Meet the Team

We are a small team of talented professionals with a wide range of skills and experience. We love what we do, and we do it with passion.

Dr. Jonathan Hoistad

Clinical Phychologist

Dr. Jonathan Hoistad received a B.A. in Psychology from the University of Minnesota, a M.A. in Developmental Psychology, and a Doctorate in Clinical Psychology from the California School of Professional Psychology. He is a licensed psychologist in both Minnesota and Wisconsin. His clinical practice includes consultation in behavioral health, family practice medicine, pre-surgery psychological evaluations, court consultation, school consultation, social service consultation, as well as teaching and supervision of psychology interns.  Dr. Hoistad believes that working in partnership with his patients to provide care, compassion, and understanding creates the best outcomes for the services he provides.

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Areas of Specialty:

Psychological Evaluations


Learning Disability

Assessment of Emotional and Cognitive Functioning

Personality Assessment

Competency/Guardianship Evaluations

Autism Spectrum Disorders

Assessment of Medication Response

Pre-Surgery Health and Behavior Assessments



Dialysis and Transplantation

Oncology Support

Spine Implant

Rehabilitation Planning

Wellness Development; Strategies for Compensating

Evaluation of mental states and emotional functioning after trauma, stroke, and critical care incidents


Individual/Group/Staff Psychological Supervision

Clinic Development and Behavioral Health Supervision

Court, Social Service, and School Consultation

Peter Hoistad

Director of Outreach + Intake Services

My passion, people. I like to connect with people, especially when I have the chance to positively impact someone’s life. I have been with the Natalis Outcomes team since 2016, and love what I do day in and day out. When I am not in the office you can find me at the gym, playing tennis, or hanging out with my dog Cali.

John Malchow

Program Administrator

Even when I was a child, I knew I was put on earth to serve others. I started working in the health care field in 1988 and haven’t looked back. I believe that we were all put here to make humankind better and I work to be a part of that. When I had the opportunity to work at Natalis Outcomes I knew I was a part of something much bigger – I was home! When I’m not working, I enjoy the outdoors, hanging out with my family and friends, and spending time with my granddaughters.

Sue Grundhoffer

HR/Office Administrator 

I started my career working in human resources for a wonderful company in the human services field.  After that, I worked for a number of years as the Director of a nonprofit doing amazing work in Haiti. Now, full circle complete!  I am back working in human resources and office administration at Natalis Outcomes with an amazing group of people! In my free time, I love spending time with my husband and teenage daughter, our two BIG dogs, and one crazy cat.

Paei Vang

Care Manager

In my daily work, I enjoy supporting the provider to be efficient and resourceful in connecting clients to the care and resources they need.  I started at Natalis Outcomes in February 2020 and have been assisting Dr. Hoistad with this schedule and clinical cases.  When I am not in the office, I’m either watching Netflix, exercising, or cooking.

Sidney Boston, Case Manager

Favorite organization: Planned Parenthood

My favorite thing to do when helping our clients is assist with goals under the “other” category. I love working with my clients to problem solve for solutions to seemingly impossible tasks! The best thing about the clients that I work with is that we work together using patience and understanding to achieve the goals that they’ve set up.

Alec Budge, Case Manager

Favorite organization: Save the Boundary Waters

My favorite thing when working with a client is building rapport and a strong foundation to best support their goals. The best thing about our clients is their optimism. Despite some bumps in the road, our clients find the silver lining and pursue an ideal future.

Jason Gillman, Case Manager

Favorite organization: Second Harvest

My favorite thing to do with our clients is to listen, and the best thing about the clients we serve is their individuality.

Shannon Hafner, Case Manager

Favorite organization: “Celebrate Me Week” (It’s a self-esteem camp for kids going into 7th grade)

My favorite thing to do is help a client find affordable, stable housing. I find that everything else in their lives starts falling into place once they know they have a place to lay their heads each night. I love being able to find common ground with my clients, to build trust and to know that I can help them connect with services which will enhance their lives.

Arlee Hang, Case Manager

Favorite organization: Voices for Racial Justice

My favorite thing to do when helping clients is finding resources or programs to refer my clients to, knowing that it fits their interests and will help them meet their goals. The best thing about the clients we work with are the conversations we have and the stories they share.  Every day I get to practice empathy and compassion as I interact with clients and listen.

Andrew Hoistad, Psychometrist

Favorite organization: Fred Wells Tennis and Education Center

My favorite thing to do with our clients is to help them with the citizenship process. I like working with the immigrant/refugee population. I also like the psychological evaluation process.

Kayla Laturnus, Case Manager

My favorite thing to do when helping clients is working on whatever they want. What I mean by this is, I like seeing them empowered, and taking life back into their own hands. Personally, one of the best things about the clients I work with is observing their resilience. When listening to stories and how I can help, it amazes me what some individuals have gone through, yet are so determined to meet a specific goal. I also appreciate the relationships we have built, because being vulnerable is never easy.

Lori Rasmussen, Case Manager

Favorite organization: Bridging

I really enjoy helping our clients through the process of Bridging (mostly because it’s the last step to stable housing). Each of our clients is different and unique which keeps it interesting.  Each client has their own story.

Dr. Jeff Boston, Licensed Psychologist
Barbara Widmer, RN Nurse

I really enjoy our clients, making them feel empowered and motivated to take charge of their health appointments and medications. I think getting to know each client individually and developing a professional relationship with each client. There are some clients that are on their 8th H&W so I feel like I have more of a rapport with them.

Elin Xiong, Case Manager

Favorite organization: Feed My Starving Children.

I think the best thing about the clients that we work with is that they have so much perseverance. I like to remind the clients that we work with on the little successes and celebrate them together.

Kassandra Thao, System Navigator

I love creating relationships with clients and being able to be with the client in every step of their journey. The best thing about the clients that we work with is that every individual is unique and has different needs which presents new and rewarding challenges to the work that we do.

Koua Vang, Case Manager

I started to work in mental health since 2013 as an administrative assistant and love doing what I do every day to make the provider and client meeting go smoothly. In my free time, I enjoy cleaning my house and cooking for my family, we love to eat pho and egg rolls.  

Taiheichen Celestine-Lloyd,
System Navigator

I believe in treating others the way that you want to be treated. I was always told by my mother that I was a natural born helper.  Helping others makes me feel good because I love to see others smile.  I believe that as a Case Manger I can help clients take back a piece of their life one step at a time.

Margaret Heaton, Nurse Integra

I feel blessed to have a nursing career of over 20 years that has been filled with helping people. I love to see clients work toward their health goals no matter how big or small. I strive to connect with clients in a way that is honest, compassionate, and understanding. My goal each day is to meet someone where they are in their health journey and hopefully make a difference in some way.

Amber Horkey, Case Manager

I have worked in human resources now for 10+ years and I wouldn’t trade that for anything. I believe that all people need a little push to keep them going in the right direction. In my free time I enjoy camping, riding my side by side, building old cars with my husband and spending time relaxing with my dogs.

Want to work with us?

Let’s connect.

1821 University Avenue West, Suite #155 Saint Paul, Minnesota 55104, United States