TEN Healthcare

What TEN Healthcare does

TEN Healthcare is a CLIA-accredited clinical laboratory (CLIA ID 26D0953866) headquartered in Fenton, Missouri, founded in 2014 by Dr. CJ Michaud, PharmD, BCCCP, BCPS, a dual board-certified clinical pharmacy specialist in critical care and infectious disease pharmacotherapy. The company operates a B2B diagnostic testing platform serving clinics, physician practices, urgent care, specialty practices (pain management, addiction treatment, hormone therapy), and government accounts across the United States, with specimen transport handled by UPS, FedEx, and a local MO/IL courier fleet. Three core service lines generate revenue: (1) PCR molecular infectious disease testing across five panels (gastrointestinal, wound, women's health, upper respiratory, urinary tract infection), (2) toxicology testing covering 70+ drugs via urine and oral fluid, and (3) FDA-approved clinical blood testing with panels for hormone therapy, weight management, cardiac, diabetes, thyroid, and men's/women's health. Underlying technology is PCR molecular diagnostics with proprietary multi-pathogen panels, antibiotic resistance gene detection, and Shadowbox-based integration into five major EHR systems (eClinicalWorks, Athena, PrognoCIS, ModMed, MatrixCare), with results delivered via a CareEvolve provider portal and HL7-compatible reports.

The business model is transaction-based laboratory billing: TEN Healthcare bills insurers directly for tests, with patient responsibility for co-pays/coinsurance/deductibles; cash-pay rates and a financial hardship program serve uninsured patients. A 24-hour turnaround time guarantee across PCR and blood work is a core commercial promise. Distribution combines field sales representatives who onboard clinic clients (evidenced by Sales Specialist and Phlebotomist-SPA roles at satellite locations such as Byrnes Mill, MO) with a self-service portal stack (requisition forms, Shadowbox client onboarding, CareEvolve results, online bill pay). A differentiated clinical pharmacist consult hotline, staffed by the founder and team, supports providers on PCR interpretation and antimicrobial therapy selection—an unusual, clinically embedded service layer for a regional lab.

TEN Healthcare is privately held with no disclosed institutional investors, funding rounds, or parent company. The operating geography is the United States with national reach enabled by carrier partnerships, but specimen processing is centralized at the Fenton, MO facility. Headcount of 101–250 positions the company as a mid-size specialty diagnostic lab rather than a national reference lab. No revenue, ARR, or volume figures are publicly disclosed, and the firm's only named executive is the founder/clinical pharmacist.

Name

TEN Healthcare

Legal name

TEN Healthcare

Website

https://tenhealthcare.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

11–50 employees

Short description

TEN Healthcare is a CLIA-accredited clinical laboratory in Fenton, Missouri that provides PCR molecular infectious disease testing, 70+ drug toxicology, and clinical blood panels to clinics, physician practices, and specialty care providers via UPS/FedEx transport and EHR-integrated ordering.

Ownership category

akta.pro rank

Product category

Clinical Laboratory Services

NAICS

Medical Laboratories (621511)

SIC

Services-Medical Laboratories (8071)

akta.pro primary industry

Molecular & Genetic Testing (PCR/NGS/qPCR) (HLAGADAF)

akta.pro secondary industries

Molecular Diagnostics (PCR/qPCR, NGS-based assays) (HLAAALAA), Multiplex & High-Throughput Diagnostics Platforms (microarrays, digital PCR, lab automation-enabled assays) (HLAAALAL)

Keywords

• Clinical laboratory services
• PCR molecular diagnostics
• Toxicology drug screening
• Infectious disease testing
• Clinical blood testing

Headquarters

HQ city

Fenton

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Supply Chain, Marketing or Sales, Infrastructure

Revenue model

1. Laboratory Testing Services - Insurance Billing: TEN Healthcare bills patients' insurers directly for laboratory testing services. Insurance companies send an Explanation of Benefits (EOB) statement showing claim processing, and patients may receive a bill for co-payments, co-insurance, or deductibles. This is the primary revenue stream.
2. Cash Pay / Self-Pay Patients: For uninsured patients or those with coverage gaps, TEN Healthcare offers cash pay rates and a financial hardship program. This provides revenue from patients directly paying for services.
3. Timely Pay Discount: TEN Healthcare offers a timely payment discount for patients paying out-of-pocket, incentivizing faster payment collection.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels5 records

Core offering

TEN Healthcare is a CLIA-accredited clinical laboratory providing PCR molecular infectious disease testing, toxicology screening (urine and oral fluid), and FDA-approved clinical blood testing panels to healthcare providers. Services are delivered with a 24-hour guaranteed turnaround from specimen receipt, integrating directly into provider EHR workflows through a proprietary Shadowbox platform. A dual board-certified clinical pharmacist consult service supports providers on PCR interpretation and antimicrobial therapy selection.

Product overview

TEN Healthcare is a CLIA-accredited clinical laboratory offering a unified diagnostic testing platform centered on three core service lines: PCR Services, Toxicology Services, and Blood Testing Services. The PCR Services module covers five body-system sub-panels (Gastrointestinal, Wound Infection, Women's Health, Upper Respiratory Infection, and Urinary Tract Infection) that detect bacterial, viral, fungal, and parasitic pathogens with 3-5x greater sensitivity than culture in 12-24 hours. Toxicology Services includes Urine Drug Screening (qualitative) and Urine Drug Testing (quantitative) for over 70 drugs supporting pain management and addiction treatment. Blood Testing Services provides FDA-approved clinical panels across hormone therapy, weight management, cardiac, diabetes, thyroid, and anemia categories. Supporting the core platform are Shadowbox (EHR-integrated client onboarding system), a Results Portal (CareEvolve-based with HL7 compatibility), and a PCR Clinical Pharmacist Consult Service staffed by board-certified specialists.

Differentiator

Problem solved

Functional benefit

Products and services

• PCR Services Molecular polymerase chain reaction (PCR) testing services for rapid and accurate diagnosis of infectious diseases across multiple body systems, including gastrointestinal, wound, women's health, upper respiratory, and urinary tract infection panels. Detects bacterial, viral, fungal, and parasitic pathogens with antibiotic resistance gene detection and 12-24 hour turnaround time. Sold to clinics, physician practices, urgent care, and specialty providers.
• Toxicology Services Qualitative screening, quantitative confirmation, and oral fluid testing services covering over 70 different drugs to support pain management, addiction treatment, and compliance monitoring. Sold to pain management clinics, addiction treatment centers, government agencies, and physician practices requiring drug monitoring.
• Blood Testing Services FDA-approved clinical blood testing with comprehensive panels including hormone therapy, weight management, anemia, metabolic, cardiac, diabetes, thyroid, and men's/women's health panels. Sold to hormone therapy providers, wellness clinics, weight management practices, and primary care providers.
• PCR Clinical Pharmacist Consult Service Standalone consult service providing healthcare providers with direct access to a dual board-certified clinical pharmacy specialist for consultation on PCR results interpretation, antimicrobial therapy selection, and complex patient management. Sold to healthcare providers ordering PCR testing.
• Results Portal Online portal providing healthcare providers and patients access to laboratory test results with HL7-compatible PDF reporting. Sold to healthcare providers and patients as a results delivery channel.

Segments5 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration6 records

Feature8 records

Partnerships

Nine partnerships are on record, tiered core and supporting.

• CareEvolvecoreTechnology or IntegrationTEN Healthcare partners with CareEvolve to provide a results portal (ten.careevolve.com) for healthcare providers to access patient test results. This integration enables providers to retrieve PCR, toxicology, and blood testing results through a dedicated online portal.
• ShadowboxcoreTechnology or IntegrationTEN Healthcare utilizes Shadowbox application technology to enable direct integration with multiple Electronic Health Record (EHR) systems. Shadowbox allows providers to place laboratory orders and review results directly within their existing EHR workflows, supporting eClinicalWorks, Athena, PrognoCIS, ModMed, and MatrixCare systems.
• eClinicalWorkscoreTechnology or IntegrationEHR system integration through Shadowbox enabling eClinicalWorks users to access TEN Healthcare laboratory ordering and results directly within their clinical workflow.
• Athenahealth (Athena)coreTechnology or IntegrationEHR system integration through Shadowbox enabling Athena users to access TEN Healthcare laboratory ordering and results directly within their clinical workflow.
• PrognoCIScoreTechnology or IntegrationEHR system integration through Shadowbox enabling PrognoCIS users to access TEN Healthcare laboratory ordering and results directly within their clinical workflow.
• ModMedcoreTechnology or IntegrationEHR system integration through Shadowbox enabling ModMed users to access TEN Healthcare laboratory ordering and results directly within their clinical workflow.
• MatrixCarecoreTechnology or IntegrationEHR system integration through Shadowbox enabling MatrixCare users to access TEN Healthcare laboratory ordering and results directly within their clinical workflow.
• UPSsupportingChannel Partner/ Reseller/ DistributorTEN Healthcare partners with UPS for national specimen transport. UPS pickups must be submitted via website prior to 2PM to ensure same-day processing.
• FedExsupportingChannel Partner/ Reseller/ DistributorTEN Healthcare partners with FedEx for national specimen transport. FedEx pickups must be submitted via website prior to 2PM to ensure same-day processing.

Scale indicators5 records

Recent moves1 record

Expansion highlights6 records

Direct peers

• PathGroup: U.S. physician-led pathology and clinical laboratory offering molecular diagnostics, toxicology, and anatomic pathology services to clinicians. Closely comparable as a mid-size independent lab competing on service quality and specialty test menus.
• Dominion Diagnostics: Specialty clinical laboratory focused on urine drug monitoring and toxicology serving pain management, behavioral health, and addiction treatment providers. Direct competitor in TEN Healthcare's toxicology service line with overlapping customer base.
• Millennium Health: Specialty clinical laboratory focused on medication monitoring and toxicology, serving pain management and addiction treatment providers. Directly comparable as a competitor in TEN Healthcare's tox service line with overlapping customer segments.
• Molecular Testing Labs: Clinical laboratory offering molecular PCR-based infectious disease and specialty testing to healthcare providers. Comparable as a similarly-sized PCR-focused clinical lab with a B2B provider channel.

Broad incumbents

• Quest Diagnostics: Largest U.S. clinical reference laboratory with a comprehensive molecular infectious disease, toxicology, and clinical blood testing menu. Comparable as a competing lab service provider, though it operates at vastly greater scale with national coverage and entrenched payer relationships.
• Sonic Healthcare: Global clinical laboratory operator with U.S. presence through subsidiary labs, providing pathology, molecular diagnostics, and toxicology. Comparable as a multi-modality lab services competitor with a similar B2B provider-oriented go-to-market.
• Eurofins Scientific: International bioanalytical testing group with clinical diagnostics capabilities, including infectious disease molecular testing. Comparable as a scaled laboratory services provider in adjacent diagnostic verticals.
• Laboratory Corporation of America (Labcorp): Second major U.S. clinical reference lab offering PCR molecular diagnostics, drug toxicology, and routine blood testing. Directly competes with TEN Healthcare for clinic and physician practice accounts, with significantly broader geographic reach and test menu.

Emerging players

• GenMark Diagnostics: Molecular diagnostics company developing multiplex PCR panels for infectious disease detection. Comparable technology overlap in multi-pathogen PCR panels, though positioned as a diagnostics manufacturer rather than a service lab.
• Accelerate Diagnostics: In vitro diagnostics company offering rapid molecular testing for bloodstream and other infections, including antibiotic resistance identification. Comparable on the antimicrobial stewardship and resistance-gene testing axis that differentiates TEN's panels.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/TenHealthcare
• LinkedInlinkedin.com/company/tenhealthcare

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about TEN Healthcare