As Medical Director of Primary Care, Dr. Jonathan Butler oversees all of Aspire Indiana Health's primary care operations at its Central Indiana clinics and other facilities.

Butler directs the supervision of medical practitioners providing direct care and give clinical/administrative support to Aspire’s Federally Qualified Health Centers (FQHC) in Marion, Hamilton, Madison and Boone counties. He works in conjunction with Dr. Betsy Rosiek, Medical Director, Psychiatry, and the rest of the leadership team in supporting the mission of Aspire to provide fully integrated medical, psychiatric and addiction care to patients.

Dr. Butler joined Aspire in July 2020 with a deep background in healthcare administration and innovation. Immediately prior he held the position of Regional Medical Director of Limestone Health, which runs methadone maintenance programs in Lafayette and Bloomington, Ind.

Previously Butler held roles as a direct care or staff physician, chief medical officer and medical director. He also was an adjunct professor at Vanderbilt University’s Peabody College of Education and Human Development, specializing in addictions and counseling.

Butler earned his bachelor’s degree in inorganic chemistry from David Lipscomb University and his medical degree from the University of Tennessee College of Medicine, serving his residency at St. Francis Hospital in Memphis. He also has a master's degree in education from Peabody College.

He is certified by the American Board of Family Medicine and the American Board of Addiction Medicine, and is a member of the American Academy of Family Practice and the American Society of Addiction Medicine.

Macy Kootz is a strong treatment advocate and believes trauma-informed support, community responsiveness and connection along with access to resources are what is needed to make a difference for those who struggle with substance use disorders (SUD).

As Senior Director of Addictions Services, Macy provides operational leadership, direction and development of clinical functions, programs and services in the areas of substance use and addictions. Her primary responsibilities include: oversight of residential treatment and operations; effective collaboration with clinical leadership in regards to curriculum development, programming and delivery; and partnership in incorporating recovery supports in the continuum of care.

Kootz is a licensed mental health counselor (LMHC) and received her master’s degree in mental health counseling from Boston College. Prior to graduate school, she received her bachelor's degree in psychology from Morehead State University, where she was a member of the George M Luckey Jr. Academic Honors Program and the women’s soccer team.

Since graduate school, Macy has worked in CMHCs as a therapist and leader for the community based mental health and addictions programs. Most recently, she served as a clinical leader for the SUD residential programs at Centerstone. Her primary responsibilities included clinical oversight, program development and establishing new programs as a result of community investment of opioid settlement dollars.

Macy also has five years of experience as a member of problem-solving court in Bartholomew County, and believes treatment courts are a vital solution in a society that has criminalized behaviors associated with severe mental illness and SUD.

Through her position as Senior Director of Addictions Services, Kootz influences all of Aspire’s substance use and addiction treatment continuum, ensuring Aspire approaches each individual from a “whole health” paradigm.