these conclusions, but I have not been disappointed in any of my interactions with the company. I recommend TBH highly."

-Robert Bloomgarden MD

"Working with Dr. Gary Hayes and the TBH crew has been an exceptional experience from the outset. I recently completed subspecialty training in Child & Adolescent Psychiatry, spending many weekends providing coverage at Northern California sites along the way. After a much-needed lengthy vacation that was fully supported by the TBH home office, I began my first full-time position with the company four months ago. I got exactly what I asked for - a full time position with an ACT model program here in San Diego that would challenge me clinically, while leaving me the flexibility in my schedule to enjoy the lovely city I now call home. Surfs up!
Gary and his team truly understand the importance of each doctor's needs being addressed individually within the company, and they do so with a personal touch that makes you feel truly valued. I have been so pleased with my experience at TBH that I have referred several friends and colleagues to consider joining the team, and I am excited and very satisfied to stay on as a full-time psychiatrist. I haven't discovered any opportunities that approximate the quality of my experience working with Gary and the TBH family. Highly recommended!"

-Todd Young, M.D.

I had worked for TBH for over a year as a part-time weekend doc before making the decision to come aboard full-time almost a year ago.  I cannot express how glad I am that I made that decision.  I gave up a county position with the promise of a pension for what I was afraid would be a less stable position.  My fears were unfounded.

I had been treated very well by TBH as a part-timer, and that is what ultimately convinced me to join full-time.  I have been privileged to be a part of a wonderful work environment in Contra Costa County since joining TBH, which is a welcome change from the dysfunction of my prior county system, and Kaiser before that.  I am working with colleagues who are both professionally and personally exceptional.  That is where the advantage of this position begins.

I have experienced significant changes in my life since joining TBH full-time.  I have been amazed at the support that I have received from Gary and everyone involved with the company.  I would never expect an employer to come through for me in the ways that they have, and am at a loss for words in being able to express my gratitude.  I do feel more like a part of a family than an employee.  I have never experienced that in a job before, and it is such a welcome change from both the corporate and public systems in medicine that I sometimes don't know how to respond.  I do not feel that the company has ever demanded loyalty, unlike other employers, but my loyalty has been earned by the way that I am treated as a member of the team.

I hope to remain a member of the TBH team for quite some time to come.  I am always happy to tell people how happy I am working with this company.  If you have any specific questions, the office knows how to get in touch with me.

-Brian E Thomas, MD

"I've been employed by TBH for over 2 years. Prior to working for TBH, I had the opportunity to work at several hospitals in Northern and Southern California as a locum tenens psychiatrist. TBH has been the BEST company to work with. Why? Staff are friendly, professional and responsive. Gary has been able to maintain a human and personal connection with doctors (no matter how large the company has grown). Psychiatrists are respected and valued. We look forward to our annual retreat in beautiful Napa. The fact that family are welcome at the retreat speaks volumes about the philosophy of the company. "

"As a single parent, I have valued the flexibility and openness of TBH. The hours are good, and at my facility, weekend call is optional and I treasure having holidays to spend with my family. I enjoy my job and I have the privilege and joy to work with bright, diverse physician colleagues. Gary and staff have been very accepting of my requests and I feel that my ideas and goals are really considered before decisions are made. It is also nice to know that because the organization is growing and growing, there are many sites to choose from. So, if a physician is at a site that is not a good 'fit', Gary makes an effort to find a good match for the physician at one of the other sites."

"The position has worked well for me...to be able to enjoy my job and to enjoy my life outside of work--to spend time with my son, to run, bike and hike and travel.  I'm very pleased and happy to be a TBH doc."
- Melanie M. Watkins, MD

"I am two years out of residency, and working with TBH has been an absolute pleasure. They have multiple settings which you can work in, and the locations are always well run and fascinating. All the staff are kind and a pleasure to work with. Most importantly, they truly take care of you. If something falls through for any reason, they try their hardest to make it up to you and make sure you are compensated. I give TBH an incredibly strong recommendation."
-Dave Schatz, MD

"I've worked with TBH for close to four years at two different hospitals in two different roles. I had always been pleased with the way Gary Hayes had managed the physicians and the staffing of the units. More recently I had to change my status from independent contractor to salaried employee. Having been an independent contractor most of my employed life, this transition led to a significant amount of anxiety for me. His sensitivity to my concerns, the flexibility he continually demonstrated, and the administrative staff's unending patience with my numerous questions facilitated this change seamlessly. I can't imagine a better administered physician group than TBH."
-Richard Slawsky, MD

"And, a note about my current position. I love it!----As you know, and I have tirelessly reminded you, I have a long background in private practice, and have also served as medical director of various hospitals. Despite the obvious cultural change, my job is always interesting and I feel as if my abilities are being well utilized. I work in a "field based" program, treating severely mentally ill older adults--in their residinces. I am part of a well-motivated and very courteous team. Each day is quite varied, and the work is never dull, and is often very different and challenging.  Overall this is a rewarding position and the support provided by TBH is an important factor in making it so. Thanks and best regards,"
-Richard Rothbard, MD

"I travelled a bit of a circuitous route to TBH, interviewing with the company, but then accepting a position at the VA. The reasons I came back to TBH were:

#1. The focus on clinical care, with minimal bureaucracy and a commitment to making excellent patient care the priority.

#2. The people that make up TBH, both clinicians and staff, who are enthusiastic  and positive people who care about what they do."
-Josh Kane, Staff Psychiatrist, Willow Rock Center

“my relationship with Dr. Hayes and TBH started a decade and a half ago. He blends old world charm and honesty with new world astuteness and assertiveness to obtain the best contracts for all of us health care providers. i find this group an exciting blend of backgrounds and talents who care for each other. We have a professionally exciting psychopharmacology chat room. We meet annually to spend time with each other. Like several other senior physicians we have spent time in many systems of delivery of care and TBH offers a unique blend of private practice and public service without the usual bureaucracy. god bless the Irish. J”
-Owen Lum MD

"As a psychiatry resident and fellow, I have had nothing but positive experiences with TBH.  I like the fact that I am now credentialed at many different institutions, allowing me to moonlight at a variety of different hospitals.  The staff has been extremely courteous and helpful at all times.  I have always been paid promptly and the reimbursement is generous.  The experience has been an important supplement to my residency training.  Gary is very straightforward about different options and realistically presents advantages and disadvantages of each site.  I have referred a number of my colleagues to TBH because I have had such positive experiences."
  - Jacob Towery, MD

“After 50 years of practicing medicine, I still find intermittent assignments to various settings served by TBH a professionally stimulating and valuable learning experience.”
- Alexander Blum, MD

“Working for TBH is a great opportunity for a psychiatrist just out of residency. The company is small enough to have a warm and friendly atmosphere, and large enough to provide a unique variety of practice opportunities. TBH psychiatrists are excellent psychiatrists as well as being diverse and interesting people! In the TBH group there is plenty of the support you need when you are just starting out. If I were looking for a job in California, I wouldn't look any further than TBH!”
- Barbara Roth, MD

“Fortune smiled when I contacted TBH. Trying to coordinate my practice commitments at home with the desire to do acute care work on a regular but limited basis had been difficult. TBH embraced the challenge and we have an arrangement that serves all involved parties well...”
- Carla Carroll, MD

“I retired in ’94, hated it... my association with TBH has been a source of work that has been far more rewarding than the pay. As a bonus, I have enjoyed my association with other TBH physicians at the monthly meetings and their annual retreat...”
- Enoch Callaway, MD

“For the past three years I have represented Los Angeles County TBH/Telecare-partnered facilities in court providing testimony in conservatorships and other mental health related matters. The TBH approach fosters a close working relationship with the medical director and treating psychiatrists on all cases to assure the highest quality of patient care and advocacy...”
- Gary Freedman-Harvey, PhD

- Gillian Friedman, MD

“ I am fully supported by Dr. Hayes and the excellent office staff of TBH. I am treated with respect by the professional staff at Telecare Solano PHF. This is truly the best job I've ever had since becoming a psychiatrist. It is wonderful to see how successful this work can be when all of the players involved hold high the goal of quality patient care. I look forward to many years of gratifying work with Dr. Hayes and TBH.”
- Bradly Keller, MD

“Working for Gary Hayes is by far my best professional practice experience. In the eight years since I started I've worked a variety of locations and modalities depending on changing needs, curiosity, burnout, and whim... Gary has unusual and genuine kind regard for our motley crew of psychiatrists, and is amazingly tolerant of our differences and quirks.”
- James Kennedy, MD

“...My work is always stimulating, frequently rewarding, and ever changing. My complaint about TBH is that all psychiatrists are required to take at least six full weeks per year off, depriving me of yet additional stimulation and rewards (just kidding).”
- Jon Heiser, MD

“Gary Hayes and TBH were able to sign me up for a part time job that allows me to sleep in and start work at noon, making it possible for me to follow my passions for Lindy Hop and Argentine Tango at night. Gary made it happen..."
- Margaret Copi, MD

“I was recently involved in a transition from being a provider for one medical group to being part of TBH when our hospital changed their contracts. At first I was somewhat reluctant and concerned that I would not receive the kind of agreements that were important to me in the current stage of my career. Gary Hayes understood what was important to me, provided it and has followed through completely...”
- Richard Slawsky, MD

“...I am particularly impressed at the way the company manages to maintain individual relations with their doctors. TBH has an ability to understand the needs of each individual doctor and to tailor-fit programs that best fulfill the mutual needs of doctors and the facilities or settings in which they work...”
- Rick Jenkins, MD

“I started at TBH in 2000 having become disgruntled with the irrationalities of the managed care system necessary to maintain my private practice. After all, as a Psychiatrist I thought my job was to fight against irrationality not cater to it. Joining TBH allowed me to continue doing the work that I love and am most suited for while no longer having to attend to that chaos...”
- Ron Seff, MD

“TBH attracts extremely talented clinicians from amazingly diverse backgrounds and with unique life experiences. Those times we get together are always fun and an opportunity to learn from one another. It feels important to find that perfect 'fit' with the TBH culture and the customers we serve when recruiting new doctors. Those who value collegial relationships and enjoy working as a team find this work most satisfying.”
- Russell J. Monroe, Jr., MD

The past 9 years at TBH have been some of the most rewarding and fulfilling in my 40 year career in psychiatry. Professionally, my work in IMD and ACT Model settings has challenged my intellect, expanded my knowledge and enhanced my enjoyment of my profession. My personal relationships with my TBH collegues brought new friendships and intellectual stimulation to my life. Life at TBH proves "you CAN teach this old dog new tricks".  Sam
- Sam Gould, MD

“Since leaving a very busy private solo practice (acute inpatient combined with outpatient psychotherapy & med management) and coming to TBH, there has rarely been a day I have not been thankful for this move. I have often told people when I joined TBH, I thought I had died and gone to heaven. The opportunities, in addition, are limitless and the support/flexibility unmatched by any previous associations I have had in my professional career...”
- Sheldon Jones, MD

“...I have never felt as valued nor as supported as is the case with this group. I have just started my 4th year with TBH and look forward to many many more!”
- Stuart Gluck, MD

"It has been a wonderful experience working for TBH for the past three years.  Right out of residency, I was lucky enough to find a position through Traditions Behavioral Health that allowed me to work in the setting and with the patient population I felt I could do the most for.  It has been an extremely rewarding experience and continues to be.  I can not say enough about the positon that Dr. Hayes found for me and how it has allowed me to grow professionally and interpersonally."
- Craig Beaty, DO

"I can count on the fingers of one hand how many times I have been sent flowers.  I’m happy to report that one of those occasions was my first day working for TBH.  I believe that it is this personal touch that sets TBH apart from other companies and makes it the ideal place to work.
     From day one, I have had easy access to the TBH staff including Dr. Gary Hayes.  He was always interested in how the position was meeting my needs.  When circumstances beyond TBH’s control eliminated this position, Gary got personally involved and aggressively located other job opportunities for me within the TBH network.  I’m starting a new position at the end of the month that again is a perfect fit for me.
     I attended medical school and completed my training because I had the desire to practice psychiatry and interact with patients.  TBH allows me to focus on this endeavor, while leaving the business details to Gary and the rest of the TBH staff.   This is a unique feature to TBH, but just another example of how TBH raises the bar from other organizations.  I’m in a happy and fulfilling place in my career, and I look forward to a bright future with TBH."
- Jonathan Kistler , MD