our purpose


Here at Tenfold, we excel at designing and implementing models that dramatically improve health and lower costs. 

We can help you launch a moonshot. . .defeat incrementalism. . .and ultimately monetize the absence of disease.  

Three core values power our organization and help you achieve better results. They are our signature and define our work: 



to think differently and take bold new courses of action


to translate new visions into precisely executed operations.


to honor the intimate and personal nature of health and healing.


our services

We are a trusted partner for health systems, insurers, communities, regions, states, and promising startups.  And our favorite space is working across these different stakeholders. . .where the biggest savings and gains are found.  

payer & delivery system modernization

The Tenfold team has deep experience in creating and deploying cutting edge models that are proven to increase health, decrease costs, and improve experiences. Tailored to each client, the evidence-based models have demonstrated sustainable results for:  

  • Statewide Medicaid 
  • Health Systems
  • Insurers
  • Multi-stakeholder regional partnerships
  • Provider organizations

Strategic capital

Making substantive change often requires early investment that payers, providers, and community partners simply don't have. Tenfold can connect your transformation initiative to working capital that allows you to get started right now.  



Health Innovation Lab

Located in beautiful Bend, OR, our Health Innovation Lab provides a creative workspace to get outside your day-to-day thinking with a handpicked team of industry pros.  This unique service has been well received by organizations around the country. . .from Top 100 Hospitals to feisty young startups looking to change our industry.  Join us here to:

  • refine and adapt your business model to the changing landscape
  • learn about best practices in transformation 
  • create new strategies and take bold leaps forward on new initiatives
  • explore cutting edge technologies that are changing our industry
  • resolve the toughest, stickiest issues

The lab experience can be created as a stand-alone service or woven into any combination of other services noted above.


our team


mike bonetto

C O - F O U N D E R

jay henry

C O - F O U N D E R


The partners and advisors within Tenfold Health have decades of C-level experience leading change and achieving excellence. We are a passionate team of 15+ nationally recognized leaders who have sat in your chairs as CEOs, CMOs, VP’s, and frontline caregivers. Our integrated implementation team includes proven project managers, clinical service line executives, certified actuaries, data analysts, IT strategists, payer/provider contracting experts, clinic leaders, and graphic designers. We have made the tough decisions and moved the dial in the most challenging of times.  A small sample of our results include the following: 

regional Transformation

  • Key architect in redesigning Oregon’s Medicaid system to focus on coordinating and integrating all health care services through local Coordinated Care Organizations. Results include a 3.4% cap on per capita annual expense growth in perpetuity for the state.  
  • Deep experience leading Blue Zones community transformations across multiple regions. 
  • Dartmouth Atlas recognition as one of the lowest cost regions of the nation.


  • Top 5% in the nation for Clinical Excellence
  • National designation as an IHI Mentor Hospital.

Patient and Team Experience

  • 99th percentile nationally for physician satisfaction 
  • 98-100% patient experience scores for transformed areas.
  • 50% reduction in attrition

Financial excellencE

  • 98th percentile nationally for Case Mix Adjusted ALOS
  • 250% increase of days cash on hand
  • Bond rating increase through the Great Recession

IT Strategy and Excellence

  • 100 Most Wired Hospitals award



Certified B Corporation


Tenfold is proud to be a Certified B Corporation® and use our company as a force for good in the world. The social and environmental performance standards B Corps meet are comprehensive, transparent and verified. They measure a company’s impact on all its stakeholders (e.g. workers, suppliers, community, and customers).

We humbly join this community of organizations that includes some of our clients, partners, and business heroes. Learn more at bcorporation.net.



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