
“The best value I could have imagined.”
“The Total Membership at PALM has been the best value I could have imagined for all my health needs. I take advantage of all the services, amenities, and classes offered, and the best part is my physician is there too!”
– Karen Hempstead · Total Member · St. Louis, Missouri
Meet Our Total Membership Providers

Jane Gelfand, DO
Concierge Primary Care Physician and Functional Medicine Specialist
Dr. Gelfand is well-practiced in approaching her patients with whole-person and preventive care in order to help them reach optimal health and well-being. She strives to look beyond symptoms, connect the dots between them, and ultimately find the root cause. She brings all of the elements of wellness into her treatment plans, working with patients to strengthen their nutrition, stress management, movement, and more.

Henri Roca, MD
Concierge Primary Care Physician and Functional Medicine Specialist
Dr. Roca is a board-certified Family Medicine Physician and Functional Medicine Specialist dedicated to the principles of whole-person health and integrative medicine. Dr. Roca believes understanding and resolving the root causes of illness can help bring the mind, body, and spirit toward optimal functioning. Dr. Roca emphasizes the importance of predicting and preventing genetic or familial diseases, and he has a particular interest in working with patients who experience chronic multi-symptom illnesses such as chronic fatigue, fibromyalgia, inflammatory and autoimmune challenges, and underlying cardiometabolic diseases. Dr. Roca received his undergraduate degrees from Washington University and his medical degree from Louisiana State University, followed by a residency and internship at Marshall University.

Amanda Lober, NP-C, IFMCP
Family Nurse Practitioner
Amanda received her Bachelor’s of Science in Nursing from St. John’s College in Springfield, Illinois and later went on to obtain her Master’s of Science in Nursing from Southern Illinois University Edwardsville. During her 13 years working in Emergency Departments, she became skilled in a wide variety of simple and complex ailments, treatments, and procedures. With an approach focused on patient education and collaboration, Amanda is passionate about developing and fostering a trusting relationship between patient and provider. She uses her expertise to aid members in reaching their goals, avoiding preventable illness, and achieving well-being.
“The relationship we have with Amanda is a big reason why we continue to renew our membership. Amanda is very knowledgeable and thorough, and she serves us in the best way possible. I appreciate Amanda and her collaboration more than anything else!” – Melissa L.

Sarah Bird, DNP, IFMCP
Functional Medicine Nurse Practitioner
With a strong foundation in integrative person-centered care, Sarah works to support her patients’ innate capacity for healing. She enjoys using a variety of tools including functional medicine, mind-body practices, coaching, and integrative therapies to empower patients. Sarah earned her doctorate in Integrative Health and Healing at the University of Minnesota’s Center for Spirituality for Healing, where her doctoral project entailed building programs to help patients build resilience and well-being. Sarah is certified in functional medicine through the Institute of Functional Medicine and is trained as a Well-Being Coach through the Anthropedia Foundation.
“I always feel listened to and nothing I say is ever dismissed — Sarah goes further to understand and find a solution. She is empathetic and extremely smart. I trust her completely and know that I am in excellent hands with Sarah.” – Matt R.
Not sure if the Total Membership is right for you?
Compare our functional medicine-based membership plans to find the right fit.
